PolicyBrief
H.R. 4453
119th CongressJul 16th 2025
To amend title 5, United States Code, to include Parkinson's disease in the list of illnesses and diseases deemed to be proximately caused by employment in fire protection activities, and for other purposes.
IN COMMITTEE

This bill adds Parkinson's disease to the list of illnesses presumed to be proximately caused by employment in fire protection activities for benefit purposes.

Valerie Hoyle
D

Valerie Hoyle

Representative

OR-4

LEGISLATION

New Federal Bill Presumes Parkinson's Disease is Job-Related for Firefighters Seeking Benefits

This legislation, which amends Title 5 of the U.S. Code, is straightforward: it officially adds Parkinson’s disease to the list of illnesses presumed to be caused by working in fire protection activities. This is a big deal because it changes the game for firefighters seeking disability benefits. Currently, if a firefighter develops a serious illness, they often have to spend years and thousands of dollars trying to prove, case-by-case, that their job directly caused the condition. This bill flips that script for Parkinson's disease, creating a legal presumption that the job is the cause. This change is specifically made under section 8143b(b)(2).

Cutting the Red Tape for Benefits

For most people, the word “presumption” in a law sounds like bureaucratic nonsense. But here, it’s the difference between quickly accessing critical financial support and fighting a long, draining legal battle. When an illness is presumed to be job-related, the burden of proof shifts. Instead of the firefighter having to prove causation—often a near-impossible task given the complexity of diseases like Parkinson's—the government must now prove the condition was not caused by their employment. This streamlined process is intended to ensure that firefighters who develop this debilitating neurodegenerative disease don't have to face financial ruin while fighting for the benefits they earned.

Real-World Impact: Security for Those on the Front Lines

Think about a 45-year-old career firefighter, let’s call him Mike, who starts experiencing tremors and motor skill issues. Diagnosed with early-onset Parkinson's, Mike can no longer safely perform his duties. Under the old system, Mike would have to hire expensive lawyers and medical experts to argue that years of exposure to smoke, toxic chemicals, and combustion byproducts caused his illness, potentially delaying benefits for years. Under this new provision, Mike’s path is much clearer. Because his job is now legally presumed to be the cause, he can access federal disability benefits much faster, providing his family with crucial income and medical coverage when they need it most. This change recognizes the known occupational hazards in firefighting, where exposure to carcinogens is a constant reality.

The Cost of Recognizing Risk

While this is a clear win for firefighters and their families, it’s important to note the practical trade-off. Expanding the list of presumptive conditions means the federal workers’ compensation program (FECA) will likely see an increase in claims and payouts. Taxpayers ultimately bear the cost of this increased liability. However, this is the cost of acknowledging that certain professions carry known, severe health risks. The bill essentially shifts the financial burden of these occupational diseases from the individual firefighter and their family onto the federal system, recognizing that the job itself is the hazard.