Title 42The Public Health and WelfareRelease 119-73

§264 Regulations to control communicable diseases

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER II— - GENERAL POWERS AND DUTIES › Part Part G— - Quarantine and Inspection › § 264

Last updated Apr 6, 2026|Official source

Summary

The Surgeon General, with the Secretary's approval, can write and enforce rules to stop contagious diseases from coming into or spreading inside the United States, its territories, and the District of Columbia. To do that, officials may inspect places, fumigate or disinfect areas, use sanitation and pest control, and destroy animals or items that could spread dangerous infections. Rules that let officials stop, examine, or hold people can only be used for diseases the President names in an executive order after the Secretary recommends it and the Surgeon General is consulted. Usually those rules apply only to people coming from foreign countries or territories. But officials may also stop and examine someone believed to be infected who is moving or about to move between states, or who might infect someone who will move between states; if infected, the person may be held as long as reasonably needed. Federal rules do not override state laws unless the state law conflicts with the federal action.

Full Legal Text

Title 42, §264

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

(a)The Surgeon General, with the approval of the Secretary, is authorized to make and enforce such regulations as in his judgment are necessary to prevent the introduction, transmission, or spread of communicable diseases from foreign countries into the States or possessions, or from one State or possession into any other State or possession. For purposes of carrying out and enforcing such regulations, the Surgeon General may provide for such inspection, fumigation, disinfection, sanitation, pest extermination, destruction of animals or articles found to be so infected or contaminated as to be sources of dangerous infection to human beings, and other measures, as in his judgment may be necessary.
(b)Regulations prescribed under this section shall not provide for the apprehension, detention, or conditional release of individuals except for the purpose of preventing the introduction, transmission, or spread of such communicable diseases as may be specified from time to time in Executive orders of the President upon the recommendation of the Secretary, in consultation with the Surgeon General,11 So in original. The comma probably should not appear..
(c)Except as provided in subsection (d), regulations prescribed under this section, insofar as they provide for the apprehension, detention, examination, or conditional release of individuals, shall be applicable only to individuals coming into a State or possession from a foreign country or a possession.
(d)(1)Regulations prescribed under this section may provide for the apprehension and examination of any individual reasonably believed to be infected with a communicable disease in a qualifying stage and (A) to be moving or about to move from a State to another State; or (B) to be a probable source of infection to individuals who, while infected with such disease in a qualifying stage, will be moving from a State to another State. Such regulations may provide that if upon examination any such individual is found to be infected, he may be detained for such time and in such manner as may be reasonably necessary. For purposes of this subsection, the term “State” includes, in addition to the several States, only the District of Columbia.
(2)For purposes of this subsection, the term “qualifying stage”, with respect to a communicable disease, means that such disease—
(A)is in a communicable stage; or
(B)is in a precommunicable stage, if the disease would be likely to cause a public health emergency if transmitted to other individuals.
(e)Nothing in this section or section 266 of this title, or the regulations promulgated under such sections, may be construed as superseding any provision under State law (including regulations and including provisions established by political subdivisions of States), except to the extent that such a provision conflicts with an exercise of Federal authority under this section or section 266 of this title.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Amendments

2002—Pub. L. 107–188, § 142(a)(1), (2), (b)(1), and (c), which directed certain

Amendments

to section 361 of the Public Health Act, was executed by making the

Amendments

to this section, which is section 361 of the Public Health Service Act, to reflect the probable intent of Congress. See below. Subsec. (b). Pub. L. 107–188, § 142(a)(1), substituted “Executive orders of the President upon the recommendation of the Secretary, in consultation with the Surgeon General,” for “Executive orders of the President upon the recommendation of the National Advisory Health Council and the Surgeon General”. Subsec. (d). Pub. L. 107–188, § 142(a)(2), (b)(1), substituted in first sentence “

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” for “On recommendation of the National Advisory Health Council,

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”, “in a qualifying stage” for “in a communicable stage” in two places, designated existing text as par. (1) and substituted “(A)” and “(B)” for “(1)” and “(2)”, respectively, and added par. (2). Subsec. (e). Pub. L. 107–188, § 142(c), added subsec. (e). 1976—Subsec. (d). Pub. L. 94–317 inserted provision defining “State” to include, in addition to the several States, only the District of Columbia. 1960—Subsec. (c). Pub. L. 86–624 struck out reference to Territory of Hawaii.

Statutory Notes and Related Subsidiaries

Change of Name

“Secretary of Health and Human Services” substituted for “Secretary of Health, Education, and Welfare” in subsecs. (a) and (b) pursuant to section 509(b) of Pub. L. 96–88, which is classified to section 3508(b) of Title 20, Education.

Effective Date

of 1960 AmendmentAmendment by Pub. L. 86–624 effective Aug. 21, 1959, see section 47(f) of Pub. L. 86–624, set out as a note under section 201 of this title. Extension of Eviction Moratorium Pub. L. 116–260, div. N, title V, § 502, Dec. 27, 2020, 134 Stat. 2078, provided that: “The order issued by the Centers for Disease Control and Prevention under section 361 of the Public Health Service Act (42 U.S.C. 264), entitled ‘Temporary Halt in Residential Evictions To Prevent the Further Spread of COVID–19’ (85 Fed. Reg. 55292 (
September 4, 2020)[)] is extended through
January 31, 2021, notwithstanding the

Effective Date

s specified in such Order.” Evaluation of Public Health Authorities Pub. L. 110–392, title I, § 121, Oct. 13, 2008, 122 Stat. 4200, provided that: “(a) In General.—Not later than 180 days after the date of enactment of the Comprehensive Tuberculosis Elimination Act of 2008 [Oct. 13, 2008], the Secretary of Health and Human Services shall prepare and submit to the appropriate committees of Congress a report that evaluates and provides recommendations on changes needed to Federal and State public health authorities to address current disease containment challenges such as isolation and quarantine. “(b) Contents of Evaluation.—The report described in subsection (a) shall include—“(1) an evaluation of the effectiveness of current policies to detain patients with active tuberculosis; “(2) an evaluation of whether Federal laws should be strengthened to expressly address the movement of individuals with active tuberculosis; and “(3) specific legislative recommendations for changes to Federal laws, if any. “(c) Update of Quarantine

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.—Not later than 240 days after the date of enactment of this Act [Oct. 13, 2008], the Secretary of Health and Human Services shall promulgate

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to update the current interstate and foreign quarantine

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found in parts 70 and 71 of title 42, Code of Federal

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.”

Executive Documents

Transfer of Functions

Office of Surgeon General abolished by section 3 of Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855, 80 Stat. 1610, and functions thereof transferred to Secretary of Health, Education, and Welfare by section 1 of Reorg. Plan No. 3 of 1966, set out as a note under section 202 of this title. Office of Surgeon General reestablished within the Office of the Assistant Secretary for Health, see Notice of Department of Health and Human Services, Office of the Assistant Secretary for Health, Mar. 30, 1987, 52 F.R. 11754. Functions of Federal Security Administrator transferred to Secretary of Health, Education, and Welfare and all agencies of Federal Security Agency transferred to Department of Health, Education, and Welfare by section 5 of Reorg. Plan No. 1 of 1953, set out as a note under section 3501 of this title. Federal Security Agency and office of Administrator abolished by section 8 of Reorg. Plan No. 1 of 1953. Executive Order No. 12452 Ex. Ord. No. 12452, Dec. 22, 1983, 48 F.R. 56927, which specified certain communicable diseases for

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providing for the apprehension, detention, or conditional release of individuals to prevent the introduction, transmission, or spread of such diseases, was revoked by Ex. Ord. No. 13295, § 5, Apr. 4, 2003, 68 F.R. 17255, set out below. Ex. Ord. No. 13295. Revised List of Quarantinable Communicable Diseases Ex. Ord. No. 13295, Apr. 4, 2003, 68 F.R. 17255, as amended by Ex. Ord. No. 13375, § 1, Apr. 1, 2005, 70 F.R. 17299; Ex. Ord. No. 13674, § 1, July 31, 2014, 79 F.R. 45671; Ex. Ord. No. 14047, Sept. 17, 2021, 86 F.R. 52591, provided: By the authority vested in me as President by the Constitution and the laws of the United States of America, including section 361(b) of the Public Health Service Act (42 U.S.C. 264(b)), it is hereby ordered as follows: section 1. Based upon the recommendation of the Secretary of Health and Human Services (the “Secretary”), in consultation with the Surgeon General, and for the purpose of specifying certain communicable diseases for

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providing for the apprehension, detention, or conditional release of individuals to prevent the introduction, transmission, or spread of suspected communicable diseases, the following communicable diseases are hereby specified pursuant to section 361(b) of the Public Health Service Act: (a) Cholera; Diphtheria; infectious Tuberculosis; Measles; Plague; Smallpox; Yellow Fever; and Viral Hemorrhagic Fevers (Lassa, Marburg, Ebola, Crimean-Congo, South American, and others not yet isolated or named). (b) Severe acute respiratory syndromes, which are diseases that are associated with fever and signs and symptoms of pneumonia or other respiratory illness, are capable of being transmitted from person to person, and that either are causing, or have the potential to cause, a pandemic, or, upon infection, are highly likely to cause mortality or serious morbidity if not properly controlled. This subsection does not apply to influenza. (c) Influenza caused by novel or reemergent influenza viruses that are causing, or have the potential to cause, a pandemic. Sec. 2. The Secretary, in the Secretary’s discretion, shall determine whether a particular condition constitutes a communicable disease of the type specified in section 1 of this order. Sec. 3. The functions of the President under section 362 and 364(a) of the Public Health Service Act (42 U.S.C. 265 and 267(a)) are assigned to the Secretary. Sec. 4. This order is not intended to, and does not, create any right or benefit enforceable at law or equity by any party against the United States, its departments, agencies, entities, officers, employees or agents, or any other person. Sec. 5. Executive Order 12452 of December 22, 1983, is hereby revoked.

Reference

Citations & Metadata

Citation

42 U.S.C. § 264

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73