The Association of Bioethics Program Directors (ABPD) represents nearly 100 bioethics centers across North America. The ABPD’s members are leaders in evaluating ethical practices in the health professions and have participated in drafting institutional, statewide, and national health policies. In fall 2021, the ABPD issued a statement and a companion piece for Health Affairs Forefront describing why universal COVID-19 vaccine mandates, with exceptions only for medical contraindications, were ethically recommended at that time. In fall 2023, the ABPD membership approved a new position statement that universal COVID-19 vaccine mandates are not presently ethically supportable.The values and principles that guided our...