AZ HB2117

Amends section 23-901.09 of Arizona Revised Statutes to expand presumption of occupational disease for firefighters and fire investigators diagnosed with cancer.

Establishes presumption that certain cancers (brain, bladder, rectal, colon, lymphoma, leukemia, adenocarcinoma, mesothelioma) are occupational diseases if firefighter/investigator passed pre-employment physical without cancer evidence and worked hazardous duty for at least five years.

Adds additional presumed cancers (buccal cavity, pharynx, esophagus, lung, kidney, prostate, skin, stomach, ovarian, breast, testicular, non-Hodgkin's lymphoma, multiple myeloma, malignant melanoma) with requirement for physical exam aligned with NFPA 1582 standards.

Applies to current firefighters/investigators and former employees age 65 or younger diagnosed within 15 years of retirement, but excludes respiratory tract cancers if tobacco use outside official duties was substantial contributing cause.

Allows presumption to be rebutted by clear and convincing evidence of specific non-occupational cause and extends presumption to recurrence of previously diagnosed qualifying cancers.