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The Health Center Program: Federal Tort Claims Act

The Federally Supported Health Centers Assistance Act of 1992 and 1995 granted medical malpractice liability protection through the Federal Tort Claims Act (FTCA) to HRSA-supported health centers. Under the Act, health centers are considered Federal employees and are immune from lawsuits, with the Federal government acting as their primary insurer.


About FTCA for Health Centers
Since its enactment in 1946, the Federal Torts Claims Act (FTCA) has been the legal mechanism for compensating people who have suffered personal injury by the negligent or wrongful action of employees of the US government. Under Section 224 of the Public Health Service Act, as amended by the Federally Supported Health Centers Assistance Act of 1992 and 1995, employees of eligible health centers may be deemed to be federal employees qualified for protection under the FTCA.

Eligible health centers must submit an original deeming and annual renewal deeming applications to the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Primary Health Care. 

There is no cost to participating health centers or their providers, and they are not liable for any settlements or judgments that are made. The Federal government assumes responsibility for these costs. The health center, their employees and eligible contractors are considered federal employees immune from suit for medical malpractice claims while acting within the scope of their employment. 

Once deemed, centers are not liable for any settlements or judgments that are made. The Federal government assumes responsibility for these costs. The health center, its employees and eligible contractors are considered Federal employees immune from suit for medical malpractice claims while acting within the scope of their employment. Deemed Health Center Program grantees are immune from medical malpractice lawsuits resulting from the performance of medical, surgical, dental, or related functions with the approved scope of project.

A patient who alleges acts of medical malpractice by a deemed health center cannot sue the center or the provider directly, but must file the claim against the United States. 

These claims are reviewed and/or litigated by the U.S. Department of Health and Human Services Office of the General Counsel and the Department of Justice according to FTCA requirements.  HRSA pays for all settlements and judgments from a separately appropriated Health Center FTCA Judgment Fund.  As of March 27, 2006 there are approximately 843 FTCA deemed health centers.

FTCA for Free Clinics

Congress enacted  FTCA medical malpractice protection for volunteer free clinic health professionals in 2004. Free clinic volunteers who meet all the requirements may be sponsored by the free clinic and "deemed" a federal employee for the purpose of FTCA medical malpractice coverage.

FTCA deemed status provides the volunteer health care professional with immunity from medical malpractice lawsuits resulting from his/her subsequent performance of clinical medical, dental or related functions within the scope of his/her work at the free clinic.


Primary FTCA Regulations
 

Health Centers and the FTCA
Program Information Notice 99-08

FTCA Coverage for Health Center Program Grantees Responding to Emergencies , Policy Information Notice 07-16

New Requirements for Deeming under the Federally Supported Health Centers Assistance Act
Program Information Notice 02-23

Clarification of Policy for Health Centers Deemed Covered Under the FTCA for Medical Malpractice
Program Information Notice 01-11

Questions and Answers on the Federal Tort Claims Act Coverage for Section 330 Deemed Grantees
Program Assistance Letter 99-15

Federal Tort Claims Act Policy Clarification on Coverage of Corporations under Contract with Health Centers
Program Assistance Letter 05-01

Clarification of Certain Policies and Procedures for Health Centers Deemed Covered under the Federal Tort Claims Act for Medical/Dental Malpractice Liability
Program Information Notice 97-06

Update of the Policies and Procedures for Federal Tort Claims Act Coverage for Section 329, 330, 340, 340A Deemed Centers
Program Information Notice 95-29

FTCA Coverage of Free Clinics Volunteer Health Care Professionals
Program Information Notice 04-24