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1 1 (February 28, 2023)

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              Con gressionaI
          AResearch Servic






The PREP Act and COVID-19, Part 2: The

PREP Act Declaration for COVID-19

Countermeasures



Updated February 28, 2023
To encourage the expeditious development and deployment of medical countermeasures during a public
health emergency, the Public Readiness and Emergency Preparedness Act (PREP Act) authorizes the
Secretary of Health and Human Services (HHS) to limit legal liability for losses relating to the
administration of medical countermeasures such as diagnostics, treatments, and vaccines. In a declaration
effective February 4, 2020 (the HHS Declaration), the Secretary of HHS (the Secretary) invoked the
PREP Act and declared Coronavirus Disease 2019 (COVID-19) to be a public health emergency
warranting liability protections for covered countermeasures. Under the HHS Declaration and its
amendments, covered persons are generally immune from legal liability (i.e., they cannot be sued for
money damages in court) for losses relating to the administration or use of covered countermeasures
against COVID-19. The sole exception to PREP Act immunity is for death or serious physical injury
caused by willful misconduct. However, individuals who die or suffer serious injuries directly caused
by the administration of covered countermeasures may be eligible to receive compensation through the
Countermeasures Injury Compensation Program (CICP).
Part 1 of this two-part Sidebar reviews the structure of the PREP Act and provides an overview of the
CICP. This second part examines the HHS Declaration related to the COVID-19 pandemic in detail and
discusses the scope of the PREP Act's liability immunity as it applies to COVID-19 countermeasures. It
also discusses the effective time periods for PREP Act immunity and how they will apply after the Biden
Administration's announcement of its intention to terminate, on May 11, 2023, the federal public health
emergency declared under Section 319 of the Public Health Service Act (the Section 319 PHE).

HHS's COVID-19 Declaration and Amendments

On March 10, 2020, the Secretary invoked the PREP Act and determined that COVID-19 constitutes a
public health emergency. The HHS Declaration authorizes PREP Act immunity for the manufacture,
testing, development, distribution, administration, and use of covered countermeasures. (These activities,
however, must either relate to present or future federal contracts, or be part of the public health response
to COVID-19 authorized by an authority having jurisdiction, such as federal, state, Tribal, or local
                                                              Congressional Research Service
                                                                https://crsreports.congress.gov
                                                                                  LSB10730

CRS Legal Sidebar
Prepared for Members and
Committees of Congress

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