Title 42The Public Health and WelfareRelease 119-73

§239 General provisions

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER I— - ADMINISTRATION AND MISCELLANEOUS PROVISIONS › Part Part C— - Smallpox Emergency Personnel Protection › § 239

Last updated Apr 6, 2026|Official source

Summary

Sets rules for who can get help if harmed by smallpox vaccines and what approved vaccination plans must do. Key terms are: "covered countermeasure" — the vaccine or treatment named by the Secretary under section 233(p); "covered individual" — health care workers, law enforcement, firefighters, emergency medical and other public safety and support staff, or volunteers picked for an approved smallpox response plan who got the smallpox vaccine under that approved plan during the Declaration’s effective period (this includes doses given before April 30, 2003); "covered injury" — a serious injury, illness, disability, condition, or death (not minor local reactions) found to be directly caused by the vaccine during the Declaration period, or by accidental vaccinia caught during the period or within 30 days after it ends from contact with a vaccinated person; "Declaration" — the Declaration Regarding Administration of Smallpox Countermeasures issued January 24, 2003 and published January 28, 2003; "effective period of the Declaration" — the time the Declaration says it is in effect unless the Secretary extends it; "eligible individual" — someone who meets the above and is found to have a covered injury; "smallpox emergency response plan" — a plan for actions to take before any active smallpox case is found. The Secretary must make sure any State, local, or HHS vaccination plan approved by the Secretary follows the Declaration and CDC guidance and includes: education for potential participants about health reasons not to get the vaccine, that joining is voluntary, and about possible benefits or compensation; voluntary health screening to find relevant conditions; and medical follow-up after vaccination to check for adverse effects and quickly refer or give care to anyone who needs it.

Full Legal Text

Title 42, §239

The Public Health and Welfare — Source: USLM XML via OLRC

(a)For purposes of this part:
(1)The term “covered countermeasure” means a covered countermeasure as specified in a Declaration made pursuant to section 233(p) of this title.
(2)The term “covered individual” means an individual—
(A)who is a health care worker, law enforcement officer, firefighter, security personnel, emergency medical personnel, other public safety personnel, or support personnel for such occupational specialities 11 So in original. Probably should be “specialties”.;
(B)who is or will be functioning in a role identified in a State, local, or Department of Health and Human Services smallpox emergency response plan (as defined in paragraph (7)) approved by the Secretary;
(C)who has volunteered and been selected to be a member of a smallpox emergency response plan described in subparagraph (B) prior to the time at which the Secretary publicly announces that an active case of smallpox has been identified either within or outside of the United States; and
(D)to whom a smallpox vaccine is administered pursuant to such approved plan during the effective period of the Declaration (including the portion of such period before April 30, 2003).
(3)The term “covered injury” means an injury, disability, illness, condition, or death (other than a minor injury such as minor scarring or minor local reaction) determined, pursuant to the procedures established under section 239a of this title, to have been sustained by an individual as the direct result of—
(A)administration to the individual of a covered countermeasure during the effective period of the Declaration; or
(B)accidental vaccinia inoculation of the individual in circumstances in which—
(i)the vaccinia is contracted during the effective period of the Declaration or within 30 days after the end of such period;
(ii)smallpox vaccine has not been administered to the individual; and
(iii)the individual has been in contact with an individual who is (or who was accidentally inoculated by) a covered individual.
(4)The term “Declaration” means the Declaration Regarding Administration of Smallpox Countermeasures issued by the Secretary on January 24, 2003, and published in the Federal Register on January 28, 2003.
(5)The term “effective period of the Declaration” means the effective period specified in the Declaration, unless extended by the Secretary.
(6)The term “eligible individual” means an individual who is (as determined in accordance with section 239a of this title)—
(A)a covered individual who sustains a covered injury in the manner described in paragraph (3)(A); or
(B)an individual who sustains a covered injury in the manner described in paragraph (3)(B).
(7)The term “smallpox emergency response plan” or “plan” means a response plan detailing actions to be taken in preparation for a possible smallpox-related emergency during the period prior to the identification of an active case of smallpox either within or outside the United States.
(b)The Secretary shall ensure that a State, local, or Department of Health and Human Services plan to vaccinate individuals that is approved by the Secretary establishes procedures to ensure, consistent with the Declaration and any applicable guidelines of the Centers for Disease Control and Prevention, that—
(1)potential participants are educated with respect to contraindications, the voluntary nature of the program, and the availability of potential benefits and compensation under this part;
(2)there is voluntary screening provided to potential participants that can identify health conditions relevant to contraindications; and
(3)there is appropriate post-inoculation medical surveillance that includes an evaluation of adverse health effects that may reasonably appear to be due to such vaccine and prompt referral of, or the provision of appropriate information to, any individual requiring health care as a result of such adverse health event.

Reference

Citations & Metadata

Citation

42 U.S.C. § 239

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73