Federal quarantine law

Skip directly to site contentSkip directly to page optionsSkip directly to A-Z link
Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting PeopleCenters for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People

Quarantine and Isolation
Section NavigationLegal Authorities for Public Health Orders
Federal isolation and quarantine are authorized for these communicable diseases
Cholera
Diphtheria
Infectious tuberculosis
Plague
Smallpox
Yellow fever
Viral hemorrhagic fevers
Severe acute respiratory syndromes
Flu that can cause a pandemic
Federal isolation and quarantine are authorized by Executive Order of the President. The President can revise this list by Executive Order.

Isolation and Quarantine
Isolation and quarantine help protect the public by preventing exposure to people who have or may have a contagious disease.

Isolation separates sick people with a quarantinable communicable disease from people who are not sick.
Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.
In addition to serving as medical functions, isolation and quarantine also are “police power” functions, derived from the right of the state to take action affecting individuals for the benefit of society.

Federal Law
The federal government derives its authority for isolation and quarantine from the Commerce Clause of the U.S. Constitution.

Under section 361 of the Public Health Service Act (42 U.S. Code § 264), the U.S. Secretary of Health and Human Services is authorized to take measures to prevent the entry and spread of communicable diseases from foreign countries into the United States and between states.

The authority for carrying out these functions on a daily basis has been delegated to the Centers for Disease Control and Prevention (CDC).

CDC’s Role
Under 42 Code of Federal Regulations parts 70 and 71, CDC is authorized to detain, medically examine, and release persons arriving into the United States and traveling between states who are suspected of carrying these communicable diseases.

As part of its federal authority, CDC routinely monitors persons arriving at U.S. land border crossings and passengers and crew arriving at U.S. ports of entry for signs or symptoms of communicable diseases.

When alerted about an ill passenger or crew member by the pilot of a plane or captain of a ship, CDC may detain passengers and crew as necessary to investigate whether the cause of the illness on board is a communicable disease.

State, Local, and Tribal Law
States have police power functions to protect the health, safety, and welfare of persons within their borders. To control the spread of disease within their borders, states have laws to enforce the use of isolation and quarantine.

These laws can vary from state to state and can be specific or broad. In some states, local health authorities implement state law. In most states, breaking a quarantine order is a criminal misdemeanor.

Tribes also have police power authority to take actions that promote the health, safety, and welfare of their own tribal members. Tribal health authorities may enforce their own isolation and quarantine laws within tribal lands, if such laws exist.

Who Is in Charge
The federal government
Acts to prevent the entry of communicable diseases into the United States. Quarantine and isolation may be used at U.S. ports of entry.
Is authorized to take measures to prevent the spread of communicable diseases between states.
May accept state and local assistance in enforcing federal quarantine.
May assist state and local authorities in preventing the spread of communicable diseases.
State, local, and tribal authorities
Enforce isolation and quarantine within their borders.
It is possible for federal, state, local, and tribal health authorities to have and use all at the same time separate but coexisting legal quarantine power in certain events. In the event of a conflict, federal law is supreme.

Enforcement
If a quarantinable disease is suspected or identified, CDC may issue a federal isolation or quarantine order.

Public health authorities at the federal, state, local, and tribal levels may sometimes seek help from police or other law enforcement officers to enforce a public health order.

U.S. Customs and Border Protection and U.S. Coast Guard officers are authorized to help enforce federal quarantine orders.

Breaking a federal quarantine order is punishable by fines and imprisonment.

Federal law allows the conditional release of persons from quarantine if they comply with medical monitoring and surveillance.

In the rare event that a federal order is issued by CDC, those individuals will be provided with an order for quarantine or isolation. An example of a Quarantine Order for Novel Coronavirus (print-only) pdf icon[PDF – 5 pages] is provided. This document outlines the rationale of the federal order as well as information on where the individual will be located, quarantine requirements including the length of the order, CDC’s legal authority, and information outlining what the individual can expect while under federal order.

Federal Quarantine Rarely used
Large-scale isolation and quarantine was last enforced during the influenza (“Spanish Flu”) pandemic in 1918–1919. In recent history, only a few public health events have prompted federal isolation or quarantine orders.

Specific Laws and Regulations Applying to Quarantine and Isolation
Visit the Specific Laws and Regulations Governing the Control of Communicable Diseases page.

Guidance for Importation of Human Remains into the United States for Interment
Visit the Guidance for Importation of Human Remains into the United States for Interment or Subsequent Cremation page.

Page last reviewed: February 24, 2020
home
Quarantine and Isolation
About Quarantine and Isolation
plus icon
Quarantine Stations
plus icon
Legal Authorities for Public Health Orders
plus icon
Order Suspending Introduction of Certain Persons from Countries Where a Communicable Disease Exists
FRN: Federal Travel Restrictions for Public Health Purposes
Specific Laws and Regulations
Final Rules for Control of Communicable Diseases: Interstate and Foreign – Scope and Definitions
Final Rule for Control of Communicable Diseases: Interstate and Foreign
plus icon
Interim Final Rule for Control of Communicable Diseases: Foreign Quarantine
plus icon
Airline Guidance
plus icon
Cruise Ship Guidance
plus icon
Cargo Ship Guidance
plus icon
Maritime Resources
plus icon
Contact Investigation
Travel Restrictions
plus icon
Related Links
Importation
United States – Mexico Public Health
Travelers’ Health
Vessel Sanitation Program
Funding and Guidance for State and Local Health Departments
Emergency Preparedness and Response
Division of Global Migration and Quarantine
HAVE QUESTIONS?
Visit CDC-INFO
Call 800-232-4636
Email CDC-INFO
Open 24/7
CDC INFORMATION
About CDC
Jobs
Funding
Policies
File Viewers & Players
Privacy
FOIA
No Fear Act
OIG
Nondiscrimination
Accessibility
CONNECT WITH CDC
Facebook
Twitter
Youtube
Instagram
Syndicate
CDC TV
RSS
Email
U.S. Department of Health & Human Services
USA.gov
CDC Website Exit Disclaimer external icon
Facebook
Twitter
LinkedIn
Email

Your rights in quarantine

legal rights in a quarantine, explained
The truth is, your rights aren’t particularly well defined

People waiting for the public waterbus in Venice, Italy, on March 10, 2020.
Much of the country is currently subject to “shelter in place” orders, encouraging residents to remain at home and closing down businesses deemed nonessential. In San Francisco, you can be charged with a misdemeanor by visiting a friend.

All of which raises important legal questions. What power does the government have to restrict people’s activity during a pandemic? Can the government quarantine someone against their will?

The short answer to the later question is probably “yes.” As the National Conference of State Legislatures (NCSL) explains, “every state, the District of Columbia and most territories have laws authorizing quarantine and isolation, usually through the state’s health authority.” The federal government also has some power to apprehend individuals who may be infected with a communicable disease that could trigger a public health emergency, but this power is largely restricted to those entering the country or crossing a state border.

How much can be done varies by state based on their particular public health laws (NCSL has a helpful rundown of each state’s law here). The Constitution places fairly strict limits on the federal government’s power to quarantine individuals within a single state — though these limits do not apply to state officials. And the Constitution prohibits both federal and state governments from denying anyone “life, liberty, or property, without due process of law.”

But the contours of this right to “due process” is not particularly well defined, at least in the context of quarantines.

New Rochelle, a city just north of New York City, had become the state’s largest source of coronavirus infections, prompting Gov. Andrew Cuomo to implement a one mile radius “containment area” to try to halt the spread earlier this month. Spencer Platt/Getty Images
For the moment, at least, mandatory quarantines remain a hypothetical in the United States — although some such quarantines are being implemented in other countries. Realistically, if a US government resorts to quarantines to control the spread of coronavirus, there is likely to be a brief period of legal chaos where judges across the country try to make sense of existing precedents — often reaching contradictory results in the process — until the Supreme Court steps in to hand down a nationwide rule.

And when that rule is handed down, it’s likely that the Court will be very deferential to public health officials.

The federal government’s power to quarantine is quite limited
Though the federal government has some ability to prevent the spread of a communicable disease, as a practical matter, there cannot really be a comprehensive federal response to coronavirus.

That’s because the day-to-day decisions about whether to shut down schools, close down major events, or implement a mass quarantine are likely to be made by state and local officials who may have wildly different views about how they should act. Not only is New York’s response to coronavirus likely to differ from Florida’s, but Miami’s response could be quite different than Orlando’s.

As the Centers for Disease Control and Prevention (CDC) explains on its website, “the federal government derives its authority for isolation and quarantine from the Commerce Clause of the U.S. Constitution.” That clause permits Congress to “regulate commerce with foreign nations, and among the several states.”

RELATED

The Vox guide to Covid-19 coronavirus
The full scope of Congress’s powers under this clause is one of the most hotly contested questions in American constitutional history. Alexander Hamilton and Thomas Jefferson fought over how to read this clause during President George Washington’s first term. The Supreme Court spent four decades in the late 19th and early 20th centuries reading the Commerce Clause narrowly to thwart progressive change; the Court’s decision to abandon this narrow reading of the Commerce Clause, and permit much of the New Deal to take full effect, was one of the most consequential events of the 20th century.

Even in the pre-New Deal years when the Court routinely struck down federal laws as beyond Congress’s power to regulate commerce, the Court recognized that Congress has a broad power to regulate travel across state lines. Hence the Court’s decision in Hoke v. United States (1913), which upheld a law making it a crime to transport a woman across state lines “for immoral purposes” (a euphemism for prostitution).

New York state Gov. Andrew Cuomo (center) holds a coronavirus press conference alongside Mayor Bill de Blasio (right) and New York state Department of Health Commissioner Howard Zucker on March 2, 2020. David Dee Delgado/Getty Images
But under the Court’s current understanding of the Commerce Clause, Congress’ power to protect the physical safety of people who are not engaged in interstate or international travel is very limited. And accordingly, federal law does not provide for quarantines of individuals who remain within a single state.

Federal officials could potentially quarantine someone seeking to enter the country or seeking to cross from one state into another. The federal government is also allowed to provide voluntary assistance to the states, so if a state government asks for federal help in enforcing or maintaining an intrastate quarantine, federal officials could potentially provide that assistance.

Ultimately, however, the power decide how individual states respond to coronavirus largely rests with the leadership of those states, and that has troubling implications if a coordinated response is necessary. An outbreak could potentially spread out of control in one state — and cross over into others — if state and local officials take a lax response to the disease. At the same time, many Americans could potentially have their civil liberties needlessly restricted if state or local officials in another state take a reactionary approach.

If I am quarantined, what are my rights?
The Constitution divides power between the states and the federal government, but it also protects certain individual rights. Among them is the right to not be denied “liberty” without “due process.”

It should be noted that there’s a big difference between a procedural right and a substantive right (although the Supreme Court has, at times, blurred this line). There is no freestanding constitutional right to go about your normal life while an epidemic endangers many people’s lives. At the same time, the government cannot simply confine people for arbitrary reasons, or without providing an adequate explanation.

If you are quarantined, you do not necessarily have a right to be released from that quarantine, but you do have a right to demand some sort of adjudicative process to determine whether the quarantine is justified.

It is well established that the government may confine people against their will if those individuals present a danger to themselves or others, even if the person being confined has not committed a crime. In Addington v. Texas (1979), for example, the Supreme Court held that individuals with such severe mental illnesses that they present a threat to their own safety, or to the safety of others, may be involuntarily confined to a mental hospital.

The CDC recommends several measures to help prevent the spread of Covid-19:

Wash your hands often for at least 20 seconds.
Cover your cough or sneeze with a tissue, then throw it in the trash.
Clean and disinfect frequently touched objects.
Stay home as much as possible, and do not go out if you are sick.
Wear at least a cloth mask in certain public settings.
Contact a health worker if you have symptoms.
Guidance may change. Stay informed, and stay safe, with Vox’s coronavirus coverage hub.

Addington, however, also held that the government must prove by “clear and convincing” evidence that such confinement is justified — a much higher burden of proof than courts typically apply in civil cases. An “individual’s interest in the outcome of a civil commitment proceeding is of such weight and gravity” the Court explained, “that due process requires the state to justify confinement by proof more substantial than a mere preponderance of the evidence.”

That said, it’s not entirely clear that this heightened standard of proof would apply to coronavirus quarantines. Though Addington held that “civil commitment for any purpose constitutes a significant deprivation of liberty that requires due process protection,” much of the Court’s analysis was restricted the the specific circumstances of a person believed to have a severe mental illness.

“At one time or another, every person exhibits some abnormal behavior which might be perceived by some as symptomatic of a mental or emotional disorder, but which is, in fact, within a range of conduct that is generally acceptable,” Chief Justice Warren Burger explained for the Court. That creates a risk that “a factfinder might decide to commit an individual based solely on a few isolated instances of unusual conduct.” A higher burden of proof would help prevent such an occurrence.

RELATED

How canceled events and self-quarantines save lives, in one chart
A coronavirus diagnosis, by contrast, is less likely to prove so elusive — at least assuming that health care providers have adequate access to diagnostic tests. And the stakes are also lower for people who are quarantined than they were in Addington. The Texas law at issue in that case permitted individuals to be confined “for an indefinite period to a state mental hospital” — potentially for years or even decades if the individual does not respond well to treatment.

Someone confined due to coronavirus, by contrast, is likely to recover much more quickly. And even if there is uncertainty about whether their symptoms are due to coronavirus or some other disease, this uncertainty could be resolved by diagnostic testing.

For these reasons, it’s possible that the courts may permit the government to quarantine individuals based on less than clear and convincing evidence.

There’s also one more reason why courts may be reluctant to intervene in such cases. In national security cases, judges often defer to the executive branch when it claims that a particular incursion on civil liberties is necessary to protect the country. As the Supreme Court explained in Boumediene v. Bush (2008), “neither the Members of this Court nor most federal judges begin the day with briefings that may describe new and serious threats to our Nation and its people.” And no judge wants to hand down a decision that prevents the government from stopping a terrorist attack.

A similar psychology is likely to set in if states begin large quarantines of people with coronavirus symptoms. Fears of coronavirus are already making stock markets volatile. Worse, while the data is unclear about how many people infected by this virus will die, there’s at least some evidence indicating that older adults are especially at risk.

Thus, just as judges tend to defer to the executive on matters of national security, those same judges are likely to defer to public health officials regarding a potential pandemic.

Next Up In Politics & Policy
Mississippi and Iowa join the ranks of states reopening nonessential businesses
WHO warns against coronavirus “immunity passports” due to reinfection concerns
A sexual assault allegation against Joe Biden has ignited a firestorm of controversy
FreedomWorks is supporting the anti-shutdown protests — and applying for government funding
Polls show Biden leading Trump in most battleground states
Why the worst fears about Florida’s Covid-19 outbreak haven’t been realized (so far)
Back to top ↑
Terms of Use / Privacy Notice

© 2020 Vox Media, Inc. All Rights Reserved

Biz Lawsuits VS GOV

Will States Owe Businesses Just Compensation for Forced Closures When the COVID-19 Pandemic Is Over?
A regulatory taking is when a regulation put forth by a governmental authority diminishes the value of one’s property.
Friday, April 17, 2020


Ethan Lamb
Economics States Business Compensation Justice Economic Justice Shutdown COVID-19 Coronavirus Pandemics Disease Recession Small Business Regulation
The spread of the coronavirus has prompted most states to issue orders mandating non-essential businesses to close and non-essential workers to stay home. These regulations, whether or not they are justified, will decimate small and large businesses alike (and indeed already are, in many areas). Loans are being made available to businesses, some containing a forgiveness option provided that the business spends the money in a specified way.

Regulations and Lawsuits
But when the dust settles after all of this, we could very well see a flood of lawsuits from business owners, destitute after the government’s loan money has run out and their firms are dried up. And these suits will likely be on the grounds of the Fifth Amendment. Commercial enterprises, some attorneys will say, were entitled to compensation from the government, not beheld to it for repayment of an emergency loan. The statewide regulations mandating business closure violated, they’ll insist, the takings clause of the Fifth—forcing them to close up shop was a regulatory taking.

A regulatory taking is when a regulation put forth by a governmental authority diminishes the value of one’s property, such that that property owner becomes entitled to compensation for it. But as to whether these aforementioned regulations constitute a regulatory taking? Well, it’s complicated.

There has been significant disagreement within the Supreme Court over the years, leaving a lot to be clarified. One of the key cases governing regulatory takings is Penn Central Transportation Co. v. City of New York (1978). This case, which dealt with an ordinance precluding Penn Central leasing airspace above Grand Central Terminal, lays out a three-pronged balancing test to guide the court. The three factors are: (1) the economic impact on the owner of the property; (2) the regulation’s interference with the owner’s reasonable investment-backed expectations; and (3) the character of the government action.

Devastating Economic Impacts
In the regulations related to the coronavirus, the economic impact on the business owners is, of course, devastating. The second prong, investment-backed expectations, describes whether the government regulation at hand was foreseeable and thus reflected in the price of the property. There is little doubt the business owners, when purchasing the property, intended to do business with little disruption from state governments. Shutdowns like we’re seeing now would have been inconceivable to property owners just a few months ago, let alone at the time of purchase. The third prong, which measures the character—that being the purpose and circumstances—of the government action, too, is unquestionably strong.

The next salient case when approaching the takings question is Lucas v. South Carolina Coastal Council (1992). Lucas holds that a regulation that deprives property of all economic value constitutes a regulatory taking. At first blush, this suggests that a shutdown of non-essential business would, in fact, constitute a regulatory taking. The case becomes even stronger when businesses are in areas with tight zoning restrictions, such as New York City, where property must be used for commercial purposes. In other words, if commercial activity shuts down, there can be no economic value to the land. An example that we could see is that if a restaurant is unable to keep the business afloat amid this shutdown, and they lack the capital to reinvigorate the restaurant when the ban is lifted, that would be considered a total deprivation of economic value.

The final case, Tahoe-Sierra Preservation Council, Inc. v. Tahoe Regional Planning Agency (2002), however, casts doubt over the regulatory takings argument. Tahoe dealt with a temporary prohibition of development in certain sensitive areas of the basin for 32 months on the California side, and eight months on the Nevada side. The court ruled that because such restrictions were temporary, the case was better suited to be decided under the Penn Central framework over the Lucas framework. And under the Penn Central framework, the regulation did not require a payment of just compensation. It is uncertain how long these statewide regulations will last, but it’s extraordinarily unlikely that they’d last close to eight months.

It could be argued, however, that in Tahoe, property owners factored in the chance of environmental regulation and instability when purchasing the property. By contrast, there is little reason for a business owner in metropolitan New York to suspect a wholesale shutdown when looking to buy property. And more crucially, the Lucas analysis would look a lot more relevant than the other two cases if the imposition of these regulations results in the permanent shutting down of certain businesses.

It remains to be seen how long the coronavirus pandemic will loom over our heads, but one thing is sure: the longer it persists, the longer these regulations will last. And, by extension, the stronger the regulatory takings case becomes. As a timeline becomes more clear, we can surely expect an onslaught of litigation to follow, and with the conservative majority on the court, the chances of prevailing in such a lawsuit are increasingly auspicious. And such an outcome would elucidate the obligations that governments and businesses have to one another.


..

Quarantines constitutions

Editor’s Note: This article was published on March 18, 2020, at NEJM.org.

Perspective

Covid-19 — The Law and Limits of Quarantine
List of authors.
Wendy E. Parmet, J.D., and Michael S. Sinha, M.D., J.D., M.P.H.
April 9, 2020
N Engl J Med 2020; 382:e28
DOI: 10.1056/NEJMp2004211
Article
Metrics

5 References
5 Citing Articles
Article
As Covid-19 spreads around the globe, governments have imposed quarantines and travel bans on an unprecedented scale. China locked down whole cities, and Italy has imposed draconian restrictions throughout the country. In the United States, thousands of people have been subjected to legally enforceable quarantines or are in “self-quarantine.” The federal government has also banned entry by non–U.S. nationals traveling from China, Iran, and most of Europe and is screening passengers returning from heavily affected countries. Still, the numbers of cases and deaths continue to rise.

Quarantines and travel bans are often the first response against new infectious diseases. However, these old tools are usually of limited utility for highly transmissible diseases, and if imposed with too heavy a hand, or in too haphazard a manner, they can be counterproductive.1 With a virus such as SARS-CoV-2, they cannot provide a sufficient response.

In public health practice, “quarantine” refers to the separation of persons (or communities) who have been exposed to an infectious disease. “Isolation,” in contrast, applies to the separation of persons who are known to be infected. In U.S. law, however, “quarantine” often refers to both types of interventions, as well as to limits on travel. Isolation and quarantine can be voluntary or imposed by law.

Inside the country, isolation and quarantine orders have traditionally come from the states. Courts have typically upheld these orders in deference to the states’ broad powers to protect public health. Nevertheless, courts have occasionally intervened when a quarantine was unreasonable or when officials failed to follow necessary procedures. For example, in Jew Ho v. Williamson (1900), a federal court struck down a quarantine imposed by San Francisco in response to an outbreak of bubonic plague because it was racially motivated and ill-suited to stop the outbreak.

Although isolation and quarantine orders have been less common in recent decades, many states have isolated patients with tuberculosis who did not adhere to medication regimens.2 At least 18 states quarantined people returning from West Africa during the 2014 Ebola outbreak.3 In March 2019, Rockland County, New York, prohibited all minors who were unvaccinated against measles from entering any place of public assembly. In W.D. v. County of Rockland (2019), a New York State judge struck down that order, ruling that there was no emergency. Most states, however, do not require an emergency declaration in order to issue a quarantine.

The federal quarantine power is limited to preventing the spread of communicable diseases into the country or across state lines. Section 361 of the Public Health Service Act grants the Surgeon General the power (since delegated to the Centers for Disease Control and Prevention [CDC]) to apprehend, detain, or issue a conditional release for the purpose of preventing the introduction into the country, or the spread across state lines, of a quarantinable disease, as designated by executive order (see box). The current list includes “severe acute respiratory syndromes,” which encompasses Covid-19.

QUARANTINABLE DISEASES.*
Cholera

Diphtheria

Infectious tuberculosis

Plague

Smallpox

Yellow fever

Viral hemorrhagic fevers

Severe acute respiratory syndromes

Influenza that can cause a pandemic

* From the Centers for Disease Control and Prevention. Legal authorities for isolation and quarantine. www.cdc.gov/quarantine/aboutlawsregulationsquarantineisolation.html. opens in new tab.

Despite the breadth of its powers, the CDC has generally focused on providing expert guidance to states during outbreaks. In 2017, however, the agency issued new quarantine regulations (codified in 42 Code of Federal Regulations [CFR], parts 70 and 71) suggesting that it would no longer defer to the states. These regulations make clear that, independent of state action, the CDC may isolate, quarantine, examine, or bar travel of anyone within the country who CDC officials reasonably believe may bring a communicable disease into the country or spread it across state lines. When the secretary of health and human services declares a public health emergency, as Secretary Alex Azar did on January 31, these orders can be issued against persons in the precommunicable stage, which begins at a person’s earliest opportunity for exposure to an infection and ends on the latest date at which the person could reasonably be expected to become contagious.

The regulations also commit the CDC to providing medical care for people who are detained, but they may charge insurers for that care. In addition, they establish a multilevel internal administrative review process. But they do not ensure expeditious or independent review of detention orders or travel bans. Moreover, although the CDC stated that it would “seek to use the least restrictive means necessary to prevent the spread of communicable diseases,” the regulations do not require the agency to adhere to that standard. Though the CDC’s quarantine powers permit it to deny entry into the United States for a quarantinable disease, President Trump relied on Sections 212(f) and 215(a) of the Immigration and Naturalization Act to ban Chinese and Iranian nationals from entering the country.

Despite their breadth, the federal and state quarantine powers are subject to important constitutional limitations.2 First, as Jew Ho affirmed, quarantines cannot be imposed in a racially invidious manner. Second, governments must have a strong basis for the restrictions. Looking to case law regarding civil commitment, many scholars and some lower courts have concluded that isolation and quarantine are constitutional only when the government can show by clear and compelling evidence that they are the least restrictive means of protecting the public’s health. However, at least two federal courts reviewing postdetention challenges to Ebola quarantines held that the standard was not sufficiently well established to allow the claims to go forward.3 Third, persons who are detained, or whose liberty is otherwise restricted, are entitled to judicial review — traditionally under the writ of habeas corpus.3 Finally, when governments detain people, they must meet those people’s basic needs, ensuring access to health care, medication, food, and sanitation. Such standards are not only constitutionally compelled: they are critical to ensuring that detained persons comply with orders.

Although we are likely to see greater use of robust social distancing measures, such as school closures or the cancellation of public meetings, broad sanitary cordons — in which geographic areas are quarantined — would raise serious constitutional questions. They also can present numerous logistical challenges and can increase the risk to those living in the restricted zone. Such measures may also have limited efficacy with a highly contagious disease such as Covid-19.4

With community transmission occurring in several parts of the United States, it is time to recognize that travel bans and mandatory quarantines alone cannot end the outbreak. In a public letter to the Trump administration, we (along with more than 800 other public health and legal scholars and organizations) argue that more constructive tools are needed.5

Flattening the curve — slowing the spread of Covid-19 across space and time — is critical. The health care system cannot sustain a massive influx of infectious cases to emergency departments and hospitals. Patients with mild symptoms should stay home when possible. To facilitate this step, workers should be allowed to telecommute wherever it’s feasible to do so. But many low-wage and gig workers cannot afford to stay home. Nor can they handle the economic impact of other social distancing measures that may help to slow transmission. On March 13, the House of Representatives, with President Trump’s support, took the first step by passing the Families First Coronavirus Response Act, which includes provisions for paid sick leave and unemployment insurance for many, but unfortunately not all, workers. As of mid March, the Senate has yet to take up the bill.

We must also reduce hurdles to testing and care. The House bill would provide free testing, but more needs to be done to ensure that testing kits are available. Furthermore, noncitizens must be protected from adverse immigration consequences for seeking testing or care or for complying with contact tracing. Finally, emergency guidance or regulations can be issued to limit the financial impact of high-deductible health plans and “surprise bills” from out-of-network providers for Covid-19 diagnosis or treatment.

Despite the breadth and allure of travel bans and mandatory quarantine, an effective response to Covid-19 requires newer, more creative legal tools. With Covid-19 in our communities, the time has come to imagine and implement public health laws that emphasize support rather than restriction.

Funding and Disclosures

Author Affiliations

Supplementary Material
References (5)
1.

. opens in new tab
. opens in new tab
. opens in new tab
2.

. opens in new tab
3.. opens in new tab

. opens in new tab
4.

. opens in new tab
. opens in new tab
. opens in new tab
. opens in new tab
5.. opens in new tab

. opens in new tab

Citing Articles (5)

More aboutINFECTIOUS DISEASEVIRAL INFECTIONSHEALTH LAWPUBLIC HEALTHMEDICAL ETHICS
. opens in new tab
PHYSICIAN JOBSAPRIL 25, 2020
Sayre, Pennsylvania
Urology
Urology – Sayre, PA
Corning, New York
Hematology / Oncology
Hematology/Oncology – Corning, NY
Tazewell, Tennessee
Emergency Medicine
Medical Director
Pennsylvania
Ophthalmology
Glaucoma Specialist | 50K Sign-On and Fellowship Stipend | Metro Pennsylvania
Cleveland, Ohio
Internal Medicine
Medical Geneticist
North Carolina
Cardiology
NC Cardiology $500K+

Sign up for the free NEJM
Weekly Table of Contents email

More from April 9, 2020
CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL
Case 11-2020: A 37-Year-Old Man with Facial Droop, Dysarthria, and Kidney Failure
J.S. Berns and Others
PERSPECTIVE
Standing Up against Gender Bias and Harassment — A Matter of Professional Ethics
M.M. Mello and R. Jagsi
PERSPECTIVE
Chart Warfare
N.P. Morris
EDITORIAL
Audio Interview: Emerging Tools in the Fight against Covid-19
E.J. Rubin, L.R. Baden, and S. Morrissey
EDITORIAL
Physical Therapy before the Needle for Osteoarthritis of the Knee
K.L. Bennell and D.J. Hunter
PERSPECTIVE
Hospital Mergers and Conscience-Based Objections — Growing Threats to Access and Quality of Care
I.D. Wolfe and T.M. Pope
IMAGES IN CLINICAL MEDICINE
Frey’s Syndrome
A. Smith and N. Jonas
EDITORIAL
Managing Stable Ischemic Heart Disease
E.M. Antman and E. Braunwald
IMAGES IN CLINICAL MEDICINE
The Cowden Syndrome
S. Molière and C. Mathelin
ORIGINAL ARTICLE
Physical Therapy versus Glucocorticoid Injection for Osteoarthritis of the Knee
G.D. Deyle and Others
ORIGINAL ARTICLE
Selumetinib in Children with Inoperable Plexiform Neurofibromas
A.M. Gross and Others
PERSPECTIVE
A New Era for Mind–Body Medicine
M.L. Dossett, G.L. Fricchione, and H. Benson
CLINICAL IMPLICATIONS OF BASIC RESEARCH
Balancing the Effect of Leukotrienes in Asthma
C. Godson
ORIGINAL ARTICLE
Health-Status Outcomes with Invasive or Conservative Care in Coronary Disease
J.A. Spertus and Others
REVIEW ARTICLE
Alpha1-Antitrypsin Deficiency
P. Strnad, N.G. McElvaney, and D.A. Lomas
ORIGINAL ARTICLE
Initial Invasive or Conservative Strategy for Stable Coronary Disease
D.J. Maron and Others
CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL
Case 11-2020: A 37-Year-Old Man with Facial Droop, Dysarthria, and Kidney Failure
J.S. Berns and Others
PERSPECTIVE
Standing Up against Gender Bias and Harassment — A Matter of Professional Ethics
M.M. Mello and R. Jagsi
Tap into groundbreaking research and clinically relevant insights

SUBSCRIBE
Already a subscriber? Sign In or Renew

BACK TO TOP
ARTICLE CATEGORIES
Research
Reviews
Clinical Cases
Perspective
Commentary
Other
Browse all Articles
Current Issue
Issue Index
RESOURCES
Authors & Reviewers
Submit a Manuscript
Subscribers
Institutions. opens in new tab
Media
Advertisers
Agents
Permissions
Reprints
NEJM CareerCenter. opens in new tab
ABOUT US
About NEJM
Products & Services
Editors & Publishers
Advertising Policies
Contact Us
Accessibility
FAQs
Help
Site Feedback
SUBSCRIPTIONS
Subscribe
Renew
Activate Subscription
Create Account
Manage Account
Pay Bill
Special Offers
STAY CONNECTED
Email Alerts
Create Account
Apps
NEJM CareerCenter. opens in new tab
Podcasts
RSS Feed
FOLLOW US
Facebook. opens in new tab
Twitter. opens in new tab
Instagram. opens in new tab
YouTube. opens in new tab
LinkedIn. opens in new tab
Copyright © 2020 Massachusetts Medical Society.
The content of this site is intended for health care professionals.
Copyright. opens in new tab
Terms. opens in new tab
Privacy Policy. opens in new tab
. opens in new tab

Text-Only NPR.org (go

to full version)

Home

April 25, 2020

Top News Stories

When Is It Safe To Ease Social Distancing? Here’s What One Model Says For Each State
‘No Evidence’ Yet That Recovered COVID-19 Patients Are Immune, WHO Says
Congressional Watchdog To Review Federal Coronavirus Response
As States Reopen, Health Experts Seek To Understand Coronavirus’s Early Silent Spread
In Parkland, Another Senior Year Ends In Turmoil. But This Time, ‘It’s Not Just Us’
Black Pastors Say They Have Trouble Accessing SBA Loan Program
Georgia Democrat Jon Ossoff Attempts Homebound Political Comeback
A 56-Year-Old Finally Learned To Write His Name — Because Of A Coronavirus Lockdown
LA Reaches Legal Settlement With Company For ‘False Advertising’ Of COVID-19 Test
Coronavirus FAQs: Does A Bigger Dose Make You Sicker? Can You Go To The Dentist?
Topics

News
Arts & Life
Music
Contact Us
Terms of Use
Permissions
Privacy Policy
© NPR

CNN | 4/25/2020 |

Listen
Main Stories
Fact check: Trump lies that he was being ‘sarcastic’ when he talked about injecting disinfectant
‘The sea is stormy and the captain is dancing on the deck’: A view from Italy in the time of coronavirus
Rudy Giuliani may have said the dumbest thing yet uttered about the coronavirus
GOP senators open to more emergency relief for states amid divide in party
Opinion: White House staff tries to make unhinged Trump sound reasonable
VA will continue to use unproven drug touted by Trump to treat Covid-19 despite FDA saying it has ‘known risks’
Seniors with Covid-19 show unusual symptoms, doctors say
Covid-19 causes sudden strokes in young adults, doctors say
What is herd immunity and why some think it could end the coronavirus pandemic
Opinion: First we need to fix this key thing. Then we can reopen
Coronavirus symptoms: 10 key indicators and what to do
Biden’s accuser says mother called into ‘Larry King Live’ in 1993 for advice after alleged sexual assault
After her husband died from coronavirus, she found an emotional goodbye note on his phone
A Labradoodle breeder, an internet thug and a college senior walk into the White House
Trump goes into hiding from media
Watch the entire CNN/Sesame Street coronavirus town hall
Must-watch videos of the week
Watch CNN Go There
Coronavirus has killed nearly 52,000 people in the US, over a quarter of the world’s deaths
This is where all 50 states stand on reopening
Whitmer extends Michigan’s stay-at-home order but relaxes some restrictions
Meet the ICU nurse who silently stood in protest at a rally to reopen Arizona
What happened on board the last cruise ship still at sea
He signed up for a coronavirus vaccine trial using a method that’s never been used in humans. Here’s why
Lifting lockdowns relies on testing. Germany surges ahead, but US states are flying blind
W. Kamau Bell: What an Oklahoma rancher wants you to know about America’s broken food supply system
Actor Dimitri Diatchenko of ‘Sons of Anarchy’ dies at 52
This ER doctor moved out of his home to protect his unborn child. But that’s not his only coronavirus fight
To my son, born in the time of coronavirus and climate change
Boeing terminates $4.2 billion deal with Embraer
Georgia starts to reopen but nervous mayors warn that coronavirus crisis isn’t over
Is this the end of political conventions?
Trump’s standing in battleground states may be slipping
Meghan McCain says her pick for President shouldn’t be a surprise
Trump’s new campaign app gamifies voter outreach
Opinion: The key area where Trump is trouncing Biden
How the coronavirus pandemic has shaken the US military
US Air Force pulls bombers from Guam
Navy recommends reinstating commander of USS Theodore Roosevelt
10 kinds of apples that were thought to be extinct have been rediscovered
A flood of corporate debt could make the economic recovery more difficult
NY business owner charged for hoarding PPE, sanitizer
More small business loans are on the way. Here’s what you need to know
JPMorgan, Ruth’s Chris accused of cheating small businesses out of emergency loans
Walmart store in Colorado shuts down after coronavirus deaths
What economy class could look like after virus
We nixed our wedding to protect our friends and then they surprised us with one
Severe storms possible across parts of the Southeast Saturday
The Mafia is poised to exploit coronavirus, and not just in Italy
In Pakistan’s fight against Covid-19, religion might not be helping
Unusual tactics to fight Covid-19 from around the world
Kanye West is finally a billionaire, Forbes says. He sent the magazine a text to say it undervalued him
While you’re stuck at home, one group has been busy: Car thieves
Million-dollar whisky sale targeted in cyber attack, says auctioneer
Stressed pets: How to stop it now and when you go back to work
© 2019 Cable News Network. Turner Broadcasting System, Inc. All Rights Reserved.

Listen to CNN (low-bandwidth usage)

Go to the full CNN experience

Can you Iien public property

Search Results
https://www.levelset.com › Blog
Web results
FAQ: Can I Lien a State Or Federal Project? – Levelset
Jul 20, 2019 · You’ll never get a piece of the property as compensation for your work. To accommodate this protection of state and federal land, there are …
PEOPLE ALSO ASK
Can you Lien public property?
Generally, your company is not able to file a mechanics lien against a public project because most states (and the federal government) prohibit any party from gaining an interest in the public property. As a result, most public construction projects may only proceed if a “payment bond” is issued.May 20, 2010
https://www.levelset.com › blog › th…
The Difference Between Public and Private Projects – Levelset
More results
How do you put a lien on someone’s property that owes you money?
Can you Lien a public school?
What is a public lien?
Feedback
www.jml.ca › uploads › Wha…PDF
Web results
WHAT CAN YOU LIEN AND WHAT YOU CAN LIEN FOR – Jenkins Marzban Logan LLP
The Land. 10. 1. “Land”. 10. 2. Multiple Lots. 11. 3. Government Land. 12. (a). Federal … First, what a builders’ lien attaches to, what you can lien. Given …
floridaconstructionlawgroup.com › …
Can You File a Lien on Public Projects in Florida? – Florida Construction Law Group
This is why most public projects will require that a payment bond be put in place before the project begins. This will serve to ensure the contractor is able to get …
https://www.primerus.com › the-con…
The Contractors’ Friend (The Federal Miller Act) | Primerus
While you can’t lien a federal construction job, you can still recover your payment on a bond claim. If you furnish labor or materials for a construction project …
https://www.newyorkcommercialconstructionlawyer.com › …
Private Liens, Public Liens, And The Lien Law’s Confusing Gap In Coverage — New York …
Jun 2, 2015 · If a project is owned by the state or a public corporation, whose land is not susceptible to liens, the contractor can file a public lien …
https://www.hollandhart.com › …PDF
Can I Lien That? – Holland & Hart LLP
by DW Zimmerman · 2007 · Related articles
Oct 23, 2007 · Does the applicable state statute require the contractor to serve or file a … lien right when a contractor moved a house from a piece of land,.
https://www.rbs.ca › rbs › pdfPDF
WHAT LAND CAN YOU LIEN?
Jan 3, 2018 · If the services or materials relate to an improvement of that land then a creditor can potentially use a claim of lien to recover on debts owed to it.
https://www.beierlaw.com › blog › c…
Can A Lien Be Placed On My Property Without Notice? – Beier Law
Dec 16, 2014 · While it’s unlikely that just anyone can put a lien on your home or land, it’s not unheard of for a court decision or a settlement to result in a lien …
https://www.investopedia.com › terms
Construction Lien Definition – Investopedia
Mar 2, 2020 · Although state laws vary, a construction lien can usually be filed only if … Once put into effect, the lien is in place for up to one year under New …
https://www.nolo.com › what-is-a-m…
What Is a Mechanic’s Lien? | Nolo
If you are involved with construction, either as a contractor or as the owner of real … Mechanic’s liens create a cloud on title, meaning that they appear in public …
RELATED SEARCHES
can you place a lien on public property
mechanics lien
mechanics lien on federal property
can you pre lien a government property
mechanics lien on public property
what is a lien
lien process
preliminary notice of lien
Page Navigation
More results
Footer Links
Garapan, Saipan, CNMI – From your device – Learn more
Terms