The Coast Guard Medal is awarded to any person serving in any capacity with the Coast Guard who distinguishes themself by heroism not involving actual conflict with the enemy. The individual must have performed a voluntary act of courage surpassing normal expectation and in the face of great danger. For an act of lifesaving, the individual must have displayed heroism at the risk of their life.

This decoration was authorized in 1951 but the medal was not struck until 1958.