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handle is hein.crs/goveiuo0001 and id is 1 raw text is: *  Congressional Research Service
Informing the legislitive diebate since 1914

September 14, 2022
The National Vaccine Injury Compensation Program and the
Office of Special Masters

In 1986, Congress passed the National Childhood Vaccine
Injury Act (NCVIA; 42 U.S.C. §§ 300aa-10-300aa-34),
which created the National Vaccine Injury Compensation
Program (VICP). The VICP is a no-fault compensation
program that allows individuals to file a petition (i.e., a
claim for money damages) against the Secretary of Health
and Human Services (the Secretary) to receive
compensation for an injury or death allegedly caused by a
covered vaccine. Congress created the Office of Special
Masters (OSM), situated within the U.S. Court of Federal
Claims, to adjudicate petitions filed under the VICP.
This In Focus describes the OSM's creation, authority, and
unique jurisdiction. It then identifies several issues related
to the VICP that may be of interest to Congress.
Jurisdicton and Authority
The OSM has exclusive jurisdiction to adjudicate petitions
filed under the VICP. To seek compensation through the
VICP, individuals or their designees (also called
petitioners) file petitions with the OSM against the
Secretary (the respondent). The Secretary is represented by
attorneys from the U.S. Department of Justice. Petitioners
often retain an attorney to represent them in the
proceedings.
The VICP currently covers 16 vaccines that are
recommended by the Centers for Disease Control and
Prevention (CDC) for routine administration to children or
pregnant women. The list of covered vaccines may be
found on the Vaccine Injury Table (the Table). The most
current version of the Table may be found on the Health
Resources and Services Administration's (HRSA's)
website: https://www.hrsa.gov/vaccine-compensation.
Currently, the VICP does not include any COVID-19
vaccines. Individuals seeking compensation for alleged
injuries related to COVID-19 vaccines must instead file a
request for benefits under the Countermeasures Injury
Compensation Program (CICP), also administered by
HRSA.
The Liabiity Shield
Congress created the VICP to limit the liability of
manufacturers and administrators for vaccine-related
injuries, while providing a process by which individuals
injured by certain vaccines could receive compensation.
The Program also addresses the concern that tort lawsuits
against vaccine manufacturers could result in vaccine
shortages. The NCVIA shields manufacturers and
administrators from liability for injuries related to a covered
vaccine by generally barring individuals from filing civil
claims in excess of $1,000 against a covered vaccine

manufacturer or administrator for damages arising from a
vaccine-related injury or death until after a petition has
been filed and judgment entered through the VICP.
Once a claim has been adjudicated through the VICP,
judgment is entered, and a petitioner must choose to accept
or reject the judgment. If the petitioner accepts the
judgment, the petitioner is entitled to any damages awarded
by the special master. In return, however, the petitioner is
barred from filing a claim in court against a vaccine
manufacturer or administrator for the same injury. If the
petitioner rejects the judgment, he or she is not entitled to
money damages but may sue the manufacturer or
administrator in court for the alleged injury or death. The
NCVIA limits the types of civil actions that can be brought
against manufacturers and administrators; for example, it
generally bars claims for damages for unavoidable side
effects.
Court Proceedings
Special astes
A special master is an officer of the court who is appointed
by the judges of the U.S. Court of Federal Claims to
adjudicate vaccine petitions. The judges appoint special
masters for four-year terms and designate a Chief Special
Master (CSM). The CSM is responsible for assigning
petitions for adjudication by the special masters and for
carrying out the OSM's administrative business. By statute,
the OSM is limited to eight special masters. Like the U.S.
Court of Federal Claims, it has nationwide jurisdiction and
may hear cases in all states and territories.
Special masters function much like judges in adjudicating
VICP petitions. In cases where the Secretary contests
whether the vaccine caused the alleged injury, the special
master may recommend alternative dispute resolution
proceedings. Special masters conduct telephonic status
conferences between the parties, ensure the record is
complete, and hold hearings. The special master may also
decide a vaccine petition on the record without a hearing.
Proving Causation
To prevail on a claim, a vaccine petitioner must show that it
is more likely than not that the vaccine the petitioner
received caused the petitioner's injuries or death. A
petitioner may demonstrate causation by either
(1) demonstrating that the petitioner's injury is on the Table
and manifested within the time period specified in the
Table; or (2) by demonstrating causation in fact, meaning
that the vaccine was the but for cause of the petitioner's
injury or death.

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