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SB 374

Counties - Cancer Screening for Professional Firefighters - Required Coverage (James "Jimmy" Malone Act)

2025 Regular Session Introduced by Pam Beidle and 4 co-sponsors

Maryland counties must now provide professional firefighters with comprehensive cancer screening coverage to address occupational health risks and early detection needs.

Approved by the Governor - Chapter 656
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Bill Summary · SB 374

Legislative bill overview

SB 374 requires Maryland counties to provide comprehensive cancer screening coverage for professional firefighters as part of their health insurance benefits. The bill, named after firefighter James "Jimmy" Malone, mandates that county-offered plans cover screenings for cancers with elevated incidence rates among firefighters, including lung, skin, prostate, and colon cancers.

Why is this important

Firefighters face significantly higher cancer risks due to occupational exposure to carcinogens, smoke, and toxic substances. Early detection through regular screening can substantially improve treatment outcomes and survival rates. This legislation addresses a documented occupational health disparity and creates a statewide standard for firefighter protections across Maryland counties.

Potential points of contention

  • Cost burden on counties: Expanded cancer screening coverage increases health insurance expenditures for county budgets, potentially affecting tax rates or other services
  • Coverage scope and equity: Defining which cancers qualify and screening frequencies may be inconsistent with evidence-based medical guidelines or create disputes over necessity
  • Applicability gaps: The law applies only to county-employed firefighters, potentially excluding volunteer firefighters and those in municipalities with independent fire services, creating coverage inconsistencies

Compiled from official sources — confirm details with the bill’s official record.

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