Federal Firefighter Cancer Detection and Prevention Act of 2025

This bill requires the Secretary of Defense to provide medical testing and related services to detect and prevent certain cancers for Department of Defense firefighters at no cost to them. Sec. 2, Medical testing and related services for firefighters of Department of Defense: The Secretary must provide appropriate medical testing and related services during each firefighter's annual periodic health assessment, or at other intervals as indicated, to detect, document, and prevent certain cancers. For breast cancer, female firefighters aged 40-49 must receive a mammogram at least biannually, those 50 and older annually, and as clinically indicated regardless of age, with a licensed radiologist reviewing and providing results. For colon cancer, firefighters aged 40 and older must receive communication on stool-based blood testing risks and benefits; those 45 and older must receive visual examinations or stool-based blood testing at regular intervals, with a licensed physician reviewing and providing results. For prostate cancer, male firefighters aged 50 and older must receive annual communication and a prostate-specific antigen test, those 40 and older who are high-risk individuals must receive annual testing, and as clinically indicated regardless of age. Services must also include routine screenings for other cancers identified by the CDC Director as higher risk among firefighters. Firefighters may opt out of any service. The Secretary must use consensus technical standards. The Secretary must document test acceptance and performance rates, test results to identify cancer trends, and may collect additional information for analysis, ensuring privacy by removing personally identifiable information before analysis. The Secretary may share data with the CDC Director to increase understanding of cancer occurrences among firefighters. Definitions: 'Firefighter' is defined by reference to the National Defense Authorization Act for Fiscal Year 2020, and 'high-risk individual' includes African Americans, those with a first-degree relative diagnosed with prostate cancer at an early age, or as otherwise determined by the Secretary.