Brown v. Smith

CourtCalifornia Court of Appeal
DecidedJuly 2, 2018
DocketB279936
StatusPublished

This text of Brown v. Smith (Brown v. Smith) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. Smith, (Cal. Ct. App. 2018).

Opinion

Filed 7/2/18 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION EIGHT

SHARON BROWN et al., B279936

Plaintiffs and Appellants, (Los Angeles County Super. Ct. No. BC617766) v.

KAREN SMITH, as Director, etc., et al.,

Defendants and Respondents.

APPEAL from an order of dismissal of the Superior Court of Los Angeles County. Gregory W. Alarcon, Judge. Affirmed. Law Offices of T. Matthew Phillips and T. Matthew Phillips for Plaintiffs and Appellants. Xavier Becerra, Attorney General, Julie Weng-Gutierrez, Assistant Attorney General, Richard T. Waldow, Jonathan E. Rich and Jacquelyn Y. Young, Deputy Attorneys General, for Defendants and Respondents.

******* SUMMARY In 1890, the California Supreme Court rejected a constitutional challenge to a “vaccination act” that required schools to exclude any child who had not been vaccinated against small-pox. (Abeel v. Clark (1890) 84 Cal. 226, 227-228, 230 (Abeel).) In dismissing the suggestion that the act was “not within the scope of a police regulation,” the court observed that, “[w]hile vaccination may not be the best and safest preventive possible, experience and observation . . . dating from the year 1796 . . . have proved it to be the best method known to medical science to lessen the liability to infection with the disease.” (Id. at p. 230.) That being so, “it was for the legislature to determine whether the scholars of the public schools should be subjected to it, and we think it was justified in deeming it a necessary and salutary burden to impose upon that general class.” (Ibid.) More than 125 years have passed since Abeel, during which many federal and state cases, beginning with the high court’s decision in Jacobson v. Massachusetts (1905) 197 U.S. 11 (Jacobson), have upheld, against various constitutional challenges, laws requiring immunization against various diseases. This is another such case, with a variation on the theme but with the same result. We affirm the trial court’s order dismissing plaintiffs’ challenge to an amendment to California law that eliminated the previously existing “personal beliefs” exemption from mandatory immunization requirements for school children. FACTS Plaintiffs Sharon Brown, Sarah Lucas, Dawnielle Selden, Serge Eustache, Tricia Eustache, and Nikki Jencen filed this lawsuit, seeking to invalidate amendments to California’s public

2 health laws governing immunization requirements against childhood diseases. These legislative changes were made by Senate Bill No. 277, approved by the Governor on June 30, 2015, effective January 1, 2016. (Stats. 2015, ch. 35.) Senate Bill No. 277 eliminated the personal beliefs exemption from the requirement that children receive vaccines for specified infectious diseases before being admitted to any public or private elementary or secondary school, day care center or the like. 1 (Sen. Bill No. 277, § 1.) In addition to a medical exemption, 2 Senate Bill No. 277 contains exemptions for pupils in

1 The childhood diseases specified are diphtheria, hepatitis B, haemophilus influenzae type b, measles, mumps, pertussis (whooping cough), poliomyelitis, rubella, tetanus, and varicella (chickenpox). (Health & Saf. Code, § 120325, subd. (a)(1)-(10).) The list also includes “[a]ny other disease deemed appropriate by the department, taking into consideration the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services, the American Academy of Pediatrics, and the American Academy of Family Physicians.” (Id., subd. (a)(11).) As to the last item, immunization may be mandated before a pupil’s first admission to any school or child care center only if exemptions are allowed for both medical reasons and personal beliefs. (§ 120338.)

2 The medical exemption, as amended by Senate Bill No. 277, states: “If the parent or guardian files with the governing authority a written statement by a licensed physician to the effect that the physical condition of the child is such, or medical circumstances relating to the child are such, that immunization is not considered safe, indicating the specific nature and probable duration of the medical condition or circumstances, including, but not limited to, family medical history, for which the physician does not recommend immunization, that child shall be exempt

3 a home-based private school or independent study program who do not receive classroom-based instruction (Health & Saf. Code, § 120335, subd. (f)), 3 and for pupils previously allowed a personal beliefs exemption, until they enroll in the next grade span (id., subd. (g)(1)). Grade spans are “[b]irth to preschool,” “[k]indergarten and grades 1 to 6,” and “[g]rades 7 to 12.” (§ 120335, subd. (g)(2).) Also, pupils who qualify for an individualized education program are allowed access to any special education and related services required by that program. (§ 120335, subd. (h).) Otherwise, as of July 1, 2016, no pupil may be unconditionally admitted for the first time, or admitted or advanced to seventh grade level, unless immunized as required. (§ 120335, subd. (g)(3).) The legislative history of Senate Bill No. 277 includes an extensive analysis of the bill, the reasons the authors gave for proposing the bill, the diseases that vaccines prevent and their health risks to children, the legal considerations, and the support for and opposition to the bill. (E.g., Assem. Com. on Health, Analysis of Sen. Bill No. 277 (2015-2016 Reg. Sess.) as amended May 7, 2015, pp. 1-16; id. at p. 4 [“All of the diseases for which California requires school vaccinations are very serious conditions that pose very real health risks to children.”].) Among many other things, the report from the Assembly Committee on Health discusses the protective effect of community immunity, which “wanes as large numbers of children

from the [immunization] requirements . . . to the extent indicated by the physician’s statement.” (§ 120370, subd. (a).)

3 Further statutory citations are to the Health and Safety Code, unless otherwise specified.

4 do not receive some or all of the required vaccinations, resulting in the reemergence of vaccine preventable diseases in the U.S.” (Assem. Com. on Health, Analysis of Sen. Bill No. 277, supra, p. 5.) 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.” (Ibid.) 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)].” (Ibid.) 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. (Ibid.) As indicated above, Senate Bill No. 277 was approved in June 2015 and became effective January 1, 2016. Plaintiffs filed their complaint on April 22, 2016. The operative second amended complaint sought to “halt enforcement” of Senate Bill No. 277. The complaint alleged Senate Bill No. 277 violated four provisions of the California Constitution: the free exercise of religion (art. I, § 4); the right to attend school (art. IX, § 5); equal protection (art.

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Brown v. Smith, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-smith-calctapp-2018.