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93 F.4th 66
3d Cir.
2024
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Background

  • In April 2021 Rutgers required COVID-19 vaccination as a condition of in-person enrollment and campus access; exemptions were available for medical reasons, bona fide religious beliefs, or enrollment in a fully online degree program.
  • Rutgers later extended the requirement to health/public-safety personnel (June 2021) and to all faculty and staff (Oct. 2021); exempt students faced testing/masking and exclusion from housing.
  • Plaintiffs: 13 students and Children’s Health Defense (CHD). Twelve students obtained exemptions; one student (Adriana Pinto) did not and was disenrolled. Complaint asserted federal and state claims plus constitutional challenges and sought damages and injunctive relief.
  • District Court dismissed all claims (mootness and failure to state a claim). Third Circuit considered standing, preemption under the EUA statute (21 U.S.C. § 360bbb-3), state ultra vires challenge, substantive due process, and equal protection.
  • Third Circuit affirmed: plaintiffs had standing (including exempt students on housing/related injuries); Jacobson controls (no fundamental right to refuse vaccination); EUA preemption failed; New Jersey statutes/regulations authorized Rutgers’ actions; rational-basis review applied and was satisfied.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Federal preemption under EUA (21 U.S.C. § 360bbb-3) EUA forbids coercing experimental products; Rutgers’ policy coerces vaccination and thus conflicts with federal law. Section 360bbb-3 governs HHS/provider obligations re: informed consent; it does not prohibit institutions from conditioning attendance; students retained the option to refuse or apply for exemption. Dismissed—no preemption: statute does not impose obligations on Rutgers and Rutgers’ policy did not eliminate the option to refuse.
State-law ultra vires (authority to require vaccine and exclude exempt students from housing) Rutgers lacked statutory authority to impose COVID-19 vaccination condition or to exclude exempted students from housing. N.J.S.A. § 18A:61D-1 and N.J. Admin. Code § 8:57-6.4 authorize institutions to require ACIP‑recommended immunizations; other regs permit temporary exclusion in outbreaks and allow institutions additional immunization requirements. Dismissed—Rutgers had statutory authority to require vaccination and to condition campus access/housing under state law.
Substantive due process / fundamental right to refuse vaccination Students asserted a liberty/fundamental right to refuse vaccination and/or to avoid unconstitutional conditions. No fundamental right exists; Jacobson permits public‑health measures and rational‑basis review applies; conditioning in‑person attendance is not an unconstitutional condition. Dismissed—no fundamental right; rational basis applied and satisfied because protecting public health and minimizing outbreaks is a legitimate purpose.
Equal protection (a) students v. staff/faculty; (b) vaccinated v. naturally immune (a) Disparate treatment: students were initially required to vaccinate while staff/faculty were not. (b) Naturally immune students are similarly situated to vaccinated students and should be treated alike. (a) Students and staff are not similarly situated (different regulatory treatment, dormitory congregate living, phased approach). (b) CDC and state rules treat natural immunity differently; no reliable lab test met regulatory standards. Dismissed—rational‑basis review applies; plaintiffs failed to plead similarly situated comparators and Rutgers’ differential treatment was rational. (Court also held staff/faculty aspect moot as to injunctive relief but not as to damages; nevertheless claim failed on merits.)

Key Cases Cited

  • Jacobson v. Massachusetts, 197 U.S. 11 (1905) (upholding vaccination requirement as a valid exercise of state public‑health power; no absolute right to refuse vaccination)
  • Ashcroft v. Iqbal, 556 U.S. 662 (2009) (pleading standard: accept well‑pleaded facts, not legal conclusions)
  • Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) (plausibility pleading standard)
  • TransUnion LLC v. Ramirez, 141 S. Ct. 2190 (2021) (Article III standing requirements)
  • Roman Catholic Diocese of Brooklyn v. Cuomo, 141 S. Ct. 63 (2020) (recognizing public‑health interests in pandemic context; plural citations to Jacobson’s continuing relevance)
  • Dobbs v. Jackson Women’s Health Org., 142 S. Ct. 2228 (2022) (discussion of fundamental rights and scrutiny analysis)
  • City of Cleburne v. Cleburne Living Center, 473 U.S. 432 (1985) (equal protection: similarly situated requirement and levels of scrutiny)
  • Koontz v. St. Johns River Water Mgmt. Dist., 570 U.S. 595 (2013) (unconstitutional‑conditions doctrine)
Read the full case

Case Details

Case Name: Children's Health Defense Inc. v.
Court Name: Court of Appeals for the Third Circuit
Date Published: Feb 15, 2024
Citations: 93 F.4th 66; 22-2970
Docket Number: 22-2970
Court Abbreviation: 3d Cir.
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