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HRSA, Comparison of Countermeasures Injury Compensation Program (CICP) to the National Vaccine Injury Compensation Program (VICP)

Summary

This HRSA table compares the Countermeasures Injury Compensation Program (CICP), authorized by the PREP Act, with the National Vaccine Injury Compensation Program (VICP), authorized by the National Childhood Vaccine Injury Act of 1986. CICP covers countermeasures the HHS Secretary identifies in PREP Act declarations; VICP covers vaccines recommended by the Centers for Disease Control and Prevention for routine administration to children and/or pregnant women and added to the Vaccine Injury Table. CICP requests go to the HHS Secretary in an administrative process with one-step reconsideration and no judicial appeal, and the program does not pay attorneys' fees. VICP petitions go to the U.S. Court of Federal Claims, where special masters decide and appeals are possible. CICP runs on appropriated funds; VICP on a trust fund financed by excise taxes on covered vaccines.

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Full text

Comparison of Countermeasures Injury Compensation Program (CICP) to the National Vaccine Injury Compensation Program (VICP)

Program Categories | CICP | VICP
Program Authorization | Public Readiness and Emergency Preparedness Act (PREP Act) (42 U.S.C. §§ 247d-6d, 247d-6e) | National Childhood Vaccine Injury Act of 1986 , as amended (42 U.S.C. § 300aa-10, et seq.)
Filing Deadlines
Products Covered | Covered countermeasures are identified by the Secretary of the Department of Health and Human Services (HHS) in declarations published under the PREP Act. Covered Countermeasures | Vaccines recommended for routine administration to children and/or pregnant women by the Centers for Disease Control and Prevention, subject to a Federal excise tax, and added to the Vaccine Injury Table by the Secretary of HHS. Covered Vaccines
Process for Adding Covered Vaccines/ Countermeasures | Covered countermeasures are identified by the Secretary of HHS in declarations published under the PREP Act. | For a category of vaccines to be covered by the VICP, the category of vaccines must be recommended for routine administration to children and/or pregnant women by the Centers for Disease Control and Prevention, subject to an excise tax by federal law, and added to the Vaccine Injury Table by the Secretary of Health and Human Services.
Type of Injury Covered | Serious physical injuries Deaths | Injuries with effects lasting for more than 6 months after the vaccine was given or resulted in inpatient hospitalization and surgery, or Deaths
Benefits Available | Types of Benefits | Types of Compensation
Payment of Legal Fees and Costs | Attorneys’ fees and costs are not paid by the program. | Attorneys’ fees and costs may be available if certain requirements are met (petition filed in good faith and on a reasonable basis)
Persons who can file Requests/ Petitions | Types of Eligible Requesters | Who Can File a Petition?
Process for Filing a Request/Petition | File the Request Form and documentation with the Secretary of HHS. | File petition and documentation with the U.S. Court of Federal Claims and the Secretary of HHS.
Process for Resolving Requests/ Petitions | Administrative Process | Judicial Process
Covered Injury Determinations | HHS makes decision. Criteria to Demonstrate that a Covered Injury Occurred | Special Masters (or judges) of U.S. of Court of Federal Claims make decision. Criteria to be Found Eligible to Receive Compensation
Appeal Rights | One-step administrative reconsideration possible. No judicial appeal permitted. | Judicial appeal by either party to higher courts possible.
Program Funding | Appropriated Funds | Vaccine Injury Compensation Trust Fund funded through excise taxes on covered vaccines. Congress annually appropriates funding from the Trust Fund to the Health Resources and Services Administration (HRSA), Department of Justice, and U.S. Court of Federal Claims to pay their expenses to administer the VICP and to HRSA to compensate VICP claims.

CICP Resources

What is: Countermeasures Injury Compensation Program

CICP Fact Sheet (PDF - 127 KB) Hoja informativa de CICP (PDF - 132 KB)

Countermeasure Injury Tables

National Vaccine Injury Compensation Program

Coronavirus (COVID-19)

Pandemic Influenza

Defense Health Agency Immunization Healthcare Branch (DHA-IHB)

Who Should I Contact If I Have Questions?

Health Resources and Services Administration Countermeasures Injury Compensation Program 5600 Fishers Lane, Room 14W-18 Rockville, MD 20857

cicp@hrsa.gov 1-855-266-2427 (1-855-266-CICP)

For your security, please do not send any personal information (Social Security Number, medical, legal, or financial documents, etc.) by email to the Program.

Please call the above number and you will receive information on sending emails safely and securely.

Date Last Reviewed:

May 2026

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