Here, plaintiffs sued defendants claiming Senate Bill No. 277 violates their rights under California's Constitution to substantive due process (art. I, § 7), privacy (art. I, § 1), and a public education (art. IX, § 5). The trial court sustained the defendants' demurrer to plaintiffs' complaint without leave to amend and plaintiffs appeal. On appeal, plaintiffs also raise an additional argument that Senate Bill No. 277 violates their constitutional right to free exercise of religion, although they did not allege a separate cause of action on that basis in their complaint.
Plaintiffs' arguments are strong on hyperbole and scant on authority. We agree with our colleagues in Brown that Senate Bill No. 277 does not violate the constitutional right to attend school. We further conclude Senate Bill No. 277 does not violate plaintiffs' rights to substantive due process or privacy.
FACTUAL AND PROCEDURAL BACKGROUND OF SENATE BILL NO. 277
Senate Bill No. 277 amended various provisions in the Health and Safety Code,
A student is exempt from the requirement if a licensed physician states in writing that "the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe." (§ 120370, subd. (a).) Additionally, vaccinations are not required
The vaccination requirements are intended to provide "[a] means for the eventual achievement of total immunization of appropriate age groups against [certain] diseases." (§ 120325, subd. (a).) According to the Senate Committee on Education's analysis, the authors of the bill believed it was necessary because: " 'In early 2015, California became the epicenter of a measles outbreak which was the result of unvaccinated individuals infecting vulnerable individuals including children who are unable to receive vaccinations
The Assembly Committee on Health's report states: "Each of the 10 diseases was added to California code through legislative action, after careful consideration of the public health risks of these diseases, cost to the state and health system, communicability, and rates of transmission. ... [¶] ... [¶] All of the diseases for which California requires school vaccinations are very serious conditions that pose very real health risks to children." (Assem. Com. on Health, Analysis of Sen. Bill No. 277 (2015-2016 Reg. Sess.) as amended May 7, 2015, p. 4.)
In that report, the committee "discusses the protective effect of community immunity, which 'wanes as large numbers of children do not receive some or all of the required vaccinations, resulting in the reemergence of vaccine preventable diseases in the U.S.' [Citation.] The report explains that the vaccination rate in various communities 'varies widely across the state,' and some areas 'become more susceptible to an outbreak than the state's overall vaccination levels may suggest,' making it 'difficult to control the spread of disease and mak[ing] us vulnerable to having the virus re-establish itself.' [Citation.] Further, studies have found that 'when belief exemptions to vaccination guidelines are permitted, vaccination rates decrease,' and one analysis 'found that more than a quarter of schools in California have measles-immunization rates below the 92-94% recommended by the CDC [ (Center for Disease Control) ].' [Citation.] The report describes the December 2014 outbreak of measles linked to Disneyland (131 confirmed cases); states that according to the CDC, 'measles is one of the first diseases to reappear when vaccination coverage rates fall'; and states that in 2014, 600 cases were reported to the CDC, the highest in many years." ( Brown v. Smith , supra ,
I
Standard Of Review
"A demurrer tests the legal sufficiency of the complaint. We review the
"When a demurrer is sustained without leave to amend, 'we decide whether there is a reasonable possibility that the defect can be cured by amendment: if it can be, the trial court has abused its discretion and we reverse; if not, there has been no abuse of discretion and we affirm.' [Citation.] Plaintiff[s] ha[ve] the burden to show a reasonable possibility the complaint can be amended to state a cause of action." ( Brown v. Smith , supra , 24 Cal.App.5th at pp. 1141-1142,
II
Substantive Due Process
In their complaint, plaintiffs assert Senate Bill No. 277 violates their substantive due process rights because it: (1) infringes on their rights to bodily autonomy and to refuse medical treatments; (2) conditions the right to attend school on giving up the right to bodily autonomy and to refuse medical treatments; and (3) negates their parental right to make decisions in the upbringing of their children.
To determine whether a person's liberty interest for purposes of substantive due process has been violated, the court must balance his or her liberty interest against the relevant state interests. ( Cruzan v. Director, MO Health Dept. (1990)
Plaintiffs' substantive due process claim fails under either level of scrutiny.
It is well established that laws mandating vaccination of school-aged children promote a compelling governmental interest of ensuring health and safety by preventing the spread of contagious diseases. ( Brown v. Smith , supra ,
In reply to defendants' identification of these authorities, plaintiffs argue the cases are archaic and no longer applicable by modern standards. They further attack defendants, stating they "fail[ed] to synthesize dated
Plaintiffs also argue our Supreme Court's holding in Abeel is "circular and conclusory," "doesn't even come close to modern standards of due process," is not instructive because it was decided before "California's modern compulsory-education laws were enacted in 1976" and cases confirmed that public education is a fundamental right in California, and an Illinois case has "dialed back the over-broad Abeel holding." None of these arguments has merit.
Of course, it is axiomatic that an Illinois court has no jurisdiction to narrow, overturn, or "dial back" a California Supreme Court decision. Nor does the Illinois case have any application to the issue here. Plaintiffs cite to the following sentence in Potts v. Breen (1897)
Further, plaintiffs fail to explain or identify the "modern due process standards" that purportedly are incompatible with Abeel -- and we find none. As to plaintiffs' argument that Abeel is inconsistent with the right to attend school, as explained below, we find, as did our colleagues in Brown , Senate Bill No. 277 does not violate a student's right to attend school.
Plaintiffs next argue Zucht "merely stated that states can pass vaccine laws" and Jacobson and Zucht are limited to their facts "before the era of international travel -- indeed before much travel at all." Plaintiffs are again quite incorrect. In Zucht , the United States Supreme Court held that a state's mandatory vaccination law did not violate substantive due process requirements;
Although not addressed in the substantive due process portion of their brief, plaintiffs argue Senate Bill No. 277 is not narrowly circumscribed because there are several " 'available alternative means' to accomplishing the state's goal of higher vaccination r[ate]s" including "a massive education effort," distributing free medication to eliminate copayments for families, or providing incentives for vaccination in other ways. In their reply brief, plaintiffs further add that, because the law "does not cover homeschooled children and categorically exempts foster children" and does not account for the millions of tourists entering California each year ("many from countries with no vaccination requirements"), it "is so under-broad that it cannot achieve its objectives." They posit, "[a]bsent quarantines at the border, [Senate Bill No. 277] is not tailored to meet its ends." We disagree.
First, we note the pertinent analysis is whether the elimination of the exemption is narrowly circumscribed to address the goal of the law -- here, "[a] means for the eventual achievement of total immunization" of appropriate school-aged children. (§ 120325, subd. (a).) As the Whitlow court noted: "The objective of total immunization is not served by a law that allows for [exemptions], whether the [exemption] rate is 2% or 25%." ( Whitlow v. California Dept. of Education , supra ,
Second, we agree with our colleagues in Brown , rejecting a similar argument: "Plaintiffs allege in their complaint that Senate Bill No. 277 ... is not narrowly tailored to meet the state's interest, because there are less restrictive alternatives (such as alternative means (unspecified) of immunization, and quarantine in the event of an outbreak of disease). This argument fails, of course, as compulsory immunization has long been recognized as the gold standard for preventing the spread of contagious diseases. As is noted in the legislative history, studies have found that 'when belief exemptions to
Accordingly, plaintiffs' substantive due process claim has no merit.
III
Right To Privacy
In their complaint, plaintiffs assert Senate Bill No. 277 infringes on their constitutional right to privacy on two grounds: (1) requiring children to reveal
The California Constitution provides that all individuals have a right to privacy, which "protects a larger zone in the area of financial and personal affairs than the federal right." ( Wilson v. California Health Facilities Com. (1980)
Section 120325, subdivision (a), states the state's objective is "the eventual achievement of total immunization of appropriate age groups against [specified] childhood diseases." "[W]hen the state asserts important interests in safeguarding health, review is under the rational basis standard. [Citations.] In the area of health and health care legislation, there is a presumption both of constitutional validity and that no violation of privacy has occurred." ( Coshow v. City of Escondido (2005)
As our colleagues pointed out in Brown , "compulsory immunization has long been recognized as the gold standard for preventing the spread of contagious diseases" and "federal and state courts, beginning with Abeel , have held 'either explicitly or implicitly' that 'society has a compelling
The right to privacy, " 'fundamental as it may be, is no more sacred than any of the other fundamental rights that have readily given way to a State's interest in protecting the health and safety of its citizens, and particularly, school children,' and 'removal of the [personal beliefs exemption] is necessary or narrowly drawn to serve the compelling objective of [Senate Bill No.] 277." ( Brown v. Smith , supra , 24 Cal.App.5th at pp. 1146-1147,
IV
Right To Attend School
California has recognized a fundamental interest in education, as provided in its Constitution. ( Serrano v. Priest (1971)
The fourth case, Serrano , also does not support plaintiffs' position. As the Brown court explained: " Serrano struck down a public school financing scheme as violating equal protection guaranties 'because it discriminated
Plaintiffs also rely on Robbins v. Superior Court (1985)
We agree with the Brown court that Senate Bill No. 277 does not violate the right to attend school. ( Brown v. Smith , supra , 24 Cal.App.5th at pp. 1145-1147,
Free Exercise Of Religion
Plaintiffs argue Senate Bill No. 277 violates their right to free exercise of religion. No such cause of action was asserted in their complaint nor were any allegations included in that regard.
We agree with our colleagues' detailed discussion of this issue in Brown and their conclusion that Senate Bill No. 277 does not violate the right to free exercise of religion. ( Brown v. Smith , supra , 24 Cal.App.5th at pp. 1144-1145,
DISPOSITION
The judgment is affirmed. Defendants shall recover their costs on appeal. ( Cal. Rules of Court, rule 8.278(a)(2).)
We concur:
Mauro, J.
Murray, J.
Notes
The California Court of Appeal, Second Appellate District recently rejected various constitutional challenges to Senate Bill No. 277. (Brown v. Smith (2018)
Some of the plaintiffs previously brought an action against the defendants in the United States District Court Central District of California alleging Senate Bill No. 277 violated: (1) their substantive due process rights under the Fourteenth Amendment; (2) the equal protection clause of the Fourteenth Amendment; and (3) 42 U.S.C. section 1983. The district court granted defendants' motion to dismiss the case, but gave the plaintiffs limited leave to amend the complaint. (Torrey-Love v. California Dept. of Education (C.D.Cal. Nov. 21, 2016, No. 5:16-cv-02410-DMG-DTB) Dkt. No. 51.) Defendants state the plaintiffs voluntarily dismissed the federal action on February 1, 2017.
Although the Brown court also found Senate Bill No. 277 did not violate the plaintiffs' rights to due process, its decision was in response to the argument that Senate Bill No. 277 "is void for vagueness under California's due process clause," which is not asserted here. (Brown v. Smith , supra , 24 Cal.App.5th at pp. 1147-1148,
All further section references are to the Health and Safety Code unless otherwise specified.
The statute previously provided: "Immunization of a person shall not be required for admission to a school ... if the parent or guardian ... files with the governing authority a letter or affidavit that documents which immunizations required by [law] have been given, and which immunizations have not been given on the basis that they are contrary to his or her beliefs." (§ 120365 [repealed by Sen. Bill No. 277].)
A vaccination for "[a]ny other disease deemed appropriate by the [California Department of Public Health]" may only be mandated "if exemptions are allowed for both medical reasons and personal beliefs." (§§ 120325, subd. (a)(11), 120335, subd. (b)(11), 120338.)
Plaintiffs argue the trial court failed to address the "precedent or argument" regarding "the right for parents to direct the upbringing of their children." To the contrary, the trial court expressly addressed and rejected their claim that Senate Bill No. 277 "infringes upon the rights of parents to direct the upbringing of their children." We note plaintiffs did not assert this as a separate cause of action, but rather included those allegations in their cause of action for violation of due process in the complaint. Accordingly, we address that issue in this section of the opinion.
Their only legal citations are: Bartling v. Superior Court (1984)
Plaintiffs claim, without citing to any legal authority, the standard of review is strict scrutiny and that, "[t]o overcome strict scrutiny, the concern must be real, imminent, and widespread -- and the law must be narrowly tailored to meet its end." The standard is not whether the "concern must be real, imminent, and widespread," but rather whether the law promotes a compelling governmental interest.
The federal district court also rejected the plaintiffs' substantive due process claim regarding Senate Bill No. 277. (Torrey-Love v. California Dept. of Education , supra , Dkt. No. 51 at p. 6.) The court explained: "The Supreme Court long ago declared that a state can require children to be vaccinated as a precondition for school attendance without running afoul of the Due Process Clause in the interests of maintaining the public health and safety. ... Though Plaintiffs assail these cases for their age, they have not been overturned and are still good law and binding upon this Court." (Ibid .)
Slayton v. Pomona Unified School Dist. (1984)
In their reply brief, plaintiffs point to one paragraph in their complaint, which they assert "raised the issue of their creeds in their Complaint." That paragraph states: "California previously allowed children to receive a public-school education without the need for medical treatments if their parents declared a religious or personal belief exemption for such children. These exemptions allowed those children to attend a K-12 school education within the State of California without undergoing every single medical treatment on California's required list." Nothing in this paragraph raises a free exercise of religion constitutional challenge to Senate Bill No. 277.
