Golden Gate Legal Review Independent Commentary on Law & Policy
October 7, 2021 · Health & the Law

Biden’s Vaccination Mandate Plan: A Scatter-Shot of Legal Solutions

The September 2021 COVID-19 plan is three separate legal instruments, not one mandate, and each rests on its own statute and faces its own line of attack.

The COVID-19 Action Plan that the White House released on September 9, 2021 is best understood not as a single vaccination mandate but as a bundle of distinct legal instruments, each resting on its own statutory footing and each exposed to a different line of attack. The administration reached for whatever authority it could find — a workplace-safety rule, a spending condition, a procurement order — and stitched them together into something that looks, from a distance, like one national requirement. Pulling the threads apart is the only way to assess which pieces are likely to hold and which are the most vulnerable.

One announcement, three separate legal vehicles

The plan advances along at least three separate tracks. The first directs the Occupational Safety and Health Administration to issue an emergency temporary standard requiring private employers with 100 or more workers to ensure their employees are either vaccinated or tested weekly. The second conditions continued participation in Medicare and Medicaid on staff vaccination at covered health-care facilities, a rule to be promulgated by the Centers for Medicare & Medicaid Services. The third, set out in Executive Order 14042, requires that companies doing business with the federal government vaccinate the employees who work on federal contracts.

These are not interchangeable. Each draws on a different grant of power from Congress, reaches a different population, and would be reviewed under a different standard. A court could uphold one and enjoin another without contradiction. That is why the September announcement is more accurately read as a portfolio of legal bets than as a unified policy, and why the strength of the package depends on the weakest plausible defense of its broadest component.

The OSHA standard: a workplace rule reaching beyond the workplace

The OSHA piece is both the broadest in reach and the thinnest in authority. Section 6(c) of the Occupational Safety and Health Act of 1970 lets the agency bypass ordinary notice-and-comment rulemaking and issue an emergency standard, but only on two findings: that employees face a “grave danger” from exposure to “substances or agents determined to be toxic or physically harmful or from new hazards,” and that an emergency standard is “necessary” to protect them. Emergency standards are rare, and reviewing courts have historically treated them with skepticism, in part because they skip the procedural safeguards of normal rulemaking.

Two structural problems sit at the center of the rule. First, OSHA was created to regulate occupational hazards, not the hazards of daily life. SARS-CoV-2 is a community-wide risk that workers carry into and out of every setting they occupy, and a challenger will argue that a virus circulating everywhere is not the kind of workplace-specific “agent” the statute contemplates. Second, the rule sweeps an estimated 80-plus million workers into its coverage, a figure large enough to raise the question whether Congress clearly authorized so consequential a measure at all.

Why the head-count matters

The reach of a rule is itself a legal argument. Courts have increasingly insisted that an agency point to clear congressional authorization before it resolves a question of vast economic and political significance. A standard touching tens of millions of workers invites exactly that demand — and a half-century-old safety statute that has never been read this broadly may not supply the clarity the doctrine requires.

The CMS condition: vaccination as a term of federal funding

The health-care rule rests on firmer ground, and the contrast is instructive. CMS does not invoke OSHA’s “grave danger” trigger or its “new hazard” language. It instead relies on its longstanding statutory authority to impose conditions on facilities that accept Medicare and Medicaid dollars, an authority Congress granted so the Secretary could protect the “health and safety” of the patients those programs serve. Conditioning federal money on infection-control measures is familiar territory for the agency, and ensuring that the people who treat Medicare and Medicaid patients do not transmit a deadly virus fits comfortably within the purpose of the program.

That fit is the doctrinal difference. Where the OSHA standard asks a workplace-safety agency to act as a national public-health authority, the CMS rule asks a health-financing agency to set conditions of participation in the programs it already runs — the ordinary business of spending-clause regulation. A challenger can still argue federalism limits or insufficient notice, but the rule is not straining against the structure of its own statute the way the OSHA standard is.

The contractor order: economy and efficiency, or something more

The federal-contractor mandate traces to the Federal Property and Administrative Services Act of 1949, which directs the President to issue rules promoting “economy and efficiency” in government procurement. Presidents of both parties have used that authority to attach labor and operational conditions to federal contracts, so the vehicle itself is well worn. The open question is whether a public-health requirement — vaccination — counts as the kind of efficiency measure the 1949 Act was meant to enable, or whether it stretches a procurement statute to do work Congress never assigned it.

The administration’s theory is that an unvaccinated workforce means absenteeism, disruption, and delay, so requiring vaccination keeps federal work on schedule and on budget. Opponents counter that almost any health or social policy could be defended on the same logic, which would turn a procurement statute into a general lawmaking tool. The contractor order thus presents a milder version of the same separation-of-powers worry that haunts the OSHA standard: how far an old, generally worded delegation can be pushed before a court demands that Congress speak more clearly.

The constitutional backdrop and the limits of Jacobson

Discussion of vaccine mandates almost reflexively invokes Jacobson v. Massachusetts, 197 U.S. 11 (1905), in which the Supreme Court upheld a state’s compulsory smallpox vaccination law against a liberty challenge. Jacobson remains good law for the proposition that mandatory vaccination is not per se unconstitutional, but it is a thinner authority here than its frequent citation suggests. The case concerned a state exercising its police power, the very power the federal government does not possess. The federal mandates do not turn on whether vaccination can ever be required; they turn on whether this branch, acting through these agencies, was authorized by Congress to require it.

That reframing matters because it moves the contest from individual rights to administrative power. The decisive questions are statutory and structural — what each agency’s organic act permits, and how clearly Congress must authorize a measure of this magnitude — rather than whether a vaccination requirement offends due process. Concerns about religious and medical accommodation, and about the federalism interests of states resisting the rules, run alongside that core inquiry, but they are unlikely to be where the mandates are won or lost.

What to watch as the rules take shape

The plan’s fate will be decided component by component, on the texts of three different statutes, and the spread of likely outcomes is wide. The CMS condition sits closest to its statutory core and is the most defensible. The contractor order rests on a familiar vehicle carrying an unfamiliar load. The OSHA standard is the boldest claim and the most exposed, precisely because it asks a workplace-safety statute to authorize a near-universal public-health measure. Readers tracking the litigation should resist treating the mandates as one thing: the question is never whether “the mandate” survives, but which of these distinct instruments does, and on what reasoning. Related questions about the reach of executive action recur across the commentary, and the case tracker follows the suits as they move through the courts.

This publication offers commentary and analysis, not legal advice; employers and workers weighing their obligations should consult counsel about their specific circumstances.

Questions readers ask

Is Biden’s COVID-19 plan a single mandate?

No. It is a set of separate measures — an OSHA emergency standard for large private employers, a CMS condition on Medicare and Medicaid funding for health-care facilities, and an executive order covering federal contractors. Each rests on a different statute and faces a different legal test.

What authority does the OSHA standard rely on?

Section 6(c) of the Occupational Safety and Health Act of 1970 (29 U.S.C. § 655(c)), which lets OSHA issue an emergency temporary standard when employees face a “grave danger” from a toxic substance, harmful agent, or new hazard and the standard is “necessary” to protect them.

Why is the OSHA piece seen as the most vulnerable?

Because OSHA regulates workplace hazards, not the hazards of daily life, and a virus circulating throughout the community arguably falls outside that mandate. Its reach over tens of millions of workers also raises the question whether Congress clearly authorized so sweeping a measure.

How does the CMS rule differ legally?

CMS relies on its established power to set conditions of participation protecting the health and safety of Medicare and Medicaid patients, rather than on OSHA’s emergency-standard triggers. Conditioning federal funding on infection-control measures is ordinary agency practice, which makes the rule comparatively secure.

What is the basis for the federal-contractor order?

Executive Order 14042 rests on the Federal Property and Administrative Services Act of 1949 and its instruction to promote “economy and efficiency” in procurement. The contested point is whether a vaccination requirement fits that purpose or stretches the statute too far.

Does Jacobson v. Massachusetts settle the question?

Not for these rules. Jacobson (197 U.S. 11) upheld a state’s compulsory vaccination law under the police power, a power the federal government lacks. The federal mandates turn instead on whether Congress authorized particular agencies to act, not on whether vaccination can ever be required.

Can workers seek exemptions?

The measures generally contemplate medical and religious accommodations consistent with existing law, and the OSHA standard offers a weekly-testing alternative to vaccination for covered employers. The precise scope of any exemption depends on each final rule and on the employer implementing it.

Who is covered by the OSHA vaccinate-or-test requirement?

As announced, private-sector employers with 100 or more employees, who must ensure workers are vaccinated or tested weekly. The exact counting rules and compliance deadlines are set out in the emergency standard itself once OSHA publishes it.

What legal doctrine looms largest over the package?

The principle that an agency needs clear congressional authorization to decide questions of vast economic and political significance. The breadth of the OSHA standard in particular invites that scrutiny, and how courts apply it will shape the outcome.

Could parts of the plan survive while others fall?

Yes. Because each component rests on a distinct statute, a court could uphold the CMS condition while staying the OSHA standard, or vice versa. Assessing the plan means assessing each instrument on its own terms rather than treating them as one.

Priya Anand

Priya Anand

Contributing Editor ยท Criminal Justice

Priya Anand reports on criminal-justice reform, sentencing, and immigration enforcement, examining the constitutional questions raised by prosecutorial discretion and the administrative machinery of removal.