In a significant step for firefighters across the U.S., the Honoring Our Fallen Heroes Act was recently signed into law. This new law gives federal recognition to occupational cancer as a line-of-duty death, marking an important change for first responders and their families.
The Act received wide support from both political parties, passing with 312 votes in the House and 77 in the Senate before being signed by former President Donald Trump on December 19, 2019, as part of the National Defense Authorization Act.
General President Edward Kelly stated, “Occupational cancer has caused immense heartbreak in our profession. When a firefighter loses their life due to job-related cancer, it should be recognized as a line-of-duty death. Today, the federal government is acknowledging that reality.” He emphasized that this legislation ensures that those who sacrifice their lives for public safety are honored and that their families receive necessary support.
The Honoring Our Fallen Heroes Act modifies the federal Public Safety Officers’ Benefits (PSOB) program to designate specific cancers as job-related for firefighters. These cancers include brain, lung, prostate, and breast cancers, which are notably prevalent in their line of work. This law simplifies the process for survivors by removing the need to prove specific exposures that led to these health issues.
This initiative came through the efforts of Senators Amy Klobuchar (D-Minn.) and Kevin Cramer (R-N.D.), alongside Representatives Carlos Gimenez (R-Fla.) and Mary Gay Scanlon (D-Pa.). Their bipartisan collaboration was crucial in passing this legislation.
Kelly highlighted the importance of teamwork across party lines: “This was a truly bipartisan effort,” he said. “Thanks to the lawmakers and President Trump, we have one of the most influential pieces of legislation for our union.”
For many firefighters, this recognition is long overdue. The International Association of Fire Fighters (IAFF) has been advocating for this cause for years. At the 2025 Alfred K. Whitehead Legislative Conference, the union focused on this issue, engaging members and families in discussions on Capitol Hill.
The financial impact of the Act is significant. It provides over $461,000 in federal death benefits to the families of fallen firefighters, ensuring they are supported during difficult times.
Recent statistics from the National Institute for Occupational Safety and Health (NIOSH) highlight the alarming rates of certain cancers in firefighters. For example, studies show that firefighters are 9% more likely to develop certain forms of cancer compared to the general population. This new law aims to address such disparities, offering families peace of mind when tragedy strikes.
For more information on the PSOB Program and how the Honoring Our Fallen Heroes Act will affect families, you can visit IAFF’s website.
In short, the Honoring Our Fallen Heroes Act not only recognizes the sacrifices of firefighters but also aims to help their surviving families rebuild after loss.

