HPAE Policy Director Jeanne Otersen testified, along with Firefighters and Police unions in support of legislation making it easier for first responders, including nurses, access to workers' comp system when they contract an illness as a result of exposure during catastrophic incidents.


Press Release: New Jersey Senate Democrats
Contact: Alise Roderer (609) 847-3700


A bill sponsored by Senator Linda R. Greenstein that will ensure New Jersey’s first responders receive medical care and compensation for conditions resulting from their actions in the line of duty, particularly medical conditions that may not manifest until long after the event, was approved today by the Senate Labor Committee.

“Firefighters and emergency personnel put their lives and health at risk daily to protect the citizens of New Jersey,” said Senator Greenstein, D-Middlesex and Mercer. “During the performance of their duties, they respond to events exposing them to hazardous environments that could seriously affect both their physical and mental health and could lead to disability or death. This is never been more obvious than in the aftermath of 9/11, where first responders were exposed to carcinogens that have proven to cause cancer and lung disease and witnessed terrible suffering that has caused post traumatic stress disorder. This bill would carve out an area of workers compensation that presumes illnesses such as cancer or PTSD are directly correlated to the job, yet still provides an avenue for appeal.”

The bill, S-264, would create a rebuttable presumption for workers’ compensation coverage – shifting the burden of proof from the employee to the employer – for any death or disability, including post traumatic stress disorder, that arises from the physical or psychological impact of stress or injury experienced by the public safety worker during response to a terrorist attack, epidemic or other catastrophic emergency. If a first responder is exposed to pathogens or biological toxins, hazardous chemicals, cancer causing radiation or radioactive substances or witnesses death and suffering of a magnitude sufficient to cause significant psychological trauma during a catastrophic event, they would be able to receive workers’ compensation including wage replacement and medical benefits. The bill would apply to both paid and volunteer firefighters, first aid or rescue squad members, police, corrections officers, nurses, medical technicians and other medical personnel.

The September 11 attacks on the WorldTradeCenter in New York caused thousands of tons of toxic debris to enter the air in the aftermath of the attacks, leaving emergency responders and individuals in the area susceptible to increased health risks. Research into these toxins’ effects on rescue workers has been well-documented. A MemorialSloan-KetteringHospital doctor cited a 70 percent illness rate among first responders; a 2010 report of 14,000 rescue workers found that on average workers lost 10 percent of their lung function. Further, a 2012 study by the Journal of American Medical Association reported that the incidences of prostate cancer, thyroid cancers and multiple myeloma was elevated among 9/11 rescue workers; and a recent Journal of Environmental Health Perspectives study found a 15 percent overall increased risk of cancer in World Trade Center rescue and recovery workers.

“In a post-September 11 age, first responders are more often exposed to toxic substances, including biological and chemical warfare, from which the effects may not appear for years or even decades. Our current system of immediate cause and effect no longer applies,” said Senator Greenstein. “This legislation recognizes that and ensures that no matter when symptoms occur, our firefighters, police, health care workers and emergency personnel are protected.”

Due to the extreme likelihood of repeated smoke and carcinogenic exposure, the bill would provide that any firefighter with five or more years of service would receive a rebuttable presumption for workers’ compensation if they suffer an injury, illness or death caused by cancer.

The legislation is named after the late Thomas P. Canzanella, a Hackensack firefighter who spent several weeks at Ground Zero after 9/11 and championed coverage of firefighter occupational diseases, including cancer.

The bill was approved by the Committee with a vote of 3-0-2. It now heads to the Senate Budget and Appropriations Committee for further review.