Hawaii legislature expands workers' compensation for firefighters' cancer treatments

The Hawaii Senate has introduced Senate Bill 828, a significant legislative proposal aimed at expanding workers' compensation medical benefits for firefighters diagnosed with various forms of cancer. Introduced on February 28, 2025, the bill seeks to address the growing concern over the health risks faced by firefighters due to their exposure to hazardous materials during service.

The main purpose of Senate Bill 828 is to amend Section 386-21.9 of the Hawaii Revised Statutes, thereby broadening the list of cancers covered under workers' compensation. The bill includes adenocarcinoma and mesothelioma of the respiratory system, as well as cancers of the buccal cavity, colon, pharynx, and thyroid, in addition to existing conditions like leukemia and non-Hodgkin lymphoma. This expansion reflects an acknowledgment of the increased cancer risks associated with firefighting duties.

A key provision of the bill stipulates that if a firefighter with five or more years of service files a claim for any of the specified cancers, the employer must prove that the cancer is not related to the firefighter's duties to deny medical benefits. This shifts the burden of proof onto employers, which has sparked discussions about the implications for workplace safety and accountability.

The bill has generated notable debate among lawmakers and stakeholders. Proponents argue that it is a necessary step to protect the health and well-being of firefighters, who often face life-threatening conditions due to their profession. Critics, however, express concerns about the potential financial burden on employers and the workers' compensation system, fearing it may lead to increased insurance costs.

The economic implications of Senate Bill 828 could be significant, as expanding coverage may lead to higher premiums for employers. Socially, the bill aims to provide better support for firefighters and their families, acknowledging the sacrifices made by these first responders. Politically, the bill reflects a growing recognition of occupational health issues and the need for comprehensive protections for workers in high-risk professions.

Senate Bill 828 is set to take effect on July 1, 2050, if passed, marking a long-term commitment to enhancing the safety net for Hawaii's firefighters. As discussions continue, the bill's future will depend on balancing the needs of workers with the economic realities faced by employers in the state.