When You File a Vaccine-Injury Claim…
Here is
How the National Vaccine-Injury
Compensation Program Works
As Your Vaccine-Injury Claim
Is Processed Through
The Vaccine Injury Compensation Program
The US National Vaccine Injury Compensation Program (VICP) is
essentially a no-fault insurance program, intended to pay victims
of vaccine injuries for their losses without determining
who was at fault in causing the injury.
Created by Congress in 1986 and put into operation in October of 1988,
the VICP is funded through an excise tax charged on every dose of
vaccine administered in the US.
How Congress Intended the Program to Work
The theory behind the program and how it is supposed to work is simple:
- You or a loved one gets a vaccination.
- For reasons known or unknown, the vaccine, the way it was
administered, or a reaction to it causes an injury to the
person receiving it.
- The victim (or someone acting on behalf of the victim)
files an injury claim against the US Department of Health
and Human Services (HHS) under the VICP.
- HHS evaluates the claim, bases its conclusions on the
evidence provided in the claim, and determines whether the
the vaccine, or how it was given, appears to have caused
the injury.
- If the claim appears to be valid, the victim is paid an
amount stipulated by law, or an amount that reflects the
damages suffered due to the injury according to the
circumstances.
- If evidence suggests the injury was likely caused by
something else, the claim is denied.
- If the claim is denied, the victim can then continue to pursue
compensation by filing an appeal through the US Court of
Federal Claims.
- In some cases, the appeals process can extend all the way to
the United States Supreme Court.
- All (or at least most) claims are supposed to be paid in
240 days (8 months) or less.
The intent of Congress was to have the program resemble a typical
no-fault process such as in the case of, for example, automobile
accidents:
- An accident happens involving two drivers.
- Both drivers have similar accident-insurance coverage with the
same insurance company.
- Each driver's claims of injury and/or property damage is
filed with the insurance company.
- The insurance company reviews the claim to make sure the damages
actually resulted from the accident.
- The claim is paid immediately after the review and approval.
- Neither driver can sue the other driver for negligence or other
fault.
How the Program Actually Operates
But...
What actually resulted is far different from what Congress initially
intended. There are numerous reasons.
HHS officials objected to the Program from the beginning, but
Congress created it anyway. They feared a crisis where nobody was
manufacturing vaccines and we'd end up with a national disaster as
dangerous diseases once again wrought death and suffering among
the people.
Then HHS was given the job of writing the regulations. Unfortunately,
they made the process much more complex than Congress intended.
As a result, the process actually works more like this:
- You or a loved one gets a vaccination, followed by an
injury or death.
- You file a claim under the VICP, with the US Secretary of
Health and Human Services as the respondent.
- HHS assigns a Special Master to handle the claim, then sends
your claim and all the supporting documents to an attorney for
the US Department of Justice (DoJ) who then pores over it,
looking for details or errors that will enable DoJ to counter
your claim before the Special Master.
- Remember: The DoJ lawyer's objective is to block you from
getting compensation from the injury and associated problems
by countering or disproving your claim. That's his job.
- The DoJ lawyer then submits your claim and evidence, along with
the DoJ's response to your claims, to the Special Master who then
makes an initial ruling and either dismisses it at that point,
or sets the matter for continuing action.
- The VICP does not require you to be represented by an attorney,
but imagine going up against the DoJ and expecting to win.
For that reason, we'll assume at this point you had the good
sense in the beginning to be properly represented by highly
competent legal counsel.
- The Special Master schedules an initial status conference,
which your attorney and the DoJ attorney participate in.
This is the VICP equivalent to a pre-trial conference in a
civil litigation where participants orally present
tentative findings and conclusions. One of three things
then happens:
- The case is dismissed.
- A second conference is scheduled with requests for
more information if the record is incomplete.
- A date for the first hearing is set if the record is
substantially complete.
- A series of one or more hearings are then held to hear arguments
from both sides, and to consider testimony from their expert
witnesses, after which the Special Master issues a ruling —
either in favor of the person making the claim, or against.
- If the claim appears to be valid, the victim is paid an
amount stipulated by law, or an amount that reflects the
damages suffered due to the injury according to the
circumstances.
- If evidence suggests reasonable probability that the injury
was likely caused by something else, or if the claim fails to
provide sufficient confidence that the injury was caused by the
vaccine or vaccination, the claim is denied.
Appeals and Payouts
If the claim is denied and dismissed at any point, you can
appeal the decision to the US Court of Federal Claims, then to
the appeals court — possibly all the way the United States
Supreme Court, as we've done with some of our cases.
But don't expect to be paid within 240 days (8 months) or
less. Claims can commonly take several years — sometimes
as long as 7-9 years.
Attorneys' Fees
Government lawyers are salaried and paid monthly by the US Department
of Justice.
The attorney or attorneys representing you are paid directly by the
VICP, whether you win or lose.
Under the VICP, you are not responsible for attorneys' fees. Therefore
if you prevail in your claim, the entire awarded amount is paid directly
to you, as stipulated by law.
But if you don't prevail, your attorney still gets paid by the VICP,
not by you.
Give Us A Call, Or Email Us
If you think you or a loved one is the victim of a vaccine injury,
give us a call right away at
(307) 433−8864,
or email us at
VaccineLaw@RichardGage.net.
Don't Miss An Important Deadline
Do not delay.
The Vaccine Injury Compensation Program has very strict filing deadlines
that must be met. If you miss a deadline, you also lose your right to
seek compensation for your injury.