Title 5 › PART III — EMPLOYEES › Subpart G — Insurance and Annuities › CHAPTER 81 — COMPENSATION FOR WORK INJURIES › SUBCHAPTER I — GENERALLY › § 8143b
People who work as firefighters or in related emergency roles — like wildland firefighters, paramedics, EMTs, rescue workers, ambulance staff, or hazardous materials workers who are trained and authorized to fight fires and whose main job is preventing, controlling, or putting out fires or responding to life-, property-, or environment-threatening emergencies — get a legal presumption that certain illnesses came from their job. If they worked at least 5 years in those fire‑protection jobs in total and are diagnosed no later than 10 years after their last active work date, any illness on the law’s list is treated as caused by the job. The list covers: bladder cancer, brain cancer, chronic obstructive pulmonary disease, colorectal cancer, esophageal cancer, kidney cancer, leukemias, lung cancer, mesothelioma, multiple myeloma, non‑Hodgkin lymphoma, prostate cancer, skin cancer (melanoma), testicular cancer, thyroid cancer, and a sudden cardiac event or stroke that happens while—or within 24 hours after—doing those fire‑protection activities. The Secretary of Labor must review the list from time to time with the National Institute for Occupational Safety and Health and other advisors. If the best available scientific evidence shows a significant risk for another illness, the Secretary must add it by issuing a formal rule that explains the science. The Secretary can rely on studies and recommendations from NIOSH, the National Toxicology Program, the National Academies, the International Agency for Research on Cancer, and relevant National Firefighter Registry analyses. The term “rule” is as defined in another law, and “Secretary” means the Secretary of Labor.
Full Legal Text
Government Organization and Employees, Source: USLM XML via OLRC
Legislative History
Reference
Citation
5 U.S.C. § 8143b
Title 5, Government Organization and Employees
Last Updated
Sep 23, 2026
Release point: 119-110