There are two sections within this category: Lifesaving Awards and Meritorious Action Awards.
For Lifesaving – Recognition may be given to a member of the Boy Scouts of America—Cub Scout, Boy Scout, Varsity Scout, Venturer, or adult leader—where the evidence presented to the National Court of Honor, in accordance with prescribed regulations, shows that he or she saved or attempted to save life under circumstances that indicate heroism and risk of his or her own life.
For Meritorious Action – Recognition may be given to a youth member or adult leader where the evidence presented to the National Court of Honor, in accordance with prescribed regulations, shows that a significant or outstanding act of service of exceptional character was performed. The action taken need not involve attempts of rescue or risk to self but must put into practice Scouting skills and/or ideals.