AZ SB1215

Expands the list of cancers presumed to be occupational diseases for firefighters and fire investigators from 8 to 23 types, adding breast, buccal cavity, esophageal, kidney, large intestine, lung, malignant melanoma, multiple myeloma, non-Hodgkin's lymphoma, ovarian, pharynx, prostate, skin, stomach, and testicular cancers

Reformats the cancer presumption for peace officers assigned to hazardous duty (SWAT, bomb disposal, hazmat units) into a numbered list of 8 cancer types without changing the covered conditions

Maintains existing eligibility requirements: passing a pre-employment physical with no cancer evidence, at least 5 years of hazardous duty assignment, and diagnosis within 15 years of leaving service for those 65 or younger

Requires firefighters claiming the newly added cancers to have received physical examinations aligned with NFPA 1582 standards for fire department occupational medical programs

Preserves existing provisions allowing the presumption to be rebutted by clear and convincing evidence of a non-occupational cause and excluding respiratory cancers caused substantially by personal tobacco use