I 118th CONGRESS 1st Session H. R. 4306 IN THE HOUSE OF REPRESENTATIVES June 22, 2023 Ms. Spanberger (for herself, Mr. Bacon , Mr. Gottheimer , Mr. Beyer , Ms. Norton , Mr. Carbajal , Mrs. Hinson , Ms. Slotkin , Ms. Garcia of Texas , Mr. Crow , Ms. Titus , Mr. Fitzpatrick , Mr. Neguse , Ms. Omar , and Ms. Wexton ) introduced the following bill; which was referred to the Committee on Veterans' Affairs A BILL To amend title 38, United States Code, to establish presumptions of service connection for diseases associated with firefighting.

1. Short title This Act may be cited as the Michael Lecik Military Firefighters Protection Act . 2. Presumptions of service connection for diseases associated with firefighting (a) Establishment Subchapter II of chapter 11 of title 38, United States Code, is amended by adding at the end the following new section: 1120A. Presumptions of service connection for diseases associated with firefighting (a) Service connection For the purposes of section 1110 of this title, and subject to section 1113 of this title, a disease specified in subsection (b) becoming manifest in a veteran described in subsection (c) to a degree of disability specified in subsection (d) and within the period specified in subsection (e) shall be considered to have been incurred in or aggravated during active military, naval, or air service, notwithstanding that there is no record of evidence of such disease during a period of such service. (b) Specified diseases The diseases specified in this subsection are the following: (1) Heart disease. (2) Lung disease. (3) Brain cancer. (4) Cancer of the blood or lymphatic systems. (5) Leukemia. (6) Lymphoma (except Hodgkin’s disease). (7) Multiple myeloma. (8) Bladder cancer. (9) Kidney cancer. (10) Cancer of the reproductive system (including testicular cancer). (11) Cancer of the digestive system. (12) Colon cancer. (13) Liver cancer. (14) Skin cancer. (15) Lung cancer. (16) Breast cancer. (17) Each additional disease (if any) that the Secretary determines in regulations prescribed under this section— (A) warrants a presumption of service connection by reason of having positive association with firefighting; and (B) becomes manifest within the period (if any) prescribed in such regulations in a veteran described in subsection (c), not­with­stand­ing subsection (e). (c) Covered veterans A veteran described in this subsection is a veteran who— (1) is trained in fire suppression; and (2) served on active duty in a military occupational specialty or career field with a primary responsibility for firefighting or damage control for at least five years in the aggregate. (d) Degree of disability The degree of disability specified in this subsection is 10 percent or more. (e) Period The period specified in this subsection is within 15 years of the date on which the veteran separated from active military, naval, or air service. (f) Effective date of award The effective date of an award under this section shall be determined in accordance with section 5110 of this title. . (b) Clerical amendment The table of sections at the beginning of such chapter is amended by inserting after the item relating to section 1120 the following new item: 1120A. Presumptions of service connection for diseases associated with firefighting. .