UtahH.B. 652025 General SessionHouseWALLET

Firefighter Cancer Amendments

Sponsored By: Casey Snider (Republican)

Signed by Governor

Workers' CompensationLabor and EmploymentWorkplace Safety and HealthOccupational Disease

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 1 benefits, 0 costs, 1 mixed.

Broader firefighter cancer coverage with conditions

Beginning July 1, 2025, Utah expands the cancers presumed work-related for qualifying public firefighters seeking workers' compensation. The list covers bladder, brain, colorectal, esophageal, kidney, lung, oropharynx, ovarian, prostate, testicular, and thyroid cancers. It also covers leukemias, lymphomas, melanoma, and mesothelioma. Firefighters need at least eight years of service and proof of workplace exposure to a known cancer-causing substance. The substance must be recognized by the International Agency for Research on Cancer. Diagnosis must occur during service or within three calendar months per full year served after leaving, capped at 120 months. Required records include a cancer-free pre-service physical, physicals every two years reasonably aligned with national firefighting standards, and scheduled Center screenings. The every-two-year physical and screening requirements do not apply to service completed before July 1, 2026. Firefighters must report cancer to their employer and the Fire and Rescue Training Program. They must also provide a physician's statement documenting no tobacco use or smoking cigarettes, electronic cigarettes, or marijuana during the preceding eight years. The presumption does not apply to respiratory-tract cancer when those substances substantially contributed to its development. Evidence showing that work was more likely than not unrelated to the cancer can defeat the presumption. Firefighters who do not qualify for the presumption can still seek ordinary workers' compensation. For qualifying service across departments, responsibility rests with the department and insurer at the last substantial exposure to a known carcinogen.

Firefighters get screenings and cost reimbursement

Utah creates a cancer screening program for public firefighters, effective July 1, 2025. The Rocky Mountain Center for Occupational and Environmental Health must offer screenings through Utah Valley University's program by January 1, 2026. The first screening comes after seven but before eight years of active service, counting continuous or combined service. After that, screenings occur every five years through age 49 and every three years starting at age 50. Repeat screenings continue until Social Security retirement qualifying age and include applicable tests for the cancers covered by the law. Starting July 1, 2025, public fire employers must reimburse employed or contracted firefighters for screening expenses paid to the Center. Covered expenses include copayments, deductibles, coinsurance, and other out-of-pocket costs; firefighters must submit adequate proof of payment. Beginning January 1, 2029, these employers must also provide health benefits that include the required screenings. Utah Valley University's statewide Fire and Rescue Training Program must help arrange and track screenings. The law provides $3.7 million from the General Fund for July 1, 2025, through June 30, 2026. This money goes to the university's Special Projects for Fire and Rescue Training, with legislative intent to support three screening-program years.

Sponsors & Cosponsors

Sponsor

  • Casey Snider

    Republican • House

Cosponsors

  • Carl R. Albrecht

    Republican • House

  • Stewart E. Barlow

    Republican • House

  • Bridger Bolinder

    Republican • House

  • Burton, J.

    Affiliation unavailable

  • Kay J. Christofferson

    Republican • House

  • Paul A. Cutler

    Republican • House

  • Jennifer Dailey-Provost

    Democratic • House

  • Ariel Defay

    Republican • House

  • Rosalba Dominguez

    Democratic • House

  • Joseph Elison

    Republican • House

  • Doug Fiefia

    Republican • House

  • Stephanie Gricius

    Republican • House

  • Katy Hall

    Republican • House

  • Ken Ivory

    Republican • House

  • Jason B. Kyle

    Republican • House

  • Lee, T.

    Affiliation unavailable

  • Karianne Lisonbee

    Republican • House

  • A. Cory Maloy

    Republican • House

  • Ashlee Matthews

    Democratic • House

  • Verona Mauga

    Democratic • House

  • Michael K. McKell

    Republican • Senate

  • Tracy Miller

    Republican • House

  • Carol S. Moss

    Democratic • House

  • Moss, J.

    Affiliation unavailable

  • Clinton Okerlund

    Republican • House

  • Doug Owens

    Democratic • House

  • Nicholeen P. Peck

    Republican • House

  • Michael J. Petersen

    Republican • House

  • Angela Romero

    Democratic • House

  • Jake Sawyer

    Republican • House

  • David Shallenberger

    Republican • House

  • Troy Shelley

    Republican • House

  • Lisa Shepherd

    Republican • House

  • Rex P. Shipp

    Republican • House

  • Andrew Stoddard

    Democratic • House

  • Jordan D. Teuscher

    Republican • House

  • Jason E. Thompson

    Republican • House

  • R. Neil Walter

    Republican • House

  • Christine F. Watkins

    Republican • House

  • Doug Welton

    Republican • House

  • Stephen L. Whyte

    Republican • House

  • Ryan D. Wilcox

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 187 • No: 0

Senate vote • 3/5/2025

Senate/ passed 2nd & 3rd readings/ suspension

Yes: 25 • No: 0

House vote • 3/5/2025

House/ concurs with Senate amendment

Yes: 74 • No: 0

Senate vote • 2/25/2025

Senate Comm - Substitute Recommendation

Yes: 4 • No: 0

Senate vote • 2/25/2025

Senate Comm - Favorable Recommendation

Yes: 3 • No: 0

House vote • 2/18/2025

House/ passed 3rd reading

Yes: 66 • No: 0

House vote • 2/6/2025

House Comm - Favorable Recommendation

Yes: 8 • No: 0

House vote • 2/6/2025

House Comm - Substitute Recommendation

Yes: 7 • No: 0

Actions Timeline

  1. Governor Signed

    3/25/2025
  2. House/ to Governor

    3/12/2025House
  3. House/ received enrolled bill from Printing

    3/12/2025House
  4. House/ enrolled bill to Printing

    3/12/2025House
  5. Enrolled Bill Returned to House or Senate

    3/12/2025
  6. Draft of Enrolled Bill Prepared

    3/6/2025
  7. Bill Received from House for Enrolling

    3/6/2025
  8. House/ signed by Speaker/ sent for enrolling

    3/6/2025House
  9. House/ received from Senate

    3/6/2025House
  10. Senate/ to House

    3/5/2025Senate
  11. Senate/ signed by President/ returned to House

    3/5/2025Senate
  12. Senate/ received from House

    3/5/2025Senate
  13. House/ to Senate

    3/5/2025House
  14. House/ concurs with Senate amendment

    3/5/2025House
  15. House/ placed on Concurrence Calendar

    3/5/2025House
  16. House/ received from Senate

    3/5/2025House
  17. Senate/ to House with amendments

    3/5/2025Senate
  18. Senate/ passed 2nd & 3rd readings/ suspension

    3/5/2025Senate
  19. Senate/ 2nd & 3rd readings/ suspension

    3/5/2025Senate
  20. Senate/ placed on Time Certain Calendar

    3/4/2025Senate
  21. Senate/ placed on 2nd Reading Calendar

    2/25/2025Senate
  22. Senate/ comm rpt/ substituted

    2/25/2025Senate
  23. Senate Comm - Favorable Recommendation

    2/25/2025Senate
  24. Senate Comm - Substitute Recommendation

    2/25/2025Senate
  25. Senate/ to standing committee

    2/21/2025Senate

Bill Text

  • Enrolled

    3/12/2025

  • Substitute #3

    2/25/2025

  • Substitute #2

    2/18/2025

  • Substitute #1

    2/5/2025

  • Introduced

    12/23/2024

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