Washington 2025-2026 Regular Session

Washington House Bill HB1571

Introduced
1/24/25  
Refer
1/24/25  
Report Pass
1/28/26  

Caption

AN ACT Relating to removing qualifiers related to the presumption of occupational disease for heart problems;

Summary

HB 1571 expands Washington’s workers’ compensation presumptions for certain occupational diseases affecting firefighters and law enforcement officers. The bill removes or narrows several qualifiers tied to the presumption that heart problems, respiratory disease, cancer, infectious diseases, and posttraumatic stress disorder are work-related for covered firefighters, fire investigators, and law enforcement officers. It also creates a new section establishing an advisory committee on occupational disease presumptions to review scientific evidence and recommend additional diseases or disorders for inclusion. The bill specifically provides that, for qualifying firefighters and fire investigators, heart problems occurring within specified time windows after smoke, toxic exposure, or strenuous exertion, respiratory disease, cancer, infectious diseases, and PTSD may be presumed occupational diseases under state law. It also extends certain presumptions after termination of service, sets rebuttal standards, and requires payment of appeal costs and attorney/witness fees when claimants prevail. In addition, it directs the Department of Labor and Industries to support an expert advisory committee that can recommend future expansions based on scientific literature and occupational risk. The bill’s impact is to broaden eligibility for workers’ compensation benefits under Washington’s occupational disease statutes, increasing the likelihood that affected first responders can obtain coverage without proving causation case by case. It affects state law governing industrial insurance, presumptions in claims administration, appeals before the Board of Industrial Insurance Appeals and courts, and the Department of Labor and Industries’ rulemaking and advisory processes. It also creates a formal mechanism for future legislative review of additional presumptive conditions. The general sentiment reflected in the committee vote is strongly favorable: the House Committee on Labor & Workplace Standards voted 8-0 to do pass. Although no transcript excerpts were provided, the bill’s structure and title suggest a policy focus on supporting first responders and recognizing occupational health risks associated with firefighting and law enforcement service. The main points of contention are likely to center on the scope of the presumptions, the evidentiary standards for rebutting them, and the fiscal and administrative costs of expanding benefits. The bill specifically addresses concerns about tobacco use by excluding certain heart or lung claims for regular users or those with a history of tobacco use beginning on a future date, which suggests an effort to limit the presumption where non-occupational causes may be present. Another potential area of debate is the creation of the advisory committee and whether future expansions should be driven by scientific review rather than immediate legislative action.

Impact

HB 1571 amends Washington’s industrial insurance and occupational disease presumptions for firefighters, fire investigators, and law enforcement officers by broadening the conditions that may be presumed work-related, including heart problems, respiratory disease, cancer, infectious diseases, and PTSD. It also adds procedural rules for rebutting presumptions, extends some presumptions after service ends, requires fee shifting and cost awards when claimants prevail on appeal, and creates an advisory committee within the Department of Labor and Industries to evaluate scientific evidence and recommend additional presumptive conditions. The bill therefore affects RCW provisions governing workers’ compensation, claims appeals, and agency rulemaking, and it directly impacts covered public safety employees, private-sector fire department employees, and their employers/insurers.

Sentiment

The available voting history shows clear support for the bill, with the House Committee on Labor & Workplace Standards voting 8-0 to do pass. No committee transcript was provided, but the bill’s purpose and title indicate a generally pro-worker, pro-first responder sentiment, emphasizing recognition of occupational hazards and easing access to benefits for covered employees.

Contention

Likely areas of contention include whether the bill expands presumptions too broadly, the cost to employers and the state workers’ compensation system, and whether the rebuttal standards sufficiently protect against claims not caused by work. The tobacco-use exclusion suggests concern about limiting claims where personal health factors may contribute to heart or lung conditions. Another possible point of debate is the advisory committee’s role in shaping future presumptions, which could be viewed either as a prudent evidence-based safeguard or as an additional layer of bureaucracy.

Companion Bills

WA SB6180

Crossfiled Removing qualifiers related to the presumption of occupational disease for heart problems.

Previously Filed As

WA SB6180

Removing qualifiers related to the presumption of occupational disease for heart problems.

WA HB1002

Recognizing posttraumatic stress disorder as an occupational disease for county coroners, examiners, and investigative personnel.

WA SB5064

AN ACT Relating to creating an advisory council on rare diseases;

WA HB1238

AN ACT Relating to creating an advisory council on rare diseases;

WA HB1531

AN ACT Relating to preserving the ability of public officials to address communicable diseases using scientifically proven measures to control the spread of such diseases;

WA SB5924

AN ACT Relating to expanding prescriptive authority for pharmacists;

WA SB5513

AN ACT Relating to expanding pharmacists' scope of practice to improve access to health care and the management of chronic diseases;

WA HB1520

AN ACT Relating to expanding pharmacists' scope of practice to improve access to health care and the management of chronic diseases;

WA HB1215

AN ACT Relating to removing references to pregnancy from the model directive form under the natural death act;

WA SB5096

Removing references to pregnancy from the model directive form under the natural death act.

Similar Bills

No similar bills found.