Senate Passes Bill Mandating Cancer Screenings for Firefighters

Public-sector firefighters in Massachusetts will soon have a guaranteed right to free cancer screenings. The state Senate passed the legislation by voice vote on Oct. 15. The bill mirrors a version the House approved unanimously on July 31. Lawmakers must now agree on a final text before sending it to Gov. Healey for signature.

The law mandates that health insurance plans provided by public employers cover a screening every three years. This requirement applies throughout a firefighter’s employment. It covers full-time, paid personnel working for the state, municipalities, fire and water districts, and certain military bases. The covered screenings include tests for colon, lung, bladder, oral, thyroid, skin, blood, breast, cervical, testicular, and prostate cancers.

Union leaders have advocated for this protection for years. The International Association of Fire Fighters states that occupational cancer is the leading cause of line-of-duty death for firefighters. In 2025, more than 79 percent of the members honored at the group’s Fallen Fire Fighter Memorial died of occupational cancer. The association cites exposure to gases, diesel exhaust, and PFAS in turnout gear as primary risk factors.

Rich MacKinnon Jr., president of the Professional Fire Fighters of Massachusetts, described the Senate action as a momentous step. He noted that early detection will save lives. MacKinnon emphasized that firefighters face increased cancer risks due to specific job hazards. His comments underscore the link between daily work conditions and long-term health outcomes.

The legislative process remains active. Senate and House leaders must reconcile any remaining differences between the two chambers’ versions. Once a single bill is agreed upon, it will be transmitted to the governor’s office. Gov. Healey will then decide whether to sign the measure into law.