What Happens if Cali. SB 276 Becomes Law?
Let’s face it, there are strong rumblings that the Dems are lined-up behind SB 276 in the Senate Appropriations Committee and in both houses in general.
That’s bad news for the vaccine concerned whose kids either have or will seek a medical exemption from all childhood vaccines. Basically, under CDC/AAP/AAFP guidelines, there is no such thing as an exemption from all childhood vaccines throughout the duration of childhood, at least not for otherwise healthy kids. And you can forget about the whole fragile child or vaccine fragile child thing. It doesn’t exist in CDC land.
What exists are CDC recognized contraindications (and you can list those on one hand, with a couple fingers left over). The amended bill adds CDC recognized vaccine precautions, some of which may come from vaccine package inserts. Here is the CDC’s list of contraindications and precautions.
https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindications.pdf But vaccine precautions will not get the vaccine concerned an all-vaccination exemption throughout childhood.
Under the bill’s timetable, Current exemptees will get through the first part of the 2020-2021 school year, but I predict many will have their exemptions rescinded in the first few months of 2021. There may be eight or nine thousand exemptions which will be filed (or more). My guess is that the district health officials, rather than state officials will do the revocations, so the revocation workload will be spread around the state. Supposedly, there will be an internal review/appeal process, presumably by state health officials.
Sounds pretty bleak and it is, but let’s just play this out, get into the weeds of how this is likely to work, and explore possible legal remedies, few and relatively weak though they may be.
But before that, let me answer some questions I’ve received from comments to my posts and via email. (Sorry but I can’t answer most of the emails I get regarding the law and possible legal strategies. I deal with these inquires via my posts.)
1. Can you judicially stop the legislative process from passing SB 276?
That’s a Hard No. Passing laws is the legislators’ job. You can’t use the courts to stop them from doing their jobs just because you (and a small, albeit vocal group of your like-minded friends) don’t agree with a bill, even if you think it’s unconstitutional, un-American, vioates the Nuremberg Code, the Helsinki Doctrine, the Belmont Report, or the Code of Hammurabi.
2. What about the fact that the Chairman of the Appropriations Committee said he didn’t do a financial impact analysis of the bill, but is still voting for it. Can he be impeached?
Another Hard No. Courts don’t interfere with the legislative process and legislators have absolute immunity. Besides, the legislators seem to believe they are dealing with a potential health crises, so cost issues are secondary, or more likely irrelevant from their point of view, as erroneous and benighted as you think that point of view is.
3. Isn’t there a constitutionally protected right to a medical exemption?
One highly regarded vaccine attorney/professor advocate tells me that the 1905 Jacobson case, which started the whole mandatory vaccination jurisprudence, created a constitutional right to a medical exemption. She’s probably right, but I don’t see anything in that decision or other such constitutional decisions about who can make that decision, in part because the exemption issue wasn’t really the heart of the case (called the holding in legal terminology).
4. OK Mr. Lawyer, then is it legal for a state or district public health official who is not a licensed medical doctor to deny or rescind a medical exemption which after all is a very important medical decision?
Excellent question, grasshopper! But it’s complicated.
Surprisingly, the Medical Board of California has officially taken no position on the bill. The California Medical Association supports the bill. So, I’m going with neither have a problem with non-physicians making these important medical decisions. And obviously, the Dems in the legislature think SB 276 is legal, and presumably have been so advised by legislative counsel.
5. But it is constitutional or illegal?
Sorry, but I can’t give a yes or no answer to this. There does not appear to be direct legal precedent. Of course, two states already have that kind of exemption decision-making in place, West Virginia and Mississippi. However, I’m not aware that the issue has been litigated in those two states. So, we’re probably talking about a precedent setting case.
And based on what happened after SB 277’s passage, I suspect that there will be multiple lawsuits challenging SB 276 on a variety of bases. I repeatedly complained about the SB 277 lawsuits and said they would all fail.
(See my prior posts at http://rickjaffeesq.com/category/vaccines/page/4/
I won’t be making the same prediction on SB 276 lawsuits, at least not with the current version. For reasons which I won’t discuss at this time, I think the amended bill goes too far in terms of medical decision-making by non-physicians, and it’s possible that the California courts might agree. After all, as I pointed out in an earlier post, “Hey Numbnuts: there’s a reason they’re called medical exemptions.” See: http://rickjaffeesq.com/2019/03/26/cali-sb-276-moves-to-eliminate-physician-medical-exemptions-but-hey-numb-nuts-theres-a-reason-theyre-called-medical-exemptions/
Ok so there might be some legal challenges to the law, but:
What about challenges to individual denials of exemptions or revocations of existing exemptions? Can aggrieved parents sue?
I’m predicting that lawsuits will be filed against the state and local officials and governmental agencies who deny or rescind exemptions. However, there are some legal and procedural hurdles.
California law allows a legal challenge to a final administrative order of a governmental agency, by way of what is commonly referred to as an administrative mandate action. It happens all the time when medical doctors or other licensed professionals appeal to the Superior Court after a licensing board takes disciplinary action. But of course, this is a new law, so there is obviously no legal precedent for this kind of case. So for now, I am sticking with the general rule that people have a right to appeal a final administrative order (until I find something out to the contrary). Arguably, federal due process jurisprudence would require such a right to appeal, but that might need to be litigated as well, since as, stated, it’s a new law.
There are some practical and financial challenges to these future actions, but nothing insurmountable
Civil lawsuits cost money, even administrative mandate actions, starting with the filing fee, which is usually $450. Then there’s service of process fees, and some other court costs.
Class actions are a possibility, but they have their own logistical headaches. The courts don’t love class actions, and they seem to want the common issues to predominate over each case’s individual issues. A better solution might be a bunch of parents in the same district filing suit suing one district and maybe the state, for the internal review. That way, the filing fee could be spread around. The proof might differ, since each case would be different, but each case would also have some common elements. Or suits could be filed per a specific reason for an exemption, thereby increasing the common elements. Point being, there’s some flexible approaches to lighten the court cost load.
Of course, there are legal fees, but here again they get spread around amonst the plaintiffs (probably technically called petitioners.) Also, I have the general sense that money could be found. These kinds of actions might draw much attention, nationally even. It could be the first time that vaccine exemption cases get litigated, or at least partially judicially reviewed. (I’ll explain what I mean by that in another post.) My sense of the national vaccine concerned community is that the money won’t be a big problem. But then I’ve always been a “build it and they will come” kind of guy. And let’s just say I’ve built things before, so I’m reasonably confident.
Another issue is that normally administrative mandate proceedings are done on a cold record, and on papers, without an evidentiary hearing, just an oral argument for the lawyers, no trial. Based on some of the stories I’ve heard from parents, it would be a very good thing to get the parents before a judge. I think that may be possible even in cases like these. I’ve got some ideas, but there’s no need to get into it now since we’re just seeing how this thing might play out. But for sure, the goal would be get the parents (and maybe a doctor or two) before the judge.
In short, educate the California judiciary, one judge at a time, or a whole lot of them at a time. Some of these cases could find their way into the courts of appeals, and eventually the California Supreme Court might weigh-in.
There could be many, dozens or even hundreds of these cases. Who knows, all with an eye to educating the California judiciary, one judge at a time.
Think of it as a Plan B.
Rick Jaffe, Esq.
20 thoughts on “What Happens if Cali. SB 276 Becomes Law?”
Thank you for taking the time to write this post. Jacobson should be an interesting read, just for my own knowledge. Thanks again.
Jacobson required vaccination, but it could be avoided by payment of a small fine.
Yes, but it was the case that held that vaccination could be mandated or a person could be fined. Later cases applied this case as the precedent to justify mandates on pain of not getting a service like public school
thank you for your article. what about a straight up malpractice case against the state doctor denying the exemption?
the bill doesn’t require the decision to be made by a doctor
yes, but almost certainly the initial denial would be referred to a physician for the appeal
the appeal ultimately would be in the hands of a licensed doctor
Maybe I missed that in the bill, but if it’s not in the bill, then it’s just an assumption or hope, at least until there are some written guidelines about the process.
man, you’re good. you are right, wishful thinking on my part.
Jacobsen was about smallpox. Hep b and chicken pox are not smallpox. Even measles is peanuts compared to smallpox. How is looking at Jacobsen apples to apples?
In the VC world measles is peanuts compared to smallpox. Respectfully, in the overwhelming majority of the world and in this country, measles is a highly contagious, sometimes deadly disease which caused 50k hospitalizations a year in the US. Most respectully, the dismissive attitude towards measles is maybe the biggest reason most people are frightened by the vaccine concerned.
I can see how that might come across that way. But this is a quite fascinating paper on the history of the measles vaccine roll out. In the words of the leading authorities at the time, even they acknowledged that it was a disease that was relatively benign and they had concerns that parents might not go for another vaccine in light of this.
Why does the bill still state doctor and surgeon? Almost all pediatricians, internal and family doctors are NOT surgeons; and surgeons do not see kids or sea with vaccines on a clinic level. Orthopedic surgeons are an exception in that they have clinic and surgery- they deal with bones/joints, not immunizations. OBGYNs may be an acception as they have clinic and perform surgery- but they are too busy delivering babies to write exemptions for kids. What is the goal in this wording? Does this wording exclude most clinical doctors and hence make it impossible for exemptions based on doctors and surgeons having 2 different roles in medicine?
I can answer this one as I am a physician. No, there is no distinction practically
my license states “physician and surgeon”, though I am not trained as a surgeon beyond a few months in medical school. I am in a totally different field.
Thanks Brad. My supervising MD and I thought the wording was a bit off/misleading in this bill.
The disturbing thing about this bill- and endgame- I believe, is the creation of a list of all those who are asking for exemptions. That list looks, and my in fact function, as a list of dissidents. Combined with other bills allowing the State to do whatever it feels necessary to keep everyone healthy, it’s a very broad reach. This list includes PII and protected medical records, so how is it going to be kept secure? Is there anything in all of that which provides a legal basis for stopping the bill? It’s not just about exemptions.
“legislators have absolute immunity” … what’s the antigen in that shot?
(ps) Sound familiar?
“Microsoft has become the first technology company to join the CLC, which includes oil giants BP, ExxonMobil, Shell, Total and ConocoPhillips among its founding members. Handing legal immunity to these oil companies would squash a cavalcade of recent climate lawsuits launched by cities and counties across the US… Many of these claims point out that firms like Exxon privately knew of the consequences of climate change for at least 40 years, long before it was a public issue, only to deny the problem and block meaningful action to address it…”
Could the state be liable for vaccine injury for those who are vaccinated after the denial of an exemption? Or if a doctor will not write the initial exemption for review because of some aspect of the process for approval of the exemption is burdensome? Thank you
I don’t see how there could be a malpractice action, which is effect a claim that a physician’s conduct is a violation of the standard of care by following the CDC AAP guidelines which are the prevalent standard of care. I also don’t see how the state can be liable for the same and other reasons, like tort claims acts which in general limit liability, but it’s mainly the standard of care thing.