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Senate approves expanded workers’‑comp presumptions for firefighters amid fiscal concerns

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Summary

After extended floor debate, the Senate adopted SB 184 to expand presumptions for certain cancers and neurological conditions among firefighters; supporters cited occupational risk while opponents warned it could strain the voluntary Cancer Trust and create unfunded liabilities for local governments.

The Colorado Senate on May 6 adopted Senate Bill 184 after extended debate over workers’ compensation presumptions for firefighters.

Proponents described SB 184 as a values bill that recognizes elevated occupational cancer and neurological risks firefighters face from exposure to combustion byproducts, PFAS and other toxins. A floor sponsor argued the evidence shows higher incidence rates for certain cancers and supported adding covered conditions and a rebuttable presumption for compensability.

Opponents warned the measure could have significant fiscal consequences for local governments and the existing voluntary Cancer Trust. Senator Liston urged caution, saying the trust has paid the vast majority of claims and that mandating duplicate or overlapping benefits could bankrupt the trust and impose an unfunded mandate on cities and special districts. "Without the cancer trust, over the past 9 years, 55 fire districts representing 2,600 firefighters would have absorbed almost $17,000,000 in claims," Liston said, arguing for better stakeholder vetting and an updated fiscal note.

Several senators raised objections to an amendment that excluded state‑employed firefighters from the new coverage, calling it an inconsistent message to career firefighters who, the legislative declaration says, face elevated risk regardless of employer. Senator Kirkmire asked how state employees could be treated differently merely to avoid a fiscal note and warned of potential equal‑protection or litigation exposure.

Other senators said the bill addresses coverage gaps for jurisdictions that have opted out of the voluntary Cancer Trust and that workers’‑comp offsets in statute prevent double‑dipping. Senator Benavides noted that statute provides offsets and rebuttable presumptions that prevent duplicate compensation in many cases.

After extended discussion on fiscal impacts, offsets and coverage scope, the Senate adopted SB 184. The chamber recorded no further amendments that changed the bill’s primary coverage definitions on the floor. The adoption followed robust floor exchange on fiduciary and budgetary implications for local governments and the state.

Provenance: Floor debate and recorded passage of SB 184 appear throughout SEG 1719–SEG 2254 of the transcript.