119-hr2921

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2921 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 2921

 To require the Secretary of Defense to provide to firefighters of the 
 Department of Defense medical testing and related services to detect 
 and prevent certain cancers.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 April 17, 2025

Mr. Bacon (for himself and Mr. Norcross) introduced the following bill; 
 which was referred to the Committee on Armed Services

_______________________________________________________________________

 A BILL

 To require the Secretary of Defense to provide to firefighters of the 
 Department of Defense medical testing and related services to detect 
 and prevent certain cancers.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Federal Firefighter Cancer Detection 
and Prevention Act of 2025''.

SEC. 2. MEDICAL TESTING AND RELATED SERVICES FOR FIREFIGHTERS OF 
 DEPARTMENT OF DEFENSE.

    (a) Provision of Services.--During the annual periodic health 
assessment of each firefighter of the Department of Defense, or at such 
other intervals as may be indicated in this subsection, the Secretary 
shall provide to the firefighter (at no cost to the firefighter) 
appropriate medical testing and related services to detect, document 
the presence or absence of, and prevent, certain cancers. Such services 
shall meet, at a minimum, the following criteria:

    (1) Breast cancer.--With respect to the breast cancer 
 screening, if the firefighter is a female firefighter--
        (A) such services shall include the provision of a 
 mammogram to the firefighter--
            (i) on at least a biannual basis if the 
 firefighter is 40 years old to 49 years old

    (inclusive) ;
            (ii) on at least an annual basis if the 
 firefighter is at least 50 years old; and
            (iii) as clinically indicated (without 
 regard to age); and
        (B) in connection with such provision, a licensed 
 radiologist shall review the most recent mammogram 
 provided to the firefighter, as compared to prior 
 mammograms so provided, and provide to the firefighter 
 the results of such review.

    (2) Colon cancer.--With respect to colon cancer screening--
        (A) if the firefighter is at least 40 years old, 
 and as otherwise clinically indicated, such services 
 shall include the communication to the firefighter of 
 the risks and benefits of stool-based blood testing;
        (B) if the firefighter is at least 45 years old, 
 and as clinically indicated (without regard to age), 
 such services shall include the provision, at regular 
 intervals, of visual examinations (such as a 
 colonoscopy, CT colonoscopy, or flexible sigmoidoscopy) 
 or stool-based blood testing; and
            (C) in connection with such provision, a licensed 
 physician shall review and provide to the firefighter 
 the results of such examination or testing, as the case 
 may be.

    (3) Prostate cancer.--With respect to prostate cancer 
 screening, if the firefighter is a male firefighter, the 
 communication to the firefighter of the risks and benefits of 
 prostate cancer screenings and the provision to the firefighter 
 of a prostate-specific antigen test--
        (A) on an annual basis, if the firefighter is at 
 least 50 years old;
        (B) on an annual basis, if the firefighter is at 
 least 40 years old and is a high-risk individual; and
            (C) as clinically indicated (without regard to 
 age).

    (4) Other cancers.--Such services shall include routine 
 screenings for any other cancer the risk or occurrence of which 
 the Director of the Centers for Disease Control and Prevention 
 has identified as higher among firefighters than among the 
 general public, the provision of which shall be carried out 
 during the annual periodic health assessment of the 
 firefighter.

    (b) Optional Nature.--A firefighter of the Department of Defense 
may opt out of the receipt of a medical testing or related service 
provided under subsection

    (a) .
            (c) Use of Consensus Technical Standards.--In providing medical 
testing and related services under subsection

    (a) , the Secretary shall 
use consensus technical standards in accordance with 

section 12
            (d) of 
the National Technology Transfer and Advancement Act of 1995 (15 U.S.C. 
272 note).
            (d) Documentation.--

    (1) In general.--In providing medical testing and related 
 services under subsection

    (a) , the Secretary--
        (A) shall document the acceptance rates of such 
 tests offered and the rates of such tests performed;
        (B) shall document tests results, to identify 
 trends in the rates of cancer occurrences among 
 firefighters; and
            (C) may collect and maintain additional information 
 from the recipients of such tests and other services, 
 to allow for appropriate scientific analysis.

    (2) Privacy.--In analyzing any information of an individual 
 documented, collected, or maintained under paragraph

    (1) , in 
 addition to complying with other applicable privacy laws, the 
 Secretary shall ensure the name, and any other personally 
 identifiable information, of the individual is removed from 
 such information prior to the analysis.

    (3) Sharing with centers for disease control and 
 prevention.--The Secretary may share data from any tests 
 performed under subsection

    (a) with the Director of the Centers 
 for Disease Control and Prevention, as appropriate, to increase 
 the knowledge and understanding of cancer occurrences among 
 firefighters.

    (e) 

=== Definitions. ===
-In this section:

    (1) The term ``firefighter'' has the meaning given that 
 term in 

section 707 of the National Defense Authorization Act 
 for Fiscal Year 2020 (Public Law 116-92; 133 Stat. 1441; 10 
 U.S.C. 1074m note).

    (2) The term ``high-risk individual'' means an individual 
 who--
        (A) is African American;
        (B) has at least one first-degree relative who has 
 been diagnosed with prostate cancer at an early age; or
            (C) is otherwise determined by the Secretary to be 
 high risk with respect to prostate cancer.
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