The manufacturers of both the Pfizer and Moderna vaccines have applied for full approval from the FDA, and it has been widely reported that the FDA will issue a full approval for the Pfizer vaccine before the end of September (for an example of the reporting, see here). The vaccinations available at the time of this writing are being administered under an Emergency Use Authorization (EUA) from the federal Food and Drug Administration (FDA). The same constitutional principles apply to government employers and employees as do to public universities and their students.ĭoes It Matter that the COVID-19 Vaccines Have Only an EUA Rather Than a Regular Approval? Supreme Court to hear their appeal, but Justice Amy Coney Barrett (the justice who to whom emergency appeals from Indiana are assigned) denied their request without comment, a signal that the majority of the Court did not think the appeal had merit. It also said that while the students have a right to bodily integrity, making vaccination a condition of enrollment at the university did not interfere with that right. The court found that under Jacobson, the students did not have a fundamental right not to be vaccinated. The federal Seventh Circuit Court of Appeals denied the students’ motion for a preliminary injunction to stop the university from implementing the requirement, finding the students were unlikely to prevail on the merits of their case. The students alleged that the university’s policy violated their substantive due process rights under the Fourteenth Amendment. Trustees of Indiana University, a group of students enrolled at Indiana University (a public university) sued to stop the university from requiring that all students be vaccinated against COVID-19 unless they had medical or religious reasons precluding vaccination. And recently, the federal Seventh Circuit Court of Appeals affirmed that when it comes to vaccines, Jacobson is still good law. In the decades since, the courts have applied Jacobson’s broad endorsement of the government’s right to take measures to protect public health to a wide variety of situations. The Court found that during a public health emergency, the government’s police power allows it to restrain a citizen’s rights in order to promote the common good, so long as the restraints are not imposed in an “arbitrary, unreasonable manner,” and do not “go so far beyond what was reasonably required for the safety of the public.” The Jacobson court did say that courts would be obliged to find an exception to a mandatory vaccination regulation for a person who had a condition that could result in serious injury to health or death from the vaccine-in modern words, a person with a medical contraindication. That law, the Court held, did not violate the Fourteenth Amendment to the U.S. Supreme Court upheld a Massachusetts law that permitted municipalities to order smallpox vaccination of all residents. That decision came in the 1905 case of Jacobson v Massachusetts, 197 U.S. A decision from more than a century ago, however, indicates that mandatory vaccinations in a public health emergency do not violate the Constitution. Governmental employers often face significant restrictions that private employers do not face, because governmental employers are directly subject to the requirements of the Constitution. Mandatory Vaccinations Do Not Violate the U.S. So long as a vaccine has been authorized for use by the FDA, an employer may require all of its employees to be vaccinated as a condition of employment, subject only to medical exceptions required by the ADA and religious exceptions required by Title VII of the Civil Rights Act of 1964. Nothing prohibits a North Carolina public employer from requiring some or all of its employees to be vaccinated against particular illnesses, including COVID-19. PUBLIC EMPLOYERS MAY REQUIRE VACCINATION AGAINST COVID-19 This blog post updates and replaces the December post. Many employers are now re-evaluating whether to make vaccination mandatory or offer bonuses to their employees who get vaccinated. But much has happened since then, including publication of the EEOC’s guidance about vaccine incentives, the Occupational Safety and Health Administration’s issuance of an Emergency Temporary Standard for employees working in health care, including emergency medical services, and the emergence of a new, more contagious and more dangerous COVID-19 variant, the Delta variant. In that post I concluded that a public employer may require its employees to be vaccinated against COVID-19 as a condition of employment. In December 2020, I published a blog post titled May a Public Employer Require Vaccination Against COVID-19?.
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