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Trump signs bill recognizing occupational cancer as a line-of-duty death for officers

The Honoring Our Fallen Heroes Act recognizes occupational cancer as a line-of-duty death for public safety officers, clearing the way for expanded federal benefits

US Capitol

The American flag flies at the top of U.S. Capitol building, Monday, Sept. 22, 2025, in Washington. (AP Photo/Mariam Zuhaib)

Mariam Zuhaib/AP

WASHINGTON — The U.S. Senate has approved the IAFF-backed Honoring Our Fallen Heroes Act as part of the National Defense Authorization Act, advancing a long-running push to recognize occupational cancer as a line-of-duty death for federal benefits.

President Donald Trump signed the bill on Dec. 18, according to the IAFF.

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“We know the devastation occupational cancer has brought to our profession. When a firefighter dies from job-related cancer, that is a line-of-duty death, and it is long past time the federal government recognized that truth,” General President Edward Kelly said. “Congress’s passage of the Honor Act marks a significant turning point. This legislation ensures our fallen are honored, and their families are not left behind.”

The bill, sponsored by Sens. Amy Klobuchar (D-Minn.) and Kevin Cramer (R-N.D.) and Reps. Carlos Gimenez (R-Fla.) and Mary Gay Scanlon (D-Pa.) updates the federal Public Safety Officers’ Benefits program to treat occupational cancer as a line-of-duty death. The measure extends death and education benefits to survivors and creates a presumption that certain cancers are job-related, eliminating the need to identify a specific exposure.

Twenty forms of cancer are listed in the bill, as well as “any form of cancer that is considered a WTC-related health condition.”

Under the bill, a public safety officer’s exposure to a carcinogen would be presumed to be a line-of-duty injury for federal benefits if the exposure occurred while the officer was performing official duties, the officer had at least five years of service before the cancer diagnosis, the diagnosis happened within 15 years of the officer’s last active service date, and the cancer resulted in death or permanent and total disability.

The IAFF has long pushed for occupational cancer to be recognized as a line-of-duty death and made the Honoring Our Fallen Heroes Act a top priority at its 2025 Alfred K. Whitehead Legislative Conference, including multiple lobbying days on Capitol Hill involving members and survivors. The measure passed with strong bipartisan support, clearing the House 312-0 and the Senate 77-0.

This article has been updated to reflect that it was signed by the president.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.