The characterization of the coverage as a “mandate” feels significantly inapt within the vaccine context, the place precise mandates have been used repeatedly, and upheld by courts. In a 1905 case, the town of Cambridge, Mass., backed its smallpox vaccination requirement, directed at people, with felony fines, and the Supreme Courtroom upheld its constitutionality. Later, in 1922, the courtroom curtly dismissed a problem to San Antonio’s public faculty smallpox vaccine requirement, which barred college students from faculty in the event that they failed to point out a certificates of vaccination.