Opinion
No. 353861
01-28-2021
Marie Walker, PLLC (by M. Marie Walker) for respondent-mother.
Marie Walker, PLLC (by M. Marie Walker) for respondent-mother.
Before: , and Borrello and Ronayne Krause, JJ.
Swartzle, P.J. Everyone agrees that this appeal is moot. The trial court had earlier adjudicated respondent-mother as unfit (with the goal of reunification), although it did not adjudicate the infant child's father, SMS. A dispute arose between the parents about vaccinating the child, and the trial court concluded that it could not order vaccination over the express objections of SMS, given that he was presumed to be a fit parent and the trial court did not have jurisdiction over him under In re Sanders , 495 Mich. 394, 852 N.W.2d 524 (2014). Respondent-mother sought leave to appeal, and this Court granted leave on an expedited basis. But in the interim, the trial court terminated its jurisdiction over respondent-mother and the child, and now the parents—both presumptively fit—are working to resolve the dispute in a separate custody proceeding.
Accordingly, this appeal presents the Court with merely hypothetical questions, rather than an actual, justiciable controversy. Concluding that the "capable-of-repetition-but-evading-review" exception should not be invoked on this record, we dismiss the appeal as moot without reaching the merits.
I. BACKGROUND
The facts known to this Court are brief and appear to be undisputed, though the record on appeal has gaps. Petitioner, the Michigan Department of Health and Human Services, filed the initial petition on October 7, 2019, three days after the child was born. The initial petition named SMS and respondent-mother as respondents and sought both removal of the child and termination of respondent-mother's parental rights.
For reasons not entirely clear on this record, an amended petition was eventually filed that no longer named SMS as a respondent. The trial court authorized the amended petition, took jurisdiction over the child, released the child to SMS's care, and ordered supervised parenting time for respondent-mother. The trial court ordered that efforts should be made toward reunification. SMS's refusal to vaccinate the child was first noted, as far as we can discern, in a December 12, 2019 report from the lawyer-guardian ad litem (the LGAL). The trial court held a hearing following that report, though the transcript of that hearing is not in the appellate record. The trial court ordered petitioner to work with SMS to ensure that respondent-mother was kept informed of the child's medical appointments so that she could participate. The order also stated that "if needed, a motion may be filed regarding immunizations for the minor child."
In March 2020, respondent-mother sought an order to have the child vaccinated. During the subsequent hearing in May, respondent-mother asked that the vaccinations be administered under a doctor's orders in light of the COVID-19 pandemic, rather than strictly following the state's vaccination schedule. Both petitioner and the LGAL voiced their agreement, although neither filed a written response. When asked by the trial court, SMS voiced the following objection: "I have religion and disbelief of the vaccinations." (This appears to be the sum and substance of SMS's position on the matter.) The trial court denied the motion, stating that while it did "not disagree with the majority of people that I think vaccines are in the best interests of this child," it did not believe that it had the authority to order vaccination over the objections of an unadjudicated parent.
In June, respondent-mother sought leave to appeal, and this Court granted leave on an expedited basis. In re Smith , unpublished order of the Court of Appeals, entered August 20, 2020 (Docket No. 353861). Respondent-mother subsequently moved this Court for an extension of time (which was granted). While the appeal advanced, the trial court concluded that respondent-mother had progressed to the point where there was "not an identified risk of harm to the minor child in her care." The trial court terminated its jurisdiction over the child in October and encouraged the parents to pursue a custody agreement or order. The parents are now parties to a separate custody proceeding involving the child.
II. ANALYSIS
Given that the dispute over whether the child should be vaccinated has moved to a separate proceeding, this Court must determine what to do with the current appeal. "The courts of this state may only exercise the authority granted to them by Article VI of the 1963 Constitution. An essential element of that authority is that courts will not reach moot issues." In re Smith , 324 Mich. App. 28, 41, 919 N.W.2d 427 (2018). An issue is moot when there is not a real controversy, but merely a hypothetical one. Id. As our Supreme Court recently elaborated, a case becomes moot when there is either a "pretended controversy," a potential controversy sometime in the future, or a judgment sought "which, when rendered, for any reason, cannot have any practical legal effect upon a then existing controversy." League of Women Voters of Mich. v. Secretary of State , 506 Mich. 561, 580, 957 N.W.2d 731 (2020) (cleaned up).
During oral argument, counsel for respondent-mother conceded that this appeal is moot, and we agree. The claim on appeal was predicated on respondent-mother being adjudicated as unfit and SMS being unadjudicated and therefore presumptively fit. When both parents are adjudicated as unfit, then the question of who has authority to make vaccination decisions involving the child has already been answered by this Court in In re Deng , 314 Mich. App. 615, 887 N.W.2d 445 (2016). Alternatively, when neither parent is adjudicated and the parents share legal custody, the trial court can resolve a dispute between the parents involving vaccination using the best-interest factors in MCL 722.23. Pierron v. Pierron , 486 Mich. 81, 91, 782 N.W.2d 480 (2010) ; Lombardo v. Lombardo , 202 Mich. App. 151, 160, 507 N.W.2d 788 (1993). In fact, as now-presumptively fit parents, respondent-mother and SMS have chosen this latter route, as explained earlier. Accordingly, there is no claim left for this Court to address in this appeal, and any decision on the now-hypothetical questions posed by this Court in the August 20, 2020 order "would only serve to instruct" future litigants "as to the law in this area...." League of Women Voters of Mich. , 506 Mich. at 582, 957 N.W.2d 731.
"There is, however, a well-recognized exception to the dismissal of a moot case." In re Detmer , 321 Mich. App. 49, 56, 910 N.W.2d 318 (2017). "When a case presents an issue of public significance, and disputes involving the issue are likely to recur, yet evade judicial review, courts have held that it is appropriate to reach the merits of the issue even when the case is otherwise moot." Id. We do not doubt the public significance of childhood vaccines or religious objections to them, nor do we doubt the legal import of answering the questions listed in this Court's August 20, 2020 order. Although there is nothing in this record to suggest that the precise dispute is likely to recur in this case —and, in addressing the "likely to recur" condition in League of Women Voters of Mich. , our Supreme Court focused solely on whether the issue was likely to recur in the context of that case and with that initiative proponent, see League of Women Voters of Mich. , 506 Mich. at 583 n. 26, 957 N.W.2d 731 —it seems reasonable to assume that the issue will recur in future cases with different parties. These are important questions that are likely to recur, albeit with different parties.
We agree with our dissenting colleague that there is no clear pronouncement by the majority in League of Women Voters of Mich. to craft a new, drastically narrower exception to the traditional mootness doctrine, and no such new rule has been applied here. We simply point out what our Supreme Court did in that case.
But as to the third condition, this case does not present a legal question that is likely to evade judicial review. The dispute in this appeal has evaded our review because respondent-mother made sufficient progress in a relatively short period of time, and the trial court released her and her child from its jurisdiction. Unfortunately, it is not uncommon for an adjudicated parent to spend considerably longer time under the trial court's jurisdiction. In those unfortunate cases, the dispute will not be moot by the time this Court is able to resolve it on an expedited basis.
And even assuming for the sake of argument that the third condition was satisfied, this appeal is a particularly poor vehicle for giving guidance to future litigants. Simply put, this appeal has not been an adversarial contest among competing interests. Neither SMS, petitioner, nor the LGAL has filed an appearance, let alone submitted a brief or participated in oral argument. What we have before us is respondent-mother's side of the story, as well as whatever this Court has been able to glean from the partial record before us and our own legal research. Our judicial system is grounded on competing factual and legal arguments presented by adverse parties. As our Supreme Court recently emphasized:
We agree that, when it is appropriate, this Court has an obligation to say what the law is. But we cannot let this desire for stability overcome the limits of our role. The
judiciary cannot simply scan the horizon for important legal issues to opine on—we address such issues only as they arise in the genuine controversies between adverse parties that come before us. Because such a case is not before us, we are constrained from reaching the underlying merits. [ Id. at 599 n. 60, 957 N.W.2d 731 (cleaned up).]
We are similarly constrained from reaching the underlying merits in the present appeal. Accordingly, we dismiss the appeal as moot.
Borrello, J., concurred with Swartzle, P.J.
Ronayne Krause, J. (dissenting).
I respectfully dissent. I agree with the majority's recitation of the underlying facts. As the majority observes, this appeal appears to be moot as to these particular parties at this time. As the majority also observes, the nature of the issue in this appeal is of great importance and likely to recur, albeit involving different parties. I respectfully do not share the majority's confidence that future disputes of this nature will not evade judicial review. I would therefore address the substantive issues in this matter and conclude that, rather than simply deferring to the unadjudicated parent, the trial court should have resolved the vaccination dispute under the Child Custody Act, MCL 722.21 et seq .
I. MOOTNESS
This Court reviews mootness de novo, and "mootness is a threshold issue that a court must address before it reaches the substantive issues of a case." Can IV Packard Square, LLC v. Packard Square, LLC , 328 Mich. App. 656, 661, 939 N.W.2d 454 (2019) (quotation marks and citation omitted). Mootness may, and in some instances should, be raised sua sponte by an appellate court. People v. Richmond , 486 Mich. 29, 35, 782 N.W.2d 187 (2010). As the majority observes, courts generally may not address issues that are merely hypothetical. In re Smith , 324 Mich. App. 28, 41, 919 N.W.2d 427 (2018). An issue is moot if a court cannot craft an order having "any practical legal effect upon a then existing controversy." League of Women Voters of Mich. v. Secretary of State , 506 Mich. 561, 580, 957 N.W.2d 731 (2020) (quotation marks and citation omitted). However, there is an exception to mootness: "even though an issue is moot, it is nevertheless justiciable if the issue is one of public significance that is likely to recur, yet may evade judicial review." Richmond , 486 Mich. at 37, 782 N.W.2d 187. This is a two-prong test. League of Women Voters , 506 Mich. at 583 n. 26, 957 N.W.2d 731. The Court in League of Women Voters focused on whether there would be a future controversy involving the specific parties to that case. However, the exception has historically been employed when a matter carries significance to persons other than the specific parties to the case but may evade judicial attention in the future. Milford v. People's Community Hosp. Auth. , 380 Mich. 49, 55-56, 155 N.W.2d 835 (1968) ; People v. Kaczmarek , 464 Mich. 478, 481, 628 N.W.2d 484 (2001). In the absence of a clear pronouncement, I would not infer from our Supreme Court's opinion in League of Women Voters that the Court intended to craft a new rule drastically narrowing the scope of the "capable of repetition yet evading judicial review" exception to mootness. Rather, the Court appears simply to have been addressing the particulars of the case before it.
This panel unanimously agrees that the first half of the test is satisfied: the issue in this matter is likely to recur. As to the second half of the test, the majority concludes that this kind of issue is not likely to evade judicial review because it is only by happenstance that the issue has become moot in this case. I respectfully disagree. Michigan courts have tended to apply or refuse to apply the exception to mootness depending on whether the party seeking appeal or the party opposing appeal has done something affirmative (or has the ability to do so) to render the appeal moot for the purpose of precluding further review. See Richmond , 486 Mich. at 37-41, 782 N.W.2d 187. The fact that this issue became moot by happenstance simply precludes that line of reasoning. Indeed, in the situation of a parole hearing, our Supreme Court expressly applied the exception to mootness precisely because the underlying proceedings might come to an end before the matter could be judicially reviewed. Kaczmarek , 464 Mich. at 481, 628 N.W.2d 484. The majority aptly observes that it is not uncommon for child protective proceedings to be protracted. Nevertheless, the goal is to achieve stability and safety for the child within a reasonable time, and a parent motivated to seek vaccination for a child would likely also be motivated to undertake whatever must be done to achieve reunification. It may well be that a similar dispute will eventually drag on long enough. However, I find that line of reasoning unpersuasive.
The United States Supreme Court recognizes a similar rule but regards it as equitable. See Azar v. Garza , 584 U.S. ––––, ––––, 138 S. Ct. 1790, 1792-1793, 201 L. Ed. 2d 118 (2018).
"[W]hen our courts are entrusted with safeguarding the interests of minor children," it is especially important to take care not to apply preclusion doctrines in the interest of "lighten[ing] the loads" of the courts. In re Bibi Guardianship , 315 Mich. App. 323, 335-336, 890 N.W.2d 387 (2016). Whether the issue is custody, termination, or adoption, "unquestionably, the focus of Michigan law is to advance the best interests of children ...." In re MJG , 320 Mich. App. 310, 316, 906 N.W.2d 815 (2017). Vaccination can have both immediate and lifelong consequences. A child cannot be "unvaccinated" if they receive a vaccination contrary to a parent's objection; also, a child cannot be "unkilled" if they die as a result of an infection that a timely vaccination could have prevented. The old saying that "justice delayed is justice denied" has medical reality here: children might suffer permanent health consequences that could render an appeal moot for entirely different—and far more tragic—reasons. Our Supreme Court indicated that a need for "dispatch" does not inherently require invocation of the exception to mootness. League of Women Voters , 506 Mich. at 583 n. 26, 957 N.W.2d 731. However, our Supreme Court seemingly trusted that the class of cases before it would actually receive that dispatch—yet, here we are, more than a year after a dispute as to vaccination was first raised as an issue, and almost half a year after we granted leave in this matter. This does not inspire the same degree of faith that future disputes of this nature will, in fact, "receive a timely decision on the merits." Id.
I do not mean to suggest that the majority is intentionally seeking to shirk its duties but only that its analysis is inappropriately narrow for the circumstances.
It is, after all, possible for the situation in the instant matter to be inverted: an adjudicated parent might object to vaccination while the unadjudicated parent does not. Because, by default, vaccination is mandatory, MCL 333.9205, the majority's holding essentially guarantees that such an inverted situation will never receive appellate review until it is "too late" if, as occurred here, the trial court simply defers to the unadjudicated parent per se.
Put most simply, the exception to mootness for issues of public importance that are capable of repetition yet are likely to evade review does not have as high of a threshold as the majority appears to believe, and nothing in League of Women Voters has altered the law on point. The possibility that an inevitable similar issue might someday manage to survive long enough to be judicially reviewed is not the dispositive analysis. Rather, the dispositive analysis is whether it is likely that a future vaccination dispute between an adjudicated and an unadjudicated parent involving a child under the jurisdiction of a court will not reach judicial review. The pendency of the instant matter, the need for vaccinations or decisions regarding vaccinations to be made timely, and the potential dire or irreversible consequences of failing to make such a decision strongly suggest a likely repeat performance of the instant situation. I believe that the majority reads more into League of Women Voters than our Supreme Court intended, and I would apply the exception to mootness here.
I share the majority's concern over the failure of petitioner, the LGAL, and SMS to participate in this appeal. However, I am not persuaded that their failure to participate is an adequate reason under the circumstances to refrain from addressing the issues, which are, at this point, mostly legal.
Therefore, I find it necessary to substantively address the issues presented.
II. VACCINATIONS AND EXEMPTIONS
By default, children are required to receive vaccinations in this state under the Public Health Code, MCL 333.1101 et seq. :
A parent, guardian, or person in loco parentis of a child shall provide for the child's immunization by an authorized health professional, physician, local health department, clinic, or other agency offering immunizations for diseases and within an age period prescribed by the department. [ MCL 333.9205.]
However, there are two exceptions, only one of which is relevant in this matter:
A child is exempt from this part if a parent, guardian, or person in loco parentis of the child presents a written statement to the administrator of the
child's school or operator of the group program to the effect that the requirements of this part cannot be met because of religious convictions or other objection to immunization. [ MCL 333.9215(2).]
As noted by the majority, SMS invoked the exception in MCL 333.9215(2), stating, "I have religion and disbelief of the vaccinations." SMS has not been adjudicated as an unfit parent, so the trial court believed that it was unable to order that the child be vaccinated, despite agreement by respondent-mother, the LGAL, petitioner, and even the trial court that doing so would be in the child's best interests.
III. PARENTAL RIGHTS AFTER BEING ADJUDICATED
"Child protective proceedings are governed by the juvenile code, MCL 712A.1 et seq. , and Subchapter 3.900 of the Michigan Court Rules." In re Ferranti , 504 Mich. 1, 14, 934 N.W.2d 610 (2019). Child protective proceedings occur in two phases: an adjudicative phase and a dispositional phase. In re Sanders , 495 Mich. 394, 404, 852 N.W.2d 524 (2014). An unadjudicated parent enjoys extensive constitutional rights to direct the care, control, and custody of the parent's children. Id. at 409-410, 852 N.W.2d 524. An adjudication permits the state to overrule a parent's directives on the basis of the state's own determination of the child's needs. Id. at 405-406, 852 N.W.2d 524 ; In re Deng , 314 Mich. App. 615, 626-627, 887 N.W.2d 445 (2016). However, an adjudication as to one parent does not empower the trial court to interfere with the rights of an unadjudicated parent. Sanders , 495 Mich. at 421-422, 852 N.W.2d 524. This Court summarized the consequences of adjudication as follows: "the [adjudicated] parent will be unable to control the care and custody of his or her child ...." In re Pederson , 331 Mich. App. 445, 467, 951 N.W.2d 704 (2020). More fully,
the court gains broad powers to enter orders for the welfare of the child and the interests of society and make decisions regarding a host of issues that would normally fall to the parent to decide, including the ability to decide the child's placement, order medical care or other healthcare for the child, provide clothing and other incidental items as necessary, order compliance with case service plans, allow parental visitation with the child, enter orders affecting adults, and, more generally, enter orders that the court considers necessary for the interests of the child. [ Deng , 314 Mich. App. at 626-627, 887 N.W.2d 445.]
Thus, after an adjudication, the trial court then "can exercise its parens patriae authority" over the child. Sanders , 495 Mich. at 404, 852 N.W.2d 524. Put another way, "[t]he adjudication divests the [adjudicated] parent of her constitutional right to parent her child and gives the state that authority instead." Ferranti , 504 Mich. at 16, 934 N.W.2d 610.
However, none of the above cases compels the conclusion that an adjudicated parent's rights just disappear. "The fundamental liberty interest of natural parents in the care, custody, and management of their child does not evaporate simply because they have not been model parents or have lost temporary custody of their child to the State." Santosky v. Kramer , 455 U.S. 745, 753, 102 S. Ct. 1388, 71 L. Ed. 2d 599 (1982). An adjudicated parent retains at least some due-process rights. See In re Rood , 483 Mich. 73, 109-111, 763 N.W.2d 587 (2009) (opinion by CORRIGAN , J.); id. at 125 (opinion by CAVANAGH , J.). "There is no reason to conclude that a parent has a diminished constitutional right to his child merely because he does not have physical custody of that child." Id. at 121, 763 N.W.2d 587 (opinion by CORRIGAN , J.), citing Santosky , 455 U.S. at 753, 102 S.Ct. 1388. Rather, the adjudicated parent is simply no longer presumed to be acting in the child's best interests. Sanders , 495 Mich. at 416-418, 852 N.W.2d 524. Thus, the adjudicated parent may not dictate to the trial court whether to have the child vaccinated. Nevertheless, it does not follow that the adjudicated parent's wishes become irrelevant. Put another way, an adjudicated parent loses the right to make decisions for his or her child, but that does not mean that the trial court is absolutely forbidden to permit an adjudicated parent—as a matter of discretion and grace—to continue having some say in the child's life.
Indeed, the trial court in this matter ordered that respondent-mother should be able to participate in the child's medical appointments.
"If the court acquires jurisdiction, the dispositional phase determines what action, if any, will be taken on behalf of the child. Substantial effort is expended to improve the home situation in order to return children to the custody of their parents if at all possible." In re Brock , 442 Mich. 101, 108, 499 N.W.2d 752 (1993). "[T]he interest of the state as parens patriae is for the welfare of the child." Id. at 112-113, 499 N.W.2d 752. To that end, the juvenile code should
be liberally construed so that each juvenile coming within the court's jurisdiction receives the care, guidance, and control, preferably in his or her own home, conducive to the juvenile's welfare and the best interest of the state. If a juvenile is removed from the control of his or her parents, the juvenile shall be placed in care as nearly as possible equivalent to the care that should have been given to the juvenile by his or her parents. [ MCL 712A.1(3).]
The trial court has discretion to remove the child from the home or leave the child in the home. MCR 3.965(B)(12) and (13)(a) ; Sanders , 495 Mich. at 405, 852 N.W.2d 524. It appears implicit that the trial court has discretion to decide how much interference is appropriate under the circumstances, and MCL 712A.1(3) strongly suggests a public policy of exercising as little interference as feasible.
Additionally, the Latin term parens patriae was derived from its use in chancery proceedings "to describe the power of the state to act in loco parentis for the purpose of protecting the property interests and the person of the child." In re Gault , 387 U.S. 1, 16, 87 S. Ct. 1428, 18 L. Ed. 2d 527 (1967), abrogated in part on other grounds as recognized by Allen v. Illinois , 478 U.S. 364 (1986). By statute, a "person in loco parentis of" a child is both obligated to vaccinate the child and empowered to object to vaccinations for religious reasons. MCL 333.9205 ; MCL 333.9215(2). The term in loco parentis is not defined in the Public Health Code. The term in loco parentis generally has been understood as referring to a temporary assumption of the duties, character, or function of a lawful parent. See Mayberry v. Pryor , 422 Mich. 579, 584, 374 N.W.2d 683 (1985) ; Hush v. Devilbiss Co. , 77 Mich. App. 639, 649 n. 1, 259 N.W.2d 170 (1977). Assumption of parental functions has been held to constitute assumption of parental duties. See People v. Thomas , 85 Mich. App. 618, 624, 272 N.W.2d 157 (1978).
The term is defined in the Mental Health Code, MCL 330.1001 et seq. , as "an individual who is not the parent or guardian of a child or minor but who has legal custody of the child or minor and is providing support and care for the child or minor," MCL 330.1260(1)(f), or "a person who is not the parent or guardian of a minor, but who has either legal custody of a minor or physical custody of a minor and is providing support and care for the minor," MCL 330.1498c(a). However, in general, terms defined in one statutory scheme should not be blindly applied to a different statutory scheme. See Grimes v. Dep't of Transp. , 475 Mich. 72, 85, 715 N.W.2d 275 (2006).
In addition, our Supreme Court has described the probate court as standing in loco parentis as to persons under a guardianship, reasoning that such persons were actually wards of the court, the "guardian was the medium through whom the court acted," and the guardian was required to "invoke the aid or consent of the court" to undertake some actions. Andrews v. Bassett , 92 Mich. 449, 451-453, 52 N.W. 743 (1892). Although Andrews did not involve a child, I believe that the same general principle should apply in child protective proceedings by analogy.
The trial court does not micromanage every detail of the child's care, nor could it. However, the court clearly assumes many parental functions, and thus many parental responsibilities, even if it does so partly by delegation. Indeed, "the court may enter orders that govern all matters of care for the child," including medical decisions and essentially any other matter the court deems necessary. Deng , 314 Mich. App. at 624-627, 887 N.W.2d 445 (quotation marks and citation omitted). Thus, it appears that when a trial court takes jurisdiction over a child, the trial court de facto becomes a "person in loco parentis of the child" within the meaning of the Public Health Code. The trial court is therefore obligated under MCL 333.9205 to ensure that the child receives the vaccinations required by law and, strictly speaking, is also empowered under MCL 333.9215(2) to object to vaccination on religious or other grounds.
As noted earlier, the situation in the case at bar could easily be inverted: an adjudicated parent might object to vaccination on religious grounds, while the unadjudicated parent does not. Nothing in this opinion should be construed as holding that it is impossible for a trial court to conclude that it would be in the child's best interests to uphold that religious objection. Alternatively, the trial court might conclude that the other exemption, under which a physician certifies that a particular immunization would be inappropriate or unhealthy for the child, should apply. See MCL 333.9215(1). Nevertheless, by default, vaccination is mandatory, MCL 333.9205, and therefore presumptively appropriate unless the trial court affirmatively concludes that an exemption should apply.
This Court reached a parallel conclusion in Deng that the trial court's broad authority to enter dispositional orders in the best interests of a child within its jurisdiction included the authority to order that a child be vaccinated contrary to the religious objection of a parent. Deng , 314 Mich. App. at 625-629, 887 N.W.2d 445. However, Deng is not controlling as to the issue at bar, because in Deng , both parents had been adjudicated. Id. at 618, 887 N.W.2d 445. Thus, both parents were subject to the trial court's dispositional power under the juvenile code. Consequently, the trial court's authority in Deng to order that the child be vaccinated was premised on a straightforward application of MCL 712A.18(1)(f), which plainly confers on the court power to enter orders providing medical care for a child within its jurisdiction. This Court in Deng had no reason to consider the extent of a trial court's power to make medical decisions for a child when only one parent is subject to its dispositional power and the other parent is not.
I conclude that after taking jurisdiction over a child, the trial court may either (1) exercise its discretion to permit the adjudicated parent to continue making some or all medical decisions for the child, including whether to vaccinate the child, or (2) act as a person in loco parentis of the child in the stead of the adjudicated parent for purposes of vaccinations under the Public Health Code. To hold otherwise would, in effect, mean that an adjudicated parent's rights have been abolished rather than merely suspended, that the trial court could be unilaterally deprived of its discretion and obligation to enter orders in the best interests of the child, and that the unadjudicated parent could unilaterally undermine an adjudicated parent's ability to comply with a safety or treatment plan. Clearly, the fact that an unadjudicated parent is not subject to the trial court's dispositional power under the juvenile code necessarily means that the trial court's power to enter orders is curbed if the unadjudicated parent disagrees with a dispositional order. However, the trial court erred by determining that it was completely powerless to act.
IV. TRIAL COURT'S POWERS IN LOCO PARENTIS
To partially summarize the preceding discussion, adjudication is not termination. Until the adjudicated parent's parental rights are actually terminated, those rights still exist, and in the trial court's discretionary assessment of the child's best interests, some of those rights may continue to be exercised by the parent; if not, the trial court becomes obligated to exercise those rights in the adjudicated parent's stead. Indeed, our Supreme Court has indicated that when a child is made a ward of the court, the court becomes obligated to safeguard the child's interests, even if doing so contravenes an agreement by the parents. West v. West , 241 Mich. 679, 683-684, 685-686, 217 N.W. 924 (1928).
Nevertheless, the trial court's assumption of jurisdiction over a child does not subject an unadjudicated parent to the court's dispositional authority under the juvenile code. Sanders , 495 Mich. at 421-422, 852 N.W.2d 524 ; In re Kanjia , 308 Mich. App. 660, 666-667, 866 N.W.2d 862 (2014). Thus, the trial court is not empowered to unilaterally order that a child be immunized, whether at the adjudicated parent's request or on its own initiative. Rather, the unadjudicated parent clearly also has a right to object to immunization under MCL 333.9215(2). I conclude that although the trial court may not subject an unadjudicated parent to its dispositional authority under the juvenile code, the trial court is obligated to resolve that dispute under the Child Custody Act. When both parents are adjudicated, the trial court simply has the power to enter orders in the best interests of the child. See Deng , 314 Mich. App. at 628-629, 887 N.W.2d 445. When neither parent is adjudicated and the parents share legal custody, the trial court becomes obligated to step in and resolve a dispute between those two parents as to important decisions affecting the child's welfare. See Pierron v. Pierron , 486 Mich. 81, 85-86, 782 N.W.2d 480 (2010) ; Lombardo v. Lombardo , 202 Mich. App. 151, 159, 507 N.W.2d 788 (1993). In resolving such a dispute, the trial court must determine the best interests of the children by expressly considering the statutory best-interests factors in MCL 722.23. Pierron , 486 Mich. at 91, 782 N.W.2d 480 ; Lombardo , 202 Mich. App. at 160, 507 N.W.2d 788.
The Pierron Court emphasized that although the trial court must consider and make specific findings as to all the statutory best-interest factors, such a finding could be simply that any particular factor was irrelevant under the circumstances. Pierron , 486 Mich. at 91, 782 N.W.2d 480.
Our Supreme Court has held that "[t]he Child Custody Act ‘applies to all circuit court child custody disputes and actions, whether original or incidental to other actions.’ " Pierron , 486 Mich. at 85, 782 N.W.2d 480, quoting MCL 722.26(1). A child custody dispute does not require the parties to seek judicial intervention. See Phillips v. Jordan , 241 Mich. App. 17, 23 n. 1, 614 N.W.2d 183 (2000). Rather, a child custody dispute can arise within the context of some other proceeding. See MCL 722.27. Although the term "child custody dispute" is not defined by statute, this Court has defined it as "any matter that relates to the custody of a child from the time the issue of custody arises until the child reaches the age of majority," Phillips , 241 Mich. App. at 23 n. 1, 614 N.W.2d 183, or "any number if situations or actions wherein the placement of a child must be determined," Nelson v. Kendrick , 187 Mich. App. 367, 370, 466 N.W.2d 402 (1991).
I do not think that the Child Custody Act was intended to permit state intervention into every disagreement between parents over any aspect of child-rearing, and certainly not an unbidden intervention; but I think it important that the trial court was expressly asked to resolve the instant vaccination dispute.
At the time Nelson was decided, the Child Custody Act did contain a partial definition of "child custody dispute," but that definition was only applicable to grandparent-visitation issues. Nelson , 187 Mich. App. at 370-371, 466 N.W.2d 402. The quotation from Nelson addressed the term "child custody dispute" as used in the remainder of the Child Custody Act.
Notably, however, such a dispute may include educational decisions that do not necessarily affect a child's physical placement or established custodial environment. See Pierron , 486 Mich. at 93, 782 N.W.2d 480 ; Lombardo , 202 Mich. App. at 159-160, 507 N.W.2d 788. The dispute may potentially entail "all matters relating to the child's welfare and upbringing ...." Phillips , 241 Mich. App. at 23 n. 1, 614 N.W.2d 183. Although vaccination might not seem to directly affect a child's placement, medical decisions in general certainly could. A choice of a particular doctor, therapist, or other medical professional might likewise involve a child's placement. As noted earlier, vaccinations can have both immediate and lifelong health consequences—and a child's death should not be a traditional way of affecting "placement" but effectively does so nonetheless. Thus, vaccinations are of a class of decisions—specifically, significant medical decisions—that clearly fall under the category of "custodial disputes."
The consequence is that a dispute between two parents as to vaccination of a child necessarily implicates the Child Custody Act. Such a conclusion does not implicate attempting to impermissibly subject an unadjudicated parent to a court's dispositional authority under the juvenile code. Rather, adjudication of one parent obligates the trial court to step into that parent's shoes as a person in loco parentis of the child or to grant that parent some ability to continue making decisions for the child. The trial court may not unilaterally enter dispositional orders affecting the unadjudicated parent, but the trial court has both the power and the obligation to act as if it were a parent within the meaning of the Child Custody Act. In other words: when the trial court (or the adjudicated parent exercising a parental right with the trial court's permission) disagrees with an unadjudicated parent as to a medical decision, the trial court must therefore resolve that disagreement pursuant to the Child Custody Act. Notably, everyone involved in the child's life in this case other than the father agreed that the child should be vaccinated.
I note as an aside that even if unadjudicated parents are not subject to dispositional authority under the juvenile code, they are not necessarily "untouchable." In particular, the juvenile code appears to give trial courts some power over "any other person" pursuant to MCL 712A.18(1)(g). See In re Macomber , 436 Mich. 386, 390-400, 461 N.W.2d 671 (1990). However, I also note that MCL 712A.18(1)(g) has a limited scope, which I think renders it inapplicable to this matter.
Therefore, the trial court must hold a hearing and make findings as to the best-interest factors under MCL 722.23. In addition, MCL 712A.18(4) would also seem to provide that parents are entitled to proper notice and an opportunity to be heard. Importantly, the trial court's assessment of the child's best interests under the juvenile code is significantly distinguishable from the trial court's assessment of the child's best interests under the Child Custody Act, because the latter specifically mandates a comparative analysis and requires numerous express factual findings. See In re COH , 495 Mich. 184, 205, 848 N.W.2d 107 (2014). To be clear, the trial court cannot unilaterally order that a child under its jurisdiction be vaccinated pursuant to its powers under the juvenile code if an unadjudicated parent objects to vaccination. However, unless the trial court affirmatively concludes that one of the vaccination exemptions found in MCL 333.9215 should apply, either pursuant to its role as a person in loco parentis of the child or at the request of either parent, the trial court must resolve whether to order that the child be vaccinated under the Child Custody Act. The trial court is obligated to make a determination of the best interests of the child after explicitly considering all the statutory best-interest factors. Doing so does not impermissibly subject the unadjudicated parent to the dispositional authority of the trial court under the juvenile code; rather, the unadjudicated parent is entitled to the same rights he or she would have in the event of a dispute between two unadjudicated parents. I believe that our Supreme Court's rejection of the one-parent doctrine in Sanders was intended to be used as a shield, not, as SMS is attempting to do here, as a sword.
V. CONCLUSION
The trial court correctly recognized that it lacked the power under the juvenile code to order that the child be vaccinated contrary to the religious objection made by an unadjudicated parent. However, the trial court erred by failing to recognize that it was obligated to make a determination under the Child Custody Act of whether vaccination is in the best interests of the child and then order that the child be vaccinated or not vaccinated accordingly. The trial court therefore abused its discretion by operating under the wrong legal framework and by failing to exercise discretion when called on to do so. However, because this matter is moot as to this child and as between these parties, we must leave the trial court's order undisturbed.