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        PRIOR PRINTER'S NO. 299                       PRINTER'S NO. 3650

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 267 Session of 1989


        INTRODUCED BY COWELL, PISTELLA, LEVDANSKY, MICHLOVIC, MARKOSEK,
           GIGLIOTTI, OLASZ, VAN HORNE, McVERRY, TRELLO, DeLUCA,
           PRESTON, ROBINSON, B. D. CLARK, PETRONE AND ITKIN,
           FEBRUARY 7, 1989

        AS REPORTED FROM COMMITTEE ON APPROPRIATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, JUNE 5, 1990

                                     AN ACT

     1  Amending the act of August 24, 1951 (P.L.1304, No.315),
     2     entitled, as amended, "An act to improve local health
     3     administration throughout the Commonwealth by authorizing the
     4     creation, establishment and administration of single-county
     5     or joint-county departments of health in all counties;
     6     exempting certain municipalities from the jurisdiction of
     7     single-county or joint-county departments of health;
     8     permitting the dissolution of departments or boards of health
     9     in certain municipalities; authorizing State grants to
    10     counties which establish departments of health and to certain
    11     municipalities if they meet prescribed requirements;
    12     conferring powers and duties upon the State Department of
    13     Health in connection with the creation, establishment and
    14     administration of single-county or joint-county departments
    15     of health and administration of the health laws in parts of
    16     certain municipalities not subject to the jurisdiction of
    17     single-county or joint-county departments of health, and the
    18     administration of State grants; and repealing an act which
    19     confers health powers upon counties of the first class,"
    20     further providing for State grants to county departments of
    21     health and to certain municipalities.

    22     The General Assembly of the Commonwealth of Pennsylvania
    23  hereby enacts as follows:
    24     Section 1.  Section 25 of the act of August 24, 1951
    25  (P.L.1304, No.315), known as the Local Health Administration
    26  Law, amended May 24, 1984 (P.L.328, No.65) and December 18, 1985

     1  (P.L.340, No.95), is amended to read:
     2     Section 25.  State Grants to County Departments of Health and
     3  to Certain Municipalities.--County departments of health created
     4  under this act and municipalities eligible for State grants
     5  under the provisions of section 15 of this act shall receive
     6  State grants in accordance with the procedure outlined in
     7  subsections (a), (b) and (c) of this section, if sufficient
     8  funds have been appropriated to pay the full amount of the
     9  grants to which county departments of health and certain
    10  municipalities may be entitled under subsections (a), (b) and
    11  (c) of this section.
    12     In the event that sufficient funds to pay the full amount of
    13  the grants to which county departments of health and certain
    14  municipalities may be entitled under subsections (a), (b) and
    15  (c) of this section have not been appropriated, the State
    16  Secretary of Health, with the advice of the Advisory Health
    17  Board, shall distribute such funds as are available among county
    18  departments of health and municipalities eligible for State
    19  grants under section 15 of this act on an equitable basis,
    20  without reference to the procedure outlined in subsections (a),
    21  (b) and (c) of this section; except that no county department of
    22  health or municipality shall receive a grant which exceeds [four
    23  dollars and fifty cents ($4.50)] six dollars ($6.00) per year     <--
    24  PER YEAR] FIVE DOLLARS AND TWENTY-FIVE CENTS ($5.25) IN FISCAL    <--
    25  YEAR 1990-1991, AND SIX DOLLARS ($6.00) IN FISCAL YEAR 1991-1992
    26  AND EACH FISCAL YEAR THEREAFTER, for every person within the
    27  jurisdiction of the county department of health or the
    28  department or board of health of the municipality.
    29     This section shall not be construed to preclude the State
    30  Department of Health from making special grants to county
    19890H0267B3650                  - 2 -

     1  departments of health or to municipalities for emergencies or
     2  for other special purposes.
     3     (a)  Initial Grants. Every county department of health
     4  created under this act shall receive an initial grant as
     5  provided in this section if sufficient funds have been
     6  appropriated to pay the full amount of such grant.
     7     The county commissioners or, in the case of a joint-county
     8  department of health the joint-county health commission, shall
     9  submit to the State Secretary of Health, on forms prescribed by
    10  him, an initial estimate of expenditures to cover the operation
    11  of the county department of health from the date of its
    12  establishment to the end of the calendar year in which it is
    13  established. The initial estimate of expenditures shall state
    14  the names of the exempt municipalities which have not decided to
    15  become subject to the jurisdiction of the county department of
    16  health in accordance with section 15 of this act. The estimate
    17  shall be submitted within thirty (30) days prior to the date of
    18  establishment.
    19     The State Secretary of Health shall examine each initial
    20  estimate of expenditures and shall deduct therefrom all items
    21  which do not represent expenditures within the lawful scope of
    22  the powers of the particular county department of health. Upon
    23  the total amount of the remaining expenditures, the State
    24  Secretary of Health shall compute the initial grant.
    25     The initial grant shall equal fifty per cent (50%) of the
    26  total of the remaining expenditures, but no initial grant shall
    27  exceed the product obtained by multiplying the population of the
    28  area within the jurisdiction of the county department of health
    29  times the number of months covered by the initial estimate of
    30  expenditures times [thirty-seven and one-half cents (37 1/2¢)]
    19890H0267B3650                  - 3 -

     1  fifty cents (50¢) FORTY-THREE AND THREE-FOURTHS CENTS (43 3/4¢)   <--
     2  IN FISCAL YEAR 1990-1991, AND FIFTY CENTS (50¢) IN FISCAL YEAR
     3  1991-1992 AND EACH FISCAL YEAR THEREAFTER. For the purpose of
     4  computation, any fraction of a month shall be counted as one
     5  month.
     6     Thirty (30) days after he has received the initial estimate
     7  of expenditures, the State Secretary of Health shall draw a
     8  requisition upon the State Auditor General in favor of the
     9  particular county department of health for the amount of the
    10  initial grant.
    11     In the event that a municipality or part of a municipality
    12  becomes subject to the jurisdiction of a county department of
    13  health in accordance with section 15 of this act after the date
    14  of establishment but prior to the first day of October of the
    15  same year, the county commissioners or, in the case of a joint-
    16  county department of health the joint-county health commission,
    17  may submit to the State Secretary of Health, on forms prescribed
    18  by him, an estimate of additional expenditures to cover the
    19  operation of the county department of health for the balance of
    20  the calendar year. The estimate shall state the name of the
    21  municipality and the date on which it became subject to the
    22  jurisdiction of the county department of health. The State
    23  Secretary of Health shall examine the estimate of additional
    24  expenditures and shall deduct therefrom all items which do not
    25  represent expenditures within the lawful scope of the powers of
    26  the particular county department of health. Upon the total
    27  amount of the remaining expenditures, the State Secretary of
    28  Health shall compute the additional grant. The additional grant
    29  shall equal fifty percent (50%) of the total of the remaining
    30  expenditures, but no additional grant shall exceed the product
    19890H0267B3650                  - 4 -

     1  obtained by multiplying the population of the municipality or
     2  the part of a municipality times the number of months remaining
     3  in the calendar year from the date the municipality or the part
     4  of a municipality became subject to the jurisdiction of the
     5  county department of health times [thirty-seven and one-half
     6  cents (37 1/2¢)] fifty cents (50¢) FORTY-THREE AND THREE-FOURTHS  <--
     7  CENTS (43 3/4¢) IN FISCAL YEAR 1990-1991, AND FIFTY CENTS (50¢)
     8  IN FISCAL YEAR 1991-1992 AND EACH FISCAL YEAR THEREAFTER. For
     9  the purpose of computation, any fraction of a month shall be
    10  counted as one month.
    11     Fifteen (15) days after he has received the estimate of
    12  additional expenditures, the State Secretary of Health shall
    13  draw a requisition upon the State Auditor General in favor of
    14  the particular county department of health for the amount of the
    15  additional grant.
    16     (b)  Annual Grants. Every county department of health created
    17  under this act and every municipality eligible for State grants
    18  under section 15 of this act shall receive annual grants from
    19  the State as provided in this section, if sufficient funds have
    20  been appropriated to pay the full amount of such grants. No
    21  county department of health shall begin to receive annual grants
    22  until the calendar year following the one in which it was
    23  established. No municipality shall begin to receive annual
    24  grants until the calendar year following the one in which this
    25  act takes effect.
    26     After the beginning of each calendar year, the county
    27  commissioners or, in the case of a joint-county department of
    28  health the joint-county health commission, or the executive or
    29  executive body of any municipality eligible for State grants
    30  under section 15 of this act, shall submit to the State
    19890H0267B3650                  - 5 -

     1  Secretary of Health, at such time as he shall require and on
     2  forms prescribed by him, an annual estimate of expenditures of
     3  the county department of health or the department or board of
     4  health of the municipality. In the case of a county department
     5  of health, the annual estimate of expenditures shall state the
     6  names of the exempt municipalities which have not decided to
     7  become subject to its jurisdiction in accordance with section 15
     8  of this act.
     9     The State Secretary of Health shall examine each annual
    10  estimate of expenditures and shall deduct therefrom all items
    11  which do not represent expenditures within the lawful scope of
    12  the powers of the particular county department of health or the
    13  department or board of health of the municipality. Upon the
    14  total amount of the remaining expenditures, the State Secretary
    15  of Health shall compute the annual grant. The annual grant shall
    16  equal fifty per cent (50%) of the total of the remaining
    17  expenditures, but no annual grant shall exceed the product
    18  obtained by multiplying the population of the area within the
    19  jurisdiction of the county department of health or within the
    20  jurisdiction of the department or board of health of the
    21  municipality times [four dollars and fifty cents ($4.50)] six     <--
    22  dollars ($6.00) FIVE DOLLARS AND TWENTY-FIVE CENTS ($5.25) IN     <--
    23  FISCAL YEAR 1990-1991, AND SIX DOLLARS ($6.00) IN FISCAL YEAR
    24  1991-1992 AND EACH FISCAL YEAR THEREAFTER.
    25     The annual grant shall be paid in four quarterly
    26  installments, but the moneys received in any quarter may be used
    27  any time during the year.
    28     The first installment shall be for the quarter beginning
    29  January first and ending March thirty-first; the second
    30  installment shall be for the quarter beginning April first and
    19890H0267B3650                  - 6 -

     1  ending June thirtieth; the third installment shall be for the
     2  quarter beginning July first and ending September thirtieth; and
     3  the fourth installment shall be for the quarter beginning
     4  October first and ending December thirty-first. Each installment
     5  shall be paid only if it is approved by the State Secretary of
     6  Health. The State Secretary of Health shall approve the payment
     7  of any quarterly installment of an annual grant to a county
     8  department of health or to a municipality eligible under section
     9  15 of this act only if he finds:
    10     (1)  that such county department of health or municipality is
    11  complying with any and all regulations of the State Department
    12  of Health prescribing minimum public health activities, minimum
    13  standards of performance of health services, and standards of
    14  personnel administration on a merit basis; and
    15     (2)  that such county department of health or municipality is
    16  accomplishing the purposes described in section 2 of this act.
    17     If the State Secretary of Health approves the payment of the
    18  first quarterly installment of an annual grant to a county
    19  department of health or to a municipality eligible under section
    20  15 of this act, he shall draw a requisition for such installment
    21  upon the State Auditor General in favor of the county department
    22  of health or municipality within fifteen (15) days after he has
    23  received the annual estimate of expenditures. If the State
    24  Secretary of Health approves the payment of any subsequent
    25  quarterly installment of an annual grant to a county department
    26  of health or to a municipality eligible under section 15 of this
    27  act, he shall draw a requisition for such installment upon the
    28  State Auditor General in favor of the county department of
    29  health or municipality at least fifteen (15) days before the
    30  first day of the quarter for which the payment is to be made.
    19890H0267B3650                  - 7 -

     1     In the event that a municipality or part of a municipality
     2  becomes subject to the jurisdiction of a county department of
     3  health in accordance with section 15 of this act prior to the
     4  first day of September, the county commissioners or, in the case
     5  of a joint-county department of health the joint-county health
     6  commission, may submit to the State Secretary of Health, on
     7  forms prescribed by him, an estimate of additional expenditures
     8  to cover the operation of the county department of health for
     9  the balance of the calendar year. The estimate shall state the
    10  name of the municipality and the date on which it became subject
    11  to the jurisdiction of the county department of health. The
    12  estimate shall be submitted at least thirty (30) days before the
    13  first day of any quarter following the one in which the
    14  municipality or the part of a municipality became subject to the
    15  jurisdiction of the county department of health.
    16     The State Secretary of Health shall examine the estimate of
    17  additional expenditures and shall deduct therefrom all items
    18  which do not represent expenditures within the lawful scope of
    19  the powers of the particular county department of health. Upon
    20  the total amount of the remaining expenditures, the State
    21  Secretary of Health shall compute the additional grant. The
    22  additional grant shall equal fifty percent (50%) of the
    23  remaining expenditures, but no additional grant shall exceed the
    24  product obtained by multiplying the population of the
    25  municipality or the part of a municipality times the number of
    26  months remaining in the calendar year from the date the
    27  municipality or the part of a municipality became subject to the
    28  jurisdiction of the county department of health times [thirty-
    29  seven and one-half cents (37 1/2¢)] fifty cents (50¢) FORTY-      <--
    30  THREE AND THREE-FOURTHS CENTS (43 3/4¢) IN FISCAL YEAR 1990-
    19890H0267B3650                  - 8 -

     1  1991, AND FIFTY CENTS (50¢) IN FISCAL YEAR 1991-1992 AND EACH
     2  FISCAL YEAR THEREAFTER. For the purpose of computation, any
     3  fraction of a month shall be counted as one month. The
     4  additional grant shall be added to and become part of the
     5  balance of the annual grant remaining to be paid.
     6     (c)  Adjustment of Initial and Annual Grants. After the end
     7  of every calendar year in which a county department of health or
     8  a municipality received an initial grant or all or part of an
     9  annual grant, there shall be an adjustment of such initial or
    10  annual grant on the basis of the actual expenditures of the
    11  county department of health or the department or board of health
    12  of the municipality during the year. Any additional grants to
    13  which a county department of health or a municipality may be
    14  entitled under the provisions of this subsection shall be paid,
    15  if sufficient funds have been appropriated to pay the full
    16  amount of such grants. Within fifteen (15) days after the end of
    17  the calendar year, the county commissioners or, in the case of a
    18  joint-county department of health the joint-county health
    19  commission, or the executive or executive body of the
    20  municipality, shall submit to the State Secretary of Health, on
    21  forms prescribed by him, a sworn, itemized statement of all the
    22  expenditures made by the county department of health or the
    23  department or board of health of the municipality during the
    24  previous year. The statement shall show the dates on which the
    25  expenditures were made and shall indicate which of the
    26  expenditures were made out of any special grants received from
    27  the State or out of any grants received directly from the
    28  Federal Government. In the case of a county department of
    29  health, the statement shall indicate the name of any
    30  municipality which became subject to its jurisdiction in
    19890H0267B3650                  - 9 -

     1  accordance with section 15 of this act and the date on which the
     2  municipality became subject to its jurisdiction.
     3     The State Secretary of Health shall examine each statement
     4  and shall deduct therefrom all the expenditures made during any
     5  quarter or quarters of the calendar year for which no
     6  installments of an annual grant were paid to the county
     7  department of health or municipality because of its failure to
     8  comply with the requirements of subsection (b) of this section.
     9  He shall then deduct from the remaining expenditures: (1) those
    10  items paid for out of any special grants received from the
    11  State; (2) those items paid for out of any grants received
    12  directly from the Federal Government; and (3) those items which
    13  do not represent expenditures made within the lawful scope of
    14  the powers of the county department of health or the department
    15  or board of health of the municipality. Upon the total amount of
    16  the remaining expenditures, the State Secretary of Health shall
    17  compute the adjusted initial or annual grant.
    18     The adjusted initial grant shall equal either (1) fifty per
    19  cent (50%) of the total of the remaining expenditures, or (2)
    20  the product obtained by multiplying the population of the area
    21  within the jurisdiction of the county department of health at
    22  the time of its establishment times the number of months for
    23  which the initial grant was paid as determined in subsection (a)
    24  of this section times [thirty-seven and one-half cents (37
    25  1/2¢)] fifty cents (50¢) FORTY-THREE AND THREE-FOURTHS CENTS (43  <--
    26  3/4¢) IN FISCAL YEAR 1990-1991, AND FIFTY CENTS (50¢) IN FISCAL
    27  YEAR 1991-1992 AND EACH FISCAL YEAR THEREAFTER, whichever figure
    28  is the lower. In the event that a municipality or part of a
    29  municipality became subject to the jurisdiction of the county
    30  department of health during the year in accordance with section
    19890H0267B3650                 - 10 -

     1  15 of this act, there shall be added to the amount arrived at by
     2  applying the formula set out in clause (2) of this paragraph the
     3  product obtained by multiplying the population of the
     4  municipality or the part of a municipality times the number of
     5  months it was subject to the jurisdiction of the county
     6  department of health times [thirty-seven and one-half cents (37
     7  1/2¢)] fifty cents (50¢) FORTY-THREE AND THREE-FOURTHS CENTS (43  <--
     8  3/4¢) IN FISCAL YEAR 1990-1991, AND FIFTY CENTS (50¢) IN FISCAL
     9  YEAR 1991-1992 AND EACH FISCAL YEAR THEREAFTER. For the purpose
    10  of computation, any fraction of a month shall be counted as one
    11  month.
    12     In the case of a county department of health, the adjusted
    13  annual grant shall equal either (1) fifty per cent (50%) of the
    14  total of the remaining expenditures, or (2) the product obtained
    15  by multiplying the population of the area within the
    16  jurisdiction of the county department of health at the beginning
    17  of the calendar year times the number of quarters for which
    18  installments of the annual grant were paid times [one dollar and
    19  twelve and one-half cents ($1.12 1/2)] one dollar and fifty       <--
    20  cents ($1.50) ONE DOLLAR AND THIRTY-ONE AND ONE-FOURTH CENTS      <--
    21  ($1.31 1/4) IN FISCAL YEAR 1990-1991, AND ONE DOLLAR AND FIFTY
    22  CENTS ($1.50) IN FISCAL YEAR 1991-1992 AND EACH FISCAL YEAR
    23  THEREAFTER, whichever figure is the lower. In the event that a
    24  municipality or part of a municipality became subject to the
    25  jurisdiction of the county department of health during the year
    26  in accordance with section 15 of this act, there shall be added
    27  to the amount arrived at by applying the formula set out in
    28  clause (2) of this paragraph the product obtained by multiplying
    29  the population of the municipality or the part of a municipality
    30  times the number of months during which it was subject to the
    19890H0267B3650                 - 11 -

     1  jurisdiction of the county department of health times [thirty-
     2  seven and one-half cents (37 1/2¢)] fifty cents (50¢) FORTY-      <--
     3  THREE AND THREE-FOURTHS CENTS (43 3/4¢) IN FISCAL YEAR 1990-
     4  1991, AND FIFTY CENTS (50¢) IN FISCAL YEAR 1991-1992 AND EACH
     5  FISCAL YEAR THEREAFTER; except that any month which fell in a
     6  quarter for which no installment of the annual grant was paid to
     7  the county department of health shall not be counted. For the
     8  purpose of computation any fraction of a month shall be counted
     9  as one month.
    10     In the case of a municipality, the adjusted annual grant
    11  shall equal either (1) fifty percent (50%) of the total of the
    12  remaining expenditures, or (2) the product obtained by
    13  multiplying the population of the area within the jurisdiction
    14  of the department or board of health of the municipality times
    15  the number of months during which it was not subject to the
    16  jurisdiction of a county department of health times [thirty-
    17  seven and one-half cents (37 1/2¢)] fifty cents (50¢) FORTY-      <--
    18  THREE AND THREE-FOURTHS CENTS (43 3/4¢) IN FISCAL YEAR 1990-
    19  1991, AND FIFTY CENTS (50¢) IN FISCAL YEAR 1991-1992 AND EACH
    20  FISCAL YEAR THEREAFTER, whichever figure is the lower. In
    21  applying the formula set out in clause (2) of this paragraph,
    22  any month which fell in a quarter for which no installment of
    23  the annual grant was paid to the municipality shall not be
    24  counted. For the purpose of computation any fraction of a month
    25  shall be counted as one month.
    26     If the adjusted initial or annual grant exceeds the initial
    27  or annual grant actually received by a county department of
    28  health or a municipality, the State Secretary of Health shall,
    29  within fifteen (15) days after receipt of the statement of
    30  expenditures, draw a requisition upon the State Auditor General
    19890H0267B3650                 - 12 -

     1  in favor of such county department of health or municipality for
     2  the amount by which the adjusted initial or annual grant exceeds
     3  the initial or annual grant actually received.
     4     If the adjusted initial or annual grant is less than the
     5  initial or annual grant actually received by a county department
     6  of health or a municipality, the State Secretary of Health shall
     7  charge the amount by which the initial or annual grant actually
     8  received exceeds the adjusted initial or annual grant against
     9  one or more installments of the next annual grant. If any
    10  subsequent installment of the annual grant is not paid to the
    11  particular county department of health or municipality because
    12  of the failure of the county department of health or
    13  municipality to comply with the requirements of subsection (b)
    14  of this section, or because the municipality has decided to
    15  become subject to the jurisdiction of a county department of
    16  health in accordance with section 15 of this act, the State
    17  Secretary of Health may require a refund of such amount to the
    18  State.
    19     (d)  Environmental Health Services.--The Commonwealth shall
    20  pay an additional annual grant of not more than one dollar and
    21  fifty cents ($1.50) per capita resident to each county
    22  department of health or department or board of health of a
    23  municipality eligible for grants under this act for
    24  environmental health services provided by the county or
    25  municipality.
    26     As used in this subsection "environmental health services"
    27  means services such as but not limited to air and noise
    28  pollution control, restaurant and wholesale food inspection,
    29  rodent and vector control, water and sewage inspection, housing
    30  code enforcement and other similar services in addition to other
    19890H0267B3650                 - 13 -

     1  local health grants for public health services.
     2     SECTION 2.  THIS ACT SHALL APPLY RETROACTIVELY TO JULY 1,      <--
     3  1990, IF IT IS ENACTED AFTER THAT DATE.
     4     Section 2 3.  This act shall take effect July 1, 1989 1990,    <--
     5  or immediately, whichever is later.

















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