Amend HB 198 (house committee report) on page 1 of the bill as follows:
(1)  On line 15, strike "three years" and substitute "year".
(2)  Strike lines 17 through 22, and substitute the following:
(c)  The occupational cancer screening offered under Subsection (b) must be confidential, and in addition to testing for cancer, include:
(1)  a urine test;
(2)  a pulmonary function test;
(3)  an electrocardiogram;
(4)  an infectious disease screening;
(5)  a blood test; and
(6)  subject to Subsection (d), a chest x-ray.
(d)  A firefighter is eligible to receive a chest x-ray during the screening under this section once every five years.
(e)  The Texas Commission on Fire Protection shall adopt rules establishing minimum standards for the screening under this section using standards developed by the National Fire Protection Association.
(f)  Notwithstanding Subsection (b), a political subdivision that employs firefighters is not required to offer a screening under this section if the political subdivision offers an annual occupational medical examination under a plan submitted to the Texas Commission on Fire Protection no later than February 1 of each year. The plan must be endorsed by a physician and be in substantial compliance with standards developed by the National Fire Protection Association. The Texas Commission on Fire Protection shall adopt rules to implement this subsection.
(3)  On line 23, strike "September 1, 2025" and substitute "June 1, 2026".