Title 42The Public Health and WelfareRelease 119-73

§239d Compensation for lost employment income

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

Last updated Apr 6, 2026|Official source

Summary

The Secretary must pay an eligible person for lost work pay caused by a covered injury. Payment is based on the person’s pay at the time of the injury. The basic rate is 66⅔% of the relevant pay period (weekly, monthly, or other). If the person has one or more dependents, add 8⅓% to that rate. Income from self-employment counts as employment income. These payments come after any other payments the United States or a third party (like a state, insurer, or employer) must make. The total of this program plus those other payments cannot be more than the 66⅔% rate. If another payer gives a lump sum, the Secretary will treat it as paid over multiple years and may decide how to spread it out. No payments are made after survivors receive death benefits under section 239e. A person cannot get more than $50,000 in a year from these payments, and lifetime payments generally cannot exceed the amount allowed under section 239e, unless the person’s injury meets the disability definition in section 416(i). No payment is made for the first 5 work days lost unless the loss lasts 10 or more work days. No payments are made once the person reaches age 65. The Secretary may use certain title 5 rules (including special rules for minors) when deciding amounts and reasonableness. These payments are in addition to amounts under section 239c.

Full Legal Text

Title 42, §239d

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

(a)Subject to the succeeding provisions of this section, the Secretary shall provide compensation to an eligible individual for loss of employment income (based on such income at the time of injury) incurred as a result of a covered injury, at the rate specified in subsection (b).
(b)(1)Compensation under subsection (a) shall be at the rate of 66⅔ percent of the relevant pay period (weekly, monthly, or otherwise), except as provided in paragraph (2).
(2)If an eligible individual has one or more dependents, the basic compensation for loss of employment income as described in paragraph (1) shall be augmented at the rate of 8⅓ percent.
(3)(A)The Secretary may consider the provisions of section 8114, 8115, and 8146a of title 5, and any implementing regulations, in determining the amount of payment under subsection (a) and the circumstances under which such payments are reasonable and necessary.
(B)With respect to an eligible individual who is a minor, the Secretary may consider the provisions of section 8113 of title 5, and any implementing regulations, in determining the amount of payment under subsection (a) and the circumstances under which such payments are reasonable and necessary.
(4)For purposes of this section, the term “employment income” includes income from self-employment.
(c)(1)(A)Any compensation under subsection (a) shall be secondary to the obligation of the United States or any third party (including any State or local governmental entity, private insurance carrier, or employer), under any other law or contractual agreement, to pay compensation for loss of employment income or to provide disability or retirement benefits.
(B)Compensation under subsection (a) shall not be made to an eligible individual to the extent that the total of amounts paid to the individual under such subsection and under the other obligations referred to in subparagraph (A) is an amount that exceeds the rate specified in subsection (b)(1). If under any such other obligation a lump-sum payment is made, such payment shall, for purposes of this paragraph, be deemed to be received over multiple years rather than received in a single year. The Secretary may, in the discretion of the Secretary, determine how to apportion such payment over multiple years.
(2)No payment shall be made under subsection (a) in compensation for loss of employment income subsequent to the receipt, by the survivor or survivors of an eligible individual, of benefits under section 239e of this title for death.
(3)(A)Except as provided in subparagraph (B)—
(i)total compensation paid to an individual under subsection (a) shall not exceed $50,000 for any year; and
(ii)the lifetime total of such compensation for the individual may not exceed an amount equal to the amount authorized to be paid under section 239e of this title.
(B)The limitation under subparagraph (A)(ii) does not apply in the case of an eligible individual who is determined to have a covered injury or injuries meeting the definition of disability in section 416(i) of this title.
(4)(A)Except as provided in subparagraph (B), an eligible individual shall not be provided compensation under this section for the first 5 work days of loss of employment income.
(B)Subparagraph (A) does not apply if the period of loss of employment income of an eligible individual is 10 or more work days.
(5)No payment shall be made under subsection (a) in compensation for loss of employment income once the eligible individual involves 11 So in original. Probably should be “involved”. reaches the age of 65.
(d)A benefit under subsection (a) shall be in addition to any amounts received by an eligible individual under section 239c of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 239d

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73