Federal Firefighter Cancer Detection and Prevention Act of 2025

[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.
                                 <all>