The Wade Cannon Act 2026: A milestone for Texas firefighters

This legislation, adopted by the Texas legislature in 2025, obligates employers, including cities, counties, and other political subdivisions, to provide comprehensive health screenings to firefighters at no cost. It allows those who have served for 5 years or more to receive an annual examination as a guaranteed health benefit to help identify diseases before they become life-threatening.

What is included in the screenings?

The act primarily focuses on the most common and severe health risks associated with the firefighting occupation. The provided tests include:

• Cancer screenings: Specific tests for breast cancer, as well as blood and urine tests
• Respiratory & heart health: Pulmonary function tests, chest X-rays, and EKGs to monitor lung capacity and cardiovascular health
• Overall health: Screenings for infectious diseases to monitor general health and detect conditions early

PFAS exposure: What firefighters still need to know

Although the Wade Cannon Act may be termed a breakthrough, it is not a complete solution for firefighters. One of the greatest concerns for firefighters is exposure to Aqueous Film-Forming Foam (AFFF).

Current screenings do not specifically cover AFFF-related cancers and conditions, such as:

• Thyroid disease & cancer
• Testicular cancer
• Ulcerative colitis
• Kidney cancer
• Bladder cancer
• Liver cancer

While the urine tests can hint at kidney or bladder problems, they do not screen for cancers from PFAS exposure. Firefighters who know they have been exposed to these chemicals should treat annual check-ups as a first-line method, since PFAS-related health risks require specialized testing. It is recommended to seek additional testing beyond the act requirements to ensure full coverage.

The Wade Cannon Act supports future firefighter claims

The Wade Cannon Act serves an important legal function in addition to protecting your health as a firefighter. Establishing official medical records of your health from 2026 onwards creates a "paper trail." Should a firefighter develop a PFAS-related illness later in life, these official annual records documenting the evolution of any cancers and health issues over time can support filing future claims and seeking benefits from federal firefighter cancer programs.

If you have been exposed to PFAS by handling AFFF, protect your rights and make sure that your medical files are complete - our team of lawyers here at ELG Law is here to support you throughout the process.