Relating to an annual occupational medical examination for fire fighters.

HB 2009 requires Texas fire departments to provide free annual occupational medical exams to certified firefighters starting in 2027. The exams must include specific tests: blood/urine analysis, pulmonary function testing, EKG, infectious disease screening, cancer screening, and a chest x-ray (limited to once every five years). Fire departments can avoid this requirement if they already have a physician-endorsed annual exam plan meeting National Fire Protection Association standards. The Texas Commission on Fire Protection must establish minimum exam standards based on NFPA guidelines. This bill directly affects all certified firefighters employed by Texas fire departments, focusing on preventive health monitoring for occupational risks.