Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part B — Federal-State Cooperation › § 247d–6d
Provides legal protection for people and companies involved with emergency medical products when the Secretary of Health makes a formal declaration. If a covered countermeasure is recommended under that declaration, covered persons are mostly immune from lawsuits for any loss tied to using or giving that countermeasure. “Loss” includes death, physical or emotional injury, fear leading to medical checks, and property or business harm. The immunity covers many steps like design, testing, manufacture, distribution, labeling, marketing, prescribing, and giving the product. The protection only applies during the declaration’s effective period, for the diseases, groups of people, and areas the declaration names. Manufacturers and distributors get immunity regardless of whether the person fit the declaration’s group; program planners and qualified persons are protected when they reasonably believed the use fit the declaration. How the countermeasure was obtained (donation, sale, etc.) does not matter unless the declaration says it does. The Secretary publishes the declaration in the Federal Register, must describe for each countermeasure the disease categories, time period (and must add extra time after the end date to allow safe disposition), the people and places covered, and any distribution limits, and must report to Congress within 30 days of a declaration or amendment. Courts cannot review the Secretary’s decision, and state laws that conflict with the declaration are preempted while it is in effect. There is one narrow federal lawsuit allowed: wrongful death or serious physical injury caused by “willful misconduct.” Plaintiffs must sue only in the U.S. District Court for the District of Columbia and must prove willful misconduct by clear and convincing evidence. Complaints must be detailed, verified under oath, include an independent physician’s affidavit, and provide certified medical records. Initial cases go to a three-judge panel, discovery is limited until certain motions are decided, awards are reduced by collateral benefits, noneconomic damages are limited to the defendant’s share of responsibility, and Rule 11 sanctions apply for bad filings. Plaintiffs get an interlocutory appeal to the D.C. Circuit within 30 days of denial of certain immunity motions. The Secretary may define “willful misconduct” further and had to start a rulemaking within 180 days after December 30, 2005. Key defined terms (one line each): covered countermeasure — certain pandemic, epidemic, or security products and approved emergency-use drugs/devices; covered person — the U.S. or makers, distributors, program planners, qualified persons, or their agents; distributor — entities that move medical products; manufacturer — makers and their contractors, suppliers, and related companies; program planner — a government or person who organizes use or distribution programs; qualified pandemic or epidemic product — drugs, biologics, or devices for pandemics/epidemics or related uses; qualified person — licensed or otherwise authorized people who give or prescribe countermeasures; serious physical injury — life‑threatening harm, permanent impairment, or injury needing surgery to prevent permanent damage.
Full Legal Text
The Public Health and Welfare, Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 247d–6d
Title 42, The Public Health and Welfare
Last Updated
Sep 23, 2026
Release point: 119-110