Federal
Federal Firefighters Fairness Act of 2022
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II
Calendar No. 485
117TH CONGRESS
2D SESSION
S. 1116
[Report No. 117–146]
To amend chapter 81 of title 5, United States Code, to create a presumption
that a disability or death of a Federal employee in fire protection activi-
ties caused by any of certain diseases is the result of the performance
of such employees duty, and for other purposes.
IN THE SENATE OF THE UNITED STATES
APRIL 14, 2021
Mr. CARPER (for himself, Ms. COLLINS, Mrs. FEINSTEIN, Mr. KING, Mr. VAN
HOLLEN, Ms. DUCKWORTH, Ms. ROSEN, Mr. TESTER, Mr. MARKEY, Mr.
BLUMENTHAL, Mr. BROWN, Mrs. FISCHER, Ms. CORTEZ MASTO, Ms.
WARREN, Mr. OSSOFF, Ms. SINEMA, Ms. HASSAN, Mr. PADILLA, Mr.
HEINRICH, Mr. LUJA´N, Mr. MERKLEY, Mrs. MURRAY, Mr. WYDEN, Ms.
SMITH, Mr. DURBIN, and Ms. BALDWIN) introduced the following bill;
which was read twice and referred to the Committee on Homeland Secu-
rity and Governmental Affairs
SEPTEMBER 13, 2022
Reported by Mr. PETERS, with an amendment
[Strike out all after the enacting clause and insert the part printed in italic]
A BILL
To amend chapter 81 of title 5, United States Code, to
create a presumption that a disability or death of a
Federal employee in fire protection activities caused by
any of certain diseases is the result of the performance
of such employees duty, and for other purposes.
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Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Federal Firefighters
4
Fairness Act of 2021’’.
5
SEC. 2. CERTAIN DISEASES PRESUMED TO BE WORK-RE-
6
LATED CAUSE OF DISABILITY OR DEATH FOR
7
FEDERAL EMPLOYEES IN FIRE PROTECTION
8
ACTIVITIES.
9
(a) DEFINITION.—Section 8101 of title 5, United
10
States Code, is amended—
11
(1) by striking ‘‘and’’ at the end of paragraph
12
(19);
13
(2) by striking the period at the end of para-
14
graph (20) and inserting ‘‘; and’’; and
15
(3) by adding at the end the following:
16
‘‘(21) ‘employee in fire protection activi-
17
ties’ means a firefighter, paramedic, emergency
18
medical technician, rescue worker, ambulance
19
personnel, or hazardous material worker, who—
20
‘‘(A) is trained in fire suppression;
21
‘‘(B) has the legal authority and re-
22
sponsibility to engage in fire suppression;
23
‘‘(C) is engaged in the prevention,
24
control, and extinguishment of fires or re-
25
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sponse to emergency situations where life,
1
property, or the environment is at risk;
2
and
3
‘‘(D) performs such activities as a pri-
4
mary responsibility of his or her job.’’.
5
(b) PRESUMPTION RELATING
TO EMPLOYEES
IN
6
FIRE PROTECTION ACTIVITIES.—Section 8102 of title 5,
7
United States Code, is amended by adding at the end the
8
following:
9
‘‘(c)(1) With regard to an employee in fire protection
10
activities, a disease specified in paragraph (3) shall be pre-
11
sumed to be proximately caused by the employment of
12
such employee, subject to the length of service require-
13
ments specified. The disability or death of an employee
14
in fire protection activities due to such a disease shall be
15
presumed to result from personal injury sustained while
16
in the performance of such employee’s duty. Such pre-
17
sumptions may be rebutted by a preponderance of the evi-
18
dence from the employing agency.
19
‘‘(2) Such presumptions apply only if the employee
20
in fire protection activities is diagnosed with the disease
21
for which presumption is sought within 10 years of the
22
last active date of employment as an employee in fire pro-
23
tection activities.
24
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‘‘(3) The following diseases shall be presumed to be
1
proximately caused by the employment of the employee in
2
fire protection activities:
3
‘‘(A) If the employee has been employed for a
4
minimum of 5 years in aggregate as an employee in
5
fire protection activities:
6
‘‘(i) Heart disease.
7
‘‘(ii) Lung disease.
8
‘‘(iii) The following cancers:
9
‘‘(I) Brain cancer.
10
‘‘(II) Cancer of the blood or lymphatic
11
systems.
12
‘‘(III) Bladder cancer.
13
‘‘(IV) Kidney cancer.
14
‘‘(V) Testicular cancer.
15
‘‘(VI) Cancer of the digestive system.
16
‘‘(VII) Skin cancer.
17
‘‘(VIII) Cancer of the respiratory sys-
18
tem.
19
‘‘(IX) Breast cancer.
20
‘‘(iv) Any other cancer the contraction of
21
which the Secretary of Labor through regula-
22
tions determines to be related to the hazards to
23
which an employee in fire protection activities
24
may be subject.
25
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‘‘(B) Regardless of the length of time an em-
1
ployee in fire protection activities has been em-
2
ployed, any communicable disease that has been de-
3
termined to be a pandemic by the World Health Or-
4
ganization or the United States Centers for Disease
5
Control and Prevention, or any chronic infectious
6
disease, the contraction of which the Secretary of
7
Labor through regulations determines to be related
8
to the hazards to which an employee in fire protec-
9
tion activities may be subject.’’.
10
(c) APPLICATION.—The amendments made by this
11
section shall apply to a covered disability or death that
12
occurs on or after the date of the enactment of this Act.
13
SECTION 1. SHORT TITLE.
14
This Act may be cited as the ‘‘Federal Firefighters
15
Fairness Act of 2022’’.
16
SEC. 2. CERTAIN ILLNESSES AND DISEASES PRESUMED TO
17
BE WORK-RELATED CAUSE OF DISABILITY OR
18
DEATH FOR FEDERAL EMPLOYEES IN FIRE
19
PROTECTION ACTIVITIES.
20
(a) PRESUMPTION RELATING TO EMPLOYEES IN FIRE
21
PROTECTION ACTIVITIES.—
22
(1) IN GENERAL.—Subchapter I of chapter 81 of
23
title 5, United States Code, is amended by inserting
24
after section 8143a the following:
25
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‘‘§ 8143b. Employees in fire protection activities
1
‘‘(a) DEFINITIONS.—In this section:
2
‘‘(1) EMPLOYEE
IN
FIRE
PROTECTION
ACTIVI-
3
TIES.—The term ‘employee in fire protection activi-
4
ties’ means an employee employed as a firefighter,
5
paramedic, emergency medical technician, rescue
6
worker, ambulance personnel, or hazardous material
7
worker who—
8
‘‘(A) is trained in fire suppression;
9
‘‘(B) has the legal authority and responsi-
10
bility to engage in fire suppression;
11
‘‘(C) is engaged in the prevention, control,
12
and extinguishment of fires or response to emer-
13
gency situations in which life, property, or the
14
environment is at risk, including the prevention,
15
control, suppression, or management of wildland
16
fires; and
17
‘‘(D) performs the activities described in
18
subparagraph (C) as a primary responsibility of
19
the job of the employee.
20
‘‘(2) RULE.—The term ‘rule’ has the meaning
21
given the term in section 804.
22
‘‘(3) SECRETARY.—The term ‘Secretary’ means
23
the Secretary of Labor.
24
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‘‘(b) CERTAIN ILLNESSES AND DISEASES DEEMED TO
1
BE PROXIMATELY CAUSED BY EMPLOYMENT IN FIRE PRO-
2
TECTION ACTIVITIES.—
3
‘‘(1) IN GENERAL.—For a claim under this sub-
4
chapter of disability or death of an employee who has
5
been employed for not less than 5 years in aggregate
6
as an employee in fire protection activities, an illness
7
or disease specified on the list established under para-
8
graph (2) shall be deemed to be proximately caused
9
by the employment of that employee, if the employee
10
is diagnosed with that illness or disease not later than
11
10 years after the last active date of employment as
12
an employee in fire protection activities.
13
‘‘(2) ESTABLISHMENT OF INITIAL LIST.—There
14
is established under this section the following list of
15
illnesses and diseases:
16
‘‘(A) Bladder cancer.
17
‘‘(B) Brain cancer.
18
‘‘(C) Chronic obstructive pulmonary disease.
19
‘‘(D) Colorectal cancer.
20
‘‘(E) Esophageal cancer.
21
‘‘(F) Kidney cancer.
22
‘‘(G) Leukemias.
23
‘‘(H) Lung cancer.
24
‘‘(I) Mesothelioma.
25
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‘‘(J) Multiple myeloma.
1
‘‘(K) Non-Hodgkin lymphoma.
2
‘‘(L) Prostate cancer.
3
‘‘(M) Skin cancer (melanoma).
4
‘‘(N) A sudden cardiac event or stroke suf-
5
fered while, or not later than 24 hours after, en-
6
gaging in the activities described in subsection
7
(a)(1)(C).
8
‘‘(O) Testicular cancer.
9
‘‘(P) Thyroid cancer.
10
‘‘(3) ADDITIONS TO THE LIST.—
11
‘‘(A) IN GENERAL.—
12
‘‘(i)
PERIODIC
REVIEW.—The
Sec-
13
retary shall—
14
‘‘(I) in consultation with the Di-
15
rector of the National Institute for Oc-
16
cupational Safety and Health and any
17
advisory committee determined appro-
18
priate by the Secretary, periodically
19
review the list established under para-
20
graph (2); and
21
‘‘(II) if the Secretary determines
22
that the weight of the best available sci-
23
entific evidence warrants adding an
24
illness or disease to the list established
25
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under paragraph (2), as described in
1
subparagraph (B) of this paragraph,
2
make such an addition through a rule
3
that clearly identifies that scientific
4
evidence.
5
‘‘(ii) CLASSIFICATION.—A rule issued
6
by the Secretary under clause (i) shall be
7
considered to be a major rule for the pur-
8
poses of chapter 8.
9
‘‘(B) BASIS
FOR
DETERMINATION.—The
10
Secretary shall add an illness or disease to the
11
list established under paragraph (2) based on the
12
weight of the best available scientific evidence
13
that there is a significant risk to employees in
14
fire protection activities of developing that illness
15
or disease.
16
‘‘(C) AVAILABLE
EXPERTISE.—In deter-
17
mining significant risk for purposes of subpara-
18
graph (B), the Secretary may accept as authori-
19
tative, and may rely upon, recommendations,
20
risk assessments, and scientific studies (includ-
21
ing analyses of National Firefighter Registry
22
data pertaining to Federal firefighters) by the
23
National Institute for Occupational Safety and
24
Health, the National Toxicology Program, the
25
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National Academies of Sciences, Engineering,
1
and Medicine, and the International Agency for
2
Research on Cancer.’’.
3
(2)
TECHNICAL
AND
CONFORMING
AMEND-
4
MENT.—The table of sections for subchapter I of chap-
5
ter 81 of title 5, United States Code, is amended by
6
inserting after the item relating to section 8143a the
7
following:
8
‘‘8143b. Employees in fire protection activities.’’.
(3) APPLICATION.—The amendments made by
9
this subsection shall apply to claims for compensation
10
filed on or after the date of enactment of this Act.
11
(b) RESEARCH COOPERATION.—Not later than 120
12
days after the date of enactment of this Act, the Secretary
13
of Labor (referred to in this section as the ‘‘Secretary’’)
14
shall establish a process by which an employee in fire pro-
15
tection activities, as defined in subsection (a) of section
16
8143b of title 5, United States Code, as added by subsection
17
(a) of this section (referred to in this section as an ‘‘em-
18
ployee in fire protection activities’’), filing a claim under
19
chapter 81 of title 5, United States Code, as amended by
20
this Act, relating to an illness or disease on the list estab-
21
lished under subsection (b)(2) of such section 8143b (re-
22
ferred to in this section as ‘‘the list’’), as the list may be
23
updated under such section 8143b, shall be informed about,
24
and offered the opportunity to contribute to science by vol-
25
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untarily enrolling in, the National Firefighter Registry or
1
a similar research or public health initiative conducted by
2
the Centers for Disease Control and Prevention.
3
(c) AGENDA FOR FURTHER REVIEW.—Not later than
4
3 years after the date of enactment of this Act, the Secretary
5
shall—
6
(1) evaluate the best available scientific evidence
7
of the risk to an employee in fire protection activities
8
of developing breast cancer, gynecological cancers, and
9
rhabdomyolysis;
10
(2) add breast cancer, gynecological cancers, and
11
rhabdomyolysis to the list, by rule in accordance with
12
subsection (b)(3) of section 8143b of title 5, United
13
States Code, as added by subsection (a) of this section,
14
if the Secretary determines that such evidence sup-
15
ports that addition; and
16
(3) submit to the Committee on Homeland Secu-
17
rity and Governmental Affairs of the Senate and the
18
Committee on Education and Labor of the House of
19
Representatives a report containing—
20
(A) the findings of the Secretary after mak-
21
ing the evaluation required under paragraph (1);
22
and
23
(B) the determination of the Secretary
24
under paragraph (2).
25
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(d)
REPORT
ON
FEDERAL
WILDLAND
FIRE-
1
FIGHTERS.—
2
(1) DEFINITION.—In this subsection, the term
3
‘‘Federal wildland firefighter’’ means an individual
4
occupying a position in the occupational series devel-
5
oped pursuant to section 40803(d)(1) of the Infra-
6
structure Investment and Jobs Act (16 U.S.C.
7
6592(d)(1)).
8
(2) STUDY.—The Secretary of the Interior and
9
the Secretary of Agriculture, in consultation with the
10
Director of the National Institute for Occupational
11
Safety and Health, shall conduct a comprehensive
12
study on long-term health effects that Federal
13
wildland firefighters who are eligible to receive com-
14
pensation for work injuries under chapter 81 of title
15
5, United States Code, as amended by this Act, e
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