Supreme Court

No. 2017-295-M.P.

(15-4163)

Corrine A. Lang as Executrix of the Estate 

of Kevin Lang

:

v. :

Municipal Employees’ Retirement System 

of Rhode Island.

:

NOTICE: This opinion is subject to formal revision before 

publication in the Rhode Island Reporter. Readers are requested to 

notify the Opinion Analyst, Supreme Court of Rhode Island, 

250 Benefit Street, Providence, Rhode Island 02903, at Telephone 

222-3258 of any typographical or other formal errors in order that 

corrections may be made before the opinion is published.

December 18, 2019
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Supreme Court

No. 2017-295-M.P.

(15-4163)

(Concurrence & Dissent begin on Page 17)

(Concurrence begins on Page 24)

Corrine A. Lang as Executrix of the Estate 

of Kevin Lang

:

v. :

Municipal Employees’ Retirement System 

of Rhode Island.

:

Present: Suttell, C.J., Goldberg, Flaherty, Robinson, and Indeglia, JJ.

O P I N I O N

Justice Indeglia, for the Court. This Court issued a writ of certiorari to review a 

decision by the Appellate Division of the Workers’ Compensation Court (WCC) upholding the 

award of accidental disability benefits for occupational cancer to the petitioner, Kevin Lang 

(Lang or petitioner).1 The Appellate Division affirmed the trial judge’s ruling that the WCC had 

subject-matter jurisdiction to hear the petitioner’s claim and that G.L. 1956 § 45-19.1-1 created a 

conclusive presumption that cancer in firefighters arises out of and in the course of their 

employment as firefighters. The Municipal Employees’ Retirement System of Rhode Island 

(respondent) seeks reversal of the final decree entered by the WCC, contending that the WCC

did not have subject-matter jurisdiction to hear the petitioner’s claim and that chapter 19.1 of title 

45 of the general laws does not contain such a conclusive presumption. For the reasons set forth 

in this opinion, we affirm in part and quash in part the final decree of the WCC.

 

1 The record reflects that Kevin Lang passed away in June 2017. On December 3, 2018, this 

Court ordered that Corrine A. Lang, as Executrix of the Estate of Kevin Lang, be substituted as 

petitioner. 
- 2 -

I

Facts and Procedural History

The pertinent facts in this case are not in dispute. Lang served as a firefighter for the City 

of Cranston from 1996 until September 2012, when his career was abruptly cut short after he was 

diagnosed with colon cancer. The city placed Lang on injured-on-duty status, pursuant to G.L.

1956 § 45-19-1, and he began receiving salary benefits while incapacitated from work. In 

January 2014, he applied for accidental disability benefits under G.L. 1956 § 45-21.2-9, based 

upon his cancer diagnosis. In July 2015, the Retirement Board of the Municipal Employees’ 

Retirement System of Rhode Island (the board) found that he did not prove that his cancer arose 

out of and in the course of his employment as a firefighter, and it therefore denied his 

application. The board notified him of his right to appeal its decision to the Superior Court;

however, he appealed the decision to the WCC. He alleged that § 45-21.2-9(f) provided the 

WCC with subject-matter jurisdiction to hear his appeal. 

The respondent filed a motion to dismiss the appeal in the WCC for lack of 

subject-matter jurisdiction, arguing that petitioner’s appeal belonged in the Superior Court,

pursuant to G.L. 1956 § 42-35-15 of the Administrative Procedures Act. The trial judge denied 

respondent’s motion to dismiss and certified a question of law to this Court regarding the 

interpretation of §§ 45-21.2-9 and 45-19.1-1. After careful consideration, this Court declined to 

answer the question. The petitioner then filed a motion for summary judgment in the WCC, 

arguing that, pursuant to chapter 19.1 of title 45, all cancers contracted by firefighters are 

presumed to be work-related. The trial judge agreed with petitioner but found that factual issues 

remained. 
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The petitioner submitted three affidavits: one from Lang; one from Raymond Chaquette,

M.D., Lang’s oncologist; and one from William McKenna, the chief of the Cranston Fire 

Department. The affidavits established that Lang had been employed as a firefighter since 1996, 

was diagnosed with colon cancer in September 2012, and was immediately placed on 

injured-on-duty status because he was unable to work as a firefighter. Lang also submitted the 

record of proceedings before the board, along with its decision. Included in the record of 

proceedings were the reports from five physicians, including Dr. Chaquette. Although all five

physicians agreed that Lang was permanently disabled, none could state that Lang’s colon cancer 

resulted from exposures that occurred while he was employed as a firefighter. 

The trial judge issued a written decision in which she reversed the board, finding that 

§ 45-19.1-1(b) creates a conclusive presumption that all cancer in firefighters under 

§ 45-19.1-1(a) arises out of and in the course of their employment; she therefore granted Lang 

accidental disability retirement benefits based upon his claim of occupational cancer. The 

respondent appealed to the Appellate Division, which, in a written decision, denied and 

dismissed the appeal and affirmed the decision and decree of the trial judge. A final decree was 

entered that affirmed the findings of fact and orders contained in the decree entered by the trial 

judge. The respondent filed a timely petition for writ of certiorari, which this Court granted. 

II 

Standard of Review 

“Our review of a case on certiorari is limited to an examination of the record to determine 

if an error of law has been committed.” Plante v. Stack, 109 A.3d 846, 853 (R.I. 2015) (quoting 

State v. Poulin, 66 A.3d 419, 423 (R.I. 2013)). “In addition to examining the record for judicial 
- 4 -

error, we inspect the record to discern if there is any legally competent evidence to support the 

findings of the hearing justice below.” Id. (quoting Poulin, 66 A.3d at 423).

“To decide this [case], we must construe several statutory provisions.” Rose v. State, 92 

A.3d 903, 906 (R.I. 2014). “We review questions of statutory interpretation de novo.” Bluedog 

Capital Partners, LLC v. Murphy, 206 A.3d 694, 699 (R.I. 2019) (quoting State v. Hazard, 68 

A.3d 479, 485 (R.I. 2013)). “In so doing, ‘our ultimate goal is to give effect to the purpose of the 

act as intended by the Legislature.’” Id. (quoting Hazard, 68 A.3d at 485). “When the language 

of a statute is clear and unambiguous, this Court must interpret the statute literally and must give 

the words of the statute their plain and ordinary meanings.” In re B.H., 194 A.3d 260, 264 (R.I. 

2018) (brackets omitted) (quoting State v. Santos, 870 A.2d 1029, 1032 (R.I. 2005)). “If, 

however, the language of a statute is ambiguous, this Court turns to ‘our well-established 

maxims of statutory construction in an effort to glean the intent of the Legislature.’” Id. (quoting 

Town of Warren v. Bristol Warren Regional School District, 159 A.3d 1029, 1039 (R.I. 2017)). 

“The Legislature is presumed to have intended each word or provision of a statute to express a 

significant meaning, and the Court will give effect to every word, clause, or sentence, whenever 

possible.” Id. (brackets omitted) (quoting State v. Clark, 974 A.2d 558, 571 (R.I. 2009)). “As we 

have held, ‘this Court will not construe a statute to reach an absurd result.’” Id. (brackets 

omitted) (quoting Long v. Dell, Inc., 984 A.2d 1074, 1081 (R.I. 2009)).

III 

Discussion 

Because this Court is tasked with determining the interplay between several statutory 

provisions to resolve this case, we provide a brief review of those statutes. Generally, § 45-19-1

grants salary benefits to firefighters who have been injured on duty. In 2011, the General 
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Assembly amended § 45-19-1 to add subsection (j), which provides that any person receiving 

such benefits shall apply for an accidental disability retirement allowance within eighteen 

months of their injury, or they risk losing their injured-on-duty benefits. Subsection (2) of

§ 45-19-1(j) provides that a person who has applied to receive an accidental disability retirement 

allowance will continue to receive injured-on-duty payments, but the right to those payments 

“shall terminate in the event of a final ruling of the workers compensation court allowing 

accidental disability benefits.” (Emphasis added.) Pertinent to this case, § 45-21.2-9, entitled 

“Retirement for accidental disability,” provides accidental disability retirement allowance 

benefits to firefighters who are rendered physically or mentally incapacitated as a result of injury 

while in the line of duty. Also in 2011, the General Assembly amended § 45-21.2-9 to add, inter 

alia, subsection (f), which provides that “[i]n the event that any party is aggrieved by the 

determination of the retirement board pursuant to § 45-19-1, for an injury or illness occurring on 

or after July 1, 2011, the party may submit an appeal to the Rhode Island workers’ compensation 

court.”2(Emphasis added.) Finally, chapter 19.1 of title 45, entitled “Cancer Benefits for Fire 

Fighters,” provides certain benefits to firefighters who have been diagnosed with a “disabling 

occupational cancer[.]” Section 45-19.1-3(a). 

A

Subject-Matter Jurisdiction 

The respondent raises three arguments in support of its contention that the WCC lacked 

subject-matter jurisdiction to hear petitioner’s appeal. We address each in turn. “We have 

previously held that a challenge to subject-matter jurisdiction questions the very power of the 

 

2

In 2017, the General Assembly added “or illness” after the word “injury” in subsection (f) of 

G.L. 1956 § 45-21.2-9. P.L. 2017, ch. 288, § 1. This addition does not affect the outcome of this 

case. 
- 6 -

court to hear the case.” Sullivan v. Coventry Municipal Employees’ Retirement Plan, 203 A.3d 

483, 487 (R.I. 2019) (quoting Retirement Board of Employees’ Retirement System of City of 

Providence v. Corrente, 111 A.3d 301, 305 (R.I. 2015)). “Subject-matter jurisdiction may not be 

waived by any party and may be raised at any time in the proceedings.” Id. (quoting Corrente, 

111 A.3d at 305). “We review de novo whether a court has subject-matter jurisdiction over a 

particular controversy.” Id. (quoting Corrente, 111 A.3d at 305).

1

First, respondent asserts that the Appellate Division of the WCC erred when it affirmed 

the trial judge’s determination that the WCC had subject-matter jurisdiction over petitioner’s 

appeal from the board’s decision. According to respondent, the plain and unambiguous language 

in § 45-21.2-9 vests the WCC with authority to hear appeals from the board only when the board

has rendered a determination pursuant to § 45-19-1. 

The respondent avers that § 45-21.2-9(f) should be read in isolation, and parses out the 

language in that section to conclude that the unambiguous language provides that an aggrieved 

party can appeal to the WCC only when the board has rendered its decision “pursuant to 

§ 45-19-1[.]” The respondent claims that, because the board rendered the decision on 

petitioner’s claim pursuant to § 45-21.2-9, the WCC lacked jurisdiction to hear petitioner’s 

appeal. 

This Court has noted, however, that “the plain meaning approach must not be confused 

with ‘myopic literalism’; even when confronted with a clear and unambiguous statutory 

provision, it is entirely proper for us to look to the sense and meaning fairly deducible from the 

context.” O’Connell v. Walmsley, 156 A.3d 422, 426 (R.I. 2017) (quoting Raiche v. Scott, 101 

A.3d 1244, 1248 (R.I. 2014)). Additionally, “in so doing we must not construe a statute in a way 
- 7 -

that would result in absurdities or would defeat the underlying purpose of the enactment.” Id. at 

428 (deletion omitted) (quoting Commercial Union Insurance Co. v. Pelchat, 727 A.2d 676, 681 

(R.I. 1999)). 

To adopt respondent’s approach would render § 45-21.2-9(f) a nullity and would lead to

an absurd result: The board, as respondent points out, would not have the ability to render 

decisions pursuant to § 45-19-1. The respondent’s interpretation would mean the General 

Assembly created an appeal to the WCC that would have no effect and would give the WCC no 

new jurisdiction whatsoever, because the board will never render a decision pursuant to 

§ 45-19-1. While we recognize that a strict reading of § 45-19-1 may suggest that the WCC

lacks jurisdiction, we decline to interpret it as such, because it would “lead to a construction 

inconsistent with the manifest intent of the General Assembly[.]” O’Connell, 156 A.3d at 428

(brackets omitted).

Sections 45-19-1 and 45-21.2-9(f), when read in conjunction, demonstrate the General 

Assembly’s intent to cloak the WCC with jurisdiction over appeals by aggrieved parties who

have applied for an accidental disability retirement allowance pursuant to the time mandate

contained in § 45-19-1(j) and were denied by the board. A reading of § 45-19-1(j) reveals that 

the statute clearly directs a person collecting injured-on-duty benefits to “apply for an accidental 

disability retirement allowance from the state retirement board” as a claim under § 45-21.2-9. 

Once the claim has been heard and the board has rendered a decision, an aggrieved applicant can 

then appeal to the WCC pursuant to § 45-21.2-9(f). Section 45-19-1(j)(2) further illustrates the 

General Assembly’s intent that the WCC have jurisdiction over such appeals. That section

provides that the applicant will continue to receive injured-on-duty benefits, but such benefits 
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“shall terminate in the event of a final ruling of the workers compensation court allowing 

accidental disability benefits.” Section 45-19-1(j)(2) (emphasis added).

We find further support for this statutory interpretation in G.L. 1956 § 28-30-1(a) of the 

Workers’ Compensation Act (the act), which grants the WCC “jurisdiction that may be necessary 

to carry out its duties under * * * the provisions of the Rhode Island general law § 45-21.2-9[.]” 

For the General Assembly to grant the WCC the jurisdiction necessary to carry out its duties 

under § 45-21.2-9, and for this Court to interpret § 45-21.2-9(f) as providing the WCC with no 

new jurisdiction under that section, would disregard all sense of legislative intent and would 

defeat the underlying purpose of the act. See O’Connell, 156 A.3d at 426. Therefore, we 

conclude that the General Assembly intended the WCC to have jurisdiction over appeals from 

adverse decisions rendered by the retirement board when the application was filed pursuant to 

the time mandate contained in § 45-19-1(j). 

2

Second, respondent contends that the WCC lacked jurisdiction over petitioner’s appeal 

because, respondent argues, occupational cancer and injury are two separate reasons for 

obtaining an accidental disability retirement allowance, and occupational cancer is not an injury 

within the meaning of § 45-21.2-9. Specifically, respondent argues that § 45-21.2-9(a) provides 

for accidental disability retirement allowance on the basis of injury or illness, while 

§ 45-21.2-9(e) provides for accidental disability retirement allowance for occupational cancer. 

The respondent reasons that, if the General Assembly intended to include occupational cancer in 

§ 45-21.2-9(f), it would have expressly done so. We disagree. 

Again, we decline to read the provisions of the statute in such a rigid and technical 

manner, but instead make every effort to harmonize them. See O’Connell, 156 A.3d at 428. 
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First, as respondent correctly points out, under § 45-21.2-9(a), an applicant is entitled to an 

accidental disability allowance for an injury or illness sustained while in the line of duty; 

however, § 45-21.2-9(e) provides for an accidental disability retirement allowance based upon

occupational cancer while in service or after retirement. Section 45-21.2-9(e) also provides that 

an applicant is entitled to “all of the benefits provided for in this chapter[.]” (Emphasis added.)

Further supporting our interpretation is the fact that the act, at G.L. 1956 § 28-35-11, 

entitled “Questions determined by court,” provides that “[a]ll questions arising under * * * 

Rhode Island general law § 45-21.2-9 shall, except as otherwise provided, be determined by the 

workers’ compensation court[.]” (Emphasis added.) Clearly, the General Assembly intended to 

provide the WCC with jurisdiction over all appeals arising under § 45-21.2-9, unless the General 

Assembly explicitly provided otherwise. Section 45-21.2-9(f) contains no language explicitly

indicating that appeals based on occupational cancer are to be treated differently. The General 

Assembly had the opportunity to include such language so as to specifically provide that 

accidental disability retirement applications based on occupational cancer could not be appealed 

to the WCC; indeed, § 45-21.2-9(e) was enacted in 1991,3 while § 45-21.2-9(f) was enacted 

twenty years later, in 2011.

4

 However, it chose not to do so. See Horn v. Southern Union Co., 

927 A.2d 292, 296 (R.I. 2007) (“[I]t is presumed that the General Assembly, when enacting a 

statute, is aware of earlier legislation.”). 

Accordingly, we conclude that the General Assembly intended to include occupational 

cancer as an injury in the WCC appeal provision provided for in § 45-21.2-9(f). 

 

3 P.L. 1991, ch. 255, § 1. 

4 P.L. 2011, ch. 151, art. 12, § 8.
- 10 -

3

Third, respondent argues that the WCC erred when it identified cancer as an occupational 

disease under the act and concluded that the date of diagnosis of the cancer is the date of injury 

for the purpose of determining the ability of a cancer applicant to appeal to the WCC. The 

respondent contends that § 45-21.2-9(j) only grants the WCC with authority to use its 

case-management procedures and dispute-resolution processes, but not its substantive law, in 

determining an appeal under that section. Once again, however, we decline to read the statute in 

such a rigid and hyper-technical manner, but we shall instead attempt to glean the General 

Assembly’s intent. See In re B.H., 194 A.3d at 264; O’Connell, 156 A.3d at 428. 

Section 45-21.2-9(j) requires that “[a]ll proceedings filed with the workers’ compensation 

court pursuant to this section shall be de novo and shall be subject to the provisions of chapters 

29–38 of title 28 for all case management procedures and dispute resolution processes, as 

provided under the rules of workers’ compensation court.” The language of § 45-21.2-9(j) 

clearly states that all proceedings are subject to chapters 29–38 of title 28, and the statute

contains no limiting language. Had the General Assembly intended to limit the authority of the 

WCC to procedural issues only, it could have provided in that statute that proceedings filed in 

the WCC pursuant to § 45-21.2-9(j) were subject only to the provisions of chapter 35 of title 28, 

which specifically deals with court procedures; however, the General Assembly did not do so. 

We conclude that the General Assembly intended that appeals filed with the WCC pursuant to 

§ 45-21.2-9(j) are subject to all of the provisions in chapters 29 through 38 of title 28, and are not 

limited to case-management procedures only. This leads to the firm conclusion that the WCC

properly ensured its jurisdiction by looking to the act, specifically G.L. 1956 § 28-34-2(33) to 
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determine that occupational cancer is a compensable injury, and § 28-34-6 to determine the date 

of disability.

5

 

B

Conclusive Presumption 

The respondent also contends that the WCC erred when it determined that § 45-19.1-1 

creates a conclusive presumption that any diagnosis of cancer among firefighters is an 

“occupational cancer” entitling them to an accidental disability retirement allowance, without the 

need to prove that the cancer resulted from employment as a firefighter. The respondent claims 

that the statute does not expressly contain a conclusive or rebuttable presumption and that the 

General Assembly has not intended such a presumption because (1) the General Assembly has 

expressly created conclusive presumptions in other statutes; (2) the statutory definition of 

“occupational cancer” would be rendered meaningless; and (3) the General Assembly has created 

presumptions for health impairment of firefighters due to smoke inhalation and delegated that 

duty to municipalities. Finally, respondent asserts that any reliance on this Court’s holding in 

City of East Providence v. International Association of Firefighters Local 850, 982 A.2d 1281 

(R.I. 2009) (IAF Local 850), is misplaced. 

At the outset, we note that both the trial judge and the Appellate Division of the WCC

relied on this Court’s holding in IAF Local 850 in determining that § 45-19.1-1 creates a 

conclusive presumption that any cancer in firefighters is occupational cancer; however, such 

reliance is misplaced. Although we did refer to chapter 19.1 of title 45 in IAF Local 850, we did 

 

5 General Laws 1956 § 28-34-2 provides: “The disablement of any employee resulting from an 

occupational disease or condition described in the following schedule shall be treated as the 

happening of a personal injury[:] * * * (33) Disability arising from any cause connected with or 

arising from the peculiar characteristics of the employment.” Section 28-34-6 provides: “For the 

purpose of this chapter the date of disablement for an occupational disease shall be the date of 

partial or total incapacity to work as a result of the disease.” 
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not do so directly, as that case came before us on review of an arbitrator’s decision. IAF Local 

850, 982 A.2d at 1283. As we stated in IAF Local 850, our review of an arbitrator’s decision is 

“limited in nature[,]” and highly deferential to the arbitrator’s findings and legal reasoning. Id. at 

1285. The arbitrator is tasked with interpreting relevant state law and the “arbitrator’s award will 

be upheld even if he or she makes a mistake or error in interpreting the law.” Id. As such, we 

addressed chapter 19.1, but only with regard to whether the arbitrator manifestly disregarded the 

law, which “occurs when an arbitrator understands and correctly articulates the law, but then 

proceeds to disregard it.” Id. at 1286. 

In IAF Local 850, the arbitrator determined that the parties had intended to incorporate 

§ 45-19-1 into their collective-bargaining agreement and that chapter 19.1 of title 45 amended 

§ 45-19-1 to include cancer as an occupational injury for Rhode Island firefighters. IAF Local 

850, 982 A.2d at 1284. Based on this interpretation, the arbitrator concluded that the city was 

obligated to provide injured-on-duty benefits to a firefighter who had been diagnosed with 

cancer. Id. On appeal, the city contended that the language in chapter 19.1 limited its application 

to municipalities that participated in the optional retirement plan for police officers and 

firefighters and that, because the city did not participate in that plan, it was not subject to chapter 

19.1. Id. at 1285. Looking at chapter 19.1 through that lens, we stated that the General Assembly 

clearly intended to ensure that cancer was a basis upon which one could receive injured-on-duty 

benefits and that the statutory language did not limit application of that benefit to municipalities. 

Id. at 1288. We held that the arbitrator did not exceed his authority in finding that the city was 

obligated to provide injured-on-duty benefits to a firefighter diagnosed with cancer, based on his 

interpretation of chapter 19.1. Id. at 1289. 
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Our task in IAF Local 850 was not to provide our interpretation of chapter 19.1 of title 

45, but rather to determine whether the arbitrator exceeded his authority by rendering an 

irrational decision; therefore, our holding did not determine what type of cancer a firefighter 

must prove to obtain occupational cancer disability benefits or that all cancers are occupational 

cancers. IAF Local 850, 982 A.2d at 1285. Rather, that case involved a straightforward 

application of the limited review of an arbitrator’s decision, holding that the arbitrator had 

applied the law as he interpreted it. Id. at 1286, 1289. In the present case, however, we address 

the interpretation of chapter 19.1 on de novo review. 

Turning to the statute in question, chapter 19.1 of title 45 is composed of three sections. 

Section 45-19.1-1 is entitled “Legislative findings” and declares in subsection (a) that, by reason 

of their employment: 

“(1) Fire fighters are required to work in the midst of, and are 

subject to, smoke, fumes, or carcinogenic, poisonous, toxic, or 

chemical substances; 

“(2) Fire fighters are continually exposed to a vast and expanding 

field of hazardous substances through hazardous waste sites and 

the transportation of those substances; 

“(3) Fire fighters are constantly entering uncontrolled 

environments to save lives and reduce property damage and are 

frequently not aware of potential toxic and carcinogenic substances 

that they may be exposed to; 

“(4) Fire fighters, unlike other workers, are often exposed 

simultaneously to multiple carcinogens, and the rise in 

occupational cancer among fire fighters can be related to the rapid 

proliferations of thousands of toxic substances in our every day 

environment; and 

“(5) The onset of cancers in fire fighters can develop very slowly, 

usually manifesting themselves from five (5) years to forty (40) 

years after exposure to the cancer-causing agent.” 

Section 45-19.1-1(b) provides: “The [G]eneral [A]ssembly further finds and declares that all of 

the previously stated conditions exist and arise out of or in the course of that employment.” 

Section 45-19.1-2 is entitled “Definitions” and defines the operative terms in the statute,
- 14 -

including “occupational cancer[,]” which is defined as “a cancer arising out of his or her 

employment as a fire fighter, due to injury from exposures to smoke, fumes, or carcinogenic, 

poisonous, toxic, or chemical substances while in the performance of active duty in the fire 

department.” Section 45-19.1-2(d). Finally, § 45-19.1-3 is entitled “Occupational cancer 

disability for fire fighters” and provides the statutory right that a firefighter who develops 

occupational cancer is entitled to receive an occupational cancer disability. 

Chapter 19.1 of title 45 is not the epitome of legislative clarity; therefore, we “turn[] to 

‘our well-established maxims of statutory construction in an effort to glean the intent of the 

Legislature.’” In re B.H., 194 A.3d at 264 (quoting Town of Warren, 159 A.3d at 1039). In 

doing so, we keep in mind that “[t]he Legislature is presumed to have intended each word or 

provision of a statute to express a significant meaning, and the Court will give effect to every 

word, clause, or sentence, whenever possible.” Id. (brackets omitted) (quoting Clark, 974 A.2d at

571).

As a threshold matter, there is no express language in chapter 19.1 of title 45 that grants a 

conclusive or a rebuttable presumption that any diagnosis of cancer among firefighters is an 

occupational cancer. To the contrary, we conclude that the General Assembly intended that an 

occupational cancer be proven before a firefighter is entitled to receive occupational cancer 

disability benefits. The General Assembly defines “occupational cancer” in § 45-19.1-2(d) and 

provides in § 45-19.1-3 that a firefighter must be “unable to perform his or her duties” because of

that occupational cancer before being entitled receive an occupational cancer disability benefit. 

To make that showing, a firefighter must prove a causal connection between the disease and his 

or her employment as a firefighter; that is, that he or she has been diagnosed with “a cancer 

arising out of his or her employment as a fire fighter, due to injury from exposures to smoke, 
- 15 -

fumes, or carcinogenic, poisonous, toxic, or chemical substances while in the performance of 

active duty in the fire department.” Section 45-19.1-2(d) (emphasis added). The General 

Assembly could have determined that all or any cancers in firefighters are occupational;

however, it specifically defined “occupational cancer” and required that a cancer be proven that

arose out of his or her employment due to injury from certain exposures while in the 

performance of active duty as a firefighter before being entitled to an occupational cancer 

disability benefit. To hold that chapter 19.1 includes a conclusive presumption, or any 

presumption, would render the specific definition that the General Assembly gave to the term 

“occupational cancer” meaningless, as would the requirement that a firefighter be unable to 

perform his or her duties while in the service of the fire department because of that occupational 

cancer. 

Additionally, we conclude that the legislative findings contained in § 45-19.1-1 do not 

establish a conclusive presumption that every firefighter’s cancer is due to injury from exposures 

while in the performance of his or her duties. The legislative findings in § 45-19.1-1(a) are 

general statements regarding the harsh conditions that firefighters can face or often face. 

Specifically, § 45-19.1-1(a)(4) states that firefighters “are often exposed” to carcinogens and that 

the rise in occupational cancer “can be related” to toxic substances being in the environment, 

while § 45-19.1-1(a)(5) adds that cancer among firefighters “can develop very slowly[.]” 

(Emphasis added.) This is followed by the further declaration in § 45-19.1-1(b) of the General 

Assembly’s findings that those “conditions exist and arise out of or in the course of that 

employment.” Significantly, however, § 45-19.1-1(b) does not declare that each and every 

individual firefighter has necessarily faced those harsh conditions and been harmed by them, or 

that every cancer in a firefighter is “a cancer arising out of his or her employment as a fire 
- 16 -

fighter, due to injury from exposures * * * while in the performance of active duty in the fire 

department.” Section 45-19.1-2(d) (emphasis added). 

We believe that the general findings contained in § 45-19.1-1 are akin to broad-brush 

policy observations that provide the backdrop for the remedy that § 45-19.1-3 offers when a 

firefighter can prove that he or she specifically has suffered from the general conditions listed in 

§ 45-19.1-1 and has been diagnosed with occupational cancer, as defined in § 45-19.1-2(d), as a 

result. While such policy language can be helpful to clarify other substantive provisions, it is

“prefatory in nature and does not create any substantive private right.” Heritage Healthcare 

Services, Inc. v. Marques, 14 A.3d 932, 938 (R.I. 2011); see Grasso Service Center, Inc. v. Sepe, 

962 A.2d 1283, 1288-89 (R.I. 2009) (“Although ‘preambles may be used to clarify ambiguities,

they do not create rights that are not found within the statute.’”) (brackets and deletion omitted) 

(quoting 73 Am. Jur. 2d Statutes § 110 at 320 (2001)).

To conclude that the language in § 45-19.1-1 creates a conclusive presumption would not 

only render the statutory definition of occupational cancer in § 45-19.1-2(d) meaningless and 

create a right not found within the statute, but would also construe the statute to reach an absurd 

result. For example, a conclusive presumption that all cancers in firefighters are occupational 

cancers would mean that a firefighter who smoked four packs of cigarettes a day for decades

would receive an occupational cancer disability benefit despite not having proved that his cancer 

was related to exposure on the job. Similarly, a conclusive presumption would provide 

occupational cancer benefits to a firefighter who contracted cancer as a result of exposure to

pesticides while landscaping in his or her yard. We do not believe the General Assembly would 

have extended such broad benefits to all firefighters without expressly providing for such in clear 

and unambiguous language. 
- 17 -

An example of such express, clear language is found in § 45-19-16, which provides that 

municipalities have the option to enact a rebuttable presumption by ordinance that all conditions 

of health impairment caused by smoke inhalation of the lungs or respiratory tract suffered by 

firefighters are suffered in the line of duty, unless competent evidence is shown to the contrary. 

Given that the General Assembly expressly provided for a rebuttable presumption in such similar 

circumstances in that statute, we do not believe that the General Assembly would have neglected 

to include such express language in chapter 19.1 of title 45, especially if the General Assembly 

indeed intended to create such a conclusive presumption.

Accordingly, we hold that chapter 19.1 of title 45 does not contain a conclusive, or for 

that matter any, presumption that all cancers in firefighters are occupational cancers. Therefore, 

that portion of the decree on review that concludes as much is quashed. 

IV 

Conclusion 

For these reasons, the decree on review is affirmed in regard to the finding that the WCC 

had jurisdiction to hear the petitioner’s appeal, but is quashed in regard to the finding that 

chapter 19.1 of title 45 contains a conclusive presumption that all cancer in firefighters is 

occupational cancer. The papers in this case may be returned to the Workers’ Compensation 

Court with our decision endorsed thereon.

Justice Flaherty, concurring in part and dissenting in part. I am in complete 

agreement with my colleagues that the Workers’ Compensation Court is vested with jurisdiction 

to hear this appeal from the Municipal Employees’ Retirement System. I therefore 

unequivocally join in that part of the majority’s opinion. I must, however, most respectfully 
- 18 -

depart from the majority’s opinion that the statutory framework does not provide that a diagnosis 

of cancer entitles a firefighter to an accidental disability pension.

This case is about a firefighter, Kevin Lang, who served the City of Cranston for an 

excess of twenty years, succumbed to colon cancer in 2017, and, despite the General Assembly’s 

explicit and unreserved legislative findings that a firefighter’s cancer arises as the result of his 

service to his municipality, is today denied the full benefits that the Legislature provided for 

firefighters who are diagnosed with cancer.1 I dissent because the General Assembly determined 

as a matter of declarative fact that cancer in firefighters is caused by their dangerous working 

conditions and because I cannot fathom how the statute at issue can be read in any other way. 

Central to the parties’ dispute is chapter 19.1 of title 45 of our general laws, entitled 

Cancer Benefits for Fire Fighters, and how it interacts with G.L. 1956 § 45-21.2-9, relating to 

accidental disability pensions. Under the provisions of § 45-21.2-9, a firefighter may seek “an 

accidental disability retirement allowance” when the firefighter is the victim of an “occupational 

cancer[.]” Section 45-21.2-9(e). As § 45-21.2-9(c) dictates, an occupational cancer is “a cancer 

arising out of employment as a fire fighter[.]” Id. At issue is: What evidence was Mr. Lang 

required to produce to demonstrate that he was the victim of an occupational cancer and that that 

malady arose as a result of his employment? The majority today essentially holds that Mr. Lang 

must bring forth expert testimony to definitively prove that his work as a firefighter led to his 

cancer diagnosis. I disagree because it is my opinion that the General Assembly already has 

provided that link in § 45-19.1-1(a) of the Cancer Benefits for Fire Fighters statute.

 

1 The majority says that Mr. Lang served from 1996 until 2012. However, it was in 2012 when 

Mr. Lang was put on injured-on-duty status. Mr. Lang remained a member in active service until 

his death. I thus characterize his time of service as exceeding twenty years. 
- 19 -

In my opinion, § 45-19.1-1 is clear and unambiguous. That enactment enumerates certain 

legislative findings, including that firefighters are exposed to “smoke, fumes, or carcinogenic, 

poisonous, toxic, or chemical substances[.]” Section 45-19.1-1(a)(1). Indeed, the General 

Assembly declared that firefighters “are often exposed simultaneously to multiple carcinogens” 

and that there had been a rise in cancer diagnoses among firefighters because of the proliferation 

of toxic substances in the environment. Section 45-19.1-1(a)(4). Finally, the General Assembly 

declared that the effects of that exposure may take decades to develop, articulating that “[t]he 

onset of cancers in fire fighters can develop very slowly, usually manifesting themselves from 

five (5) years to forty (40) years after exposure to the cancer-causing agent.” Section 45-19.1-

1(a)(5). 

Most importantly, to follow those very strong and unequivocal findings, the Legislature 

then said in subsection (b) of the very same statute: “The [G]eneral [A]ssembly further finds and 

declares that all of the previously stated conditions exist and arise out of or in the course of that 

employment.” Section 45-19.1-1(b). Because “cancer” is a “previously stated condition,” a 

clearer and more direct statement confirming the link of firefighting and cancer could not be 

made.

Much of the argument in this case has centered on whether the law established a 

“conclusive presumption” that cancer in firefighters arises out of their employment. In my view, 

those arguments are wide of the mark. As described above, the language employed by the 

General Assembly exceeds presumption. Rather, that language establishes the connection 

between a cancer diagnosis and employment as a firefighter by declarative fact. Consequently, 

all Mr. Lang should have been required to prove to receive an accidental disability retirement is 

that he developed cancer and that he was a firefighter. There is no further need to establish the 
- 20 -

connection between the cancer and his lifesaving work because the General Assembly, cognizant 

of the difficulties of establishing a link between the ever-present conditions that produce a 

disease that may take decades to become symptomatic, already did it for him. This is sensible 

because, as the General Assembly said, “cancers in fire fighters can develop very slowly” and 

may manifest only after forty years from exposure “to the cancer-causing agent.” Section 45-

19.1-1(a)(5) (emphasis added). Further, a cancer-stricken firefighter would find it difficult, if not 

impossible, to recollect which of many fires or other on-the-job responses resulted in his 

exposure to a particular toxin. It is obvious that a doctor would be hard-pressed to link any 

individual’s cancer to any specific event that may have occurred twenty years ago, especially 

considering all of the other exposures to carcinogens in a firefighter’s everyday life. It is clear to 

me that the General Assembly, therefore, in recognition in § 45-19.1-1(a)(3) that “[f]ire fighters 

are constantly entering uncontrolled environments to save lives and reduce property damage[,]” 

enumerated in § 45-19.1-1(b) that cancer in those employed as firefighters “exist[s] and arise[s] 

out of or in the course of that employment.”

What’s more, although the majority does not articulate whether the statute is ambiguous 

or not, it nonetheless, in a lengthy analysis, characterized chapter 19.1 of title 45 as “not the 

epitome of legislative clarity.” It then proceeds to construe the statute in an effort to discern 

legislative intent. However, it is axiomatic that this Court applies the rules of construction only 

to statutes that it deems to be ambiguous. As such, I can only conclude that the majority 

considers the statute to in fact be ambiguous. Indeed, it goes without saying that, if the majority 

had determined the law to be unambiguous, which is the conclusion that I have reached, it would 

simply have applied it as written, unless such an application would lead to an absurd result.
- 21 -

Even if I were to agree with the majority that the statute is ambiguous, and I do not, the 

result should be to affirm the Workers’ Compensation Court. This is so because, without 

question, the statute is remedial in nature in that it creates new rights for firefighters who have 

been stricken with cancer and provides a remedy for them. See Gem Plumbing & Heating Co., 

Inc. v. Rossi, 867 A.2d 796, 811 (R.I. 2005) (explaining that a remedial statute is a statute

“which affords a remedy, or improves or facilitates remedies already existing for the 

enforcement of rights or redress of wrongs”) (quoting Ayers-Schaffner v. Solomon, 461 A.2d 

396, 399 (R.I. 1983)). It seems to me that it is beyond argument that providing an accidental 

disability pension and any other relevant benefits to firefighters who develop cancer is the goal 

of the statute. Nonetheless, the majority has construed the statute narrowly, and not liberally, as 

our law consistently has required. See Gem Plumbing & Heating, 867 A.2d at 811 (“[W]here the 

statute is remedial * * * it is to be construed liberally.” (quoting Ayers-Schaffner, 461 A.2d at 

399)); see also State v. Carter, 827 A.2d 636, 643 (R.I. 2003) (“[T]o effectuate its salutary 

purpose a remedial statute should be liberally construed[.]” (quoting State v. Simmons, 114 R.I. 

16, 18, 327 A.2d 843, 845 (1974))). It is also noteworthy that, in its construction of chapter 19.1 

of title 45 and § 45-21.2-9, the majority has drawn a contrast between chapter 19.1 of title 45 and 

G.L. 1956 § 45-19-16, which provides as follows:

“Notwithstanding the provisions of any general or special law or to 

any state or municipal retirement system, any city or town may, by 

ordinance, provide that every condition of impairment of health 

caused by smoke inhalation of the lungs or respiratory tract, 

resulting in total disability or death to a uniformed member of a 

paid fire department, is presumed to have been suffered in the line 

of duty as a result of the inhalation of noxious fumes or poisonous 

gases, unless the contrary is shown by competent evidence; 

provided, that the person benefiting by the presumption passes a 

physical examination upon entry into service or subsequent to 

entry an examination failed to reveal any evidence of the 

condition.”
- 22 -

The majority seizes upon this statute as grist for its conclusion that the General Assembly 

is well aware of how to call for a conclusive presumption when it wishes to do so—and because 

it did not do that in chapter 19.1 of title 45, no such presumption exists. However, with all due 

respect, it is my opinion that a reliance on § 45-19-16 is flawed in a number of respects.

For one, § 45-19-16 is permissive in nature; it allows, but does not require, municipalities 

to enact an ordinance providing that an impairment of health due to lung damage is presumed to 

have been caused by employment as a firefighter. Moreover, and of far more importance, 

§ 45-19-16 was enacted in 1963, at a time when there was a comparative dearth of scientific 

knowledge about the increase in danger from toxins and carcinogens in the environment.2 By the 

time the General Assembly passed § 45-19.1-1 into law in 1987, scientific knowledge had 

expanded exponentially. For this reason, the General Assembly made legislative findings about 

the dangers of toxic and carcinogenic substances, particularly to firefighters, who are thrust into 

the middle of conflagrations saturated by cancer causing chemicals each and every day, and there 

were veritable mountains of information available that conclusively linked carcinogens and other 

toxins in the environment to lethal health conditions, especially in the case of firefighters.

Lastly, it is my opinion that, despite its valiant efforts to distance itself from the crystalclear language employed by this Court in City of East Providence v. International Association of 

Firefighters Local 850, 982 A.2d 1281 (R.I. 2009), the majority falls far short of its goal to 

escape the grasp of the rationale of that case. Although it is true that that case involved an appeal 

 

2 By way of example, Congress did not require language warning that smoking cigarettes may be 

unhealthy until 1966, Federal Cigarette Labeling and Advertising Act, Pub. L. No. 89-92, 79 

Stat. 282, and did not require language explicitly warning that smoking causes lung cancer be 

printed on cigarette packages until 1985. Comprehensive Smoking Education Act, Pub. L. No. 

98-474, 98 Stat. 2200 (requiring one of four rotating messages to appear on cigarette packaging, 

one of which included an explicit lung cancer warning).
- 23 -

of an arbitrator’s decision, which was thus subject to a far different standard of review, it is 

difficult to escape the definitive way in which this Court discussed the very Act in question.3

In clear and in no uncertain terms, and in a unanimous decision, this Court held that

chapter 19.1 of title 45 was clear and unambiguous. The Court said that:

“Upon a reading of the statute, it is evident that the General 

Assembly intended to ensure that firefighters diagnosed with 

cancer receive injured on-duty benefits in accordance with * * * 

§ 45-19-1[.] The enactment of the ‘Cancer Benefits for Fire 

Fighters’ statute specifically designated cancer among firefighters 

as an on-duty illness, based on the General Assembly’s findings 

that firefighters are exposed to ‘a vast and expanding field of 

hazardous substances’ and that the ‘rise in occupational cancer 

among fire fighters can be related to the rapid proliferation of 

thousands of toxic substances.’” City of East Providence, 982 A.2d 

at 1288 (quoting § 45-19.1-1(a)(3)–(4)).

The Court then went on to say that, in view of its reading of the statute, the arbitrator did 

not exceed his authority, in that he had interpreted the law in the same way. City of East 

Providence, 982 A.2d at 1289. This is hardly mere dicta.

For the reasons set forth above, it is my opinion that the decree of the Workers’

Compensation Court is correct and should be affirmed in its entirety. I therefore respectfully 

dissent from the holding of the majority as relates to the effect of chapter 19.1 of title 45.

 

3

It is true that the issue in City of East Providence v. International Association of Firefighters 

Local 850, 982 A.2d 1281 (R.I. 2009), was whether the arbitrator exceeded his authority in his

determination that the grievant-firefighter should have been placed on injured-on-duty status 

during the time he missed as a result of prostate cancer pursuant to G.L. 1956 § 45-19-1, rather 

than being placed on sick leave. City of East Providence, 982 A.2d at 1283. Thus, it was not a 

disability pension case. However, there is no question that, after being put on injured-on-duty 

status for a period of eighteen months, a firefighter “shall” apply for a disability pension. See

§ 45-19-1 (emphasis added); see also § 45-21.2-9(a). In this case, the City of Cranston already 

had placed Mr. Lang on injured-on-duty status in accordance with § 45-19-1, and he remained on 

that status until his death from cancer. 
- 24 -

Justice Robinson, concurring. I am pleased to concur with the conclusion reached in the 

majority opinion and with its reading of the pertinent statutory provisions. Nonetheless, I write 

separately to respectfully reiterate my conviction that there are occasions when it is important for 

the General Assembly to speak with stark clarity when it wishes to enact into law a provision that 

represents a departure from the usual.

This is by no means a case where I could say that “the right answer” was instantly selfevident; instead, focused concentration on the actual statutory language was required. The dissent 

has set forth powerful arguments in support of its understanding of what the General Assembly 

intended, and I have carefully considered those arguments. In the end, however, I realized that I 

was required to look to what the statute actually says rather than to what may arguably have been 

the intent of the legislators. See Martone v. Johnston School Committee, 824 A.2d 426, 431 (R.I. 

2003) (“The best evidence of [legislative] intent can be found in the plain language used in the 

statute.”); see also Mutual Development Corp. v. Ward Fisher & Co., LLP, 47 A.3d 319, 328 (R.I. 

2012) (“In reviewing the language of a statute, our ultimate goal is to give effect to the General 

Assembly’s intent, and we have repeatedly observed that [the] plain statutory language is the best 

indicator of [such] intent.”) (internal quotation marks omitted); DeMarco v. Travelers Insurance 

Co., 26 A.3d 585, 616 (R.I. 2011). The plain blunt fact is that the General Assembly never used 

the word “presumption” (let alone “conclusive presumption”) in this particular statute. The 

General Assembly could have mandated that there be a conclusive presumption with respect to the 

cause of cancer in firefighters, but there is simply no clear language in the statute indicating that 
- 25 -

the General Assembly did so. Where a provision as significant and as quite unusual1as the one 

presently in contention is concerned, it is especially important that the General Assembly be 

particularly clear as to its intent so that the judicial branch can properly fulfill its role of applying 

the statute to the case at hand. 

 

1 The dissent reads the statute as clearly expressing the General Assembly’s intent to 

mandate what would be in effect a conclusive presumption that cancer in firefighters is caused 

by the various toxins to which they may have been exposed in the course of carrying out their 

firefighting duties. But conclusive presumptions are unusual in our jurisprudence. See Safari 

Club International v. Zinke, 878 F.3d 316, 328 (D.C. Cir. 2017); see also 29 Am. Jur. 2d

Evidence § 213 (Nov. 2019 Update).
SU‐CMS‐02A (revised June 2016)

STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS 

SUPREME COURT – CLERK’S OFFICE 

OPINION COVER SHEET 

Title of Case 

Corrine A. Lang as Executrix of the Estate of Kevin 

Lang v. Municipal Employees’ Retirement System of 

Rhode Island.

Case Number No. 2017-295-Appeal. 

(15-4163)

Date Opinion Filed December 18, 2019 

Justices Suttell, C.J., Goldberg, Flaherty, Robinson, and 

Indeglia, JJ.

Written By Associate Justice Gilbert V. Indeglia 

Source of Appeal 

Appellate Division of the Worker’s Compensation 

Court 

Judicial Officer From Lower Court 

Associate Judge Debra L. Olsson 

Associate Judge Hugo L. Ricci 

Associate Judge Robert E. Hardman 

Attorney(s) on Appeal 

For Petitioner: 

James E. Kelleher, Esq. 

For Respondent: 

Michael P. Robinson, Esq. 

Christopher J. Fragomeni, Esq. 

John H. McCann, Esq.