Federal Bill Seeks to Support Firefighters with Service-Related Cancer


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As California wildfires continue to intensify in frequency and toxicity, a new federal bill aims to ensure that firefighters diagnosed with cancer receive the support they deserve. The Honoring Our Fallen Heroes Act, introduced by Senator Amy Klobuchar and supported by California Senators Adam Schiff and Alex Padilla, is designed to provide financial and medical benefits to first responders suffering from cancer linked to their service.


The Growing Risk for Firefighters

The World Health Organization now classifies firefighting as a carcinogenic occupation. Firefighters are 14% more likely to die from cancer than the general population, and between 2002 and 2019, cancer was responsible for 66% of all career firefighter line-of-duty deaths. As fires destroy homes, vehicles, and infrastructure, they release toxic pollutants—such as lead, mercury, and asbestos—into the air, placing firefighters at high risk during and after response operations.

After the devastating Los Angeles wildfires, researchers found dangerous levels of heavy metals in firefighters’ blood, confirming the toxic toll of their service.


What the Bill Proposes

Rather than create a brand-new system, the legislation would integrate coverage for non-9/11-related service cancers into the existing Public Safety Officers’ Benefits (PSOB) Program. This program provides monetary death, disability, and education benefits to first responders and their families.

While death benefits under the PSOB are categorized as mandatory spending and immune from budget cuts, disability and education benefits rely on annual congressional appropriations. The bill would expand the types of illnesses considered service-related to include cancer stemming from non-9/11 exposure, such as that encountered during wildfire response.


Implementation Challenges Ahead

Passing the bill is just the first hurdle. Experts and advocates warn that similar programs—like those enacted after 9/11—faced major administrative and logistical setbacks. Issues such as proving medical eligibility, verifying service connections, understaffing, and long delays in benefit approval are all concerns lawmakers must address.

John Feal, a prominent 9/11 responder advocate, emphasized that the real challenge comes after the law is passed. “You’ll watch the legislation mature as more people come forward,” he said, highlighting the potential need for added infrastructure and funding to manage the growing caseload.


Learning from the 9/11 Experience

Attorney Michael Barasch, who represents thousands of 9/11 victims, stressed the importance of creating clear eligibility standards. “Any similar program should have a clear set of standards to determine eligibility,” he said. “Needless complexity creates a serious risk that responders who should have been eligible might not have access to benefits.”

Feal echoed that sentiment, noting the need for increased funding and staffing. The World Trade Center Health Program, for example, grew from 75,000 to nearly 140,000 participants, creating a backlog in both enrollment and illness certification.


A Long-Term Health Crisis

The bill’s introduction comes amid new studies examining the health consequences of California wildfires. One long-term study will track the environmental and health effects of the Los Angeles fires over decades. Similar research following the 2018 Camp Fire in Northern California found elevated levels of toxic substances in firefighters’ blood compared to the general population.

With an estimated cost of $250 million annually through 2034, the bill has yet to receive a new budget estimate since its reintroduction. But supporters argue that the cost is a necessary investment in the lives of those who risk everything to protect others.


A Promise to Firefighters and Their Families

Edward Kelly, president of the International Association of Fire Fighters, summed up the bill’s importance: “Cancer’s grip on the fire service is undeniable. When a firefighter dies from occupational cancer, we owe it to them to ensure their families get the line-of-duty death benefits they are owed.”

The legislation may face a difficult path in Congress, but for many in the fire service, its passage would mark an overdue recognition of their sacrifice—and a crucial step toward long-term care and justice.


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