Petition for Writ of Certiorari — Health Freedom Defense Fund, Inc., a Wyoming Not-for-Profit Corporation, et al., Petitioners v. Alberto Carvalho, in His Official Capacity as Superintendent of the Los Angeles United School District, et al.
Supreme Court briefDec 23, 2025
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No. 25-___
IN THE
Supreme Court of the United States
————
HEALTH FREEDOM DEFENSE FUND INC., et al.,
v.
Petitioners,
ALBERTO CARVALHO, et al.,
Respondents.
————
On Petition for a Writ of Certiorari to the
United States Court of Appeals
for the Ninth Circuit
————
PETITION FOR A WRIT OF CERTIORARI
————
SCOTT J. STREET
Counsel of Record
JOHN W. HOWARD
JW HOWARD ATTORNEYS, LTD.
201 South Lake Avenue
Suite 303
Pasadena, CA 91101
(213) 205-2800
sstreet@jwhowardattorneys.com
Counsel for Petitioners
December 23, 2025
WILSON-EPES PRINTING CO., INC. – (202) 789-0096 – WASHINGTON, D.C. 20002
QUESTIONS PRESENTED
1. Does this Court’s opinion in Jacobson v.
Commonwealth of Massachusetts, 197 U.S. 11 (1905),
limit a court’s review of government mandated
medical treatments to the highly deferential rational
basis review or does Jacobson require heightened
scrutiny based on a balancing test, as the Court held
in Cruzan v. Director of Missouri Department of
Health, 497 U.S. 261 (1990)?
2. If, as the Ninth Circuit held, Jacobson limits
courts to rational basis review, should it be overruled
or limited to its specific facts because it is inconsistent
with modern constitutional scrutiny, including this
Court’s opinions in Cruzan and Sell v. United States,
539 U.S. 166 (2003), which explicitly recognized a
person’s fundamental interest in rejecting unwanted
medical treatments?
(i)
ii
LIST OF ALL PARTIES
The petitioners are Health Freedom Defense Fund,
Inc. (“HFDF”), a Wyoming non-profit corporation, and
Sandra Garcia, Hovhannes Saponghian, Norma
Brambila, and California Educators for Medical
Freedom. The respondents are Alberto Carvalho,
Ileana Davolos, George McKenna, Monica Garcia,
Scott Schmerelson, Nick Melvoin, Jackie Goldberg,
Kelly Gonez, and Tanya Ortiz Franklin, all sued in
their official capacities as executives or board
members of the Los Angeles Unified School District.
CORPORATE DISCLOSURE STATEMENT
Petitioners have no information to disclose under
Rule 29.6.
TABLE OF CONTENTS
Page
QUESTIONS PRESENTED ...............................
i
LIST OF ALL PARTIES .....................................
ii
CORPORATE DISCLOSURE STATEMENT .....
ii
TABLE OF AUTHORITIES ................................
iv
OPINIONS BELOW ............................................
1
CONSTITUTIONAL PROVISIONS AT ISSUE .
1
STATEMENT OF JURISDICTION ....................
1
INTRODUCTION ................................................
2
STATEMENT OF THE CASE ............................
6
REASONS FOR GRANTING THE PETITION..
9
I.
THE NINTH CIRCUIT MISCONSTRUED JACOBSON AND FAILED TO
APPLY THE BALANCING TEST THAT
JACOBSON AND CRUZAN REQUIRE ..
9
ONLY THIS COURT CAN RECONCILE
JACOBSON AND CRUZAN AND
DECIDE WHETHER JACOBSON IS
STILL GOOD LAW OR SHOULD BE
OVERRULED ...........................................
15
CONCLUSION ....................................................
19
II.
APPENDIX
(iii)
iv
TABLE OF AUTHORITIES
CASES
Page(s)
Agostini v. Felton,
521 U.S. 203 (1997) ...................................
2
Boone v. Bozeman,
217 F. Supp. 2d 938 (E.D. Ark. 2002) ......
12
Buck v. Bell,
274 U.S. 200 (1927) ................................... 4, 17
Cavuoto v. Buchanan Cnty. Dep’t of Soc.
Servs.,
605 S.E.2d 287 (Va. Ct. App. 2004) ..........
12
Compassion in Dying v. State of Wash.,
79 F.3d 790 (9th Cir. 1996) .......................
11
Cruzan v. Director of Missouri Department
of Health,
497 U.S. 261 (1990) ............ 3, 4, 9, 11-16, 18, 19
Curtis v. Inslee,
154 F.4th 678 (9th Cir. 2025) ................... 5, 16
Dobbs v. Jackson Women's Health Org.,
597 U.S. 215 (2022) ............................... 2, 11, 19
Gargiul v. Tompkins,
704 F.2d 661 (2d Cir. 1983), cert.
granted, judgment vacated, 465 U.S.
1016 (1984) ................................................
14
Gill v. Off. Of Pers. Mgmt.,
699 F. Supp. 2d 374 (D. Mass. 2010)........
14
Griswold v. Connecticut,
381 U.S. 479 (1965) ................................... 10, 13
Guertin v. State,
912 F.3d 907(6th Cir. 2019) ......................
12
v
TABLE OF AUTHORITIES—Continued
Page(s)
Heller v. Doe by Doe,
509 U.S. 312 (1993) ...................................
15
Jacobson v. Massachusetts,
197 U.S. 11 (1905) ................................. 2-5, 8-19
Kimble v. Marvel Entertainment, LLC,
576 U.S. 446 (2015) ...................................
2
Massachusetts v. U.S. Dep’t of Health &
Hum. Servs.,
682 F.3d 1 (1st Cir. 2012) .........................
14
Mills v. Rogers,
457 U.S. 291 (1982) ...................................
13
Missouri v. McNeely,
569 U.S. 141 (2013) ...................................
3-4
O’Connor v. Donaldson,
422 U.S. 563 (1975) ...................................
11
Olmstead v. United States,
277 U.S. 438 (1928) ...................................
18
Planned Parenthood of Se. Pa. v. Casey,
505 U.S. 833 (1992) ...................................
10
Poe v. Ullman,
367 U.S. 497 (1961) ...................................
10
Rivas v. United States,
368 F.2d 703 (9th Cir.1966), cert. denied,
386 U.S. 945, 87 S.Ct. 980, 17 L.Ed.2d
875 (1967) ..................................................
14
Roe v. Wade,
410 U.S. 113 (1973) ...................................
10
vi
TABLE OF AUTHORITIES—Continued
Page(s)
Roman Cath. Diocese of Brooklyn v.
Cuomo,
592 U.S. 14 (2020) .....................................
15
Schmerber v. California,
384 U.S. 757, 86 S.Ct. 1826, 16 L.Ed.2d
908 (1966) ..................................................
14
Sell v. United States,
539 U.S. 166 (2003) ....................... 12, 13, 16, 19
United States v. Ayala-Bello,
995 F.3d 710 (9th Cir. 2021) .....................
15
Washington v. Glucksberg,
521 U.S. 702 (1997) ................................... 11, 16
Williams v. DeLeon,
No. 115-CV-00543-SKOPC, 2018 WL
4352902 (E.D. Cal. Sept. 11, 2018) ..........
12
Witt v. Department of the Air Force,
527 F.3d 806 (9th Cir. 2008) ..................... 12, 13
Youngberg v. Romeo,
457 U.S. 307 (1982) ...................................
13
CONSTITUTION
U.S. Const. amend. V ................................. 1, 7, 13
U.S. Const. amend. XIV ............................. 1, 7, 13
STATUTES
26 U.S.C. § 4132 ...........................................
3
28 U.S.C. § 1254 ...........................................
1
vii
TABLE OF AUTHORITIES—Continued
RULES
Page(s)
Sup. Ct. R. 10(c) ............................................
9
OTHER AUTHORITIES
Jeffrey D. Jackson, Classical Rational
Basis and the Right To Be Free of
Arbitrary Legislation, 14 Geo. J.L. & Pub.
Pol y 493 (2016) .........................................
2
L. Tribe, American Constitutional Law
(1978) .........................................................
14
PETITION FOR WRIT OF CERTIORARI
Petitioners seek a writ of certiorari to review the
judgment of the Ninth Circuit Court of Appeals which
affirmed an order granting judgment on the pleadings
for Respondents.
OPINIONS BELOW
The opinion of the Ninth Circuit’s en banc panel was
reported at 148 F.4th 1020 (9th Cir. 2025), and is
included in its original form in Appendix (“App.”) A.
The Ninth Circuit’s panel opinion was reported at 104
F.4th 715 (2024), and is included in its original form in
App. B. The district court’s opinion was not published
but is included in App. C.
CONSTITUTIONAL PROVISIONS AT ISSUE
The Fourteenth Amendment provides, in relevant
part: “nor shall any State deprive any person of life,
liberty, or property, without due process of law; nor
deny to any person within its jurisdiction the equal
protection of the laws.” The Fifth Amendment, as
incorporated against the States by the Fourteenth
Amendment, provides, in relevant part: “No person
shall … be deprived of life, liberty, or property, without
due process of law.”
STATEMENT OF JURISDICTION
This Court has jurisdiction under 28 U.S.C. § 1254.
The Ninth Circuit issued its en banc opinion on July
31, 2025. The Court extended Petitioners’ deadline to
file this petition to December 28, 2025.
2
INTRODUCTION
This petition poses one of the most important
constitutional questions the Court can consider:
whether the Court should reconsider or clarify one of
its prior decisions.
It is an important duty. And it is not one the Court
takes lightly. The doctrine of stare decisis requires
fidelity to past precedents. “But as the Court has
reiterated time and time again, adherence to precedent is not ‘an inexorable command.’” Dobbs v.
Jackson Women's Health Org., 597 U.S. 215, 262
(2022) (quoting Kimble v. Marvel Entertainment, LLC,
576 U.S. 446, 455 (2015)). And it “is at its weakest
when we interpret the Constitution ….” Agostini v.
Felton, 521 U.S. 203, 235 (1997) (quotations omitted).
So here. This case presents a burning question of
federal law that has not been, but should be, answered
by this Court; namely, are there any meaningful limits
on a government’s ability to impose medical mandates
in the name of public health? During the most recent
pandemic, courts treated this Court’s 1905 opinion in
Jacobson as a blank check that allows governments to
issue mandates of every sort (even closing supposedly
“non-essential” businesses) with such intrusions
typically subject only to “rational basis” review, a
measure of constitutional review that one scholar has
described as “no test at all” because it operates “on the
basis of what the legislature ‘could have thought,’
without regard to what the legislature’s actual
purpose was or whether that purpose or any other
legitimate purpose is actually served by the legislation.” Jeffrey D. Jackson, Classical Rational Basis
and the Right To Be Free of Arbitrary Legislation, 14
Geo. J.L. & Pub. Pol y 493, 494 (2016).
3
This overly broad reading of Jacobson is inconsistent with pre-pandemic interpretations of Jacobson,
including Cruzan, which described Jacobson as a case
in which “the Court balanced an individual’s liberty
interest in declining an unwanted smallpox vaccine
against the State’s interest in preventing disease.”
Cruzan, 497 U.S. at 278 (emphasis added). Moreover,
Jacobson did not use the term “rational basis” review.
Nor did it dwell on what the City of Cambridge
might have been thinking when enacting the smallpox
vaccine mandate that Mr. Jacobson challenged.
Instead, the courts in Jacobson relied on evidence that
the City put forth about the benefits of the smallpox
mandate under the circumstances and then they
balanced that evidence of a public health benefit to the
intrusion on Jacobson’s interest in bodily autonomy.
As the dissenting Ninth Circuit judges observed,
Jacobson’s holding should be limited to a shot that
prevents the spread of disease. After all, that is how
the law defines a vaccine. See 26 U.S.C. § 4132(a)(2)
(“The term ‘vaccine’ means any substance designed to
be administered to a human being for the prevention
of 1 or more diseases.”). Thus, a shot that does not
prevent disease, which only reduces the symptoms of
disease, should not be controlled by the vaccine-related
decision in Jacobson. It should be treated as a medical
treatment and, under Cruzan, subject to heightened
scrutiny, based on the submission of evidence, not on a
“rational basis” test that is no test at all, and which
allows judges to speculate about what the government
thought.
This is not a new right. The Court has long
recognized “that any compelled intrusion into the
human body implicates significant, constitutionally
protected privacy interests.” Missouri v. McNeely,
4
569 U.S. 141, 159 (2013). In Cruzan, the Court made
clear that a person has a liberty interest in refusing
unwanted medicine. Cruzan, 497 U.S. at 278. In doing
so, it implicitly rejected the logic of cases like Buck v.
Bell, 274 U.S. 200 (1927), in which the Court upheld
the forced sterilization of a young woman and in which
Justice Oliver Wendell Holmes famously wrote:
“The principle that sustains compulsory vaccination is
broad enough to cover cutting the Fallopian tubes.
Three generations of imbeciles are enough.” Id. at 207
(citing Jacobson).
Decisions like that faded after World War II.
Compulsory vaccination laws were largely relegated to
public elementary schools and, even then, families
could decline the shots for philosophical, religious or
medical reasons. Educated autonomy became the
norm. That changed during the most recent pandemic.
That is unfortunate. And while most governments
backed away from the mandates after a few years—
LAUSD tried to moot this case by rescinding its policy
twice, including immediately after a disastrous appellate argument—they did not change their positions.
They insist that the government’s police power trumps
personal autonomy during an emergency. And they
insist that Jacobson precludes people from presenting
evidence in court to challenge the government’s
emergency actions.
The Ninth Circuit agreed. The en banc panel refused
to consider the tension between Jacobson and Cruzan
and other medical treatment-based autonomy cases. It
said only this Court can reconcile Jacobson and
Cruzan. The Court should grant review and do that.
That is the only way to square Jacobson with modern
constitutional scrutiny and ensure that this outdated
decision does not continue to imperil the lives and
5
livelihoods of people like Petitioners, who just wanted
to make their own health decisions, free of pressure
from the government and their employer.
Time is of the essence. The Ninth Circuit’s flawed
analysis in the en banc opinion is already affecting
other cases. For example, in Curtis v. Inslee, 154 F.4th
678, 692 (9th Cir. 2025), a Ninth Circuit panel held
that “Jacobson and Carvalho foreclose Employees'
substantive due process claim regarding the purported
“right to refuse an investigational drug without
penalty or pressure.”” (Emphasis added.) In a published
opinion, it affirmed the dismissal of a substantive due
process claim that, like this case, specifically alleged
that the COVID-19 shots were not vaccines because
they did not prevent the spread of disease. And it
treated Jacobson as a bedrock principle of constitutional law whose logic and result cannot be questioned.
Forced medication is a gross violation of the most
basic and fundamental of human rights. Thus, medical
mandates of all sorts should be abhorrent to a free and
just society. At minimum, people in a free society
should be allowed to walk into a courtroom and hold
such mandates to constitutional scrutiny, with at least
some presentation of evidence required to justify the
intrusion. It is time for this Court to make that clear
and to set forth a clear standard that balances the
private and public interests at stake.
6
STATEMENT OF THE CASE
The underlying case challenged LAUSD’s adoption
of a policy that required its employees to get the
COVID-19 shot to keep their jobs. LAUSD issued the
initial policy on March 4, 2021. ECF No. 65 at 2 That
prompted Petitioners to file a lawsuit challenging the
policy (the “First LAUSD Case”). Id.1
Under pressure from that lawsuit, LAUSD diluted,
and effectively rescinded, the policy by giving
employees who did not want to get the shot the option
of regular testing. ECF No. 65 at 2-3. LAUSD then
convinced the district court to dismiss the First
LAUSD Case based on the ripeness doctrine. Id.
Seventeen days later, after representing to the court
that it did not intend to implement a COVID injection
mandate, LAUSD adopted a new policy that required
all employees to get the COVID-19 shot to keep their
jobs. ECF No. 65 at 3. The new policy eliminated
testing as an accommodation for those who did not
wish to take the COVID shot (in fact, the policy
required that even the “vaccinated” employees undergo
regular COVID testing) and it implied that most
requests for religious and medical accommodations
would be denied. Id. at 40. That turned out to be true,
as several of the Petitioners sought an accommodation
to the mandate for religious and medical reasons but
were told that the district would not accommodate
them, period, and at least 500 people were eventually
fired. Id. at 20-21.
1
Since they were sued in their official capacities, the Petition
refers to actions taken by Respondents as being taken by
“LAUSD.”
7
In response, Petitioners filed this case. The Second
Amended Complaint alleged several claims. But the
only ones still at issue were the first and second causes
of action. The first alleged that LAUSD’s new COVID
policy violated its employees’ fundamental right to
privacy under the substantive component of the Due
Process Clause. ECF No. 65 at 22-24. The complaint
identified the relevant right as the right to bodily
autonomy related to medical treatments and it
invoked this Court’s robust bodily integrity case law to
support Petitioners’ claim. Id. The complaint also
alleged that the COVID-19 shots are not “vaccines” as
federal law defines that term because they do not
prevent people from becoming infected with the virus
that causes COVID-19. The most the shots can do is
reduce the severity of an infected person’s symptoms
(although even that is debated). Thus, the shots are
medical treatments like medication and other
therapeutics that people take when they are, or may
become, sick. Id. at 13-17, 22-24.
The complaint highlighted some issues with the
COVID-19 shots. For example, it cited evidence that
people would have to get an endless stream of boosters
to maintain the shot’s efficacy, leading to a “regular
cycle of vaccination and revaccination.” ECF No. 65
at 19 (quotations omitted). It also cited evidence that
people who took the COVID shots became sicker than
people who did not take them. Id. at 16-20. And it
discussed the significant, and growing, evidence of
adverse reactions that people have reported in connection with the shots. Id. at 19-20. The individual
plaintiffs cited these reasons, among others, for not
wanting to take the COVID-19 shots. Id. at 20-21.
8
The district answered the second amended complaint on April 7, 2022. ECF No. 66. The parties agreed
to a case management and discovery schedule that
would have allowed trial to take place in March 2023.
ECF No. 52. But, in late July 2022, the district changed
its strategy and filed a motion for judgment on the
pleadings. ECF No. 74. The district court granted the
motion. App. C.
A three-judge Ninth Circuit panel reversed. App. B.
It did so after LAUSD tried to moot the case by voting
to rescind the challenged policy immediately after the
appellate argument. Ninth Circuit ECF No. 49. But
the Ninth Circuit then voted to take the case en banc
and, after argument, the en banc panel issued its
opinion on July 31, 2025. App. A. It rejected LAUSD’s
argument that the case was moot. Id. at 13a-17a. But
it affirmed the district court’s order of judgment on the
pleadings because it believed that Jacobson requires
that a challenge to a vaccine mandate be judged under
rational basis review, which is not based on the
presentation of evidence but on speculation about
what the government might have been thinking, and
because it believed that most (if not all) vaccine
mandates survive that scrutiny under Jacobson. Id. at
18a-28a. Two judges dissented from that portion of the
opinion. Id. at 34a-42a.
9
REASONS FOR GRANTING THE PETITION
I. THE NINTH CIRCUIT MISCONSTRUED
JACOBSON AND FAILED TO APPLY THE
BALANCING TEST THAT JACOBSON
AND CRUZAN REQUIRE
The Court should grant the petition because it
involves an important question of federal law that only
this Court has the authority to answer and because it
is necessary to protect the fundamental liberty interests
that generations of Americans fought to protect.
The Court may grant a writ of certiorari where
“a state court or a United States court of appeals has
decided an important question of federal law that has
not been, but should be, settled by this Court, or has
decided an important federal question in a way that
conflicts with relevant decisions of this Court.” U.S.
Supreme Court Rule 10(c). That rule applies here, as
the Ninth Circuit’s en banc opinion rested entirely on
a misunderstanding of this Court’s precedents, including Jacobson and Cruzan. For example, the en banc
opinion concluded that, under Jacobson, “the constitutionality of a vaccine mandate, like the Policy here,
turns on what reasonable legislative and executive
decisionmakers could have rationally concluded about
whether a vaccine protects the public’s health and
safety, not whether a vaccine actually provides
immunity to or prevents transmission of a disease.
Whether a vaccine protects the public’s health and
safety is committed to policymakers, not a court or a
jury.” App. A at 22a. Thus, according to the Ninth
Circuit, “Jacobson simply does not allow debate in the
courts over whether a mandated vaccine prevents the
spread of disease. Jacobson makes clear that it is
up to the political branches, within the parameters of
10
rational basis review, to decide whether a vaccine
effectively protects public health and safety.” Id.; see
also id. at 26a-27a (devoting just one paragraph of
conclusory analysis to this question).
That misreads Jacobson and ignores the development of constitutional law during the past 120 years.
Substantive due process is not a novel concept, but this
Court began discussing it more explicitly only in the
second half of the twentieth century. The second
Justice Harlan explained this in 1960, stating that
constitutional “‘liberty’ is not a series of isolated
points” but “a rational continuum which, broadly
speaking, includes a freedom from all substantial
arbitrary impositions and purposeless restraints, and
which also recognizes, what a reasonable and sensitive
judgment must, that certain interests require particularly careful scrutiny of the state needs asserted to
justify their abridgment.” Poe v. Ullman, 367 U.S. 497,
543 (1961) (Harlan, J., dissenting).
A majority adopted Justice Harlan’s position four
years later in Griswold v. Connecticut, 381 U.S. 479
(1965). See Planned Parenthood of Se. Pa. v. Casey, 505
U.S. 833, 849 (1992) (recognizing this). Justice Byron
White concurred in Griswold but wrote separately to
explain why. In doing so, he rejected the dissent’s
argument that “the Court is without authority to
ascertain whether a challenged statute, or its application, has a permissible purpose and whether the
manner of regulation bears a rational or justifying
relationship to this purpose. A long line of cases makes
very clear that this has not been the view of this
Court.” Griswold, 381 U.S. at 504 n.* (White, J.,
concurring). One of the cases Justice White cited for
that proposition was Jacobson. Eight years later,
Justice Douglas explained that privacy “rights, though
11
fundamental, are likewise subject to regulation on a
showing of compelling state interest.” Roe v. Wade, 410
U.S. 113 at 213 (1973). Jacobson was one of the cases
he cited, and he distinguished it from Roe by noting
the compelling state interest in Jacobson, which
Justice Douglas defined as: “Vaccinations to prevent
epidemics ….” Id. at 215 (emphasis added).2
This trend continued during the latter part of the
twentieth century. In fact, by 1990, the Court was
describing Jacobson as a case in which “the Court
balanced an individual’s liberty interest in declining
an unwanted smallpox vaccine against the State’s
interest in preventing disease.” Cruzan, 497 U.S. at 278
(emphasis added); see also O’Connor v. Donaldson,
422 U.S. 563, 582-83 (1975) (Burger, C.J., concurring)
(citing Jacobson when explaining that “a State may
confine individuals solely to protect society from the
dangers of significant antisocial acts or communicable
disease”). That was consistent with the en banc
opinion in the Washington v. Glucksberg, 521 U.S. 702
(1997) right-to-die case, where the Ninth Circuit cited
Jacobson to justify the use of a higher standard than
rational basis review, saying: “The [Supreme] Court
has been applying a balancing test in substantive due
process cases at least since 1905, when in Jacobson v.
Massachusetts … ‘the Court balanced an individual’s
liberty interest in declining an unwanted smallpox
vaccine against the State’s interest in preventing
disease.’” Compassion in Dying v. State of Wash., 79
F.3d 790, 799 (9th Cir. 1996) (en banc) (quoting
Cruzan, 497 U.S. at 278); see also id. at 804 (noting “the
2
Dobbs “stated unequivocally that nothing in this opinion
should be understood to cast doubt on precedents [like Griswold
and other privacy cases] that do not concern abortion.” Dobbs, 597
U.S. at 295.
12
Court’s ninety-year-old practice of using a balancing
test in liberty interest cases that raise important
issues of the type before us”).
The Ninth Circuit was not the only court to reach
that conclusion. The Sixth Circuit also relied on
Jacobson in finding that a competent adult has a
constitutional right to refuse unwanted medical treatment.” Guertin v. State, 912 F.3d 907, 920 (6th Cir.
2019). Others referred to Jacobson and Cruzan as
involving a balancing test. See, e.g., Williams v.
DeLeon, No. 115-CV-00543-SKOPC, 2018 WL 4352902,
at *9 (E.D. Cal. Sept. 11, 2018) (describing Jacobson as
case in which Supreme Court “balanced an individual’s liberty interest in declining an unwanted smallpox vaccine against the State’s interest in preventing
disease”); Cavuoto v. Buchanan Cnty. Dep’t of Soc.
Servs., 605 S.E.2d 287, 288 (Va. Ct. App. 2004)
(discussing competent adult’s interest in refusing
unwanted medical treatment and describing Jacobson
as “balancing” case); Boone v. Bozeman, 217 F. Supp. 2d
938, 955-56 (E.D. Ark. 2002) (citing Cruzan for the
proposition that, in this context, deciding “whether [an
individual’s] constitutional rights have been violated
must be determined by balancing his liberty interests
against the relevant state interests” (quotations omitted)).
Likewise, in Witt v. Department of the Air Force, 527
F.3d 806 (9th Cir. 2008), a Ninth Circuit panel reversed
an order dismissing a substantive due process claim
brought by a female Air Force commander who alleged
that she had been suspended from duty because she
was a lesbian. The court applied something more than
rational basis review, but something less than strict
scrutiny, to that claim. It did so based on a forcedmedication case, Sell v. United States, 539 U.S. 166,
178-80 (2003), in which this Court “recognized a
13
‘significant’ liberty interest ... and balanced that
liberty interest against the ‘legitimate’ and ‘important’
state interest ‘in providing appropriate medical treatment to reduce the danger that an inmate suffering
from a serious mental disorder represents to himself
and others.’” Witt, 527 F.3d at 818 (quoting Sell, 539
U.S. at 178); see also Youngberg v. Romeo, 457 U.S. 307,
321 (1982) (deciding “whether respondent’s constitutional rights [under Substantive Due Process Clause]
have been violated must be determined by balancing
his liberty interest against the relevant state interests”); Mills v. Rogers, 457 U.S. 291, 299 (1982) (noting
that substantive part of due process analysis “involves
a definition of that protected constitutional interest, as
well as identification of the conditions under which
competing state interests might outweigh it”).
Jacobson also recognized the possibility that government would overreach or act arbitrarily. Jacobson, 197
U.S. at 38. And it recognized the need for judicial
intervention if, for example, a person could show “that
he is not at the time a fit subject of vaccination, or that
vaccination, by reason of his then condition, would
seriously impair his health, or probably cause his
death.” Id. In other words, contrary to the Ninth
Circuit’s opinion, a review of modern case law makes
abundantly clear that Jacobson required heightened
scrutiny of mandated medical treatments. It applied a
balancing test in which it acknowledged the need to
gather and present evidence under certain circumstances.
That was the part of Jacobson that this Court relied
on in Cruzan. For more than 100 years, that was
Jacobson’s legacy. It was not until recently that courts
reinterpreted Jacobson to reject challenges to compulsory health policies without any presentation of
evidence. Even then, courts often took pains to
14
emphasize the narrowness of their rulings. For
example, Second Circuit Judge James Oakes invoked
Jacobson when considering a lawsuit brought by a
kindergarten teacher accused of being incompetent.
He explained: “Although compulsory vaccinations,
Jacobson v. Massachusetts, 197 U.S. 11, 25 S.Ct. 358,
49 L.Ed. 643 (1905), compelled blood tests, Schmerber
v. California, 384 U.S. 757, 86 S.Ct. 1826, 16 L.Ed.2d
908 (1966), and rectal cavity searches, Rivas v. United
States, 368 F.2d 703 (9th Cir.1966), cert. denied, 386
U.S. 945, 87 S.Ct. 980, 17 L.Ed.2d 875 (1967),
have from time to time been upheld where there is
clear necessity, procedural regularity, and little or no
physical risk, ... ‘in each case ... [the] government’s
burden was to provide more than minimal justification
for its action.” Gargiul v. Tompkins, 704 F.2d 661, 66970 (2d Cir. 1983) (Oakes, J., concurring), cert. granted,
judgment vacated, 465 U.S. 1016 (1984) (quoting L.
Tribe, American Constitutional Law 914-15 (1978))
(emphasis added).
Applying typical rational basis review to a substantive due process claim grounded in a person’s liberty
interest in rejecting unwanted medical treatment
conflicts with Jacobson and Cruzan. It does not force
the government to provide more than minimal justification for its action. It does not require that the
government justify anything at all. Rational basis
review allows a judge “to hypothesize about potential
motivations of the legislature, in order to find a
legitimate government interest sufficient to justify the
challenged provision.” Gill v. Off. Of Pers. Mgmt., 699
F. Supp. 2d 374, 387 (D. Mass. 2010), aff ’d sub nom.
Massachusetts v. U.S. Dep’t of Health & Hum. Servs.,
682 F.3d 1 (1st Cir. 2012). It requires the plaintiff to
“negative every conceivable basis which might support
[the policy], whether or not the basis has a foundation
15
in the record.” Heller v. Doe by Doe, 509 U.S. 312, 320321 (1993) (quotations omitted).
Rational basis review is the appropriate test to
apply in an equal protection case that does not involve
a suspect classification. See United States v. AyalaBello, 995 F.3d 710, 715 (9th Cir. 2021). And it may be
equivalent to the level of scrutiny at one end of the due
process balancing test. But it is not the right test to
apply in a substantive due process case involving
government action that interferes with an individual’s
fundamental interest in bodily autonomy because it
does not allow for the balancing that Jacobson and
Cruzan require to justify such intrusions. It does not
allow for the gathering and presentation of evidence.
Put simply, Jacobson did not say that only the
political branches can decide whether a particular shot
would prevent infection. And Jacobson did not bar
consideration of the surrounding circumstances in
assessing the constitutionality of a compulsory health
policy. Indeed, visitors to Cambridge could have opted
out of the smallpox mandate in Jacobson by paying
a small fine or by seeking an exemption, making
any interference with individual freedom “avoidable
and relatively modest.” See Roman Cath. Diocese of
Brooklyn v. Cuomo, 592 U.S. 14, 24 (2020) (Gorsuch, J.,
concurring). The Ninth Circuit was wrong to suggest
that it does.
II. ONLY THIS COURT CAN RECONCILE
JACOBSON AND CRUZAN AND DECIDE
WHETHER JACOBSON IS STILL GOOD
LAW OR SHOULD BE OVERRULED
The Ninth Circuit erred in construing Jacobson to
(1) apply rational basis review whenever a person
challenges a mandatory vaccination policy and (2) to
16
uphold such a policy, on the pleadings, so long as the
government cites public health in enacting it.
Not every error justifies review, of course. But this
one comes from an en banc panel that disregarded its
own prior interpretation of Jacobson from Glucksberg.
It would not even consider Petitioners’ arguments
about how the substantive due process analysis has
changed without guidance from this Court. App. A at
26a-27a. And it is not alone. As the Ninth Circuit
observed, most of the circuit courts have taken the
same approach during the COVID pandemic, with
none willing to consider Jacobson under Cruzan, Sell
and other more recent constitutional cases. Id. at 28a
n.13. The Ninth Circuit again refused to think deeply
about Jacobson in Curtis, saying that “Jacobson and
Carvalho foreclose Employees' substantive due process
claim regarding the purported “right to refuse an
investigational drug without penalty or pressure.”
Curtis, 154 F.4th at 692 (emphasis added.) Thus, this
is the only court that can reconcile Jacobson, Cruzan
and Sell. This is the only court that can decide whether
a person’s fundamental interest in rejecting unwanted
medical treatment extends to all people and all
medications or whether it is limited to life-saving
medical treatment and shots that prevent disease
(thus qualifying as a “vaccine” under federal law)
offered under certain circumstances.
Those are not rhetorical questions. Judge Lee’s
dissent in the en banc opinion explained why. The
majority held that Jacobson barred a challenge to
“vaccination requirements regardless of whether such
vaccines actually provide immunity and prevent the
spread of disease or whether they provide no immunity
and merely render COVID-19 less dangerous to those
who contract it ….” App. A at 26a. Judge Lee countered:
17
“If we accept the majority’s holding that a state can
impose a vaccine mandate just to ‘lessen the severity
of symptoms’ of sick persons—without considering
whether it lessens transmission and contraction of this
disease—then we are opening the door for compulsory
medical treatment against people’s wishes …. Indeed,
under the majority’s reasoning, we are only a step or
two from allowing the government to require COVID19 patients to take, say, Ivermectin if the government
in its judgment believes that it would ‘lessen the
severity of symptoms.’” Id. at 41a-42a (Lee and Collins,
JJ., dissenting).
An ivermectin mandate would just be the starting
point. Under the Ninth Circuit’s reasoning, the government could compel a woman to have an abortion to
avoid a high-risk pregnancy if the government believes
it would serve public health. Buck v. Bell lives on in
this era of “government knows best” public health
policies.
The Court should stop that now. Personal health
decisions are a fundamental part of individual liberty.
And we learned during the second half of the twentieth
century that public health can be protected without
compromising personal autonomy. That is why
Jacobson faded from memory after World War II. One
wonders how it was resurrected and turned into a
bedrock principle of constitutional law, a case whose
holding cannot be questioned or even examined in the
depth normally given by an en banc panel. Perhaps
judges did not read the opinion closely. Perhaps they
did, and they simply decided not to think critically
about the constitutional problems that arise when the
government forces people to put something into their
body against their will. Perhaps they viewed the
COVID-19 pandemic as a once-in-a-century event, an
18
emergency that justified suspending typical legal
analysis for the public good.
If so, that was a mistake. “Experience should teach
us to be most on our guard to protect liberty when the
government’s purposes are beneficent. Men born to
freedom are naturally alert to repel invasion of their
liberty by evil-minded rulers. The greatest dangers to
liberty lurk in insidious encroachment by men of zeal,
well-meaning but without understanding.” Olmstead
v. United States, 277 U.S. 438, 479 (1928) (Brandeis, J.,
dissenting).
Well-meaning but without understanding. Judge
Lee’s dissent echoed that wisdom, pointing out that,
despite their best efforts, during the COVID pandemic,
“the government—and the scientific establishment—
were wrong about a lot of things.” App. A at 36a.
Shouldn’t people be allowed to challenge the government when it is wrong? What precedent does it set to
say, as the Ninth Circuit did here, that judicial review
is simply not available to those aggrieved?
The Court should grant certiorari to correct the
flawed interpretation given to Jacobson by the Ninth
Circuit and other circuits that have considered it
during the pandemic. It should reconcile Jacobson
and Cruzan and make clear what other courts said
before the pandemic: that when the government
interferes with a person’s fundamental interest in
bodily autonomy—the right to choose what to do with
his or her body—courts must apply a balancing test,
not the rational basis review that allows courts to
hypothesize about the government’s rationale and
which precludes people from presenting evidence to
challenge the government’s means.
19
That may require overruling Jacobson or limiting it
to its facts. “[S]tare decisis is not a straitjacket.” Dobbs,
597 U.S. at 294. But that is what Jacobson became
during the pandemic. This Court should make sure
that ends. Either reconcile Jacobson with Cruzan and
Sell or disavow Jacobson. Americans must know if
they have a right to reject unwanted medical treatment, even during a pandemic. Judges also deserve to
know how to interpret Jacobson considering Cruzan
and Sell. And governments should know whether the
definition of a “vaccine” still matters—whether a shot’s
failure to prevent infection renders it a medical treatment that is subject to heightened judicial scrutiny.
CONCLUSION
For the foregoing reasons, Petitioners respectfully
request that the Court grant the petition for a writ of
certiorari.
Respectfully submitted,
SCOTT J. STREET
Counsel of Record
JOHN W. HOWARD
JW HOWARD ATTORNEYS, LTD.
201 South Lake Avenue
Suite 303
Pasadena, CA 91101
(213) 205-2800
sstreet@jwhowardattorneys.com
Counsel for Petitioners
December 23, 2025
APPENDIX
APPENDIX TABLE OF CONTENTS
Page
APPENDIX A: OPINION, United States Court
of Appeals for the Ninth Circuit (Filed July 31,
2025) .....................................................................
1a
APPENDIX B: OPINION, United States Court
of Appeals for the Ninth Circuit (Filed June 7,
2024) .....................................................................
43a
APPENDIX C: ORDER GRANTING
DEFENDANTS’ MOTION FOR JUDGMENT
ON THE PLEADINGS, United States District
Court Central District of California
(September 2, 2022) .............................................
76a
1a
APPENDIX A
FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
————
No. 22-55908
D.C. No. 2:21-cv-08688-DSF-PVC
————
HEALTH FREEDOM DEFENSE FUND, INC., a Wyoming
Not-for-Profit Corporation; JEFFREY FUENTES;
SANDRA GARCIA; HOVHANNES SAPONGHIAN;
NORMA BRAMBILA; CALIFORNIA EDUCATORS FOR
MEDICAL FREEDOM,
Plaintiffs-Appellants,
v.
ALBERTO CARVALHO, in his official capacity as
Superintendent of the Los Angeles Unified School
District; ILEANA DAVALOS, in her official capacity as
Chief Human Resources Officer for the Los Angeles
School District; GEORGE MCKENNA; MONICA GARCIA;
SCOTT SCHMERELSON; NICK MELVOIN; JACKIE
GOLDBERG; KELLY GONEZ; TANYA ORTIZ FRANKLIN, in
their official capacities as members of the Los
Angeles Unified School District governing board,
Defendants-Appellees.
————
Appeal from the United States District Court
for the Central District of California
Dale S. Fischer, District Judge, Presiding
————
2a
Argued and Submitted En Banc March 18, 2025
San Francisco, California
Filed July 31, 2025
Before: Mary H. Murguia, Chief Judge, and Kim
McLane Wardlaw, Consuelo M. Callahan, John B.
Owens, Mark J. Bennett, Bridget S. Bade, Daniel P.
Collins, Kenneth K. Lee, Danielle J. Forrest, Salvador
Mendoza, Jr. and Roopali H. Desai, Circuit Judges.
Opinion by Judge Bennett;
Dissent by Judge Owens;
Partial Dissent by Judge Lee
————
OPINION
————
SUMMARY*
————
COVID-19 Vaccination Policy
The en banc court affirmed the district court’s judgment
on the pleadings in favor of the Los Angeles Unified
School District (LAUSD) in an action brought pursuant
to 42 U.S.C. § 1983 alleging that LAUSD’s COVID-19
vaccination policy (the Policy), which required all
employees to be fully vaccinated, violated plaintiffs’
substantive due process and equal protection rights.
Plaintiffs alleged that the Policy violated their
fundamental right to bodily integrity in refusing
medical treatment because COVID-19 vaccines are
therapeutic treatments that reduce symptoms but do
not prevent infection or transmission and additionally
*
This summary constitutes no part of the opinion of the court.
It has been prepared by court staff for the convenience of the
reader.
3a
pose significant health risks to the recipients.
Plaintiffs also alleged that the Policy violated their
right to equal protection because it arbitrarily
classifies employees based on their vaccination status.
As a threshold issue, the en banc court held that this
case was not moot. Although LAUSD rescinded the
Policy shortly after oral argument before the threejudge panel, the court could still grant effective relief
by ordering reinstatement of the individual plaintiffs
who remain terminated from their original positions
under the Policy.
On the merits, the en banc court, joining all the
sister circuits that have considered substantive due
process challenges to COVID-19 vaccine mandates,
held that the Policy was subject to rational basis
review because Jacobson v. Massachusetts, 197 U.S. 11
(1905), which upheld a smallpox vaccine mandate,
remains binding. Jacobson holds that the constitutionality of a vaccine mandate, like the Policy here,
turns on what reasonable legislative and executive
decisionmakers could have rationally concluded about
whether a vaccine protects the public’s health and
safety, not whether a vaccine actually provides
immunity to or prevents transmission of a disease.
The Policy survives such review, as the LAUSD
could have reasonably concluded that COVID-19
vaccines would protect the health and safety of its
employees and students. For this reason, plaintiffs’
equal protection claim also failed under rational basis
review. The en banc court therefore affirmed the
district court’s order granting LAUSD’s motion for
judgment on the pleadings.
Dissenting, Judge Owens wrote that the court lacks
jurisdiction because the case is moot, given that there
4a
is no longer any policy for the court to enjoin or declare
unlawful. Nothing in the record (or the world) even
hints at the possibility that LAUSD would resurrect
its COVID-19 vaccine mandate. The majority’s
assertion that the complaint’s boilerplate language
fairly encompassed a request for employment
reinstatement did not survive close inspection.
Dissenting in part, Judge Lee, joined by Judge
Collins, wrote that although he agrees that the case is
not moot, he believes that the court should not affirm
the dismissal of this lawsuit without permitting the
plaintiffs to offer evidence to rebut government
officials’ far-reaching claims. Contrary to the majority,
he read the Supreme Court’s decision in Jacobson as
applying only if a vaccine prevents the transmission
and contraction of a disease. The plaintiffs here
plausibly claimed—at least at the pleading stage—
that the COVID-19 vaccine mitigates serious
symptoms but does not “prevent transmission or
contraction of COVID-19.” And if that is true, then
Jacobson’s rational basis review does not apply, and
the court must examine the vaccine mandate under a
more stringent standard of review. Ultimately, the
plaintiffs may be wrong about the COVID-19 vaccine,
but they should be given a chance to challenge the
government’s assertions about it.
COUNSEL
Scott J. Street (argued) and John W. Howard, JW
Howard Attorneys Ltd., San Diego, California; George
R. Wentz Jr., The Davillier Law Group LLC, New
Orleans, Louisiana; for Plaintiffs-Appellants.
Keith A. Jacoby (argued) and Connie L. Michaels,
Littler Mendelson PC, Los Angeles, California; Carrie
5a
A. Stringham, Littler Mendelson PC, San Diego,
California; for Defendants-Appellees.
Leigh A. Salmon, Senior Assistant Attorney General;
Benjamin Gutman, Solicitor General; Dan Rayfield,
Attorney General; State of Oregon, Salem, Oregon;
Rob Bonta, Attorney General, State of California, San
Francisco, California; Kathleen Jennings, Attorney
General, State of Delaware, Wilmington, Delaware;
Kwame Raoul, Attorney General, State of Illinois,
Chicago, Illinois; William Tong, Attorney General,
State of Connecticut, Hartford, Connecticut; Anne E.
Lopez, Attorney General, State of Hawai‘i, Honolulu,
Hawai‘i; Anthony G. Brown, Attorney General, State of
Maryland, Baltimore, Maryland; Andrea J. Campbell,
Attorney General, Commonwealth of Massachusetts,
Boston, Massachusetts; Keith Ellison, Attorney
General, State of Minnesota, St. Paul, Minnesota; Raul
Torrez, Attorney General, State of New Mexico, Santa
Fe, New Mexico; Charity R. Clark, Attorney General,
Office of the Vermont Attorney General, Montpelier,
Vermont; Brian L. Schwalb, Attorney General, District
of Columbia, Washington, D.C.; Peter F. Neronha,
Attorney General, State of Rhode Island, Providence,
Rhode Island; Dana Nessel, Attorney General, State of
Michigan; Lansing, Michigan; Matthew J. Platkin,
Attorney General, State of New Jersey, Trenton, New
Jersey; Letitia James, Attorney General, Office of the
New York State Attorney General, Albany, New York;
Nicholas W. Brown, Attorney General, State of
Washington, Olympia, Washington; Edward E.
Manibusan, Attorney General, Commonwealth of the
Northern Mariana Islands, Saipan, Northern Mariana
Islands; for Amici Curiae States of Oregon, California,
Connecticut, Delaware, Hawai‘i, Illinois, Maryland,
Massachusetts, Michigan, Minnesota, New Jersey,
New Mexico, New York, Rhode Island, Vermont, and
6a
Washington, and the District of Columbia, and the
Commonwealth of the Northern Mariana Islands.
Sloan R. Simmons, Alyssa R. Bivins, and Ryan I.
Ichinaga, Lozano Smith LLP, Sacramento, California;
Kristin Lindgren-Bruzzone, California School Boards
Association’s Education Legal Alliance, West
Sacramento, California; for Amicus Curiae California
School Boards Association’s Education Legal Alliance.
Gregory Dolin, Mark Chenoweth, and Jenin Younes,
New Civil Liberties Alliance, Arlington, Virginia, for
Amicus Curiae New Civil Liberties Alliance.
OPINION
BENNETT, Circuit Judge:
This case concerns the Los Angeles Unified School
District’s (“LAUSD”) COVID-19 vaccination policy
(“Policy”), which essentially required all of its employees
to be fully vaccinated. As relevant here, Plaintiffs1 filed
suit under 42 U.S.C. § 1983, claiming that the Policy
violated their Fourteenth Amendment substantive due
process and equal protection rights. The district court
granted judgment on the pleadings to the LAUSD.2
Plaintiffs appeal. We have jurisdiction under 28 U.S.C.
§ 1291 and affirm.
As a threshold issue, this case is not moot. Although
the LAUSD rescinded the Policy shortly after oral
argument before the three-judge panel, a court could
still grant effective relief by ordering reinstatement of
1
“Plaintiffs” are the Health Freedom Defense Fund, California
Educators for Medical Freedom, and certain individuals who are
or were employed by the LAUSD.
2
Defendants are LAUSD employees and board members,
named in their official capacities. For simplicity, we refer to
defendants collectively as the “LAUSD.”
7a
the individual Plaintiffs who remain terminated from
their original positions under the Policy.
On the merits, we hold that the Policy is subject to
rational basis review because Jacobson v. Massachusetts,
197 U.S. 11 (1905), is binding and controls. The Policy
survives such review, as the LAUSD could have
reasonably concluded that COVID-19 vaccines would
protect the health and safety of its employees and
students. For this reason, Plaintiffs’ equal protection
claim also fails under rational basis review. We
therefore affirm the district court’s order granting the
LAUSD’s motion for judgment on the pleadings.
BACKGROUND AND PROCEDURAL HISTORY3
On January 30, 2020, the World Health Organization
declared COVID-19 a public health emergency. The
next day, President Trump and the Secretary of Health
and Human Services (“Secretary”) declared COVID-19
a public health emergency. These emergency declarations
were renewed and extended into at least 2021. In
February 2021, President Biden extended the emergency
declaration because more than “500,000 people in th[e]
Nation ha[d] perished from the disease.” The Secretary
renewed his emergency declaration in January, April,
and July 2021.
On August 13, 2021, the LAUSD issued the Policy
challenged here. The Policy established a mandatory
3
These facts are based on the allegations in the operative
second amended complaint, which we accept as true and construe
in Plaintiffs’ favor. See Fleming v. Pickard, 581 F.3d 922, 925 (9th
Cir. 2009). We also consider documents incorporated into the
complaint by reference. See Webb v. Trader Joe’s Co., 999 F.3d
1196, 1201 (9th Cir. 2021). We GRANT Plaintiffs’ motion to take
judicial notice that the LAUSD voted to withdraw the Policy on
September 26, 2023. Dkt. No. 46.
8a
vaccination requirement for all LAUSD employees.
Under the Policy, employees had to be fully vaccinated4
against COVID-19 by October 15, 2021. The Policy
allowed employees to apply for religious or medical
exemptions. But even “exempt” employees were
excludable from the workplace “[i]f a risk to the health
and safety of others [could not] be reduced to an
acceptable level through a workplace accommodation.”
The Policy explained that its purpose was to “provide
the safest possible environment in which to learn and
work.”
At the time the LAUSD issued the Policy, health
experts had been recommending that individuals get
COVID-19 vaccinations and had been reporting that
such vaccinations are effective in preventing and
spreading the disease. For example, the U.S. Centers
for Disease Control and Prevention (“CDC”) reported
that COVID-19 vaccines “are highly effective at
protecting vaccinated people against symptomatic and
severe COVID-19,” and “[f]ully vaccinated people are
less likely to become infected” and “less likely to get
and spread SARS-CoV-2.” Interim Public Health
Recommendations for Fully Vaccinated People, CDC
(July 28, 2021), https://stacks.cdc.gov/view/cdc/108355
[https://perma.cc/AMW8-KH3Z]. The director of the
CDC reiterated that COVID-19 vaccines prevent
“severe illness and death.” Madeline Holcombe &
Christina Maxouris, Fully Vaccinated People Who Get
a Covid-19 Breakthrough Infection Can Transmit the
Virus, CDC Chief Says, CNN Health (Aug. 6, 2021),
https://edition.cnn.com/2021/08/05/health/us-coronavi
4
The Policy defines “fully-vaccinated” as having “received the
first and second doses of the vaccine (or, in the case of Johnson &
Johnson, the single required dose) and [having] completed the
two-week period that follows to ensure maximum immunity.”
9a
rus-thursday/index.html [https://perma.cc/Z5RV-UPLR].
Other experts urged that “[g]etting more people
vaccinated . . . w[ould] help prevent other—potentially
even more aggressive—variants from arising in the
future.” Id. A former CDC director explained that
“outbreaks . . . w[ould] not be as explosive in areas with
higher vaccination coverage.” Id. And a children’s
hospital president characterized “adult vaccination” as
a “simple solution” to protect children from COVID-19.
Id.
After the LAUSD issued the Policy, health experts
continued to urge the public to get vaccinated. Indeed,
the CDC reported that “[v]accines remain the best
public health measure to protect people from COVID19, slow transmission, and reduce the likelihood of
new variants emerging.” Omicron Variant: What You
Need to Know, CDC (Dec. 9, 2021), https://stacks.
cdc.gov/view/cdc/112430 [https://perma.cc/B4EG-5QMR].
The CDC recommended that “everyone 5 years and
older protect themselves from COVID-19 by getting
fully vaccinated.” Id.
In November 2021, Plaintiffs filed this suit
challenging the Policy. The operative second amended
complaint (“SAC”) alleges that, under the Policy, the
LAUSD threatened to terminate employees who failed
to get the COVID-19 vaccination. According to the
SAC, the LAUSD terminated at least two of the
individual Plaintiffs based on their refusal to get
vaccinated.
Although the SAC asserts several state and federal
law claims, the only claims before us are Plaintiffs’
Fourteenth Amendment substantive due process and
equal protection claims brought under 42 U.S.C.
§ 1983. As to their due process claim, Plaintiffs allege
that the Policy violates their fundamental right to
10a
bodily integrity in refusing medical treatment, as the
vaccines are “therapeutic treatments for COVID and
not vaccines at all.” According to Plaintiffs, COVID-19
vaccines do not prevent infection or transmission of
COVID-19. Instead, the vaccines “only reduce
symptoms of those who are infected by COVID,” and
thus they are medical “treatments” and not traditional
vaccines. The SAC also alleges that the COVID-19
vaccines “cause a significantly higher incidence of
injuries, adverse reactions, and deaths than any prior
vaccines that have been allowed to remain on the
market, and, therefore, pose a significant health risk
to recipients.”
Plaintiffs also claim that the Policy violates their
right to equal protection because it arbitrarily
classifies employees based on their vaccination status.
The SAC alleges that vaccinated and unvaccinated
employees are similarly situated because both groups
can be infected with and transmit COVID-19. Thus, in
Plaintiffs’ view, the Policy arbitrarily treats the
unvaccinated differently.
In terms of relief, the SAC seeks “[t]emporary,
preliminary, and permanent injunctive relief restraining
[the LAUSD] from enforcing” the Policy. It also
contains a general prayer for relief for “such other and
further relief as the Court may deem just and proper.”
The LAUSD moved for judgment on the pleadings
under Federal Rule of Civil Procedure 12(c), and the
district court granted the motion in September 2022.
The court determined that, under Jacobson, the
substantive due process claim failed because the Policy
did not violate any fundamental right and survived
rational basis review. The district court also decided
that the equal protection claim failed under rational
basis review. The district court’s order permitted
11a
Plaintiffs to amend their equal protection and ADA
claims. Plaintiffs declined to do so and instead timely
appealed.
A divided three-judge panel of our court vacated the
district court’s order and remanded. Health Freedom
Def. Fund, Inc. v. Carvalho, 104 F.4th 715, 718 (9th Cir.
2024), vacated and reh’g en banc granted, 127 F.4th
750 (9th Cir. 2025). Before addressing the merits, the
panel considered whether the case had become moot in
light of the LAUSD’s recent recission of the Policy
(twelve days after oral argument). Id. at 721–22.
Applying the voluntary cessation exception to
mootness, the panel majority determined that the case
was not moot because the LAUSD had failed to show
it was reasonably clear that the Policy would not be
reinstated.5 Id. at 722–24. Judge Hawkins dissented
from the majority’s mootness determination. Id. at
728–32 (Hawkins, J., dissenting). In his view, the case
was moot “[b]ecause there [wa]s no longer any policy
for the court to enjoin or declare unlawful.” Id. at 732
(Hawkins, J., dissenting).
On the merits, the panel majority held that the
district court erred in applying Jacobson. Id. at 724–
25. The majority reasoned that Jacobson did not apply,
much less control, because it addressed only those
vaccines that provide immunity and prevent transmission. Id. Because Plaintiffs alleged that COVID-19
5
See Rosemere Neighborhood Ass’n v. EPA, 581 F.3d 1169, 1173
(9th Cir. 2009) (“Under [the voluntary cessation exception to
mootness], the mere cessation of illegal activity in response to
pending litigation does not moot a case, unless the party alleging
mootness can show that the ‘allegedly wrongful behavior could
not reasonably be expected to recur.’” (quoting Friends of the
Earth, Inc. v. Laidlaw Env’t Servs. (TOC), Inc., 528 U.S. 167, 189
(2000))).
12a
vaccines, unlike traditional vaccines, do not provide
immunity and prevent transmission (and the court
must accept those allegations as true at the judgmenton-the-pleadings stage), the panel majority held that
Jacobson did not apply. Id. Therefore, the panel
vacated the district court’s order and remanded for
further proceedings. Id. at 725.
The LAUSD petitioned for rehearing en banc. Dkt.
No. 56. While it continued to urge that the case was
moot, the LAUSD also argued that the three-judge
panel had misapplied Jacobson, creating a conflict
with our sister circuits. Id. at 13–17. A majority of
our active judges voted to rehear this case en banc, and
we vacated the three-judge panel opinion. Health
Freedom, 127 F.4th 750.
STANDARD OF REVIEW
“We review de novo an order granting a Rule 12(c)
motion for judgment on the pleadings. We must accept
all factual allegations in the complaint as true and
construe them in the light most favorable to the nonmoving party.” Fleming v. Pickard, 581 F.3d 922, 925
(9th Cir. 2009) (citation omitted). Along with the
complaint, we may also consider documents incorporated into the complaint by reference and matters of
which we may take judicial notice. Webb v. Trader Joe’s
Co., 999 F.3d 1196, 1201 (9th Cir. 2021). “Judgment on
the pleadings is properly granted when there is no
issue of material fact in dispute, and the moving party
is entitled to judgment as a matter of law.” Fleming,
581 F.3d at 925.
13a
DISCUSSION
I.
We first explain why this case is not moot even
though the Policy has been rescinded. “The test for
mootness of an appeal is whether the appellate court
can give the [plaintiff] any effective relief in the event
that it decides the matter on the merits in his favor. If
it can grant such relief, the matter is not moot.” Garcia
v. Lawn, 805 F.2d 1400, 1402 (9th Cir. 1986) (emphasis
added). In the context of injunctive relief, a case is not
moot if the court is able to “undo” the effects of the
alleged illegal action. Id.; see, e.g., id. (“The question [of
mootness] thus becomes whether we can now give
[plaintiff] effective relief which would ‘undo’ the effects
of the alleged retaliatory action . . . .”).
The SAC seeks “injunctive relief restraining [the
LAUSD] from enforcing the [Policy]” and “other and
further relief as the Court may deem just and proper.”
The SAC also alleges that one of the individual
Plaintiffs was terminated from employment by the
LAUSD for refusing to be vaccinated and another was
“separated from his employment with LAUSD” after
objecting to being vaccinated. There is no suggestion
that these individuals have been reinstated,6 and so
construing these allegations in Plaintiffs’ favor, see
Fleming, 581 F.3d at 925, we accept that these individuals remain terminated from their original positions.
Given the SAC’s broad request for any proper
injunctive relief, along with the allegations that
individual Plaintiffs have been terminated under the
6
Indeed, during en banc oral argument, Plaintiffs’ counsel
represented that at least one individual remains terminated from
his original full-time position. Oral Arg. at 1:47–2:12.
14a
Policy and have not been reinstated to their prior
positions, the SAC fairly encompasses a request for
reinstatement. See Garcia, 805 F.2d at 1402–04
(noting that reinstatement to a prior position can be a
proper injunctive remedy). Because reinstatement
would undo some effects of the alleged illegal action—
the LAUSD’s enforcement of the Policy—a court could
grant effective relief despite the Policy’s rescission.7
Thus, this case is not moot.8 See id. at 1402–03
(holding, in an action seeking an injunction, that the
case was not moot because the court could order
reinstatement of the plaintiff to his prior position); see
also Norris v. Stanley, 73 F.4th 431, 433 n.1 (6th Cir.
2023) (holding, in similar circumstances, that the case
was not moot despite rescission of the vaccine policy at
issue because, among other reasons, there was no
“indication that [the university] ha[d] undone any of
the negative employment actions faced by [some of the
7
During en banc oral argument, Plaintiffs’ counsel confirmed
that if the case were remanded, Plaintiffs would explicitly seek
reinstatement for all the individual Plaintiffs who have not been
reinstated to their former positions. Oral Arg. at 52:14–52:25.
8
For this reason, the LAUSD’s motion to dismiss is DENIED,
Dkt. No. 49, and we need not (and do not) decide whether the
voluntary cessation exception to mootness applies. We also need
not address whether our recent decision in Kohn v. State Bar of
California, 87 F.4th 1021 (9th Cir. 2023) (en banc), cert. denied,
144 S. Ct. 1465 (2024), would permit Plaintiffs to seek damages
against the LAUSD. See Health Freedom, 104 F.4th at 726–27 (R.
Nelson, J., concurring) (opining that Kohn may conflict with our
precedent holding that California school districts have sovereign
immunity under the Eleventh Amendment); id. at 727 n.2 (R.
Nelson, J., concurring) (“If LAUSD does not have sovereign
immunity, Plaintiffs may be able to amend to raise a monetary
claim, which would be another reason this case is not moot.”).
15a
plaintiffs], so the harm plaintiffs faced ha[d] not been
removed”), cert. denied, 144 S. Ct. 1353 (2024).
Our precedent supports that this case is not moot.
In Neighbors of Cuddy Mountain v. Alexander, 303
F.3d 1059 (9th Cir. 2002), the plaintiffs sought an
injunction to stop a timber sale on national forest land.
Id. at 1064–65. Although the timber sale had been
completed, we held that the case was not moot because
the alleged “harm to old growth species may yet be
remedied by any number of mitigation strategies.” Id.
at 1066. Significantly, we held that such mitigation
measures were fairly requested in the complaint
because “[i]n addition to an injunction, [the plaintiffs’]
complaint request[ed] ‘such further relief as may be
necessary and appropriate to avoid further irreparable
harm.’” Id. In so holding, we noted that our prior case
law had recognized that we “may construe such
requests for [other appropriate] relief ‘broadly to avoid
mootness.’” Id. (quoting Headwaters, Inc. v. Bureau of
Land Mgmt., 893 F.2d 1012, 1015 n.6 (9th Cir. 1989));
see also Oregon Nat. Desert Ass’n v. U.S. Forest Serv.,
957 F.3d 1024, 1032 n.7 (9th Cir. 2020) (explaining
that, even though the complaint “ask[ed] for injunctive
relief only with respect to claims that [were] not on
appeal,” “we c[ould] consider further injunctive relief
in deciding whether th[e] appeal [wa]s moot” because
the complaint “also request[ed] ‘any such further relief
as requested by the Plaintiffs or as this Court deems
just and proper’” (citing Neighbors of Cuddy Mountain,
303 F.3d at 1066)).9
9
Judge Owens’s dissent argues that Neighbors of Cuddy
Mountain’s mootness rationale should be limited to “the narrow
context of [National Forest Management Act] and [National
Environmental Policy Act] violations.” Owens Dissent at 33. But
we do not read Neighbors of Cuddy Mountain as suggesting such
16a
Contrary to Judge Owens’s suggestion in his dissent,
Arizonans for Official English v. Arizona, 520 U.S. 43
(1997), does not undermine our conclusion that this
case is not moot. In Arizonans for Official English, the
Supreme Court noted that we had held that the case
was not moot because the plaintiff ’s broad request for
“other relief ” could encompass a request for nominal
damages. Id. at 60 (quoting Yniguez v. Arizona, 975
F.2d 646, 647 n.1 (9th Cir. 1992) (per curiam)). The
Supreme Court reversed that holding—but not because
we relied on the broad request for other relief. Rather,
a limitation. See 303 F.3d at 1065–66. Indeed, in Neighbors of
Cuddy Mountain, our mootness analysis derived from the
generally applicable and longstanding principle that “a case is
moot only where no effective relief for the alleged violation can be
given.” Id. at 1065; see also Garcia, 805 F.2d at 1402 (noting that
“[t]he test for mootness of an appeal”—“whether the appellate
court can give the appellant any effective relief in the event that
it decides the matter on the merits in his favor”—“goes back at
least to” the Supreme Court’s decision in Mills v. Green, 159 U.S.
651 (1895)).
We also note that our conclusion that this case is not moot is
consistent with Z Channel Limited Partnership v. Home Box
Office, Inc., 931 F.2d 1338 (9th Cir. 1991). Federal Rule of Civil
Procedure 54(c) provides that a final judgment “should grant the
relief to which each party is entitled, even if the party has not
demanded that relief in its pleadings.” In Z Channel, “[t]he only
relief expressly requested [in the complaint] . . . was declaratory
and injunctive relief,” and such relief had become “clearly moot”
on appeal. 931 F.2d at 1340. Applying Rule 54(c), we held that the
unavailability of declaratory and injunctive relief did not moot
the case because, even though the plaintiff had not expressly
requested relief in the form of damages in its complaint, a court
could nonetheless award damages as a form of relief. Id. at 1340–
41; see also Walden v. Bodley, 39 U.S. (14 Pet.) 156, 164 (1840)
(“Under [a] general prayer for relief, the [c]ourt [in equity] will
often extend relief beyond the specific prayer, and not exactly in
accordance with it.”).
17a
the Supreme Court reversed because it would have
been impossible for the plaintiff there to seek nominal
damages against the state under 42 U.S.C. § 1983.
Id. at 69 (“[T]he claim for relief the Ninth Circuit
found sufficient to overcome mootness was nonexistent
[because] . . . § 1983 creates no remedy against a
State.” (emphasis added)). But here, reinstatement of
the individual Plaintiffs to their original positions is
not impossible. See Doe v. Lawrence Livermore Nat’l
Lab’y, 131 F.3d 836, 839–42 (9th Cir. 1997) (holding
that a request for reinstatement of employment is a
request for prospective injunctive relief that falls
within the Ex parte Young exception to Eleventh
Amendment immunity).10
10
Respectfully, we also disagree with Judge Owens’s dissent
because it is based on the incorrect premise that our holding rests
only on the SAC’s broad request for relief. Owens Dissent at 30–
31. We also see no violation of the party presentation rule. See
United States v. SinenengSmith, 590 U.S. 371, 375 (2020) (“In our
adversarial system of adjudication, we follow the principle of
party presentation.”). As previously explained, Plaintiffs
themselves fairly raised a request for reinstatement in the SAC.
“We have noted in cases involving questions of mootness that
ordinary discretionary principles of waiver and forfeiture can
affect whether certain relief is available.” United States v. Yepez,
108 F.4th 1093, 1099 n.1 (9th Cir. 2024); see Bain v. Cal. Tchrs.
Ass’n, 891 F.3d 1206, 1212 (9th Cir. 2018) (holding that the
plaintiffs’ “eleventh hour” request for damages was an attempt
“to transform their lawsuit from a request for prospective
equitable relief into a plea for money damages to remedy past
wrongs”); Seven Words LLC v. Network Sols., 260 F.3d 1089, 1095
(9th Cir. 2001) (holding that the plaintiff’s belated request for
damages had been “effectively disavowed . . . for tactical reasons”).
But Plaintiffs here have neither waived nor forfeited their
request for reinstatement to their prior positions. Throughout
this case (which was dismissed at the pleadings stage), the
gravamen of the relief sought by Plaintiffs has been prospective
injunctive relief to permit them to continue to work for the
18a
II.
A.
The Due Process Clause of the Fourteenth Amendment
includes “a substantive component that protects
certain individual liberties from state interference.”
Mullins v. Oregon, 57 F.3d 789, 793 (9th Cir. 1995).
“Only those aspects of liberty that we as a society
traditionally have protected as fundamental are
included within the substantive protection of the Due
Process Clause.” Id. When no fundamental liberty
interest is implicated, a legislative act “must satisfy
only the deferential rational basis standard of review.”
Erotic Serv. Provider Legal Educ. & Rsch. Project v.
Gascon, 880 F.3d 450, 455 (9th Cir.), amended by 881
F.3d 792 (9th Cir. 2018). Under that standard, we
“merely look to see whether the government could
have had a legitimate reason for acting as it did.”
Dittman v. California, 191 F.3d 1020, 1031 (9th Cir.
1999) (quoting Halverson v. Skagit County, 42 F.3d
1257, 1262 (9th Cir. 1994), amended on denial of reh’g
(9th Cir. Feb. 9, 1995)). “Rational basis review is highly
deferential to the government, allowing any conceivable rational basis to suffice.” Erotic Serv. Provider,
880 F.3d at 457.
Like all our sister circuits that have considered
substantive due process challenges to COVID-19
vaccine mandates, we hold that Jacobson controls our
analysis. See We The Patriots USA, Inc. v. Hochul, 17
LAUSD without also having to comply with the Policy. For this
reason, we also believe that the out-of-circuit and rescindedCOVID-19-policy cases relied upon by Judge Owens are inapt. See
Owens Dissent at 31–32, 31 n.1. In none of those cases did the
courts find that they could still grant effective injunctive relief
consistent with the gravamen of the injunctive relief sought by
the respective plaintiffs all along.
19a
F.4th 266, 293–94 (2d Cir.) (per curiam) (applying
Jacobson to plaintiffs’ claim that a COVID-19 vaccine
mandate “violate[d] their fundamental rights to
privacy, medical freedom, and bodily autonomy under
the Fourteenth Amendment”), clarified, 17 F.4th 368
(2d Cir. 2021); Child.’s Health Def., Inc. v. Rutgers,
The State Univ. of N.J., 93 F.4th 66 (3d Cir.) (holding
that “Jacobson control[led],” id. at 80, plaintiffs’ claim
that a COVID-19 vaccine mandate “violated their
substantive due process rights under the Fourteenth
Amendment,” id. at 78), cert. denied, 144 S. Ct. 2688
(2024); Norris, 73 F.4th at 435 (applying Jacobson to
plaintiffs’ substantive due process challenge to a
COVID-19 vaccine mandate); Klaassen v. Trs. of Ind.
Univ., 7 F.4th 592, 593 (7th Cir. 2021) (holding that,
because the court “must apply the law established by
the Supreme Court,” Jacobson applied to plaintiffs’
substantive due process claim challenging a COVID19 vaccine mandate); see also Antunes v. Becerra, No.
22-2190, 2024 WL 511038, at *1 (4th Cir. Feb. 9, 2024)
(per curiam) (adopting the district court’s decision in
Antunes v. Rector & Visitors of Univ. of Va., 627 F. Supp.
3d 553 (W.D. Va. 2022), which applied Jacobson in
rejecting plaintiff ’s claim that a COVID-19 vaccine
mandate violated her due process right to refuse
unwanted medical treatment, id. at 564–65), cert.
denied, 145 S. Ct. 159 (2024); Brox v. Hole, 83 F.4th 87,
100–01 (1st Cir. 2023) (applying Jacobson’s rational
basis test to a due process challenge to a COVID-19
vaccination mandate (based on plaintiffs’ failure to
challenge the application of the rational basis test) and
holding that the mandate easily satisfied rational
basis review).
In Jacobson, the Supreme Court considered a
substantive due process challenge to a smallpox
vaccination requirement for all adult residents of
20a
Cambridge, Massachusetts, with criminal penalties.
197 U.S. at 12–14. The Massachusetts legislature
provided that certain municipalities could require
vaccinations, if the board of health of a municipality
determined that “in its opinion, it [wa]s necessary for
the public health or safety . . . [to] require and enforce
the vaccination and revaccination of all [its]
inhabitants.” Id. at 12. The Board of Health of the City
of Cambridge adopted the following regulation in the
face of a health emergency:
Whereas, smallpox has been prevalent to
some extent in the city of Cambridge, and still
continues to increase; and whereas, it is
necessary for the speedy extermination of
the disease that all persons not protected by
vaccination should be vaccinated; and whereas, in the opinion of the board, the public
health and safety require the vaccination
or revaccination of all the inhabitants of
Cambridge; be it ordered, that all the
inhabitants of the city who have not been
successfully vaccinated since March 1st,
1897, be vaccinated or revaccinated.
Id. at 12–13.
Jacobson, who had been convicted for refusing to get
vaccinated for smallpox in violation of the Cambridge
regulation, id. at 14, argued that the statute was
“hostile to the inherent right of every freeman to care
for his own body and health in such way as to him
seems best,” id. at 26. He claimed, among other things,
that the vaccine resulted in “injurious or dangerous
effects.” Id. at 23.
The Court first explained that state legislatures and
other policymakers have the authority to enforce
21a
“reasonable [laws] . . . as will protect the public health
and the public safety,” like vaccination requirements.
Id. at 25. But because such laws remain subject to the
Constitution of the United States, the Court next
considered whether the statute violated a right to
bodily integrity secured by the Constitution. Id. at 25–
26; see also Roman Cath. Diocese of Brooklyn v. Cuomo,
592 U.S. 14, 24 (2020) (per curiam) (Gorsuch, J.,
concurring) (“Mr. Jacobson claimed that he possessed
an implied ‘substantive due process’ right to ‘bodily
integrity’ that emanated from the Fourteenth
Amendment . . . .”). The Court determined that the
Constitution secured no fundamental right to be free
from vaccine requirements imposed to protect the
safety and health of the community. Jacobson, 197 U.S.
at 26–27. And the Court stressed that whether a
vaccine requirement would protect the safety and
health of the community is a matter for the legislature
or policymakers, not a question for a court or jury. Id.
at 30 (“It is no part of the function of a court or a jury
to determine which one of two modes was likely to be
the most effective for the protection of the public
against disease. That was for the legislative
department to determine in the light of all the
information it had or could obtain.”).
Having determined that Jacobson had no fundamental right to refuse the vaccination, the Court
essentially applied rational basis review to his due
process challenge. Id. at 31 (“[But] if a statute
purporting to have been enacted to protect the public
health, the public morals, or the public safety, has no
real or substantial relation to those objects, or is,
beyond all question, a plain, palpable invasion of
rights secured by the fundamental law, it is the duty of
the courts to so adjudge, and thereby give effect to the
Constitution.”); see also Roman Cath. Diocese, 592 U.S.
22a
at 23 (Gorsuch, J., concurring) (“Although Jacobson
pre-dated the modern tiers of scrutiny, this Court
essentially applied rational basis review to Henning
Jacobson’s challenge . . . .”). Because the state
legislature and the Cambridge Board of Health could
have reasonably concluded that requiring adults to get
the smallpox vaccine would protect the public’s health
and safety, the Court held that it survived rational
basis review. Jacobson, 197 U.S. at 30–31 (explaining
that the legislature could have found that the vaccine
requirement “was likely to be the most effective for the
protection of the public against disease,” id. at 30); id.
at 38 (“[The Court] do[es] not perceive that this
[regulation] has invaded any right secured by the
Federal Constitution.”).
Jacobson holds that the constitutionality of a
vaccine mandate, like the Policy here, turns on what
reasonable legislative and executive decisionmakers
could have rationally concluded about whether a
vaccine protects the public’s health and safety, not
whether a vaccine actually provides immunity to or
prevents transmission of a disease. Whether a vaccine
protects the public’s health and safety is committed to
policymakers, not a court or a jury. Further, alleged
scientific uncertainty over a vaccine’s efficacy is
irrelevant under Jacobson. Jacobson simply does not
allow debate in the courts over whether a mandated
vaccine prevents the spread of disease. Jacobson
makes clear that it is up to the political branches,
within the parameters of rational basis review, to
decide whether a vaccine effectively protects public
health and safety.
Jacobson is materially indistinguishable from this
case. Here, as in Jacobson, we are presented with a
bodily integrity substantive due process challenge to a
23a
vaccine mandate imposed to protect the public’s health
and safety in response to a health emergency. Thus,
under Jacobson, we must apply rational basis review.
The Policy easily survives such review because (even
assuming the truth of Plaintiffs’ allegations) it was
more than reasonable for the LAUSD to conclude that
COVID-19 vaccines would protect the health and
safety of its employees and students. The SAC
concedes that COVID-19 vaccines “lessen the severity
of symptoms for individuals who receive them.” From
this, the LAUSD could have reasonably determined
that the vaccines would protect the health of its
employees. And as discussed above, the LAUSD could
have reasonably concluded, based on information in
the documents incorporated by reference into the SAC,
that COVID-19 vaccines would protect the health and
safety of its students and employees. In fact, the CDC
reported that COVID-19 vaccines “are highly effective
at protecting vaccinated people against symptomatic
and severe COVID19,” and “[f]ully vaccinated people
are less likely to become infected” and “less likely to
get and spread SARS-CoV-2.” Interim Public Health
Recommendations for Fully Vaccinated People, CDC
(July 28, 2021), https://stacks.cdc.gov/view/cdc/108355
[https://perma.cc/AMW8-KH3Z]. The CDC also recommended that “everyone 5 years and older protect
themselves from COVID-19 by getting fully vaccinated.”
Omicron Variant: What You Need to Know, CDC
(Dec. 9, 2021), https://stacks.cdc.gov/view/cdc/112430
[https://perma.cc/B4EG-5QMR].
B.
We reject Plaintiffs’ attempt to limit Jacobson to
only those vaccines that prevent the spread of a
disease and provide immunity. Jacobson required no
such findings. The Court dealt with arguments very
24a
similar to Plaintiffs’ about the nature of vaccines,
including through offers of proof made by Jacobson on
which he sought to introduce expert testimony:
Looking at the propositions embodied in
the defendant’s rejected offers of proof, it is
clear that they are more formidable by their
number than by their inherent value. Those
offers in the main seem to have had no
purpose except to state the general theory of
those of the medical profession who attach
little or no value to vaccination as a means of
preventing the spread of smallpox, or who
think that vaccination causes other diseases
of the body. What everybody knows the court
must know, and therefore the state court
judicially knew, as this court knows, that an
opposite theory accords with the common
belief, and is maintained by high medical
authority. We must assume that, when the
statute in question was passed, the legislature of Massachusetts was not unaware of
these opposing theories, and was compelled,
of necessity, to choose between them. It was
not compelled to commit a matter involving
the public health and safety to the final
decision of a court or jury. It is no part of the
function of a court or a jury to determine
which one of two modes was likely to be the
most effective for the protection of the public
against disease. That was for the legislative
department to determine in the light of all the
information it had or could obtain. It could not
properly abdicate its function to guard the
public health and safety. The state legislature
proceeded upon the theory which recognized
vaccination as at least an effective, if not the
25a
best-known, way in which to meet and
suppress the evils of a smallpox epidemic that
imperiled an entire population. Upon what
sound principles as to the relations existing
between the different departments of government can the court review this action of the
legislature? If there is any such power in the
judiciary to review legislative action in
respect of a matter affecting the general
welfare, it can only be when that which the
legislature has done comes within the rule
that, if a statute purporting to have been
enacted to protect the public health, the
public morals, or the public safety, has no real
or substantial relation to those objects, or is,
beyond all question, a plain, palpable
invasion of rights secured by the fundamental
law, it is the duty of the courts to so adjudge,
and thereby give effect to the Constitution.
Whatever may be thought of the expediency
of this statute, it cannot be affirmed to be,
beyond question, in palpable conflict with the
Constitution. Nor, in view of the methods
employed to stamp out the disease of smallpox,
can anyone confidently assert that the means
prescribed by the state to that end has no real
or substantial relation to the protection of the
public health and the public safety.
197 U.S. at 30–31 (citations omitted).
As this discussion demonstrates, the Court determined
that Jacobson’s claims about the smallpox vaccine—
very similar to Plaintiffs’ claims—were immaterial,
given the other evidence from which the legislature
could have reasonably concluded that the vaccine
would likely protect the health and safety of the
26a
public. Jacobson thus applies to vaccination requirements regardless of whether such vaccines actually
provide immunity and prevent the spread of disease or
whether they provide no immunity and merely render
COVID-19 less dangerous to those who contract it, so
long as policymakers could reasonably conclude that
the vaccines would protect the public’s health and safety.12
11
We also reject Plaintiffs’ argument that a heightened standard of review applies based on a more
recent line of cases that, according to Plaintiffs,
recognize a fundamental right to refuse unwanted
medical treatment. Plaintiffs primarily rely on Cruzan
ex rel. Cruzan v. Director, Missouri Department of
Health, 497 U.S. 261 (1990) (stating that “a competent
person has a constitutionally protected liberty interest
in refusing unwanted medical treatment,” id. at 278),
and Washington v. Glucksberg, 521 U.S. 702 (1997)
11
For this reason, we respectfully disagree with Judge Lee’s
attempt to limit Jacobson “to apply only if a vaccine prevents
transmission and contraction of a disease.” Lee Partial Dissent at
35. By rejecting Jacobson’s argument—supported by offers of
proof—that the smallpox vaccine did not prevent the spread of
the disease, the Court necessarily held that whether the vaccine
actually prevented the spread of smallpox did not matter, given
the contrary evidence from which policymakers could reasonably
conclude that the vaccine would protect the public’s health and
safety. See Jacobson, 197 U.S. at 30–31; see also Child.’s Health
Def., 93 F.4th at 79 (“Jacobson did not turn on the longevity of the
vaccine or consensus regarding its efficacy.”). Jacobson cannot be
cabined to circumstances that the Court found immaterial.
12
Even if the SAC plausibly alleged that COVID-19 vaccines
do not effectively provide immunity or prevent the spread of
COVID-19 and that they only reduce symptoms for the recipient,
that would be irrelevant. What matters is whether policymakers
could reasonably conclude that vaccination requirements are
necessary to protect public health and safety. Jacobson, 197 U.S.
at 30–31.
27a
(noting that the Court “ha[s] also assumed, and
strongly suggested, that the Due Process Clause
protects the traditional right to refuse unwanted
lifesaving medical treatment,” id. at 720 (citing
Cruzan, 497 U.S. at 278–79)).
Whatever the reach of these cases, they did not
overrule Jacobson.13 See We The Patriots USA, 17 F.4th
at 293 n.35 (“Jacobson remains binding precedent.”);
Norris, 73 F.4th at 436 (“[A]bsent any indication from
the [Supreme] Court that Jacobson is to be overruled
or limited, [the court is] bound to apply that decision
to reject plaintiffs’ arguments here.”). Indeed, even
Plaintiffs do not go so far as to claim that Jacobson is
no longer good law. As Jacobson remains binding and
squarely governs this case, we must apply it.
13
Moreover, these cases do not address the circumstances
addressed in Jacobson: a due process challenge to a vaccine policy
imposed to protect the public’s health and safety. So we do not
read these cases as undermining Jacobson. But even if we did, we
would still need to apply Jacobson. See In re Twelve Grand Jury
Subpoenas, 908 F.3d 525, 529 (9th Cir. 2018) (per curiam) (“Where
Supreme Court precedent ‘has direct application in a case,’ the
Supreme Court has instructed ‘the Court of Appeals [to] follow
the case which directly controls,’ even if it ‘appears to rest on
reasons rejected in some other line of decisions,’ and thereby to
‘leav[e] to th[e] Court the prerogative of overruling its own
decisions.’” (alterations in original) (quoting Agostini v. Felton,
521 U.S. 203, 237 (1997))). We thus agree with our sister circuits
that, despite Cruzan and its progeny, Jacobson continues to
control in cases challenging COVID-19 vaccination policies. See
We The Patriots USA, 17 F.4th at 293–94 (rejecting plaintiffs’
argument that Jacobson did not apply because Cruzan and its
progeny recognized a fundamental right to refuse medical
treatment); Child.’s Health Def., 93 F.4th at 79–80 (same); Norris,
73 F.4th at 437 (same).
28a
III.
Plaintiffs concede, and we agree, that their equal
protection claim is subject to rational basis review.
See Hooks v. Clark Cnty. Sch. Dist., 228 F.3d 1036, 1041
(9th Cir. 2000) (“To withstand [a due process or
equal protection challenge under the] Fourteenth
Amendment . . . , a regulation must bear only a rational
relation to a legitimate governmental purpose, unless
the regulation implicates a fundamental right or an
inherently suspect classification.”). Because we hold
above that the Policy is rationally related to the
LAUSD’s legitimate interest in protecting the health
and safety of its employees and students, Plaintiffs’
equal protection claim fails.
CONCLUSION
Although the LAUSD has rescinded the Policy, this
case is not moot. Given the SAC’s broad request for any
proper injunctive relief along with its allegations that
individual Plaintiffs were terminated under the Policy,
the SAC fairly encompasses a request for reinstatement
of the individual Plaintiffs who have not been restored
to their prior positions.
On the merits, Jacobson is binding and controls, and
thus rational basis review applies to Plaintiffs’ substantive due process claim. Even construing Plaintiffs’
allegations in their favor, the Policy survives such
review, as the LAUSD could have reasonably concluded
that COVID-19 vaccines would protect the health and
safety of its employees and students. For this same
reason, Plaintiffs’ equal protection claim fails under
rational basis review. We therefore affirm the district
court’s order granting the LAUSD’s motion for judgment on the pleadings.
AFFIRMED.
29a
OWENS, Circuit Judge, dissenting.
Plaintiffs brought this suit to obtain “injunctive
relief restraining Defendants from enforcing” their
vaccine policy. As Judge Hawkins correctly concluded
in his dissent from the panel decision, this case is
moot, as “there is no longer any policy for the court to
enjoin or declare unlawful.” Health Freedom Def. Fund,
Inc. v. Carvalho, 104 F.4th 715, 732 (9th Cir. 2024)
(Hawkins, J., dissenting), vacated and reh’g en banc
granted, 127 F.4th 750 (9th Cir. 2025). Nothing in the
record (or the world) even hints at the possibility that
the Los Angeles Unified School District would
resurrect its COVID-19 vaccine mandate, which has
been dead for nearly two years. The majority does not
dispute this reality. We lack Article III jurisdiction and
must dismiss this case. See Brach v. Newsom, 38 F.4th
6, 12 (9th Cir. 2022) (en banc) (dismissing a challenge
to a pandemic-related restriction as moot in line with
“the numerous other circuit courts across the country”
that have done the same).
The majority first attempts to skirt the mootness
problem by asserting that the complaint “fairly
encompasses a request for reinstatement,” leaning on
a boilerplate catchall request for “other and further
relief as the Court may deem just and proper.” Maj. Op.
at 14. Yet when unanimously reversing our court on
mootness grounds, the Supreme Court warned that
new forms of relief, “extracted late in the day from [a]
general prayer for relief and asserted solely to avoid
otherwise certain mootness, bore close inspection.”
Arizonans for Off. Eng. v. Arizona, 520 U.S. 43, 71
(1997) (rejecting this court’s theory that a live controversy existed where the “complaint did not expressly
request nominal damages” but “it did request ‘all other
relief that the Court deems just and proper’” (citation
30a
omitted)). Indeed, the Court has distinguished cases
where a plaintiff “has presented a claim” for the type
of relief that “ensure[s] a live controversy,” Mission
Prod. Holdings v. Tempnology, LLC, 587 U.S. 370, 377
(2019), from those where a plaintiff “ha[s] not prayed
for” such relief and thus “no longer ha[s] a legally
cognizable interest in the result of th[e] case,” Murphy
v. Hunt, 455 U.S. 478, 491 (1982); cf. United States v.
Sineneng-Smith, 590 U.S. 371, 380 (2020) (unanimously reversing this court and applying the party
presentation principle to require that cases be “shaped
by the parties,” not the court).
Not surprisingly, our sister circuits routinely reject
attempts to grow a magic Article III jurisdiction
beanstalk from boilerplate language. For example, the
First Circuit, in a nearly identical rescinded COVID19 mandate case, cited Arizonans for Official English
to hold that “the students’ request for ‘any other relief
[the] Court deems proper’ cannot operate to save their
otherwise moot action.” Harris v. Univ. of Mass., 43
F.4th 187, 193 (1st Cir. 2022).1 The majority attempts
1
See, e.g., Thomas R.W. v. Mass. Dep’t of Educ., 130 F.3d 477,
480 (1st Cir. 1997) (holding that a “general prayer for relief”
cannot preserve a request for damages to avoid mootness, citing
Arizonans for Official English); Fox v. Bd. of Trs. of State Univ. of
N.Y., 42 F.3d 135, 141 (2d Cir. 1994) (declining to “read a damages
claim into the Complaint’s boilerplate prayer” for relief when
there was “absolutely no specific mention in [the Complaint] of
nominal damages” (citation omitted)); Lillbask ex rel. Mauclaire
v. Conn. Dep’t of Educ., 397 F.3d 77, 90 (2d Cir. 2005) (applying
Arizonans for Official English to reject that a “general claim for
‘other such relief as the Court deems appropriate’ is sufficiently
expansive to include” the only relief that would render the case
not moot); WildEarth Guardians v. Pub. Serv. Co., 690 F.3d 1174,
1191 (10th Cir. 2012) (holding that “[a] broad request for ‘other’
relief cannot save [a] complaint” from mootness); Harris v. City of
Houston, 151 F.3d 186, 191 (5th Cir. 1998) (declining to “conjure
31a
to distinguish the many contrary precedents from
other circuits by asserting that, unlike in those cases,
relief consistent with the “gravamen” of Plaintiffs’
requested injunction—even if not expressly sought—
can still be granted. Maj. Op. at 18 n.10. But the
mootness inquiry hinges on the relief “specific[ally]
mention[ed]” by the parties, not on the court’s post hoc
characterization of the case’s supposed essence. Fox v.
Bd. of Trs. of State Univ. of N.Y., 42 F.3d 135, 141 (2d
Cir. 1994). Blindly embracing a never briefed or argued
theory that the Supreme Court and our sister circuits
have explicitly rejected is more Inspector Clouseau
than “close inspection.”
To side shuffle this constitutional black hole, the
majority departs from the many analogous challenges
to rescinded COVID-19 policies that have been
dismissed as moot, see Brach, 38 F.4th at 12 n.3
(collecting cases), and instead relies on Neighbors of
Cuddy Mountain v. Alexander, 303 F.3d 1059 (9th Cir.
2002), which concerned alleged violations of the
National Forest Management Act (NFMA) and the
National Environmental Policy Act (NEPA). Maj. Op.
at 15-16.2 In that case, plaintiffs sought to enjoin a
timber sale on national forest land or any other relief
that “may be necessary and appropriate to avoid
further irreparable harm” from the sale. Id. at 1066.
Even after logging of the timber concluded, we held
up relief” by “‘read[ing] into’ [the] complaint additional requests”
that would manufacture a live controversy).
2
The majority also cites Norris v. Stanley, 73 F.4th 431 (6th Cir.
2023), cert. denied, 144 S. Ct. 1353 (2024)—another pandemicrelated case that it claims involves “similar circumstances” and
was not moot. Maj. Op. at 15. Unlike here, however, the plaintiffs
in Norris specifically “sought nominal damages for the alleged
violations of their constitutional rights.” Id. at 433 n.1.
32a
over a dissent that the case was not moot because
further environmental harm from the sale “may yet be
remedied by any number of mitigation strategies,”
which were fairly encompassed in the requested relief.
Id.
The parties never cited Neighbors of Cuddy Mountain
nor its underlying theory in their many briefs
submitted to this court, nor did the original panel or
dissent. And despite the majority’s claim that Neighbors
of Cuddy Mountain derived from longstanding mootness
principles, Maj. Op. at 16 n.9, no published decision in
this circuit—or any other—has ever relied on Neighbors
of Cuddy Mountain’s mootness rationale outside the
narrow context of NFMA and NEPA violations. That
collective silence speaks for itself: There is simply no
basis to extend Neighbors of Cuddy Mountain’s mootness
holding beyond its specific environmental context to
the claims presented here. Compare Feldman v. Bomar,
518 F.3d 637, 642 (9th Cir. 2008) (citing Neighbors of
Cuddy Mountain and similar cases to illustrate this
court’s recognition of “‘live’ controversies in environmental
cases even after the contested government projects
were complete” (emphasis added)), with Brach, 38
F.4th at 11 (holding that, where plaintiffs sue to enjoin
a pandemic policy but the policy no longer remains, the
plaintiffs “have gotten everything they asked for” and
the “actual controversy has evaporated,” presenting a
“classic case” of mootness).3
3
The majority’s tepid reliance on Z Channel Limited
Partnership v. Home Box Office, Inc., 931 F.2d 1338 (9th Cir.
1991)—a nearly thirtyfive-year-old case that was also never cited
by the parties nor the original panel—is even less persuasive.
Maj. Op. at 16 n.9. No published decision from this circuit in
nearly three decades has relied on Z Channel to overcome a
mootness challenge based on hypothetical relief that no party
33a
Because neither of the majority’s last-minute mootness
rationales survive “close inspection,” Arizonans for Off.
Eng., 520 U.S. at 71, I respectfully dissent for the
reasons stated by Judge Hawkins.
specifically sought. And for good reason: Z Channel is a textbook
example of overreach, with the majority “[d]efying a clear rule of
procedure, creating an inter-circuit conflict and resurrecting a
legal theory long ago abandoned by the parties” to bring the case
“back from the dead.” 931 F.2d at 1346, 1349 (Kozinski, J.,
dissenting); see also Sineneng-Smith, 590 U.S. at 380 (cautioning
against appellate courts “interject[ing]” themselves into cases);
NAACP v. U.S. Sugar Corp., 84 F.3d 1432, 1438 (D.C. Cir. 1996)
(citing the Z Channel dissent); Seven Words LLC v. Network Sols.,
260 F.3d 1089, 1095–97 (9th Cir. 2001) (declining to apply Z
Channel to overcome a mootness challenge); Bain v. Cal. Tchrs.
Ass’n, 891 F.3d 1206, 1212 (9th Cir. 2018) (declining to
“transform” the requested relief “at the eleventh hour” to avoid
mootness, citing Seven Words and Arizonans for Official English).
34a
LEE, Circuit Judge, joined by COLLINS, Circuit
Judge, dissenting in part.
The majority’s opinion comes perilously close to
giving the government carte blanche to require a
vaccine or even medical treatment against people’s
will so long as it asserts—even if incorrectly—that it
would promote “public health and safety.” But the
many mistakes and missteps by our government and
the scientific establishment over the past five years
counsel caution: Their errors underscore the importance
of carefully evaluating the sort of sweeping claims of
public-health authority asserted by the Los Angeles
Unified School District (“LAUSD”) here. Faithful
adherence to Supreme Court precedent confirms that
we should not blindly accept the mere say-so of the
government. We thus should not affirm the dismissal
of this lawsuit challenging LAUSD’s COVID-19
vaccine mandate—without permitting the plaintiffs to
offer evidence to rebut the government officials’ farreaching claims.1
Contrary to the majority, I read the Supreme Court’s
decision in Jacobson v. Massachusetts—which upheld
a smallpox vaccine mandate—to apply only if a vaccine
prevents transmission and contraction of a disease.
197 U.S. 11 (1905). The plaintiffs here have plausibly
claimed—at least at the pleading stage where we must
accept the truth of the allegations—that the COVID19 vaccine mitigates serious symptoms but does not
“prevent transmission or contraction of COVID-19.”
And if that is true, then Jacobson’s rational basis
review does not apply, and we must examine the
vaccine mandate under a more stringent standard.
Ultimately, the plaintiffs may be wrong about the
1
I agree with the majority that this appeal is not moot.
35a
COVID-19 vaccine, but they should be given a chance
to challenge the government’s assertions about it.
I respectfully dissent in part.
*–* * *
When the mRNA-based COVID-19 vaccines were
first announced in late 2020, pharmaceutical companies
touted clinical trials that they claimed showed an
efficacy rate of over 90 percent.2 As scientists contended
then, these vaccines would “protect individuals from
infection and transmission.”3
Based in part on these trial results, federal, state
and local governments acted swiftly to impose vaccine
mandates. The United States government required
federal employees, government contractors, and millions
of private sector employees to be vaccinated.4 Over
8,000 men and women in uniform were discharged and
2
Pfizer and BioNTech Announce Vaccine Candidate Against
COVID-19 Achieved Success in First Interim Analysis from Phase
3 Study, Pfizer, https://www.pfizer.com/news/press-release/pressrelease-detail/pfizer-and-biontech-announce-vaccine-candidate-a
gainst (Nov. 9, 2020); Moderna’s COVID-19 Vaccine Candidate
Meets its Primary Efficacy Endpoint in the First Interim Analysis
of the Phase 3 COVE Study, Moderna, https://investors.moderna
tx.com/news/news-details/2020/Modernas-COVID-19-Vaccine-Ca
ndidate-Meets-its-Primary-Efficacy-Endpoint-in-the-First-Interi
m-Analysis-of-the-Phase-3-COVE-Study/default.aspx (Nov. 16, 2020).
33
Ali Pormohammad et al., Efficacy and Safety of COVID-19
Vaccines: A Systematic Review and Meta-Analysis of Randomized
Clinical Trials, 9 Vaccines 1, 15 (2021), https://pmc.ncbi.nlm.
nih.gov/articles/PMC8148145/.
4
See, e.g., Kathryn Watson et al., Biden announces COVID-19
vaccine mandates that will affect 100 million Americans, CBS
News (Sept. 10, 2021), https://www.cbsnews.com/live-updates/bid
en-covid-19-vaccine-mandates-announcement/.
36a
severed from service for their refusal to be vaccinated.5
States also imposed their own mandates. Even 18
months into the pandemic, California Governor Gavin
Newsom announced that he planned to require
schoolchildren to be vaccinated, despite scientific
evidence that showed young children face extremely
low health risks from COVID-19.6 That proposed
mandate would have banned unvaccinated children
from the classroom and relegated them to online
learning. And relevant here, LAUSD issued a memorandum requiring all employees to get vaccinated—or
lose their jobs.
But it turned out that the government—and the
scientific establishment—were wrong about a lot of
things. The COVID-19 vaccines did not end up having
an efficacy rate of over 90 percent in real-life. People
repeatedly caught COVID-19, despite being vaccinated and “boosted.” Indeed, repeat infections among
the vaccinated became so common that the phrase
“breakthrough infection” entered common parlance.
Given this reality, the government shifted its emphasis
on why people should get vaccinated: It was less about
preventing transmission and contraction of COVID-19
5
Fact Sheet: President Donald J. Trump Reinstates Service
Members Discharged for Refusing the COVID Vaccine, The White
House, https://www.whitehouse.gov/fact-sheets/2025/01/fact-sheet-pr
esident-donald-j-trump-reinstates-service-members-dischargedfor-refusing-the-covid-vaccine/ (Jan. 27, 2025).
6
California Becomes First State in Nation to Announce
COVID-19 Vaccine Requirements for Schools, Governor Gavin
Newsom, https://www.gov.ca.gov/2021/10/01/california-becomes-first-s
tate-in-nation-to-announce-covid-19-vaccine-requirements-for-sc
hools/ (last visited May 28, 2025). California ultimately walked
away from this announced policy.
37a
and more about mitigating serious symptoms.7 Even
LAUSD in its brief before the three-judge panel
focused largely on the vaccine’s effect in lessening
symptoms, stating that “[t]he overwhelming consensus
amongst the nation’s leading health experts is that
COVID-19 vaccines are safe and effective in preventing serious illness and death from this highly
contagious virus.”
The plaintiffs here go further and contend that the
COVID-19 vaccine is not even a “traditional” vaccine
that prevents transmission or provides immunity. Rather,
the COVID-19 vaccines merely mitigate symptoms in
a manner more akin to a medical treatment than a
vaccine. Thus, according to the plaintiffs, the Supreme
Court’s Jacobson v. Massachusetts decision does not
apply here. The district court, for its part, held that
the plaintiffs’ “distinction” between “lessen[ing] the
severity of the disease” and “prevent[ing] contraction
or transmission” was “misplaced” and that Jacobson
applies even if requiring the COVID-19 vaccines
constitutes forced medical treatment. Health Freedom
Def. Fund v. Reilly, 2022 WL 5442479, at *5 (C.D. Cal.
Sept. 2, 2022).
The majority reads Jacobson broadly to empower
the government to impose any vaccine mandate so
long as it believes the mandate would “protect public
health and safety.” Maj. Op. 23. Under the majority’s
reading, “alleged scientific uncertainty over a vaccine’s
7
See Benefits of Getting Vaccinated, CDC, https://www.cdc.
gov/covid/vaccines/benefits.html#:~:text=Vaccination%20is%20m
ore%20reliable%20way,associated%20with%20COVID%2D19%2
0infection., (Jan 13, 2025) (emphasizing that “Getting vaccinated
against COVID-19 has many benefits that are supported by
scientific studies. The COVID-19 vaccine helps protect you from
severe illness, hospitalization, and death.”).
38a
efficacy is irrelevant under Jacobson.” Id. In other
words, if the government believes a vaccine will
protect “public health and safety,” that is the end of the
story. The majority adopts a sweeping definition of
“public health and safety” such that the government
can mandate a vaccine—and potentially any medical
treatment—if the required measure just “lessen[s] the
severity of symptoms,” whether or not it prevents
transmission and contraction of the disease. Id.
I disagree with the majority’s overly broad reading
of Jacobson. The Supreme Court upheld Massachusetts’
vaccine requirement against smallpox precisely because
the vaccine prevented the transmission and contraction
of smallpox. It emphasized this point repeatedly:
• The “principle of vaccination as a means to
prevent the spread of smallpox has been
enforced in many [S]tates.” 197 U.S. at 31–32
(emphasis added).
• “[V]accination strongly tends to prevent the
transmission or spread of this disease.” Id. at 34
(quoting Viemeister v. White, 179 N.Y. 235, 72
N.E. 97, 98–99 (1904) (emphasis added)).
• It is “common belief ” that a vaccine has a
“decided tendency to prevent the spread of this
fearful disease.” Id. at 34 (emphasis added).
• Quarantine requirements were justified because of “the danger of the spread of the
disease.” Id. at 29 (emphasis added).
To be sure, the Court in Jacobson noted that the
defendant had challenged the effectiveness of the
smallpox vaccine in limiting the spread of the disease.
Id. at 23–24. The majority opinion latches onto that
language to argue that it does not matter whether a
39a
vaccine limits transmission and contraction of a
disease; we must just defer to a state’s belief that a
vaccine will protect “public health and safety.” Maj. Op.
23. But the Court did not hold that vaccines can be
required even if they do not prevent the transmission
and contraction of the disease.
Admittedly, it is somewhat difficult to parse this
120-year-old case because it predates our tiers-ofscrutiny analysis. But I read the Court’s opinion much
more narrowly than the majority does: If “everybody
knows . . . and therefore the [trial] court judicially
knew, as th[e] [C]ourt knows, that an opposite theory
[about the public-health efficacy of the smallpox
vaccine] accords with the common belief, and is
maintained by high medical authority,” Jacobson’s
argument that this overwhelming consensus was not
unanimous does not amount to a viable constitutional
claim. Jacobson, 197 U.S. at 30. While it acknowledged
that some people shared Jacobson’s distinctly
unorthodox belief, the Court noted that it is “common
belief ” that is “accepted by the mass of the people, as
well as by most members of the medical profession”
that the smallpox vaccine has the “decided tendency to
prevent the spread” of disease. Id. at 34 (quoting
Viemeister’s upholding of a smallpox vaccine mandate
in New York); see also id. at 35 (“vaccination, as a
means of protecting a community against smallpox,
finds strong support in the experience of this and other
countries”); id. at 37 (suggesting that there is “deep
and universal” belief in the “community” and “medical
advisers” about the vaccine’s efficacy). Jacobson then
recited the number of states—and countries ranging
from Britain to Denmark to Germany to Sweden—that
have adopted compulsory smallpox vaccination,
underscoring the common and almost universal belief
40a
that smallpox vaccines prevent the spread of that
disease. Id. at 31 n.1.
Our case is factually different from Jacobson. At the
pleading stage, we must accept as true the plaintiffs’
well-pleaded allegation that the newly developed
mRNA COVID-19 vaccines do not effectively prevent
the transmission and contraction of COVID-19 and
thus more resemble medical treatments than the sort
of robustly validated smallpox vaccine at issue in
Jacobson. Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009).
That allegation may ultimately not bear out once the
parties offer evidence, but the plaintiffs’ theory
appears plausible at this stage, especially given the
federal government’s focus on mitigation of symptoms
over prevention of transmission and LAUSD’s failure
in its brief to try to factually rebut that claim. This
means that Jacobson does not bar this suit—at least
for now.
The majority opinion suggests that Jacobson’s
reference to “public health and public safety” is so
capacious that merely “lessen[ing] the severity of
symptoms” is enough to justify a vaccine mandate.
Maj. Op. 23. But nothing in Jacobson hints that just
mitigating symptoms alone can count as “public health
and public safety.” The entire thrust of Jacobson is that
“public health and public safety” means protecting the
mass public from the spread of smallpox. Aside from
the repeated references to “preventing the spread” of
smallpox, the opinion makes many allusions to the
dangers of widespread transmission of the disease
among the public. See, e.g., 197 U.S. at 26 (mentioning
the “injury that may be done to others” if a person has
the liberty to refuse vaccines); id. at 27 (“a community
has the right to protect itself against an epidemic of
disease which threatens the safety of its members”);
41a
id. at 28 (noting smallpox was “prevalent and
increasing at Cambridge”); id. at 30–31 (vaccination is
the “best known[] way in which to meet and suppress
the evils of a smallpox epidemic that imperiled an
entire population”); id. at 31 (discussing the need to
“stamp out the disease of smallpox” for the “protection
of the public health and the public safety”).
If we accept the majority’s holding that a state can
impose a vaccine mandate just to “lessen the severity
of symptoms” of sick persons—without considering
whether it lessens transmission and contraction of this
disease—then we are opening the door for compulsory
medical treatment against people’s wishes. Vaccines,
by definition, build immunity and prevent transmission
and contraction of an infectious disease, but we risk
blurring the line between vaccines and medical
treatment if vaccines are defined as anything that
lessens symptoms.
None of this is to deny that the COVID-19 vaccines
may well have saved millions of lives of the elderly,
people with comorbidities, and others with weakened
immune systems. But we have held that the government cannot compel people to involuntarily receive
even life-saving medical treatment. If lessening the
severity of symptoms alone justifies vaccine mandates,
then it may well implicate the fundamental right to
“refus[e] unwanted medical treatment,” as explained
by Judge Collins in his panel concurrence. Health
Freedom Def. Fund v. Carvalho, 104 F.4th 715, 728 (9th
Cir. 2024) (Collins, J., concurring), vacated, 127 F.4th
750 (9th Cir. 2025); see also Cruzan ex rel. Cruzan v.
Director, Mo. Dep’t of Health, 497 U.S. 261, 278–79
(1990); Washington v. Glucksberg, 521 U.S. 702, 724–
25 (1997) (holding that the “right of a competent
individual to refuse medical treatment” is “entirely
42a
consistent with this Nation’s history and constitutional traditions” (citation omitted)). Indeed, under the
majority’s reasoning, we are only a step or two from
allowing the government to require COVID-19
patients to take, say, Ivermectin if the government in
its judgment believes that it would “lessen the severity
of symptoms.”
As a practical matter, I fear we are giving the
government a blank check to foist health treatment
mandates on the people—despite its checkered track
record—when we should be imposing a check against
the government’s incursion into our liberties.
I respectfully dissent in part.
43a
APPENDIX B
FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
————
No. 22-55908
D.C. No. 2:21-cv-08688-DSF-PVC
————
HEALTH FREEDOM DEFENSE FUND, INC., a Wyoming
Not-for-Profit Corporation; JEFFREY FUENTES;
SANDRA GARCIA; HOVHANNES SAPONGHIAN;
NORMA BRAMBILA; CALIFORNIA EDUCATORS FOR
MEDICAL FREEDOM,
Plaintiffs-Appellants,
v.
ALBERTO CARVALHO, in his official capacity as
Superintendent of the Los Angeles United School
District; ILEANA DAVALOS, in her official capacity as
Chief Human Resources Officer for the Los Angeles
School District; GEORGE MCKENNA; MONICA GARCIA;
SCOTT SCHMERELSON; NICK MELVOIN; JACKIE
GOLDBERG; KELLY GONEZ; TANYA ORTIZ FRANKLIN, in
their official capacities as members of the Los
Angeles Unified School District governing board,
Defendants-Appellees.
————
Appeal from the United States District Court
for the Central District of California
Dale S. Fischer, District Judge, Presiding
————
44a
Argued and Submitted September 14, 2023
Seattle, Washington
Filed June 7, 2024
Before: Michael Daly Hawkins, Ryan D. Nelson,
and Daniel P. Collins, Circuit Judges.
Opinion by Judge R. Nelson;
Concurrence by Judge R. Nelson;
Concurrence by Judge Collins;
Dissent by Judge Hawkins
————
OPINION
————
SUMMARY*
————
COVID-19/Mootness
The panel vacated the district court’s order dismissing
plaintiffs’ action alleging that the COVID-19 vaccination policy of the Los Angeles Unified School District
(“LAUSD”)—which, until twelve days after oral argument, required employees to get the COVID-19
vaccination or lose their jobs—interfered with their
fundamental right to refuse medical treatment.
The panel held that the voluntary cessation exception
to mootness applied. LAUSD’s pattern of withdrawing
and then reinstating its vaccination policies was
enough to keep this case alive. The record supported
a strong inference that LAUSD waited to see how
the oral argument in this court proceeded before
determining whether to maintain the Policy or to go
*
This summary constitutes no part of the opinion of the court.
It has been prepared by court staff for the convenience of the
reader.
45a
forward with a pre-prepared repeal option. LAUSD
expressly reserved the option to again consider
imposing a vaccine mandate. Accordingly, LAUSD has
not carried its heavy burden to show that there is no
reasonable possibility that it will again revert to
imposing a similar policy.
Addressing the merits, the panel held that the
district court misapplied the Supreme Court’s decision
in Jacobson v. Massachusetts, 197 U.S. 11 (1905), in
concluding that the Policy survived rational basis
review. Jacobson held that mandatory vaccinations
were rationally related to preventing the spread of
smallpox. Here, however, plaintiffs allege that the
vaccine does not effectively prevent spread but only
mitigates symptoms for the recipient and therefore
is akin to a medical treatment, not a “traditional”
vaccine. Taking plaintiffs’ allegations as true at this
stage of litigation, plaintiffs plausibly alleged that the
COVID-19 vaccine does not effectively “prevent the
spread” of COVID-19. Thus, Jacobson does not apply.
Concurring, Judge R. Nelson wrote separately to
point out that this Circuit’s intervening case Kohn v.
State Bar of California, 87 F.4th 1021 (9th Cir. 2023)
(en banc), raises the question of whether the district
court’s holding that the Los Angeles Unified School
District is entitled to sovereign immunity should be
revisited on remand.
Concurring, Judge Collins wrote separately to
address a crucial point that the district court overlooked. Pursuant to more recent Supreme Court
authority, compulsory treatment for the health benefit
of the person treated—as opposed to compulsory
treatment for the health benefit of others— implicates
the fundamental right to refuse medical treatment.
Plaintiffs’ allegations here are sufficient to invoke that
46a
fundamental right. Defendants note that the vaccination
mandate was imposed merely as a “condition of
employment,” but that does not suffice to justify the
district court’s application of rational-basis scrutiny.
Dissenting, Judge Hawkins wrote that because
there is no longer any policy for this court to enjoin, he
would, as this court has done consistently in actions
challenging rescinded early pandemic policies, hold
that this action is moot, vacate the district court’s
decision, and remand with instructions to dismiss the
action without prejudice.
COUNSEL
John W. Howard (argued) and Scott J. Street, JW
Howard Attorneys LTD., San Diego, California; George
R. Wentz, Jr., The Davillier Law Group LLC, New
Orleans, Louisiana; for Plaintiffs-Appellants.
Connie L. Michaels (argued), Littler Mendelson PC,
Los Angeles, California; Carrie A. Stringham, Littler
Mendelson PC, San Diego, California; for DefendantsAppellees.
OPINION
R. NELSON, Circuit Judge:
For over two years—until twelve days after argument—
Los Angeles Unified School District (LAUSD) required
employees to get the COVID-19 vaccination or lose
their jobs. LAUSD has not carried its “formidable
burden” to show that it did not abandon this policy
because of litigation, and thus that “no reasonable
expectation remains that it will return to its old ways.”
Cf. FBI v. Fikre, 601 U.S. 234, 241 (2024) (cleaned up).
So this case is not moot. See id. On the merits,
the district court misapplied the Supreme Court’s
decision in Jacobson v. Massachusetts, 197 U.S. 11
47a
(1905), stretching it beyond its public health rationale.
We vacate the district court’s order dismissing this
claim and remand for further proceedings under the
correct legal standard.
I
This case is about LAUSD’s COVID-19 vaccination
policy. LAUSD has reversed course several times.
Because of its importance to the mootness issue, we
recount that history in detail.1
LAUSD issued its first policy on March 4, 2021. That
policy was challenged two weeks later in a lawsuit
filed by Plaintiff California Educators for Medical
Freedom (CEMF) and several individual plaintiffs.
According to CEMF’s complaint, LAUSD’s policy
required employees to get the COVID-19 vaccine, no
exceptions. The March 4 memorandum announcing
this policy was attached to the complaint. This memorandum stated that employees would “be notified
to make an appointment through the District’s
vaccination program when it is their turn to get
vaccinated.” See CEMF v. LAUSD, No. 21-cv-02388,
2021 WL 1034618, Dkt. 1, Ex. F at 1 (C.D. Cal. Mar. 17,
2021). It added that “District employees may either
participate in the District’s COVID-19 vaccination
program or provide vaccination documentation in the
form of an official Vaccination Record certified by a
medical professional.” Id. For those who chose the
latter option, the memorandum provided instructions
1
We may properly take judicial notice that various statements
were made in filings in related litigation. See United States ex rel.
Robinson Rancheria Citizens Council v. Borneo, Inc., 971 F.2d 244,
248 (9th Cir. 1992). But we do not take those statements themselves as true. See Khoja v. Orexigen Therapeutics, Inc., 899 F.3d
988, 999 (9th Cir. 2018).
48a
on how to “submit proof of vaccination from an
external medical provider through the LAUSD Daily
Pass” website. Id. It specified that “[c]urrent District
employees will submit documentation of COVID-19
vaccination through the Daily Pass web portal
at http://DailyPass.lausd.net as indicated in their
vaccination notification.” Id. at 2. The memorandum
said nothing about an option to submit to COVID
testing rather than submitting vaccine verification.
The very next day after CEMF filed suit, LAUSD
reversed course and issued a “clarifying memorandum”
that gave employees an option to test for COVID-19 if
they did not want to get the vaccine. Relying on this
clarifying memorandum, which LAUSD claimed did
not impose “mandatory vaccinations,” LAUSD moved
to dismiss CEMF’s suit because, among other things,
it was “moot and/or premature.” LAUSD disputed
whether CEMF had adequately pleaded that exemptions
would not be allowed.
But LAUSD did not dispute CEMF’s contention that
the March 4 memorandum was properly construed
“as requiring District employees to be vaccinated.”
Instead, LAUSD argued that, considering the
March 18 “clarifying memorandum” allowing a testing
alternative—issued after the lawsuit was filed—the
case was moot or unripe. CEMF argued that the
complaint properly alleged that a mandatory policy
was in place when the suit was filed, and that the postfiling clarifying memorandum could not establish
mootness under the voluntary cessation doctrine.
CEMF’s position was bolstered by its citation in the
complaint to a letter from the LAUSD employees’
union, which stated that “[a]ll District employees will
be required to be vaccinated,” and “[n]o exceptions
have been made.” See CEMF, No. 21-cv-2388, 2021 WL
49a
1034618, Dkt. 1, Ex. G at 2. In its reply brief LAUSD
shifted its position and explicitly denied that the
March 4 memorandum “reflects a mandatory vaccination
policy.” LAUSD argued that the March 18 memorandum
was “merely a clarification” of the “original March 4,
2021 memorandum.”
On July 27, 2021, the district court dismissed the
complaint, holding that CEMF’s claims were not ripe.
Noting that CEMF’s amended complaint had cited the
March 18 memorandum, the district court held that,
considering the then-existing testing option, “there is
no threat of future injury because LAUSD explicitly
stated it is not requiring vaccines.” The court held that
it was “completely speculative” whether “LAUSD will
begin to require vaccination of all employees at some
point in the future and will not offer exemptions”
for the plaintiffs. The court acknowledged CEMF’s
allegations about the March 4 policy memorandum.
Still, the court held that, because that policy was
changed before it was ever enforced, the dispute
remained unripe. “That Defendants were contemplating requiring the vaccine, and then later reversed
course and explicitly said they would not be, does not
create a ripe case or controversy.”
Having obtained dismissal of CEMF’s suit on these
grounds, LAUSD reversed course again two weeks
later. Its new policy (the Policy), adopted on August 13,
2021, expressly eliminated the testing option on which
the district court’s July 27 dismissal had been based.
The Policy required that all LAUSD employees be fully
vaccinated against COVID-19 by October 15, 2021.
Like the earlier March 4 memorandum, the Policy
required those who are vaccinated outside of LAUSD’s
own program to submit proof of vaccination through
the “Daily Pass” web portal. The Policy ostensibly
50a
provided for religious and medical exemptions. But
each of the individual plaintiffs here were allegedly
denied accommodations, thus rendering any exemptions
“illusory.”
CEMF sued again, this time joined by Health
Freedom Defense Fund, Inc. and new individual plaintiffs (collectively, Plaintiffs). They named as defendants LAUSD employees and Board members in their
official capacities. Plaintiffs challenged the Policy as
violating the Fourteenth Amendment, among other
claims. Only the substantive due process and equal
protection claims brought under 42 U.S.C. § 1983 are
on appeal. Plaintiffs ask for future relief, including
declaring the Policy unconstitutional and enjoining
LAUSD from requiring it.
Plaintiffs claim that the Policy interferes with their
fundamental right to refuse medical treatment. Their
complaint’s crux is that the COVID-19 “vaccine” is not
a vaccine. “Traditional” vaccines, Plaintiffs claim,
should prevent transmission or provide immunity
to those who get them. But the COVID-19 vaccine
does neither. At best, Plaintiffs suggest, it mitigates
symptoms for someone who has gotten it and then gets
COVID-19. But this makes it a medical treatment, not
a vaccine.
Plaintiffs’ complaint supports these assertions with
data and statements from the Centers for Disease
Control and Prevention (CDC). For example, Plaintiffs
claim that the CDC changed the definition of “vaccine”
in September 2021, striking the word “immunity.”
Thus, they argue, the CDC conceded that the COVID19 vaccine is not a “traditional vaccine.” They also cite
CDC statements that say the vaccine does not prevent
transmission, and that natural immunity is superior
to the vaccine.
51a
LAUSD moved for judgment on the pleadings,
requesting judicial notice of the attached CDC
information. This included information about the
COVID-19 death count and number of cases, as well as
the vaccine’s safety and effectiveness. For example, the
CDC says that “COVID-19 vaccines are safe and
effective.”
The district court granted LAUSD’s motion. Health
Freedom Def. Fund v. Reilly, No. CV-21-8688, 2022 WL
5442479, at *7 (C.D. Cal. 2022). The district court took
judicial notice of LAUSD’s attached documents. Id. at
*2–3. Then, applying a rational basis review, the
district court held that the Policy does not implicate
any fundamental right, id. at *5, and that LAUSD had
a legitimate government purpose in requiring the
COVID-19 vaccination, id. at *6. The district court
held that the COVID-19 vaccine’s reduction in
symptoms and prevention of severe disease and death
in recipients survived rational basis review, even if it
did not prevent transmission or contraction. Id.
The district court largely relied on Jacobson v.
Massachusetts, 197 U.S. 11 (1905), in concluding that
the Policy survived rational basis review. Reilly, 2022
WL 5442479, at *5–6. Plaintiffs argued that the
COVID-19 vaccine is a “medical treatment” and not a
traditional vaccine. Id. at *5. The district court
disagreed, holding that “Jacobson does not require
that a vaccine have the specific purpose of preventing
disease.” Id. (emphasis in original).
Plaintiffs appealed the district court’s order. In April
2023, LAUSD filed its answering brief. It vigorously
defended its vaccine mandate and did not raise any
suggestion that it might be revoked. We held oral
argument on the morning of September 14, 2023. The
case was calendared together with two similar appeals
52a
involving the rejection of challenges to vaccine
mandates that had been imposed on state employees
by Oregon and Washington. But Oregon and Washington
revoked their mandates before the answering briefs
were filed in those cases. They therefore sought
dismissal of the claims for prospective relief in those
cases as moot.
LAUSD’s counsel was asked at oral argument about
the contrast with those cases and whether LAUSD
could maintain the Policy indefinitely. LAUSD’s
counsel responded that the Policy was properly still in
place because “there are Covid spikes right now.”
Counsel stated that LAUSD was “very concerned
about maintaining the health of [its] staff ” and
believed that COVID vaccines should continue to be
required “until it is absolutely established that the
vaccines have no effect.” When again pressed about the
contrast with the two other argued cases about vaccine
mandates, counsel stated that “with respect to what
the district is going to do now, what they’re considering
doing now, there is only so much I can tell you, because
it’s not in the record.” Counsel then reaffirmed
LAUSD’s view that “with respect to the vaccination
requirement, they have felt that until it is established
that the vaccine is not of use in any way that it is
important to go ahead and maintain it.” LAUSD’s
counsel also repeatedly defended the constitutionality
of its vaccine mandate.
According to a declaration submitted by Plaintiffs’
counsel, LAUSD’s attorney turned to him as they were
leaving the courtroom and said, “What are you going
to do when we rescind the mandate?” That same
day, LAUSD’s Superintendent (the Superintendent)
submitted to the LAUSD Board (the Board) of
53a
Education a proposal to repeal the mandate.2 Twelve
days later, (the Board) voted to rescind the Policy by a
six to one vote, with one abstention. This lawsuit was
mentioned by members of the public at the meeting of
the Board. Indeed, one commenter played excerpts
from the publicly available audio recording of the oral
argument in this court.3 The Superintendent submitted
materials in support of repeal that stated that,
because the virus was no longer “spreading at a rapid
enough pace to overwhelm hospital systems,” LAUSD
“no longer need[ed] a COVID-19 vaccine requirement
to keep schools open for in-person learning.” They
explained that “[t]he science [on vaccines] has not
changed” and they are still “safe and effective.” And
they also cautioned that LAUSD would continue to
monitor COVID-19, and if “health conditions necessitate a revisiting of the COVID-19 vaccine requirement,” LAUSD would reconsider the Policy.
Comments made by LAUSD officials and Board
members at the meeting generally followed these
statements. The one Board member who voted against
the repeal, Dr. McKenna, said he was “not afraid of
litigation” or the “zealousness that will come out with
2
Plaintiffs’ Motion for Judicial Notice is GRANTED in part
and DENIED in part. We take judicial notice that LAUSD voted
to withdraw the Policy on September 26, 2023, and that various
documents were submitted, and statements made, in connection
with that repeal. See Lee v. City of Los Angeles, 250 F.3d 668, 689–
90 (9th Cir. 2001). But we do not take judicial notice of the truth
of the claims made in such written or oral statements. Id.; see also
Owino v. Holder, 771 F.3d 527, 534 n.4 (9th Cir. 2014) (denying
request for judicial notice of article where “[t]he government does
not concede that the facts [included] are beyond dispute.”).
3
LAUSD, September 26th, 2023 – 1pm Regular Board Meeting,
YOUTUBE (Sept. 26, 2023), https://www.youtube.com/watch?v=
qQf_y77unZw (25:37–28:00) (Meeting).
54a
lawsuits” brought by employees who lost their jobs.
Meeting (59:20 – 1:00:48). Likewise, Board President
Goldberg said that she had a “foot in [the] camp
with Dr. McKenna.” Id. (1:13:12 – 1:15:12). While she
acknowledged that the virus was now “endemic,” she
also said she did not regret imposing the mandate for
“one moment, not 30 seconds, not one tiny bit.” Id.
(1:13:15–22). When the vote on the repeal was called,
she voted, “Reluctantly, yes.” Id. (1:18:23–26).
LAUSD then asked us to dismiss the appeal,
claiming that the case is now moot. Plaintiffs objected,
arguing that LAUSD withdrew the Policy because they
feared an adverse ruling.
II
“Judgments on the pleadings are reviewed de novo.”
George v. Pac.-CSC Work Furlough, 91 F.3d 1227, 1229
(9th Cir. 1996). We review under the same standards
as a motion to dismiss. Gregg v. Haw., Dep’t of Pub.
Safety, 870 F.3d 883, 887 (9th Cir. 2017). So we must
accept the plaintiffs’ alleged facts as true, whether
“actual proof ” of them is “improbable.” Bell Atl. Corp. v.
Twombly, 550 U.S. 544, 556 (2007). If the parties
provide competing but plausible explanations, the
plaintiffs’ complaint survives. Starr v. Baca, 652 F.3d
1202, 1216 (9th Cir. 2011). Thus, we can affirm for the
moving party only if there are no material and
unresolved facts, and the plaintiffs’ claims fail as a
matter of law. George, 91 F.3d at 1229.
III
We begin by analyzing whether this appeal is now
moot because of LAUSD’s recent policy reversal.
Because LAUSD acted after this litigation was filed,
we must decide whether the voluntary cessation
exception to mootness applies. See, e.g., Trinity
55a
Lutheran Church of Columbia, Inc. v. Comer, 582 U.S.
449, 457 n.1 (2017).
“[A] case is moot when the issues presented are
no longer ‘live’ or the parties lack a legally cognizable
interest in the outcome.” Los Angeles County v.
Davis, 440 U.S. 625, 631 (1979) (quoting Powell v.
McCormack, 395 U.S. 486, 496 (1969)). But generally,
a party’s decision to stop the challenged conduct does
not take away our “power to hear and determine the
case.” Id. (quoting United States v. W.T. Grant Co., 345
U.S. 629, 632 (1953)).
Sometimes, however, voluntary cessation can moot a
case. First, it must be reasonably clear that the
challenged practice will not happen again. Friends of
the Earth, Inc. v. Laidlaw Env’t Servs. (TOC), Inc., 528
U.S. 167, 189 (2000). Second, any effects of the alleged
violation must be permanently reversed. Davis, 440
U.S. at 631. This is a “formidable burden” and “holds
for governmental defendants no less than for private
ones.” Fikre, 601 U.S. at 241.
LAUSD’s pattern of withdrawing and then reinstating
its vaccination policies is enough to keep this case
alive. See Fikre v. FBI, 904 F.3d 1033, 1039 (9th Cir.
2018) (“[A] claim is not moot if the government
remains practically and legally free to return to [its]
old ways despite abandoning them in the ongoing
litigation.” (citing W.T. Grant, 345 U.S. at 632) (internal
quotation marks omitted)). Twice LAUSD has
withdrawn its policy only after facing some litigation
risk. LAUSD immediately rescinded its prior policy
after some plaintiffs first sued, and LAUSD then asked
the district court to dismiss for mootness or ripeness.
But then just two weeks after securing a dismissal on
those grounds, LAUSD implemented the Policy, which
has remained in effect for over two years.
56a
We held oral argument on the morning of September
14, 2023, where LAUSD’s counsel was vigorously
questioned. That same day LAUSD submitted a report
recommending rescission of the Policy. Twelve days
later, LAUSD withdrew the Policy.
Litigants who have already demonstrated their
willingness to tactically manipulate the federal courts
in this way should not be given any benefit of
the doubt. LAUSD’s about-face occurred only after
vigorous questioning at argument in this court, which
suggests that it was motivated, at least in part, by
litigation tactics. See R.W. v. Columbia Basin Coll.,
77 F.4th 1214, 1226 (9th Cir. 2023). For example,
in Columbia Basin College, we upheld a finding that
the voluntary-cessation-mootness burden had not
been met. Id. We were persuaded by the district
court, which noted the defendants’ strategic timing of
sending a letter purporting to moot the case more than
three years after litigation but only one month before
moving on mootness. Id. Here too, LAUSD’s timing is
suspect.
Rather than hold LAUSD to its “formidable burden,”
see Fikre, 601 U.S. at 241, the dissent consistently
draws highly debatable inferences for LAUSD in
evaluating LAUSD’s actions in the two vaccine-related
lawsuits filed against it. But federal judges “are ‘not
required to exhibit a naiveté from which ordinary
citizens are free.’” Dep’t of Com. v. New York, 588 U.S.
752, 139 S. Ct. 2551, 2575 (2019) (citation omitted).
Given the detailed procedural history summarized
earlier, the record at least supports a strong inference
that LAUSD waited to see how the oral argument in
this court proceeded before determining whether to
maintain the Policy or to go forward with a preprepared repeal option. LAUSD appears to have twice
57a
sought to manipulate the federal courts to avoid an
adverse ruling on this issue. Moreover, the Board
expressly reserved the option to again consider
imposing a vaccine mandate. This confirms that
LAUSD has not carried its heavy burden to show that
there is no reasonable possibility that it will again
revert to imposing a similar policy.
We must view any strategic moves designed to keep
us from reviewing challenged conduct with a “critical
eye.” See Knox v. Serv. Emps. Int’l Union, Loc. 1000,
567 U.S. 298, 307 (2012). Comments made by Board
members confirm that its policy rescission aimed to
avoid litigation. For example, Dr. McKenna—the sole
Board member to vote against withdrawal of the
Policy—justified his vote because he was “not afraid of
litigation” or the “zealousness that will come out with
lawsuits” brought by employees who lost their jobs.
Likewise, Board President Goldberg said that she had
a “foot in [the] camp” with Dr. McKenna, and so
“reluctantly” voted to rescind. These comments show
that the Board was aware of, and responding to, the
pending litigation. LAUSD therefore is no longer
entitled to any presumption of regularity.
The dissent disagrees, citing distinguishable cases
involving challenges to COVID-19 policies. We found
in each case that the government entity did not
intentionally abandon its policy because of litigation
risk but for other intervening reasons. See, e.g., Brach
v. Newsom, 38 F.4th 6, 12 (9th Cir. 2022) (“The State
did not rescind its school closure orders in response
to the litigation—the orders ‘expired by their own
terms’ . . .”); McDonald v. Lawson, 94 F.4th 864, 869
(9th Cir. 2024) (“[N]othing in the record . . . indicates
that [the State’s assertion that it would not enforce the
challenged rule] was made in bad faith.” (citation
58a
omitted)); Seaplane Adventures, LLC v. County of
Marin, 71 F.4th 724, 732 (9th Cir. 2023) (given that
California’s state of emergency ended, “there is no
indication that the County can or will reimpose
restrictions similar to those in effect at the very
beginning of the pandemic.”); Donovan v. Vance, 70
F.4th 1167, 1172 (9th Cir. 2023) (explaining that
because the vaccine mandate exemption was based on
executive orders that no longer exist, no relief is
available). Indeed, this panel unanimously reached
the same conclusion about the withdrawal of the
vaccine mandates imposed by Oregon and Washington.
See Johnson v. Kotek, 2024 WL 747022, at *1 (9th Cir.
2024) (dismissing the claims for prospective relief as
moot); Pilz v. Inslee, 2023 WL 8866565, at *1 (9th Cir.
2023) (same). As explained above, LAUSD’s actions do
not suggest the same intent as existed in these other
cases. Here, unlike in Lawson, the evidence shows that
LAUSD acted at least partially in bad faith to avoid
litigation risk in again changing the Policy. And unlike
in Seaplane Adventures, LAUSD has shown that they
“can or will reimpose” similar restrictions.
Thus, the voluntary cessation exception to mootness
applies. See id.; see also Pub. Utils. Comm’n of State of
Cal. v. FERC, 100 F.3d 1451, 1460 (9th Cir. 1996) (“in
order for [the voluntary cessation] exception to apply,
the defendant’s [changed action] must have arisen
because of the litigation.” (emphasis in original)). This
case is not moot.4
IV
We now turn to the merits. The district court held,
applying rational basis review under Jacobson, that
the Policy satisfied a legitimate government purpose.
4
For these reasons, LAUSD’s Motion to Dismiss is DENIED.
59a
But the district court’s analysis diverges from
Jacobson. We thus vacate the district court’s opinion
and remand.
The district court relied on Jacobson to hold that the
Policy was rooted in a legitimate government interest.
Reilly, 2022 WL 5442479, at *5−6. But Jacobson does
not directly control based on Plaintiffs’ allegations. In
Jacobson, the Supreme Court balanced an individual’s
liberty interest in declining an unwanted smallpox
vaccine against the State’s interest in preventing
disease. 197 U.S. at 38. The Court explained that the
“principle of vaccination” is “to prevent the spread of
smallpox.” Id. at 31–32. Because of this, the Court
concluded that the State’s interest superseded Jacobson’s
liberty interest, and the vaccine requirement was
constitutional. Id.
Plaintiffs argue that a “traditional vaccine” must
provide immunity and prevent transmission, meaning
that it must “prevent the spread” of COVID-19.
Plaintiffs allege that the vaccine does not effectively
prevent spread, but only mitigates symptoms for the
recipient. And Plaintiffs claim that something that
only does the latter, but not the former, is like a
medical treatment, not a “traditional” vaccine. This
interpretation distinguishes Jacobson, thus presenting a
different government interest.
Putting that aside, the district court held that, even
if it is true that the vaccine does not “prevent the
spread,” Jacobson still dictates that the vaccine
mandate challenged here is subject to, and survives,
the rational basis test. The district court reasoned that
“Jacobson does not require that a vaccine have the
specific purpose of preventing disease.” Reilly, 2022 WL
5442479, at *5 (emphasis in original). It acknowledged
Plaintiffs’ allegations that the vaccine did not “prevent
60a
transmission or contraction of COVID-19.” Id. at *6.
But it declared that “these features of the vaccine
further the purpose of protecting LAUSD students and
employees from COVID-19,” and thus “the Policy
survives rational basis review.” Id.
This misapplies Jacobson. Jacobson held that
mandatory vaccinations were rationally related to
“preventing the spread” of smallpox. 197 U.S. at 30; see
also Roman Cath. Diocese of Brooklyn v. Cuomo, 592
U.S. 14, 23 (2020) (Gorsuch, J., concurring) (“Although
Jacobson pre-dated the modern tiers of scrutiny, this
Court essentially applied rational basis review to
Henning Jacobson’s challenge . . .”). Jacobson, however,
did not involve a claim in which the compelled vaccine
was “designed to reduce symptoms in the infected
vaccine recipient rather than to prevent transmission
and infection.” Reilly, 2022 WL 5442479, at *5. The
district court thus erred in holding that Jacobson
extends beyond its public health rationale—government’s
power to mandate prophylactic measures aimed at
preventing the recipient from spreading disease to
others—to also govern “forced medical treatment” for
the recipient’s benefit. Id. at *5.
At this stage, we must accept Plaintiffs’ allegations
that the vaccine does not prevent the spread of
COVID-19 as true. Twombly, 550 U.S. at 556. And,
because of this, Jacobson does not apply. LAUSD
cannot get around this standard by stating that
Plaintiffs’ allegations are wrong. Nor can LAUSD do
so by providing facts that do not contradict Plaintiffs’
allegations. It is true that we “need not [] accept as true
allegations that contradict matters properly subject to
judicial notice.” Sprewell v. Golden State Warriors, 266
F.3d 979, 988 (9th Cir. 2001). But even if the materials
offered by LAUSD are subject to judicial notice, they
61a
do not support rejecting Plaintiffs’ allegations. LAUSD
only provides a CDC publication that says “COVID-19
vaccines are safe and effective.” But “safe and
effective” for what? LAUSD implies that it is for
preventing transmission of COVID-19 but does not
adduce judicially noticeable facts that prove this.
We note the preliminary nature of our holding. We
do not prejudge whether, on a more developed factual
record, Plaintiffs’ allegations will prove true. But
“[w]hether an action ‘can be dismissed on the
pleadings depends on what the pleadings say.’”
Marshall Naify Revocable Tr. v. United States, 672 F.3d
620, 625 (9th Cir. 2012) (quoting Weisbuch v. County of
Los Angeles, 119 F.3d 778, 783 n.1 (9th Cir. 1997)).
Because we thus must accept them as true, Plaintiffs
have plausibly alleged that the COVID-19 vaccine
does not effectively “prevent the spread” of COVID-19.
Thus, Jacobson does not apply, and so we vacate the
district court’s order of dismissal and remand.
V
This case is not moot. And the district court wrongly
applied Jacobson to the substantive due process claim.
Thus, we vacate the district court’s order and remand.
VACATED AND REMANDED.
62a
R. NELSON, J., concurring:
I write separately to address another issue not at
issue in this appeal, but perhaps relevant as this case
progresses on remand. Our intervening case, Kohn v.
State Bar of California, 87 F.4th 1021 (9th Cir. 2023)
(en banc), raises the question whether the district
court’s holding below that the Los Angeles Unified
School District (LAUSD) is entitled to sovereign
immunity should be revisited.
“[A] federal court generally may not hear a suit
brought by any person against a nonconsenting State.”
Munoz v. Super. Ct. of L.A. Cnty., 91 F.4th 977, 980 (9th
Cir. 2024) (internal quotation marks omitted). “This
prohibition applies when the state or the arm of a state
is a defendant.” Id. (cleaned up). We recently clarified
when a government agency is an “arm of the state.” See
Kohn, 87 F.4th at 1026–32. We examined the current
test—the Mitchell factors—against Supreme Court
precedent and overruled it. Id. at 1027–30 (reassessing
Mitchell v. L.A. Cmty. Coll. Dist., 861 F.2d 198, 201–02
(9th Cir. 1988)). We instead adopted a new, entitybased test. Id. at 1030. Kohn’s reasoning may impact
claims that can be brought against LAUSD.
The Supreme Court has never established a
standard test for determining whether an entity is an
“arm of the state.” See id. at 1026–27. We developed
the Mitchell factors out of a “grab bag” of Supreme
Court and Ninth Circuit precedent. Id. at 1027. One of
the cases the Mitchell factors relied on was the
Supreme Court’s decision in Edelman v. Jordan, 415
U.S. 651 (1974). Id. Edelman suggested that if the
judgment would be paid by the State, the suit is
barred. See id. at 1027 (citing Edelman, 415 U.S. at 663
(“Thus the rule has evolved that a suit by private
parties seeking to impose a liability which must be
63a
paid from public funds in the state treasury is barred
by the Eleventh Amendment.”)). Since Edelman,
however, the Court has held that solvency and state
dignity are equally important, and what matters is
how the state and defendant relate to one another. See
id. at 1027–28; see also id. (“But, since Edelman and
Mitchell, the Supreme Court has clarified that ‘[t]he
Eleventh Amendment does not exist solely in order to
preven[t] federal-court judgments that must be paid
out of a [s]tate’s treasury.’” (quotations omitted) (itself
quoting Seminole Tribe of Fla. v. Florida, 517 U.S. 44,
58 (1996)).
The Mitchell test was applied inconsistently, and
thus was not predictable. The factors were weighted
differently, and while this balancing afforded judicial
discretion, “it allows lower courts in our Circuit to
‘twist’ the arms of the state doctrine depending on the
defendant.” Id. at 1029. For example, “[u]nder Mitchell,
we [] placed the greatest weight on” who was financially responsible in assessing sovereign immunity. Id.
at 1027 (citing Durning v. Citibank, N.A., 950 F.2d
1419, 1424 (9th Cir. 1991)). This made little sense. See
id. at 1027–30.
The second Mitchell factor—“whether the entity
performs central government functions”—was also
applied inconsistently. Id. at 1029. At times, we have
evaluated this at the entity-level, and other times at
the activity-level. Id. But if the Mitchell test were
entity-based, an entity either should be immune or
not—it should not depend on what the entity is doing.
Id.
Recognizing this tension, Kohn overruled Mitchell.
Id. at 1028 (“The Mitchell factors are . . . inconsistent
with Supreme Court arm of the state doctrine.”). In its
place, we adopted an “entity-based” test. Id. at 1030.
64a
This three-factor test evaluates “(1) the state’s intent
as to the status, including the functions performed by
the entity; (2) the state’s control over the entity; and
(3) the entity’s overall effects on the state treasury.” Id.
(citing P.R. Ports Auth. v. Fed. Mar. Comm’n, 531 F.3d
868, 873 (D.C. Cir. 2008) (cleaned up)). Under it, “an
entity either is or is not an arm of the [s]tate”—it is
not context specific. Id. at 1031 (citing P.R. Ports Auth.,
531 F.3d at 873).
We have held that California school districts have
sovereign immunity, relying on Mitchell. See, e.g.,
Belanger v. Madera Unified Sch. Dist., 963 F.2d 248,
254 (9th Cir. 1992); Sato v. Orange Cnty. Dep’t of Educ.,
861 F.3d 923, 934 (9th Cir. 2017). That said, we have
held that school districts in other states are not.1 The
reasons for this differing result are now suspect under
Kohn. Given this, it must be reassessed whether
California school districts are an “arm of the state.”
We first held that California school districts were an
“arm of the state” in Belanger. We noted that some
factors cut against this but reasoned that “Belanger
[could not] prevail on the first and most important
factor because a judgment against the school district
would be satisfied out of state funds.” Belanger, 963
F.2d at 251. We also stated that “under California law,
the school district is a state agency that performs
central government functions.” Id. This analysis thus
hinged on the first and second, now defunct, Mitchell
factors. See id. Belanger’s analysis of the second factor
also examined the activity that California school
1
See, e.g., Holz v. Nenana City Pub. Sch. Dist., 347 F.3d 1176,
1184 (9th Cir. 2003) (Alaska); Savage v. Glendale Union High
Sch., Dist. No. 205, 343 F.3d 1036, 1044 (9th Cir. 2003) (Arizona);
Eason v. Clark Cnty. Sch. Dist., 303 F.3d 1137, 1143 (9th Cir. 2002)
(Nevada).
65a
districts performed—public schooling—and reasoned
that because that was a “central governmental
function,” they were “arms of the state.” Id. The
Belanger court was unconcerned that California school
districts “enjoy wide discretion and considerable
autonomy” under this second factor. See id. This
analysis is thus suspect under Kohn.
We then doubled down on this holding in Sato.
Between Belanger and Sato, California enacted AB 97,
which “reformed education funding and governance in
California.” Sato, 861 F.3d at 929. As a result, public
education in California became more locally funded
and educational achievement more locally controlled—
thus reducing the State’s involvement in both. See id.
That said, we still held that because state and local
education funds were “still ‘hopelessly intertwined,’”
the first, now disfavored, Mitchell factor still favored
immunity. Id. at 932. For the second Mitchell factor,
while we recognized that “AB 97 granted districts []
some measure of autonomy and discretion in goalsetting,” “it did not delegate primary responsibility for
providing public education.” Id. at 933. This determination thus looked at the activity—providing public
education—rather than the entity. That reasoning and
this conclusion is now suspect under Kohn.
Our new entity-based test in Kohn seems to conflict
with (and likely overrule) our reasoning in Belanger
and Sato. Because of this, the district court’s holding
that LAUSD is an “arm of the state” (as well as our
prior holdings in Belanger and Sato) may need to be
revisited. Cf. Reilly, 2022 WL 5442479, at *3 (relying
66a
on Mitchell to determine that LAUSD has Eleventh
Amendment immunity).2
2
If LAUSD does not have sovereign immunity, Plaintiffs may
be able to amend to raise a monetary claim, which would be
another reason this case is not moot. Cf. Pennhurst State Sch. &
Hosp. v. Halderman, 465 U.S. 89, 100 (1984); see also Jacobs v.
Clark Cnty. Sch. Dist., 526 F.3d 419, 425–26 (9th Cir. 2008) (“[A]
‘live claim for [even] nominal damages will prevent dismissal for
mootness.’” (quoting Bernhardt v. County of Los Angeles, 279 F.3d
862, 872 (9th Cir. 2002))).
67a
COLLINS, Circuit Judge, concurring:
I agree that this case is not moot and that Jacobson
v. Massachusetts, 197 U.S. 11 (1905), is not controlling
under the well-pleaded allegations of Plaintiffs’
complaint. I therefore concur in the majority opinion.
I write separately to emphasize a crucial point the
district court overlooked.
The district court in this case explicitly held that
Jacobson governs Plaintiffs’ substantive due process
claim even if one assumes the truthfulness of the
complaint’s allegations that the Covid vaccines are not
very effective at preventing infection and transmission
and that their value is primarily in reducing disease
severity for those recipients of the vaccine who
thereafter contract Covid. As the majority explains,
Jacobson did not involve a comparable claim and is not
controlling authority with respect to it.
In my view, the district court further erred by failing
to realize that these allegations directly implicate
a distinct and more recent line of Supreme Court
authority, in which the Court has stated that “[t]he
principle that a competent person has a constitutionally protected liberty interest in refusing unwanted
medical treatment may be inferred from [the Court’s]
prior decisions.” Cruzan ex rel. Cruzan v. Director, Mo.
Dep’t of Health, 497 U.S. 261, 278–79 (1990) (citing, not
only Jacobson, but a series of later “cases support[ing]
the recognition of a general liberty interest in refusing
medical treatment”). In Washington v. Glucksberg, 521
U.S. 702 (1997), the Court explained that Cruzan’s
posited “‘right of a competent individual to refuse
medical treatment’” was “entirely consistent with this
Nation’s history and constitutional traditions,” in light
of “the common-law rule that forced medication was a
battery, and the long legal tradition protecting the
68a
decision to refuse unwanted medical treatment.” Id. at
724–25 (citation omitted). Given these statements in
Glucksberg, the right described there satisfies the
history-based standards that the Court applies for
recognizing “fundamental rights that are not mentioned
anywhere in the Constitution.” Dobbs v. Jackson
Women’s Health Org., 597 U.S. 215, 237–38 (2022). The
Supreme Court’s caselaw thus clarifies that compulsory
treatment for the health benefit of the person treated—
as opposed to compulsory treatment for the health
benefit of others—implicates the fundamental right to
refuse medical treatment.
Plaintiffs’ allegations here are sufficient to invoke
that fundamental right. Defendants note that the
vaccination mandate was imposed merely as a
“condition of employment,” but that does not suffice to
justify the district court’s application of rational-basis
scrutiny. See Lane v. Franks, 573 U.S. 228, 236 (2014)
(“[The] Court has cautioned time and again that public
employers may not condition employment on the
relinquishment of constitutional rights.”).
With these additional observations, I concur in the
majority opinion.
69a
HAWKINS, Circuit Judge, dissenting.
This case is over. We cannot grant the sole relief
sought by the Plaintiffs, an injunction against
enforcement of the school district’s now rescinded
COVID-19 vaccination policy (the “Policy”). Despite
the absence of any ongoing policy, my friends in the
Majority would hold that this action remains
justiciable under the voluntary cessation exception to
mootness. See FBI v. Fikre, 601 U.S. 234, 241 (2024).
In doing so, they ignore the practical realities
surrounding LAUSD’s adoption and rescission of the
Policy, which demonstrate that there is no reasonable
expectation LAUSD will reimpose the Policy in the
future. Because there is no longer any policy for
our court to enjoin, I would, as our court has done
consistently in actions challenging rescinded early
pandemic policies, hold that this action is moot,
vacate the district court’s decision, and remand with
instructions to dismiss the action without prejudice.
See, e.g., Brach v. Newsom, 38 F.4th 6 (9th Cir. 2022)
(en banc).
I begin with a brief overview of the pertinent events
to illustrate the context in which LAUSD adopted and
then rescinded the Policy. In early March 2020, the
World Health Organization declared a global pandemic
in response to COVID-19, leading to the issuance of
local, state, and federal emergency declarations and
orders. “Governor Gavin Newsom declared a state of
emergency within California, and issued Executive
Order N-33-20, requiring Californians to ‘heed the
current State public health directives’ including the
requirement ‘to stay home or at their place of
residence.’” Id. at 9. Around March 16, 2020, LAUSD
closed its facilities for in-person operations and
implemented a distance learning and remote work
70a
program that lasted through most of the 2020–2021
school year.
In advance of the reopening of schools for in-person
instruction, California Educators for Medical Freedom—
one of the Plaintiffs in this action—and several other
individuals filed a complaint on March 17, 2021,
seeking to enjoin LAUSD from implementing a policy
that required employees, without exception, to be
vaccinated against COVID-19. Cal. Educators for Med.
Freedom v. Los Angeles Unified Sch. Dist., No. 21-cv02388, 2021 WL 1034618, Dkt. 1 (C.D. Cal. Mar. 17,
2021) (CEMF).1 The CEMF complaint alleged, on
information and belief, that LAUSD had adopted such
a policy, id. ¶ 1, and attached several documents in
support, including a March 4, 2021 memorandum to
employees. See id. Ex. F. The memorandum informed
LAUSD employees that they were eligible to receive
COVID-19 vaccinations and provided information
about registering for vaccinations through the District’s vaccination program or submitting documentation of their vaccination if received through an outside
program. Id. The memorandum did not state explicitly
that employees were required to receive vaccinations
or that employment consequences would follow if
employees were not vaccinated.2 Id. The day after the
1
We may take judicial notice of filings and decisions in related
court actions. See Reyn’s Pasta Bella, LLC v. Visa USA, Inc., 442
F.3d 741, 746 n.6 (9th Cir. 2006).
2
CEMF also supported its complaint with a letter from the
LAUSD employees’ union. CEMF, No. 21-cv-02388, 2021 WL
1034618, Dkt. 1, Ex. G. The letter indicated that the District’s
plans to implement a mandatory vaccination policy were in
progress; the information regarding those plans “may very well
change;” discussions with the District were “nowhere near done;”
and no deadlines had been set given a variety of unknown
variables, including the availability of vaccinations. Id.
71a
CEMF plaintiffs filed their complaint, LAUSD sent an
updated interoffice memorandum that clarified
“vaccinations are not mandatory at this time.” The
CEMF plaintiffs acknowledged in an amended complaint that LAUSD was giving staff the option to test
or be vaccinated.
LAUSD moved to dismiss the case on ripeness
grounds because it had not yet implemented a
vaccination policy, and the district court granted the
motion. The district court found that the case did not
raise any voluntary cessation concerns because,
“according to Plaintiffs’ allegations, Defendants never
began the objectionable conduct in the first place.” The
district court dismissed the action without prejudice
on July 27, 2021.
The 2021–2022 LAUSD school year was set to begin
just a few weeks later on August 16, 2021.3 The 2021–
2022 school year also marked the unrestricted
reopening of LAUSD schools for in-person instruction.4
On August 13, 2021—the first “pupil free day” of the
school year5 and three days before students would be
returning to the classrooms—LAUSD circulated a
memorandum to staff announcing the Policy and
explaining that all non-exempt employees must be
vaccinated against COVID-19. The LAUSD Board of
3
LAUSD, Single-Track Instructional School Calendar 2021‒
2022, https://achieve.lausd.net/cms/lib/CA01000043/Centricity/D
omain/4/REV1.4.2022BoardAppvd_2021-2022InstructionalCal.pdf
[“LAUSD 2021–2022 Calendar”].
4
The emergency legislation allowing the California public
school system to move online expired on June 30, 2021, and on
July 12, 2021, the State of California lifted “all restrictions on
school reopening.” Brach, 38 F.4th at 11, 13.
5
See LAUSD 2021–2022 Calendar.
72a
Education (the “Board”) approved the policy at a
subsequent meeting in November 2021.
Plaintiffs filed the underlying complaint and sought
an injunction barring enforcement of the Policy.
LAUSD eventually moved for judgment on the
pleadings. The district court granted the motion and
entered judgment in favor of the Defendants. Plaintiffs
then appealed.
We held oral argument on September 14, 2023,
approximately four weeks after the start of LAUSD’s
2023–2024 school year.6 At oral argument, counsel for
Plaintiffs informed the court that, although the Policy
remained in effect as of that date, there were rumors
LAUSD would be rescinding the Policy. Consistent
with those rumors, a detailed report proposing
rescission of the Policy was submitted to the Board on
the same day as oral argument. The proposal
identified the many changes that had occurred since
LAUSD adopted the Policy in the fall of 2021 and
expressed the view that vaccines were no longer
needed to keep schools open for in-person learning. At
its next meeting, held on September 26, 2023, the
Board heard comments from interested parties and
voted to rescind the Policy.
The Majority characterizes LAUSD’s conduct as an
intentional manipulation of federal courts. But we
generally afford the government a presumption of
good faith, Brach, 38 F.4th at 13, and when viewed in
context, there are obvious, non-litigation-related
6
LAUSD, Instructional School Calendar 2023‒2024,
https://www.lausd.org/site/default.aspx?PageType=3&ModuleIns
tanceID=67213&ViewID=C9E0416E-F0E7-4626-AA7BC14D59
F72F85&RenderLoc=0&FlexDataID=112212&PageID=17824&
Comments=true.
73a
explanations for LAUSD’s actions surrounding the
adoption and rescission of the Policy. Far from
the “about-face” described by the Majority, the CEMF
pleadings and attached documen
This text is long and has been trimmed here. Open the source document for the complete record.
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