Title 42The Public Health and WelfareRelease 119-73not60

§239 General Provisions

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

Last updated Apr 5, 2026|Official source

Summary

Sets rules for who can get help if they take smallpox countermeasures under a specific HHS Declaration. It names key terms: "covered countermeasure" means whatever the Declaration lists; "covered individual" means people like health care workers, police, firefighters, security staff, emergency medical and other public safety or support workers, people in an approved State/local or HHS smallpox response plan, volunteers chosen before an active smallpox case is announced, and anyone given the smallpox vaccine under that approved plan while the Declaration is in effect (including the part before April 30, 2003). "Covered injury" means a serious injury, illness, disability, condition, or death (not minor scarring or a small local reaction) that official procedures find was directly caused either by receiving the covered countermeasure during the Declaration period or by accidentally catching vaccinia within that period or within 30 days after it ends after contact with a covered person. "Declaration" refers to the HHS Declaration issued January 24, 2003 (published January 28, 2003); the "effective period" is the time it covers unless extended. "Eligible individual" means someone who meets those injury and coverage rules. A "smallpox emergency response plan" is 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 under the Declaration includes procedures, consistent with the Declaration and CDC guidance, so that potential participants get education about contraindications, the voluntary nature of the program, and possible benefits or compensation; have voluntary screening for health conditions tied to contraindications; and receive proper medical follow-up after inoculation, including checking for adverse effects and quickly referring or giving information to anyone who needs care.

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 5, 2026

Release point: 119-73not60