PRIOR PRINTER'S NO. 299 PRINTER'S NO. 3650
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. A3L35JLW/19890H0267B3650 - 14 -