119-s2745

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 2745 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 2745

 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 SENATE OF THE UNITED STATES

 September 9, 2025

 Ms. Slotkin (for herself and Ms. Collins) introduced the following 
 bill; which was read twice and 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 subsection

    (b) , the Secretary of 
Defense 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.

    (b) Criteria.--Services required to be provided under subsection

    (a) shall meet, at a minimum, the following criteria:

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

    (inclusive) , not less frequently 
 than twice each year;
            (ii) if the firefighter is 50 years old or 
 older, not less frequently than annually; and
            (iii) as clinically indicated (without 
 regard to age); and
        (B) in connection with the provision of a mammogram 
 under subparagraph
        (A) , 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 40 years old or older, or 
 as clinically indicated without regard to age, such 
 services shall include the communication to the 
 firefighter of the risks and benefits of stool-based 
 blood testing;
        (B) if the firefighter is 45 years old or older, or 
 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 the provision of a visual 
 examination or stool-based blood testing under 
 subparagraph
        (B) , 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, such 
 services shall include 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) not less frequently than annually if the 
 firefighter--
            (i) is 50 years old or older; or
            (ii) is 40 years old or older and is a 
 high-risk individual; and
        (B) 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.
            (c) Optional Nature.--A firefighter of the Department of Defense 
may opt out of the receipt of medical testing or a related service 
provided under subsection

    (a) .
            (d) 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 (Public 
Law 104-113; 15 U.S.C. 272 note).

    (e) 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 test 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.

    (f) 

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

    (1) Firefighter.--The term ``firefighter'' means someone 
 whose primary job or military occupational specialty is being a 
 firefighter.

    (2) High-risk individual.--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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