
The COVID-19 pandemic has brought about a global vaccination effort, with many countries implementing vaccine mandates. In the United States, the topic of vaccine mandates has sparked debate about whether such requirements are constitutional. This discussion centres around the issue of federal powers versus states' rights, with opponents arguing that federal vaccine mandates infringe on state powers under the Tenth Amendment. However, supporters of federal mandates cite the Occupational Safety and Health Act of 1970 and relevant case law as justification. As the pandemic continues to evolve, the constitutionality of COVID-19 vaccine mandates remains a highly contested issue in the United States.
| Characteristics | Values |
|---|---|
| Focus of the constitutional debate | Federal powers vs. states' rights |
| Federal government's argument | Authority from the Occupational Safety and Health Act of 1970 |
| Opponents' argument | Federal government is overstepping its powers and interfering with state powers under the Tenth Amendment |
| Supreme Court's ruling in 1905 | Local health authorities could compel adults to receive the smallpox vaccine under state law |
| States' authority | Ability to order vaccine mandates under their police powers |
| Biden's plan | A six-pronged comprehensive strategy to vaccinate the unvaccinated, further protect the vaccinated, and keep schools open and safe |
| Constitutional challenges | Substantive due process arguments, First Amendment-based arguments, Fourth Amendment unreasonable search and seizure arguments, Federal or state law violations |
| Federal government's alternative | Use its powers under the Spending Clause to provide financial incentives for states to enact their own vaccine mandates |
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What You'll Learn

Federal powers vs. states' rights
The COVID-19 pandemic has brought about a wave of vaccine mandates across the United States, with many Americans expressing opposition to receiving the vaccine, and even greater opposition to being forced to do so. The focus of the constitutional debate surrounding these mandates is the issue of federal powers versus states' rights.
The federal government claims it has the authority to issue vaccine mandates from the Occupational Safety and Health Act of 1970 and case precedent, including the Supreme Court's 1905 ruling in Jacobson v. Massachusetts, where it was decided that local health authorities could compel adults to receive the smallpox vaccine under a state law. The majority held that states have police powers to pass laws that protect the "health, safety, and general welfare of the public". This was reaffirmed in the 1922 case Zucht v. King, where the Supreme Court relied on its decision in Jacobson to support its conclusion that it is within a state’s police power to require vaccinations.
Opponents of President Biden's executive order, including House Republicans, argue that the mandate infringes on Americans' individual rights and that the federal government is overstepping its powers, interfering with state powers under the Tenth Amendment. The Supreme Court's interpretation of Tenth Amendment issues makes clear that Congress cannot commandeer state legislatures. The Court held in New York v. United States and Printz v. United States that the federal government cannot coerce states into using their resources to carry out federal policies. The authority of the Department of Labor to issue this Emergency Temporary Standard is also questioned.
Another option for the federal government is to use its powers under the Spending Clause to provide financial incentives for states to enact their own vaccine mandates. Alternatively, the federal government could attempt to use its Commerce Clause powers to regulate the vaccine in interstate commerce. The Congressional Research Service suggests that a federal mandate requiring vaccination as a condition to engage in existing economic activities might be a realistic use of this power.
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The Tenth Amendment
> [t]he powers not delegated to the United States by the Constitution, nor prohibited by it to the States, are reserved to the States respectively, or to the people.
The Supreme Court has previously considered the government's authority to issue vaccine requirements. In 1905, the Court ruled in Jacobson v. Massachusetts that local health authorities could compel adults to receive the smallpox vaccine under a state law. The majority held that states have police powers to pass laws that protect the "health, safety, and general welfare of the public," and that it is for the state legislature to decide whether or not vaccination is the best way to protect public health.
However, in January 2022, the Supreme Court blocked the Biden Administration's workplace vaccine mandate for businesses with 100 or more workers, holding that:
> [a]lthough Congress has indisputably given OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly. Requiring the vaccination of 84 million Americans, selected simply because they work for employers with more than 100 employees, certainly falls in the latter category.
Despite the Supreme Court's ruling, the Biden Administration may attempt to implement another mandate, and states are encouraged to build firewalls against future federal overreach.
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First Amendment rights
The COVID-19 vaccine mandates have been deemed constitutional and continue to be upheld for public health and safety. However, there have been several debates and lawsuits regarding the violation of constitutional rights.
One of the main arguments against vaccine mandates is based on the First Amendment, which includes the right to free speech and the right to free religious exercise. Some employees have argued that being forced to disclose their vaccination status infringes on their free speech rights. They claim that disclosing their COVID-19 vaccination status has become a political act, and that being forced to reveal their status outs them as unvaccinated, potentially subjecting them to public ridicule and contempt.
Additionally, the Supreme Court has upheld the First Amendment by barring the government from interfering in the employment decisions of religious groups. The Court has ruled that even during a pandemic, the Constitution must be upheld, and that restrictions on religious gatherings violate the First Amendment's guarantee of religious liberty.
While there have been numerous lawsuits filed on these grounds, historically, many of the arguments against vaccine mandates have failed, and it is likely that they will continue to do so. However, the unique nature of the COVID-19 vaccine's rapid development may lead to new legal challenges.
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Due process and bodily privacy
The COVID-19 pandemic has brought about a global health crisis, and many countries have implemented vaccination programmes to combat the virus. However, the question of whether it is constitutional to mandate COVID vaccines has been a subject of debate.
One of the main arguments against vaccine mandates centres on the issue of due process and bodily privacy. Opponents of vaccine mandates argue that such requirements violate their fundamental rights to bodily privacy and integrity. This argument is based on the belief that individuals have the right to make decisions about their own bodies without government interference. In the context of COVID-19 vaccines, this means that individuals should have the right to choose whether or not to be vaccinated without facing penalties or restrictions.
The right to bodily integrity is a fundamental human right recognised in international law and protected by various constitutional and legal frameworks. For example, the European Convention on Human Rights guarantees the right to respect for private and family life, which has been interpreted to include bodily integrity. Similarly, the United States Constitution protects certain liberties, such as those outlined in the Fourth Amendment, which protects against unreasonable searches and seizures, and the First Amendment, which protects freedom of speech and religion.
However, it is important to note that while bodily privacy and autonomy are important, they are not absolute. In certain circumstances, governments may impose restrictions on these rights if they can demonstrate a compelling state interest. In the context of public health emergencies, such as the COVID-19 pandemic, governments have a responsibility to protect the health and safety of their citizens. This includes implementing measures such as vaccination programmes to control the spread of infectious diseases.
While there is precedent for states to mandate vaccines, the federal government's power to do so is more complicated. The Tenth Amendment reserves powers not explicitly delegated to the federal government to the states. This includes "police powers," which allow states to pass laws protecting the "health, safety, and general welfare of the public." The Supreme Court has upheld states' rights to mandate vaccines, as in Jacobson v. Massachusetts in 1905, where the Court ruled that states could compel adults to receive the smallpox vaccine during an outbreak.
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Federal government incentives for states
The COVID-19 pandemic has brought about a global health crisis, and in response, many countries have implemented vaccination programmes to help curb the spread of the virus. In the United States, the federal government has taken steps to encourage and mandate COVID-19 vaccinations for its citizens.
While the federal government has the authority to issue vaccine requirements, the question of whether it is constitutional to mandate COVID-19 vaccines has sparked debates. The Department of Labor's Occupational Safety and Health Administration (OSHA) has imposed penalties for violations of vaccination requirements in private sector businesses with over 100 employees. This has led to discussions about federal powers versus states' rights. Opponents of the mandate argue that the federal government is overstepping its authority and interfering with state powers under the Tenth Amendment.
In this context, the federal government has the option to use its powers under the Spending Clause to incentivize states to enact their own vaccine mandates. This approach, as seen in the Biden Administration's COVID-19 action plan, encourages states to implement measures to increase vaccination rates without the need for a federal mandate.
States have the authority to pass laws that protect the health, safety, and general welfare of the public under their police powers. This includes the power to require vaccinations, as seen in the Supreme Court cases Jacobson v. Massachusetts (1905) and Zucht v. King (1922). By providing financial incentives and guidance, the federal government can encourage states to utilize their authority to mandate vaccines, rather than imposing a federal mandate that may be seen as an overreach of power.
Incentives and easing of restrictions have been used in states like California and New York to encourage vaccinations. For example, New York allowed outdoor venues to operate at full capacity exclusively for vaccinated attendees, while California allowed venues to operate at higher capacities under specific guidelines. These state-level initiatives, supported by federal incentives, can help increase vaccination rates while navigating the complex legal landscape surrounding vaccine mandates.
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Frequently asked questions
The main arguments for the constitutionality of a COVID-19 vaccine mandate include the precedent set by the 1905 Jacobson v. Massachusetts case, where the Supreme Court ruled that states have the police power to pass laws that protect the "health, safety, and general welfare of the public", and that it is for the state legislature to decide whether vaccination is the best way to protect public health. Additionally, since the New Deal, federal courts have found that the Constitution allows the federal government to regulate interstate commerce, which could be used to argue for a federal vaccine mandate.
The main arguments against the constitutionality of a COVID-19 vaccine mandate include allegations of violations of fundamental rights of bodily privacy or bodily integrity, First Amendment-based arguments involving freedom of speech and religion, Fourth Amendment unreasonable search and seizure arguments, and federal or state law violations. Opponents of vaccine mandates also argue that the federal government is overstepping its powers and interfering with state powers under the Tenth Amendment.
The federal government's role in enacting a COVID-19 vaccine mandate is complicated. While the federal government claims authority from the Occupational Safety and Health Act of 1970 and case precedent, it does not possess general "police powers" to provide for the health, welfare, and safety of its citizens. Instead, it must find its authority under a specific grant in the Constitution, such as its powers under the Spending Clause to provide financial incentives for states to enact their own mandates.
As of 2021, at least 14 states have enacted COVID-related laws to bar vaccine mandates, while the Department of Labor's Occupational Safety and Health Administration (OSHA) is set to enact an Emergency Temporary Standard to carry out President Biden's vaccine mandate, impacting over 80 million workers in private sector businesses with over 100 employees.

























