
The COVID-19 pandemic has brought the topic of vaccine mandates to the forefront, with many people questioning whether such mandates are constitutional. While the US Constitution does not explicitly mention vaccines, there are several constitutional issues related to vaccine mandates, especially concerning federal and state authorities. The Supreme Court has ruled that state and local governments may enforce vaccine mandates unless individuals belong to an exempt group. However, the Constitution's Spending Clause and Commerce Clause also give Congress some power in this area. The debate around vaccine mandates and individual rights is ongoing, with some arguing for the right to self-determination and others highlighting public health considerations.
| Characteristics | Values |
|---|---|
| Mention of vaccines in the constitution | No |
| Vaccine mandates | Allowed by states, not by the federal government |
| Experimental vaccines | Not allowed |
| Federal vaccine mandate actions | Possible through Section 361 of the Public Health Service Act |
| State vaccine mandate incentives | Possible through the Spending Clause |
| Vaccine requirements for interstate travel | Possible under the Commerce Clause |
| Federal enforcement of vaccine mandates | May face legal challenges based on the 10th Amendment |
| Mandating testing, masks, and vaccines | Violates the Emergency Use Authorization (EUA) issued by the FDA |
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What You'll Learn

The US Constitution does not allow for a federal vaccine mandate
The US Constitution does not explicitly mention vaccines or their mandates. However, some argue that the Constitution's Supremacy Clause allows the federal government to supersede state governments on interstate issues, including public health concerns like COVID-19. Despite this, legal experts debate the constitutionality of President Biden's vaccine mandate.
Former Harvard Law School professor Alan Dershowitz, author of "The Case for Vaccine Mandates," argues that vaccinated people have the right to be protected from contagion by unvaccinated individuals. He highlights the surge in COVID-19 cases among the unvaccinated as a threat to public health. Dershowitz concedes that the mandate's legality hinges on whether Biden can issue it through executive authority or if it requires legislative approval. He suggests that a mandate enacted by Congress and signed into law by the president would be constitutionally stronger.
In contrast, critics of the mandate, such as Senators Rick Scott, Ron Johnson, and Roger Marshall, argue that it infringes on civil liberties and sets a dangerous precedent for presidential power. They emphasize that individuals should have the right to make healthcare decisions in consultation with medical professionals without government interference. Additionally, the mandate's exemption for businesses with fewer than 100 employees has been criticized as violating the Constitution's Equal Protection Clause, which prohibits requiring some people to be vaccinated while exempting others.
While the Supreme Court has historically upheld local and state vaccine mandates, the specific authority of the federal government to mandate vaccines solely through executive action remains a subject of legal debate and interpretation of the Constitution.
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State vaccine mandates are permissible
While the U.S. Constitution does not allow for a federal vaccine mandate, it is argued that nothing in the Constitution prohibits a State from implementing a vaccine mandate. The U.S. Food and Drug Administration (FDA) granted full approval to the Pfizer-BioNTech COVID-19 vaccine in August 2021, which has encouraged wider acceptance of the vaccine. This approval has made vaccine mandates more feasible for many employers.
Employer vaccine mandates are permissible under federal law in certain states, such as South Carolina. In Missouri v. Biden, the United States Supreme Court ruled that the Biden administration could require entities receiving Medicare or Medicaid funding to ensure their employees are vaccinated, unless they have a medical or religious exemption. The Supreme Court also ruled that vaccination requirements are a common feature of healthcare provisions in America, with many other vaccines mandated at the state level for healthcare workers.
In May 2021, the Equal Employment Opportunity Commission (EEOC) stated that employers could require employees to be vaccinated, unless covered by an exemption under the Americans with Disabilities Act. Employers must offer reasonable accommodations for employees who cannot be vaccinated due to disabilities, such as masking, working staggered shifts, or teleworking. Some employers may choose to offer exceptions to mandatory vaccination, such as remote work, but these must not be discriminatory.
Several U.S. colleges and universities have mandated that students must be vaccinated before attending in-person classes. Some states, such as California, have also mandated that state employees, as well as federal employees and contractors, must be vaccinated.
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Federal vaccine mandate actions are possible
While the U.S. Constitution does not explicitly mention vaccines, it does provide certain provisions that can be relevant to vaccine mandate discussions. The Spending Clause, for instance, empowers Congress to incentivize states financially to implement vaccine mandates. Similarly, the Commerce Clause allows Congress to regulate vaccine requirements related to interstate travel. However, federal vaccine mandate actions may encounter legal challenges based on the 10th Amendment, which prohibits forcing states to enforce federal policies.
The Supreme Court has historically upheld the authority of state and local governments to issue vaccine mandates, as seen in the 1905 Jacobson vs. Massachusetts ruling. In this case, Henning Jacobson refused to comply with a smallpox vaccination mandate and was fined. He argued that the mandate violated his 14th Amendment rights, but the Supreme Court ruled in favor of the state law, setting a precedent for vaccine mandate enforcement.
Federal vaccine mandate actions have faced legal challenges, particularly in the context of COVID-19. Several lawsuits have been filed against vaccine mandates imposed by educational institutions and the federal government. For example, eight Indiana University students sued the university over its vaccine mandate, but a federal appeals court upheld the mandate, finding no violation of constitutional rights. Similarly, a federal court in Georgia blocked the federal contractor vaccine mandate, preventing the federal government from enforcing COVID-19 vaccination requirements on federal contractors and subcontractors.
Despite these challenges, federal vaccine mandate actions are possible within certain legal frameworks. The U.S. Equal Employment Opportunity Commission confirmed that federal laws do not prevent employers from requiring employees to be vaccinated, provided they comply with reasonable accommodations for religious beliefs and disabilities. Additionally, President Biden issued an executive order mandating COVID-19 vaccinations for federal contractors and requiring large employers to ensure a fully vaccinated workforce or regular testing for unvaccinated workers.
As the debate over vaccine mandates continues, federal actions must navigate a complex landscape of constitutional provisions, legal precedents, and exemptions based on religious beliefs and disabilities. While states have the authority to implement mandates, federal actions must respect the balance of power between federal and state governments as outlined in the Constitution.
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The US Supreme Court has upheld state and local officials' authority to issue vaccine mandates
While the US Constitution does not explicitly mention vaccines, the US Supreme Court has weighed in on vaccine mandates, particularly in the context of the COVID-19 pandemic. The Court's decisions have upheld the authority of state and local officials to issue certain vaccine mandates while also placing limits on federal mandates.
In January 2022, the US Supreme Court blocked the Biden administration's vaccine-or-test mandate for large businesses with 100 or more employees, stating that the Occupational Health and Safety Administration (OSHA) did not have the authority to regulate public health broadly. However, the Court allowed a separate mandate requiring vaccinations for healthcare workers to be enforced, recognising the highly infectious nature of COVID-19 and the vulnerability of populations served by Medicare and Medicaid.
The Court's rulings have highlighted the distinction between federal and state authority in public health matters. While broader mandates must come from Congress or the states, the Court acknowledged the role of state and local public health authorities in pandemic policy-making. For example, in the case of National Federation of Independent Business v. Department of Labor, the Court enjoined the enforcement of OSHA's standard requiring large employers to mandate vaccinations for their workers.
The Supreme Court's decisions on vaccine mandates have been subject to differing opinions, with some justices dissenting. The Court's rulings have also had implications for the ongoing legal battles surrounding pandemic measures, with cases being returned to lower courts for further review.
It is worth noting that the legality of vaccine mandates for vaccines authorised for emergency use has also been a subject of debate, with some courts upholding mandates issued by private employers before the FDA approval of vaccines. The dynamic between federal, state, and local authorities in public health decision-making continues to shape the landscape of vaccine mandates and pandemic responses in the United States.
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A federal court upheld a university's vaccine mandate
While the U.S. Constitution does not explicitly mention vaccines, it also does not explicitly prohibit states from implementing vaccine mandates. The interpretation of the Constitution's role in vaccine mandates has been a topic of debate, with some arguing for individual freedom and choice, while others trust the government's stance on the effectiveness of vaccines.
In the specific case of a federal court upholding a university's vaccine mandate, it is essential to examine the legal basis for the court's decision. The court likely considered the university's authority to enforce health and safety measures on its campus. The university, as a public institution, has a responsibility to protect the well-being of its students and staff. The court's decision likely weighed the university's mandate against the individual's right to refuse medical treatment.
The university's legal team probably presented arguments supporting the mandate's reasonableness and necessity. They might have cited scientific evidence, expert opinions, and public health guidelines to demonstrate that the mandate is a proportionate response to a legitimate health concern. Additionally, they may have referenced previous legal precedents where similar mandates were upheld by courts.
On the other hand, those challenging the university's vaccine mandate could argue that it violates their constitutional rights, including the right to self-determination and bodily autonomy. They may claim that the mandate infringes on their freedom of choice regarding medical decisions and that it is not within the university's authority to impose such requirements.
The federal court's decision to uphold the university's vaccine mandate suggests that the court found the university's arguments more compelling. The court likely determined that the mandate is a reasonable exercise of the university's authority to maintain a safe and healthy environment for its community. This decision sets a precedent for similar cases and reinforces the legitimacy of vaccine mandates within the boundaries of constitutional rights.
It is worth noting that the public's perception of vaccine mandates is diverse, with some expressing strong opposition and claiming that their rights are being infringed upon. However, the role of the federal court is to interpret and apply the law, balancing the interests of public health and individual freedoms within the framework of the Constitution.
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Frequently asked questions
No, the US Constitution does not allow for federal vaccine mandates. However, it does not prohibit states from implementing their own vaccine mandates.
The Executive Branch could theoretically enforce federal vaccine mandates by citing Section 361 of the Public Health Service Act (or PHSA). This allows the Department of Health and Human Services or the Centers for Disease Control and Prevention (CDC) to implement necessary measures to prevent the introduction and spread of communicable diseases.
Generally, two key Supreme Court decisions have concluded that state and local governments may tell people to get vaccinated, unless they belong to an exempt group. People who refuse to get vaccinated may face a penalty.
Yes, you can refuse to get vaccinated. Mandating vaccines, testing, and masks violates the Emergency Use Authorization (EUA) issued by the FDA. The EUA requires everyone to be fully informed of the risks and benefits and be given the option to accept or refuse.

























