HB 2394 — An Act amending the act of April 9, 1929 (P.L.343, No.176), known as The Fiscal Code, establishing the Firefighter Cancer Screening Program and the Firefighter Cancer Screening Fund; and, in special funds, further providing for disposition of Budget Stabilization Reserve Fund.

PRIOR PRINTER'S NO.

3214 THEPRINTER'S GENERALNO. ASSEMBLY OF PENNSYLVANIA HOUSE BILL Session of No.

23943580 2026THE INTRODUCEDGENERAL BYASSEMBLY CIRESI,OF HADDOCK,PENNSYLVANIA PIELLI,HOUSE PROBST,BILL WAXMAN,Session MERSKI,of HARKINS,No. HILL-EVANS, GUENST, JAMES, KUZMA, FREEMAN, McNEILL, CEPEDA-FREYTIZ, HOHENSTEIN, GUZMAN, STEELE, RIVERA, BRENNAN, PASHINSKI, DOUGHERTY, NEILSON, SANCHEZ, D.

WILLIAMS,2394 GALLAGHER, CURRY, SHAFFER, WEBSTER, SAPPEY, CERRATO, KHAN AND MALAGARI, APRIL 15, 2026 REFERREDINTHARKINS, TOHILL-EVANS, COMMITTEEGUENST, ONJAMES, VETERANSKUZMA, AFFAIRSFREEMAN, ANDMcNEILL, EMERGENCYCEPEDA-FREYTIZ, PREPAREDNESS,HOHENSTEIN, APRILGUZMAN, 16,STEELE, 2026RIVERA, ANBRENNAN, ACTPASHINSKI, AmendingDOUGHERTY, theNEILSON, actSANCHEZ, ofD. April 9, 1929 (P.L.343, No.176), entitled "An act relating to the finances of the State government;

WILLIAMS, GALLAGHER, CURRY, SHAFFER, WEBSTER, SAPPEY, CERRATO, KHAN, MALAGARI, BRIGGS, FRIEL, FRANKEL, BOROWSKI, INGLIS, GOUGHNOUR, O'MARA, LABS, SCOTT AND GILLEN, APRIL 15, 2026 AS REPORTED FROM COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY PREPAREDNESS, HOUSE OF REPRESENTATIVES, AS AMENDED, JUNE 10, 2026 AN ACT Amending the act of April 9, 1929 (P.L.343, No.176), entitled "An act relating to the finances of the State government;

providing for the settlement, assessment, collection, and lien of taxes, bonus, and all other accounts due the Commonwealth, the collection and recovery of fees and other money or property due or belonging to the Commonwealth, or any agency thereof, including escheated property and the proceeds of its sale, the custody and disbursement or other disposition of funds and securities belonging to or in the possession of the Commonwealth, and the settlement of claims against thethee Commonwealth, the resettlement of accounts and appeals to the courts, refunds of moneys erroneously paid to the Commonwealth, auditing the accounts of the Commonwealth and all agencies thereof, of all public officers collecting moneys payable to the Commonwealth, or any agency thereof, and all receipts of appropriations from the Commonwealth, authorizing the Commonwealth to issue tax anticipation notes to defray current expenses, implementing the provisions of section 7(a) of Article VIII of the Constitution of Pennsylvania authorizing and restricting the incurring of certain debt and imposing penalties;

"Cancer screening examination." A medically necessary and clinically appropriate examination of the body using either standard or abbreviated magnetic resonance imaging or, if the imaging is not possible, ultrasound if recommended by the 20260HB2394PN3580 - 2 - treating physician to screen for cancer when there is no 20260HB2394PN3214 - 2 - abnormality seen or suspected.

"Department." The Department of Health INSURANCE DEPARTMENT <-- of the Commonwealth.

(12) A policy under which benefits are provided by the 20260HB2394PN3580 - 3 - Federal Government to active or former military personnel and their dependents.

20260HB2394PN3214 - 3 - (13) A hospital indemnity policy.

(a) Establishment.--The Firefighter Cancer Screening Program 20260HB2394PN3580 - 4 - is established in the department.

The department shall establish guidelines and procedures necessary for the implementation and 20260HB2394PN3214 - 4 - administration of the program.

20260HB2394PN3580 - 5 - (a) Benefits card.--The department shall develop a benefits card that eligible firefighters can use to pay for out-of-pocket 20260HB2394PN3214 - 5 - costs associated with cancer screenings under the program.

(ii) Differentiate between benefits card 20260HB2394PN3580 - 6 - transactions that occur in states that border this Commonwealth and benefits card transactions that occur in 20260HB2394PN3214 - 6 - states that do not border this Commonwealth.

20260HB2394PN3580 - 7 - (a) Eligibility.--An eligible firefighter shall have access <-- to the use of a benefits card to cover the out-of-pocket costs 20260HB2394PN3214 - 7 - associated with an annual cancer screening examination.

(b)(A) Examination.--EachELIGIBILITY.--AN cancerELIGIBLE screeningFIREFIGHTER examinationSHALL shall:HAVE ACCESS <-- TO THE USE OF A BENEFITS CARD TO COVER THE OUT-OF-POCKET COSTS ASSOCIATED WITH A CANCER SCREENING EXAMINATION REQUIRED UNDER THIS SECTION.

(B) SCREENING REQUIREMENT.--AN ELIGIBLE FIREFIGHTER SHALL UNDERGO A CANCER SCREENING EXAMINATION WITHIN THE FIRST THREE YEARS OF BECOMING ELIGIBLE UNDER THIS ARTICLE AND AT LEAST ONCE EVERY THREE YEARS THEREAFTER.

(b) (C) Examination.--Each cancer screening examination <-- shall:

20260HB2394PN3580 - 8 - (xiv) Prostate.

The health records of a firefighter which are associated with the cancer screening examinations under this article shall remain private and may not be shared with the fire company of the firefighter or any other person except with the written consent of the firefighter or as required under a governing 20260HB2394PN3214 - 8 - collective bargaining agreement.

* * * (b) Appropriation.--Except as provided under [subsection (c)] subsections (c) and (d), whenever the Governor determines that an appropriation from the Budget Stabilization Reserve Fund is necessary to meet emergencies involving the health, safety or welfare of the residents of this Commonwealth or to counterbalance downturns of the economy which result in significant unanticipated revenue shortfalls, the Governor shall present a request for an appropriation which may include the specifics of the proposal and suggested ancillary and substantive legislation as may be necessary to the chairman of 20260HB2394PN3580 - 9 - Appropriations Committee of the Senate and the chairman of the Appropriations Committee of the House of Representatives.

* * * (d) Transfers for Firefighter Cancer Screening Program.--No 20260HB2394PN3214 - 9 - later than January 1, 2027, $50,000,000 shall be transferred from the Budget Stabilization Reserve Fund to the Firefighter Cancer Screening Fund as a one-time supplemental transfer for the purpose of funding the Firefighter Cancer Screening Program.

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