H.R. 931House115th Congress (2017-2019)Enacted

Firefighter Cancer Registry Act of 2018

Introduced February 7, 2017

AI-Generated Summary

Updated April 15, 2026 at 12:48 PM UTC

The Firefighter Cancer Registry Act of 2018 directs the Department of Health and Human Services, through the CDC, to create a voluntary national registry that gathers health and occupational data on firefighters to track cancer incidence. The registry will collect demographic, exposure, and cancer diagnosis information, coordinate with state cancer registries, and make de‑identified data available for research while protecting privacy. Funding of $2.5 million per year is authorized for fiscal years 2018‑2022.

Key Provisions

  • The HHS Secretary must develop and maintain a voluntary firefighter cancer registry, either directly or via grants.
  • The registry will collect data on all types of firefighters (volunteer, paid‑on‑call, career), including age, years of service, fire incident exposure, risk factors, and cancer diagnoses and treatment details.
  • A coordination strategy must be created with stakeholders to promote participation, ensure representation of minorities and women, and standardize methods for estimating fire incident exposure.
  • The Secretary must submit the coordination strategy and periodic reports to the House Energy and Commerce Committee and the Senate HELP Committee.
  • The registry’s data and analyses must be made available to the public, researchers, and fire service organizations, subject to privacy protections required by federal and state law.
  • The Act authorizes $2.5 million in appropriations each year from 2018 through 2022 to fund the registry.

Legislative Activity

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26 earlier actions
Became Law Latest Action

Became Public Law No: 115-194.

July 7, 2018

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HouseIntro Referral

Introduced in House

February 7, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

February 7, 2017

HouseCommittee

Referred to the Subcommittee on Health.

February 10, 2017

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

June 29, 2017

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

June 29, 2017

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 27, 2017

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

July 27, 2017

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 115-301.

September 8, 2017

HouseCalendars

Placed on the Union Calendar, Calendar No. 215.

September 8, 2017

HouseFloor

Mr. Walden moved to suspend the rules and pass the bill, as amended.

September 12, 2017 • 1:29 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H7248-7251)

September 12, 2017 • 1:29 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 931.

September 12, 2017 • 1:29 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H7248-7249)

September 12, 2017 • 1:48 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H7248-7249)

September 12, 2017 • 1:48 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

September 12, 2017 • 1:48 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

September 13, 2017

SenateCommittee

Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.

May 10, 2018

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S2631-2632)

May 10, 2018

SenateFloor

Passed Senate with an amendment by Unanimous Consent.

May 10, 2018

SenateFloor

Message on Senate action sent to the House.

May 14, 2018

HouseResolving Differences

Mr. Collins (NY) asked unanimous consent to take from the Speaker's table and agree to the Senate amendment. (consideration: CR H5572-5573)

June 22, 2018 • 12:05 PM

HouseNot Used

Resolving differences -- House actions: On motion that the House agree to the Senate amendment Agreed to without objection.(text: CR H5572)

June 22, 2018

HouseResolving Differences

On motion that the House agree to the Senate amendment Agreed to without objection. (text: CR H5572)

June 22, 2018 • 12:05 PM

HouseResolving Differences

Motion to reconsider laid on the table Agreed to without objection.

June 22, 2018 • 12:05 PM

President

Presented to President.

June 27, 2018

Became Law

Signed by President.

July 7, 2018

Became Law

Became Public Law No: 115-194.

July 7, 2018

Amendments

1 amendment

Offered to this bill

Floor Debate

8 members

What members said about H.R. 931 on the floor

6 Republicans2 Democrats
Greg Walden
Rep. Greg WaldenR-OR-2 · Sep 12, 2017

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 931) to require the Secretary of Health and Human Services to develop a voluntary registry to collect data on cancer incidence among…

Bill Pascrell, Jr.
Rep. Bill Pascrell, Jr.D-NJ-9 · Sep 12, 2017

Mr. Speaker, I rise today in strong support of H.R. 931, the Firefighter Cancer Registry Act. I want to thank my partner, the gentleman from New York (Mr. Collins), for introducing this bill. I thank…

Chris Collins
Rep. Chris CollinsR-NY-27 · Sep 12, 2017

Mr. Speaker, I come before you in support of my bill, H.R. 931, the Firefighter Cancer Registry Act. Sixteen years ago yesterday, on September 11, 2001, we witnessed a horrible tragedy that will…

Gene Green
Rep. Gene GreenD-TX-29 · Sep 12, 2017

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in support of H.R. 931, the Firefighter Cancer Registry Act of 2017. Yesterday we recognized the sixteenth anniversary of…

Leonard Lance
Rep. Leonard LanceR-NJ-7 · Sep 12, 2017

Mr. Speaker, I rise today in very strong support of the Firefighter Cancer Registry Act sponsored by my close friends, Congressman Collins and Congressman Pascrell. Congressman Collins has been…

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Michael C. Burgess
Rep. Michael C. BurgessR-TX-26 · Sep 12, 2017

Mr. Speaker, I rise in support of H.R. 931, the Firefighter Cancer Registry Act. In 2015, a 5-year study of nearly 30,000 firefighters found that these individuals had a greater number of cancer…

John J. Faso
Rep. John J. FasoR-NY-19 · Sep 12, 2017

Mr. Speaker, I appreciate the chairman's yielding of time. As we take this week to somberly remember those who lost their lives on September 11, 2001, it is equally important that we remember the…

Bill Pascrell, Jr.
Rep. Bill Pascrell, Jr.D-NJ-9 · Jun 22, 2018

Mr. Speaker, reserving the right to object, I want to thank Representatives Chris Collins and Frank Pallone and Senators Menendez and Lisa Murkowski for the support and work to get this bipartisan…

Rob Portman
Sen. Rob PortmanR-OH · May 10, 2018

Mr. President, I ask unanimous consent that the Health, Education, Labor, and Pensions Committee be discharged from further consideration of H.R. 931 and the Senate proceed to its immediate…

Chris Collins
Rep. Chris CollinsR-NY-27 · Jun 22, 2018

Mr. Speaker, I ask unanimous consent to take from the Speaker's table the bill (H.R. 931) to require the Secretary of Health and Human Services to develop a voluntary registry to collect data on…

Bill Text

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One Hundred Fifteenth Congress of the United States of America

At the Second Session

Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and eighteen

H. R. 931

AN ACT

To require the Secretary of Health and Human Services to develop a voluntary registry to collect data on cancer incidence among firefighters.

1.

Short title

This Act may be cited as the Firefighter Cancer Registry Act of 2018.

2.

Voluntary registry for firefighter cancer incidence

(a)

In general

The Secretary of Health and Human Services (referred to in this section as the Secretary), acting through the Director of the Centers for Disease Control and Prevention and in coordination with other agencies as the Secretary determines appropriate, shall develop and maintain, directly or through a grant or cooperative agreement, a voluntary registry of firefighters (referred to in this section as the Firefighter Registry) to collect relevant health and occupational information of such firefighters for purposes of determining cancer incidence.

(b)

Use of Firefighter Registry

The Firefighter Registry may be used for the following purposes:

(1)

To improve data collection and data coordination activities related to the nationwide monitoring of the incidence of cancer among firefighters.

(2)

To collect, consolidate, and maintain, consistent with subsection (g), epidemiological information and analyses related to cancer incidence and trends among firefighters

(c)

Relevant data

(1)

Data collection

In carrying out the voluntary data collection for purposes of inclusion under the Firefighter Registry, the Secretary may collect the following:

(A)

Information, as determined by the Secretary under subsection (d)(1), of volunteer, paid-on-call, and career firefighters, independent of cancer status or diagnosis.

(B)

Individual risk factors and occupational history of firefighters.

(C)

Information, if available, related to—

(i)

basic demographic information, including—

(I)

the age of the firefighter involved during the relevant dates of occupation as a firefighter; and

(II)

the age of cancer diagnosis;

(ii)

the status of the firefighter as either volunteer, paid-on-call, or career firefighter;

(iii)

the total number of years of occupation as a firefighter and a detailing of additional employment experience, whether concurrent, before, or anytime thereafter;

(iv)
(I)

the approximate number of fire incidents attended, including information related to the type of fire incidents and the role of the firefighter in responding to the incident; or

(II)

in the case of a firefighter for whom information on such number and type is unavailable, an estimate of such number and type based on the method developed under subsection (d)(1)(D); and

(v)

other medical information and health history, including additional risk factors, as appropriate, and other information relevant to a cancer incidence study of firefighters.

(2)

Information on diagnoses and treatment

In carrying out paragraph (1), with respect to diagnoses and treatment of firefighters with cancer, the Secretary shall, as appropriate, enable the Firefighter Registry to electronically connect to State-based cancer registries, for a purpose described by clause (vi) or (vii) of section 399B(c)(2)(D) of the Public Health Service Act (42 U.S.C. 280e(c)(2)(D)), to obtain—

(A)

date of diagnoses and source of information; and

(B)

pathological data characterizing the cancer, including cancer site, state of disease (pursuant to Staging Guide), incidence, and type of treatment.

(d)

Firefighter registry coordination strategy

(1)

Required strategy

The Secretary shall, in consultation with the relevant stakeholders identified in subsection (e), including epidemiologists and pathologists, develop a strategy to coordinate data collection activities, including within existing State registries, for inclusion in the Firefighter Registry established under this Act. The strategy may include the following:

(A)

Increasing awareness of the Firefighter Registry and encouraging participation among volunteer, paid-on-call, and career firefighters.

(B)

Consideration of unique data collection needs that may arise to generate a statistically reliable representation of minority, female, and volunteer firefighters, including methods, as needed, to encourage participation from such populations.

(C)

Information on how the Secretary will store data described in subsection (c)(1) and provide electronic access to relevant health information described in subsection (c)(2).

(D)

Working in consultation with the experts described in subsection (e), a reliable and standardized method for estimating the number of fire incidents attended by a firefighter as well as the type of fire incident so attended in the case such firefighter is unable to provide such information.

(2)

Report to Congress

The Secretary shall submit the strategy described in paragraph (1) to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate not later than 30 days after the date of the completion of the strategy.

(3)

Guidance for inclusion and maintenance of data on firefighters

The Secretary shall develop, in consultation with the stakeholders identified in subsection (e), State health agencies, State departments of homeland security, and volunteer, paid-on-call, combination, and career firefighting agencies, a strategy for inclusion of firefighters in the registry that are representative of the general population of firefighters, that outlines the following:

(A)

How new information about firefighters will be submitted to the Firefighter Registry for inclusion.

(B)

How information about firefighters will be maintained and updated in the Firefighter Registry over time.

(C)

A method for estimating the number of fire incidents attended by a firefighter as well as the type of fire incident so attended in the case such firefighter is unable to provide such information.

(D)

Further information, as deemed necessary by the Secretary.

(e)

Consultation and report

The Secretary shall consult with non-Federal experts on the Firefighter Registry established under this section, and shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that includes, as appropriate, information on goals achieved and improvements needed to strengthen the Firefighter Registry. Such non-Federal experts shall include the following:

(1)

Public health experts with experience in developing and maintaining cancer registries.

(2)

Epidemiologists with experience in studying cancer incidence.

(3)

Clinicians with experience in diagnosing and treating cancer incidence.

(4)

Active and retired volunteer, paid-on-call, and career firefighters as well as relevant national fire and emergency response organizations.

(f)

Research availability

Subject to subsection (g), the Secretary shall ensure that information and analysis in the Firefighter Registry are available, as appropriate, to the public, including researchers, firefighters, and national fire service organizations.

(g)

Privacy

In carrying out this Act, the Secretary shall ensure that information in and analysis of the Firefighter Registry are made available in a manner that, at a minimum, protects personal privacy to the extent required by applicable Federal and State privacy law.

(h)

Authorization of funds

To carry out this section, there are authorized to be appropriated $2,500,000 for each of the fiscal years 2018 through 2022.

Speaker of the House of Representatives.

Vice President of the United States and President of the Senate.