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HB2 Alabama 2019 Session

Updated Feb 26, 2026
High Interest

Summary

Primary Sponsor
Tommy Hanes
Tommy Hanes
Republican
Session
Regular Session 2019
Title
Workers' compensation, firefighters, rebuttable presumption established, occupational disease, Secs. 25-5-110, 25-5-120 am'd.
Summary

HB2 would add firefighter cancer to the list of occupational diseases and create a rebuttable presumption that non-smoking firefighters diagnosed with cancer got it from firefighting, under certain conditions.

What This Bill Does

The bill changes workers' compensation rules to treat cancer of a firefighter as an occupational disease. It creates a rebuttable presumption that a non-smoking firefighter diagnosed with cancer contracted it as a direct result of firefighting duties if they had no cancer at entry and were exposed to a known carcinogen. The employer can defeat this presumption by showing the cancer was caused by a non-occupational factor. For firefighters who smoke, there is an additional potential requirement to prove the cancer was caused by the occupation.

Who It Affects
  • Non-smoking paid firefighters diagnosed with cancer: receive a presumption that the cancer is work-related if they meet specific conditions (no cancer at entry and exposure to a known carcinogen).
  • Employers/insurers and fire departments: must overcome the presumption by proving the cancer was caused by non-occupational factors; in the case of smokers, may need to prove occupational cause as well.
Key Provisions
  • Adds 'cancer of a firefighter' to the list of occupational diseases under the workers' compensation definitions.
  • Establishes a rebuttable presumption that a non-smoking paid firefighter diagnosed with cancer contracted it due to firefighting duties if (i) they had no cancer when entering service and (ii) they were exposed to a known carcinogen; employer can rebut by showing another cause by a preponderance of the evidence.
  • For firefighters who smoke or use tobacco, requires the employer to potentially prove by a preponderance of the evidence that the cancer was caused by the occupation, in addition to meeting the presumption criteria.
  • Effective date: becomes law on the first day of the third month after passage and governor approval.
AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Firefighters

Bill Actions

H

Rereferred

H

Read for the first time and referred to the House of Representatives committee on Health

Bill Text

Documents

Source: Alabama Legislature