As reported by Med Page Today, the Department of Health and Human Services is pressuring the state of West Virginia to recognize religious exemptions from the state's compulsory public school vaccination requirements. In January of this year, West Virginia Governor Patrick Morrisey issued an Executive Order (full text) instructing state officials to create a procedure for parents to obtain religious or conscience exemptions, taking the position that this is required by West Virginia's Equal Protection for Religion Act. The compulsory immunization law only provides for medical exemptions, and legislative attempts to amend it have failed. Last week, the federal Health and Human Services Department took steps to support the Governor's position. In a letter dated Aug. 21, 2025 (full text) directed to West Virginia Health Departments participating in the federal Vaccines for Children Program (VCP), the HHS Office of Civil Rights said in part:
Providers participating in the VCP must comply “with applicable State law, including any such law relating to any religious or other exemption.” By specifically mandating that a State’s plan for administering Medicaid must respect State laws regarding religious exemptions, Congress recognized the importance of Americans’ religious convictions regarding vaccines and laws protecting such....
On January 14, 2025, West Virginia Governor Patrick Morrisey issued Executive Order 7-25.... The Governor’s interpretation of EPRA was recently affirmed by Judge Froble of the Circuit Court of Raleigh County...
West Virginia is a participant in the VCP6 and receives $1.37 billion from the Centers for Medicare & Medicaid Services each year as the federal Medicaid contribution. Therefore, West Virginia is obligated to ensure that its VCP providers comply with applicable state laws like EPRA, which requires recognition of religious exemptions from West Virginia’s Compulsory Vaccination Law.
On Aug. 25, HHS Secretary Robert F. Kennedy, Jr. posted a message on X urging the state legislature to support the Governor's position, and saying in part:
... At @HHSgov, we will enforce conscience protections and defend every family’s right to make informed health decisions.
