Us Congress 2023-2024 Regular Session

Us Congress House Bill HB2852 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	118THCONGRESS
3	3	1
4	4	STSESSION H. R. 2852
5	5	To require the Secretary of Defense to provide to firefighters of the Depart-
6	6	ment of Defense medical testing and related services to detect and
7	7	prevent certain cancers.
8	8	IN THE HOUSE OF REPRESENTATIVES
9	9	APRIL25, 2023
10	10	Ms. S
11	11	LOTKIN(for herself and Mr. BACON) introduced the following bill; which
12	12	was referred to the Committee on Armed Services
13	13	A BILL
14	14	To require the Secretary of Defense to provide to firefighters
15	15	of the Department of Defense medical testing and related
16	16	services to detect and prevent certain cancers.
17	17	Be it enacted by the Senate and House of Representa-1
18	18	tives of the United States of America in Congress assembled, 2
19	19	SECTION 1. SHORT TITLE. 3
20	20	This Act may be cited as the ‘‘Federal Firefighter 4
21	21	Cancer Detection and Prevention Act of 2023’’. 5
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24	24	•HR 2852 IH
25	25	SEC. 2. MEDICAL TESTING AND RELATED SERVICES FOR 1
26	26	FIREFIGHTERS OF DEPARTMENT OF DE-2
27	27	FENSE. 3
28	28	(a) P
29	29	ROVISION OFSERVICES.—During the annual 4
30	30	periodic health assessment of each firefighter of the De-5
31	31	partment of Defense, or at such other intervals as may 6
32	32	be indicated in this subsection, the Secretary shall provide 7
33	33	to the firefighter (at no cost to the firefighter) appropriate 8
34	34	medical testing and related services to detect, document 9
35	35	the presence or absence of, and prevent, certain cancers. 10
36	36	Such services shall meet, at a minimum, the following cri-11
37	37	teria: 12
38	38	(1) B
39	39	REAST CANCER.—With respect to the 13
40	40	breast cancer screening, if the firefighter is a female 14
41	41	firefighter— 15
42	42	(A) such services shall include the provi-16
43	43	sion of a mammogram to the firefighter— 17
44	44	(i) on at least a biannual basis if the 18
45	45	firefighter is 40 years old to 49 years old 19
46	46	(inclusive); 20
47	47	(ii) on at least an annual basis if the 21
48	48	firefighter is at least 50 years old; and 22
49	49	(iii) as clinically indicated (without re-23
50	50	gard to age); and 24
51	51	(B) in connection with such provision, a li-25
52	52	censed radiologist shall review the most recent 26
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55	55	•HR 2852 IH
56	56	mammogram provided to the firefighter, as 1
57	57	compared to prior mammograms so provided, 2
58	58	and provide to the firefighter the results of such 3
59	59	review. 4
60	60	(2) C
61	61	OLON CANCER.—With respect to colon 5
62	62	cancer screening— 6
63	63	(A) if the firefighter is at least 40 years 7
64	64	old, and as otherwise clinically indicated, such 8
65	65	services shall include the communication to the 9
66	66	firefighter of the risks and benefits of stool- 10
67	67	based blood testing; 11
68	68	(B) if the firefighter is at least 45 years 12
69	69	old, and as clinically indicated (without regard 13
70	70	to age), such services shall include the provi-14
71	71	sion, at regular intervals, of visual examinations 15
72	72	(such as a colonoscopy, CT colonoscopy, or 16
73	73	flexible sigmoidoscopy) or stool-based blood 17
74	74	testing; and 18
75	75	(C) in connection with such provision, a li-19
76	76	censed physician shall review and provide to the 20
77	77	firefighter the results of such examination or 21
78	78	testing, as the case may be. 22
79	79	(3) P
80	80	ROSTATE CANCER.—With respect to pros-23
81	81	tate cancer screening, if the firefighter is a male 24
82	82	firefighter, the communication to the firefighter of 25
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85	85	•HR 2852 IH
86	86	the risks and benefits of prostate cancer screenings 1
87	87	and the provision to the firefighter of a prostate-spe-2
88	88	cific antigen test— 3
89	89	(A) on an annual basis, if the firefighter is 4
90	90	at least 50 years old; 5
91	91	(B) on an annual basis, if the firefighter is 6
92	92	at least 40 years old and is a high-risk indi-7
93	93	vidual; and 8
94	94	(C) as clinically indicated (without regard 9
95	95	to age). 10
96	96	(4) O
97	97	THER CANCERS.—Such services shall in-11
98	98	clude routine screenings for any other cancer the 12
99	99	risk or occurrence of which the Director of the Cen-13
100	100	ters for Disease Control and Prevention has identi-14
101	101	fied as higher among firefighters than among the 15
102	102	general public, the provision of which shall be car-16
103	103	ried out during the annual periodic health assess-17
104	104	ment of the firefighter. 18
105	105	(b) O
106	106	PTIONALNATURE.—A firefighter of the Depart-19
107	107	ment of Defense may opt out of the receipt of a medical 20
108	108	testing or related service provided under subsection (a). 21
109	109	(c) U
110	110	SE OFCONSENSUSTECHNICALSTANDARDS.— 22
111	111	In providing medical testing and related services under 23
112	112	subsection (a), the Secretary shall use consensus technical 24
113	113	standards in accordance with section 12(d) of the National 25
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116	116	•HR 2852 IH
117	117	Technology Transfer and Advancement Act of 1995 (15 1
118	118	U.S.C. 272 note). 2
119	119	(d) D
120	120	OCUMENTATION.— 3
121	121	(1) I
122	122	N GENERAL.—In providing medical testing 4
123	123	and related services under subsection (a), the Sec-5
124	124	retary— 6
125	125	(A) shall document the acceptance rates of 7
126	126	such tests offered and the rates of such tests 8
127	127	performed; 9
128	128	(B) shall document tests results, to iden-10
129	129	tify trends in the rates of cancer occurrences 11
130	130	among firefighters; and 12
131	131	(C) may collect and maintain additional in-13
132	132	formation from the recipients of such tests and 14
133	133	other services, to allow for appropriate scientific 15
134	134	analysis. 16
135	135	(2) P
136	136	RIVACY.—In analyzing any information of 17
137	137	an individual documented, collected, or maintained 18
138	138	under paragraph (1), in addition to complying with 19
139	139	other applicable privacy laws, the Secretary shall en-20
140	140	sure the name, and any other personally identifiable 21
141	141	information, of the individual is removed from such 22
142	142	information prior to the analysis. 23
143	143	(3) S
144	144	HARING WITH CENTERS FOR DISEASE 24
145	145	CONTROL AND PREVENTION .—The Secretary may 25
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148	148	•HR 2852 IH
149	149	share data from any tests performed under sub-1
150	150	section (a) with the Director of the Centers for Dis-2
151	151	ease Control and Prevention, as appropriate, to in-3
152	152	crease the knowledge and understanding of cancer 4
153	153	occurrences among firefighters. 5
154	154	(e) D
155	155	EFINITIONS.—In this section: 6
156	156	(1) The term ‘‘firefighter’’ has the meaning 7
157	157	given that term in section 707 of the National De-8
158	158	fense Authorization Act for Fiscal Year 2020 (Pub-9
159	159	lic Law 116–92; 133 Stat. 1441; 10 U.S.C. 1074m 10
160	160	note). 11
161	161	(2) The term ‘‘high-risk individual’’ means an 12
162	162	individual who— 13
163	163	(A) is African American; 14
164	164	(B) has at least one first-degree relative 15
165	165	who has been diagnosed with prostate cancer at 16
166	166	an early age; or 17
167	167	(C) is otherwise determined by the Sec-18
168	168	retary to be high risk with respect to prostate 19
169	169	cancer. 20
170	170	Æ
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