1. Short title This Act may be cited as the Federal Firefighters Fairness Act of 2019 . 2. Certain diseases presumed to be work-related cause of disability or death for Federal employees in fire protection activities (a) Definition Section 8101 of title 5, United States Code, is amended— (1) in paragraph (18), by striking and at the end; (2) in paragraph (19), by striking and at the end; (3) in paragraph (20), by striking the period at the end and inserting ; and ; and (4) by adding at the end the following: (21) employee in fire protection activities means an employee— (A) serving as a firefighter, a paramedic, an emergency medical technician, a rescue worker, ambulance personnel, or a hazardous material worker; and (B) who— (i) is trained in fire suppression; (ii) has the legal authority and responsibility to engage in fire suppression; (iii) is engaged in the prevention, control, and extinguishment of fires or response to emergency situations in which life, property, or the environment is at risk; and (iv) performs such activities as a primary responsibility of the duty of the employee. . (b) Presumption relating to employees in fire protection activities Section 8102 of title 5, United States Code, is amended by adding at the end the following: (c) (1) Subject to paragraph (2), and any length of service limitation under paragraph (3), with respect to an employee in fire protection activities— (A) a disease described in paragraph (3) shall be presumed to be proximately caused by the employment of the employee