SB 352-FN-A - AS AMENDED BY THE SENATE
02/08/2024 0173s
2024 SESSION
24-2840
10/08
SENATE BILL 352-FN-A
AN ACT establishing an early detection cancer screening pilot program for active and retired firefighters.
SPONSORS: Sen. Carson, Dist 14; Sen. Birdsell, Dist 19; Sen. Soucy, Dist 18; Sen. Prentiss, Dist 5; Rep. O'Brien, Hills. 10; Rep. Soucy, Merr. 21; Rep. Goley, Hills. 21; Rep. Emerick, Rock. 29
COMMITTEE: Health and Human Services
─────────────────────────────────────────────────────────────────
ANALYSIS
This bill establishes an early detection cancer screening pilot program in the department of safety, division of fire standards and training and emergency medical services, for retired and full-time active firefighters New Hampshire.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
02/08/2024 0173s 24-2840
10/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
AN ACT establishing an early detection cancer screening pilot program for active and retired firefighters.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Pilot Program Established; Department of Safety; Division of Fire Standards and Training and Emergency Medical Services; Firefighter Early Detection Screening; Appropriation.
I. The commissioner of safety shall establish within the division of fire standards and training and emergency medical services the firefighter early detection screening pilot program.
(a) All active and retired permanent firefighters under RSA 100-A:1 shall be offered a comprehensive early detection cancer screening that consists of: a blood test, an ultrasound of vital organs, a lung CT if indicated, and a skin cancer screening.
(b) Vendors with the ability to test for the following shall be preferred:
(1) A multi-cancer blood test that detects signals from as many cancer types as possible, including those that are commonly unscreened.
(2) An ultrasound diagnostic that screens, at minimum: abdominal aorta, thyroid, liver, gallbladder, spleen, bladder, kidney, testicles, exterior pelvis for females, as well as an echocardiogram and a carotid doppler.
II. The funding for the administration of the pilot program and cost of testing shall be provided by the state. The sum of $5,000,000 is appropriated for the biennium ending June 30, 2025 to the commissioner of safety for deposit in the fire standards and training and emergency medical services fund to be expended for the exclusive administration of the pilot program. Any unexpended funds shall not lapse until the termination of the pilot program. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.
III. Funds shall be disbursed upon submission of forms as presented in the plan outlined in paragraph IV and adopted by the department of safety, division of fire standards and training, in coordination with, and with the approval of, the governor.
IV. Within 90 days of the effective date of this act, a committee consisting of representatives from the Professional Fire Fighters of New Hampshire, the New Hampshire Association of Fire Chiefs, and the department of safety, division of fire standards and training and emergency medical services, with oversight from the commissioner of safety or designee, shall present to the commissioner and the governor their initial plan to administer the program, which shall consist of:
(a) Known vendors who can provide appropriate screenings.
(b) Location/Time to provide screenings.
(c) Administrative requirements to:
(1) Notify members of opportunity.
(2) Register/screen members.
(3) Document findings.
(4) Provide ongoing recommendations to the legislature.
V.(a) Firefighter participation in cancer screenings shall be optional and a firefighter shall be eligible to receive any combination of offered screenings, not to exceed a cost of $1,300 per individual.
(b) Expenditure of funds shall be made available for not more than 24 months from the date of a plan approval by the governor and/or council and funds have been made available to administer early-detection cancer screening services unless the governor grants a request for an extension.
VI. Any active or retired firefighter meeting the requirements herein, who self-funds any portion of the above screenings after January 1, 2024 may submit for reimbursement of such costs, not to exceed $1,300 from the pilot program, only during the period of time that funds are made available. The firefighter must submit required documentation for reimbursement.
VII. The committee authorized in paragraph IV shall present their findings to the governor, the senate president, and the speaker of the house of representatives after 12 months and after 24 months of the pilot program’s administration. Findings shall include: number of firefighters screened; tests conducted; results of tests; trends; and any recommendations for the pilot program.
VIII. All providers of services shall ensure the name and any other personally identifiable information of the individual is removed prior to providing results to the committee.
2 Effective Date. This act shall take effect July 1, 2024.
24-2840
Amended 3/21/24
SB 352-FN-A- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT #2024-0173s)
AN ACT establishing an early detection cancer screening pilot program for active and retired firefighters.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
|
| |||||
Estimated State Impact - Increase / (Decrease) | ||||||
| FY 2024 | FY 2025 | FY 2026 | FY 2027 | ||
Revenue | $0 | $0 | $0 | $0 | ||
Revenue Fund(s) | None | |||||
Expenditures | $0 | Not to Exceed $5,000,000 Over This Period | ||||
Funding Source(s) | General Fund | |||||
Appropriations | $0 | $5,000,000 | $0 | $0 | ||
Funding Source(s) | General Fund | |||||
• Does this bill provide sufficient funding to cover estimated expenditures? [X] Yes • Does this bill authorize new positions to implement this bill? [X] N/A | ||||||
METHODOLOGY:
This bill provides a $5,000,000 general fund appropriation in FY 2025 (non-lapsing until the close of the pilot program) to cover the cost of a cancer screening pilot program for retired and full-time active firefighters in New Hampshire. Based on the New Hampshire Retirement System 2022 Summary Annual Comprehensive Financial Report, there are 3,626 individuals that would be considered eligible under this bill. The bill caps screening costs per individual at $1,300, therefore, screening costs for current eligible individuals could be up to $4,713,800. The Department states remaining funds would be utilized for the administration and reporting, however, has provided no specific cost estimates for program administration. It is assumed the entire $5,000,000 appropriation would be expended over FY 2025, FY 2026, and FY 2027.
AGENCIES CONTACTED:
Department of Safety
| Date | Amendment |
|---|---|
| Jan. 19, 2024 | 2024-0173s |
| Date | Body | Type |
|---|---|---|
| Jan. 17, 2024 | Senate | Hearing |
| Feb. 8, 2024 | Senate | Floor Vote |
| Feb. 8, 2024 | Senate | Floor Vote |
| Feb. 21, 2024 | Senate | Floor Vote |
| Feb. 21, 2024 | Senate | Floor Vote |
| April 25, 2024 | House | Hearing |
| April 25, 2024 | House | Floor Vote |
| May 1, 2024 | House | Exec Session |
April 25, 2024: Committee Report: Ought to Pass 04/25/2024 (Vote 20-0; RC)
April 24, 2024: Executive Session: 05/01/2024 10:00 am LOB 210-211
April 17, 2024: Public Hearing: 04/25/2024 09:30 am LOB 206-208
Feb. 29, 2024: Introduced (in recess of) 02/22/2024 and referred to Health, Human Services and Elderly Affairs HJ 6
Feb. 21, 2024: Ought to Pass: RC 24Y-0N, MA; OT3rdg; 02/21/2024; SJ 5
Feb. 21, 2024: Special Order to the end of Finance, Without Objection, MA; 02/21/2024; SJ 5
Feb. 14, 2024: Committee Report: Ought to Pass, 02/21/2024, Vote 7-0; SC 8
Feb. 8, 2024: Ought to Pass with Amendment 2024-0173s, MA, VV; Refer to Finance Rule 4-5; 02/08/2024; SJ 3
Feb. 8, 2024: Committee Amendment # 2024-0173s, AA, VV; 02/08/2024; SJ 3
Jan. 24, 2024: Committee Report: Ought to Pass with Amendment # 2024-0173s, 02/08/2024, Vote 5-0; SC 6
Jan. 24, 2024: Committee Report: Ought to Pass with Amendment #[#], 02/08/2024, Vote 5-0; SC 3
Jan. 11, 2024: Hearing: 01/17/2024, Room 101, LOB, 09:00 am; SC 3
Dec. 11, 2023: To Be Introduced 01/03/2024 and Referred to Health and Human Services; SJ 1