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                                                      PRINTER'S NO. 2387

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1791 Session of 2007


        INTRODUCED BY K. SMITH, STURLA, BELFANTI, BRENNAN, BUXTON,
           CARROLL, FRANKEL, GEORGE, HENNESSEY, HORNAMAN, JAMES, KOTIK,
           KULA, LEACH, LONGIETTI, McILVAINE SMITH, MUNDY, M. O'BRIEN,
           PASHINSKI, SANTONI, SCAVELLO, SHIMKUS, SOLOBAY, TANGRETTI,
           THOMAS, WANSACZ, YOUNGBLOOD, YUDICHAK AND McCALL,
           AUGUST 1, 2007

        REFERRED TO COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY
           PREPAREDNESS, AUGUST 1, 2007

                                     AN ACT

     1  Amending the act of April 9, 1929 (P.L.177, No.175), entitled
     2     "An act providing for and reorganizing the conduct of the
     3     executive and administrative work of the Commonwealth by the
     4     Executive Department thereof and the administrative
     5     departments, boards, commissions, and officers thereof,
     6     including the boards of trustees of State Normal Schools, or
     7     Teachers Colleges; abolishing, creating, reorganizing or
     8     authorizing the reorganization of certain administrative
     9     departments, boards, and commissions; defining the powers and
    10     duties of the Governor and other executive and administrative
    11     officers, and of the several administrative departments,
    12     boards, commissions, and officers; fixing the salaries of the
    13     Governor, Lieutenant Governor, and certain other executive
    14     and administrative officers; providing for the appointment of
    15     certain administrative officers, and of all deputies and
    16     other assistants and employes in certain departments, boards,
    17     and commissions; and prescribing the manner in which the
    18     number and compensation of the deputies and all other
    19     assistants and employes of certain departments, boards and
    20     commissions shall be determined," providing for measures to
    21     detect and track potential and existing public health
    22     emergencies, for declaring state of public health emergency,
    23     for control of property and persons during state of public
    24     health emergency and for public information regarding and
    25     planning for public health emergencies; and establishing the
    26     Public Health Emergency Planning Commission.

    27     The General Assembly of the Commonwealth of Pennsylvania


     1  hereby enacts as follows:
     2     Section 1.  The act of April 9, 1929 (P.L.177, No.175), known
     3  as The Administrative Code of 1929, is amended by adding an
     4  article to read:
     5                           ARTICLE XXV-D
     6               EMERGENCY HEALTH POWERS AND PROCEDURES
     7                    (a)  Preliminary Provisions
     8  Section 2501-D.  Short title.
     9     This article shall be known and may be cited as the Emergency
    10  Health Powers Act.
    11  Section 2502-D.  Legislative findings.
    12     The General Assembly finds that:
    13         (1)  The Commonwealth must do more to protect the health,
    14     safety and general well-being of its citizens.
    15         (2)  New and emerging dangers, including emergent and
    16     resurgent infectious diseases and incidents of civilian mass
    17     casualties, pose serious and immediate threats.
    18         (3)  A renewed focus on the prevention, detection,
    19     management and containment of public health emergencies is
    20     called for.
    21         (4)  Emergency health threats, including those caused by
    22     bioterrorism and epidemics, require the exercise of
    23     extraordinary government functions.
    24         (5)  The Commonwealth must have the ability to respond
    25     rapidly and effectively to potential or actual public health
    26     emergencies.
    27         (6)  The exercise of emergency health powers must promote
    28     the common good.
    29         (7)  Emergency health powers must be grounded in a
    30     thorough scientific understanding of public health threats
    20070H1791B2387                  - 2 -     

     1     and disease transmission.
     2         (8)  Guided by principles of justice, it is the duty of
     3     the Commonwealth to act with fairness and tolerance toward
     4     individuals and groups.
     5         (9)  The rights of people to liberty, bodily integrity
     6     and privacy must be respected to the fullest extent possible
     7     consistent with the overriding importance of the public's
     8     health and security.
     9         (10)  This article is necessary to protect the health and
    10     safety of the citizens of this Commonwealth.
    11  Section 2503-D.  Purposes.
    12     The purposes of this article are to:
    13         (1)  Authorize the collection of data and records, the
    14     control of property, the management of persons and access to
    15     communications.
    16         (2)  Facilitate the early detection of a health emergency
    17     and allow for immediate investigation of such an emergency by
    18     granting access to individuals' health information under
    19     specified circumstances.
    20         (3)  Grant State officials the authority to use and
    21     appropriate property as necessary for the care, treatment and
    22     housing of patients and for the destruction of contaminated
    23     materials.
    24         (4)  Grant State officials the authority to provide care
    25     and treatment to persons who are ill or who have been exposed
    26     to infection and to separate affected individuals from the
    27     population at large for the purpose of interrupting the
    28     transmission of infectious disease.
    29         (5)  Ensure that the needs of infected or exposed persons
    30     will be addressed to the fullest extent possible given the
    20070H1791B2387                  - 3 -     

     1     primary goal of controlling serious health threats.
     2         (6)  Provide State officials with the ability to prevent,
     3     detect, manage and contain emergency health threats without
     4     unduly interfering with civil rights and liberties.
     5         (7)  Require the development of a comprehensive plan to
     6     provide for a coordinated, appropriate response in the event
     7     of a public health emergency.
     8  Section 2504-D.  Definitions.
     9     The following words and phrases when used in this article
    10  shall have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Bioterrorism."  The intentional use of any microorganism,
    13  virus, infectious substance or biological product that may be
    14  engineered as a result of biotechnology or any naturally
    15  occurring or bioengineered component of any such microorganism,
    16  virus, infectious substance or biological product to cause
    17  death, disease or other biological malfunction in a human,
    18  animal, plant or another living organism in order to influence
    19  the conduct of government or to intimidate or coerce a civilian
    20  population.
    21     "Chain of custody."  The methodology of tracking specimens
    22  for the purpose of maintaining control and accountability from
    23  initial collection to final disposition of the specimens and
    24  providing for accountability at each stage of collecting,
    25  handling, testing, storing and transporting the specimens and
    26  reporting test results.
    27     "Commission."  The Public Health Emergency Planning
    28  Commission.
    29     "Contagious disease."  An infectious disease that can be
    30  transmitted from person to person, animal to person or insect to
    20070H1791B2387                  - 4 -     

     1  person.
     2     "Health care facility."  A non-Federal institution, building
     3  or agency, or portion thereof, whether for profit or nonprofit,
     4  that is used, operated or designed to provide health services,
     5  medical treatment or nursing, rehabilitative or preventive care
     6  to any person or persons. The term includes, but is not limited
     7  to, ambulatory surgical facilities, health maintenance
     8  organizations, home health agencies, hospices, hospitals,
     9  infirmaries, intermediate care facilities, kidney treatment
    10  centers, long-term care facilities, medical assistance
    11  facilities, mental health centers, outpatient facilities, public
    12  health centers, rehabilitation facilities, residential treatment
    13  facilities, skilled nursing facilities and adult day-care
    14  centers. The term also includes, but is not limited to, the
    15  following related property when used for or in connection with
    16  the foregoing: laboratories, research facilities, pharmacies,
    17  laundry facilities, health personnel training and lodging
    18  facilities, patient, guest and health personnel food service
    19  facilities and offices and office buildings for persons engaged
    20  in health care professions or services.
    21     "Health care provider."  A person or entity who provides
    22  health care services. The term includes, but is not limited to,
    23  hospitals, medical clinics and offices, special care facilities,
    24  medical laboratories, physicians, pharmacists, dentists,
    25  physician assistants, nurse practitioners, registered and other
    26  nurses, paramedics, emergency medical or laboratory technicians
    27  and ambulance and emergency medical workers.
    28     "Infectious disease."  A disease caused by a living organism,
    29  which disease may or may not be transmissible from person to
    30  person, animal to person or insect to person.
    20070H1791B2387                  - 5 -     

     1     "Infectious waste."  Any of the following:
     2         (1)  Biological waste, including blood and blood
     3     products, excretions, exudates, secretions, suctioning and
     4     other body fluids and waste materials saturated with blood or
     5     body fluids.
     6         (2)  Cultures and stocks, including etiologic agents and
     7     associated biologicals, specimen cultures and dishes and
     8     devices used to transfer, innoculate and mix cultures, wastes
     9     from production of biologicals and serums and discarded live
    10     and attenuated vaccines.
    11         (3)  Pathological waste, including biopsy materials and
    12     all human tissues, anatomical parts that emanate from
    13     surgery, obstetrical procedures, autopsy and laboratory
    14     procedures and animal carcasses exposed to pathogens in
    15     research and the bedding and other waste from such animals,
    16     but not including teeth or formaldehyde or other preservative
    17     agents.
    18         (4)  Sharps, including needles, IV tubing with needles
    19     attached, scalpel blades, lancets, glass tubes that could be
    20     broken during handling and syringes that have been removed
    21     from their original sterile containers.
    22     "Isolation."  The compulsory physical separation, including
    23  the restriction of movement or confinement, of individuals or
    24  groups believed to have been exposed to or known to have been
    25  infected with a contagious disease from individuals who are
    26  believed not to have been exposed or infected, in order to
    27  prevent or limit the transmission of the disease to others.
    28     "Mental health support personnel."  This term includes, but
    29  is not limited to, psychiatrists, psychologists, social workers
    30  and volunteer crisis counseling groups.
    20070H1791B2387                  - 6 -     

     1     "PA-NEDSS."  Pennsylvania's National Electronic Disease
     2  Surveillance System, an Internet-based instrument utilized by
     3  health care providers to report diseases and enable the
     4  Department of Health to analyze data and respond immediately.
     5     "Protected health information."  Information, whether oral,
     6  written, electronic, visual, pictorial, physical or any other
     7  form that relates to an individual's past, present or future
     8  physical or mental health status, condition, treatment, service,
     9  products purchased or provision of care, and that reveals the
    10  identity of the individual whose health care is the subject of
    11  the information, or where there is a reasonable basis to believe
    12  such information could be utilized, either alone or with other
    13  information that is or should reasonably be known to be
    14  available to predictable recipients of such information, to
    15  reveal the identity of that individual.
    16     "Public health authority."  The Department of Health, a local
    17  government agency that acts principally to protect or preserve
    18  the public's health, a person authorized to act on behalf of the
    19  Department of Health or local public health agency.
    20     "Public health emergency."  An occurrence or imminent threat
    21  of an illness or health condition, caused by bioterrorism,
    22  epidemic or pandemic disease or novel and highly fatal
    23  infectious agent or biological toxin, that poses a substantial
    24  risk of a significant number of human fatalities or incidents of
    25  permanent or long-term disability, where such illness or health
    26  condition includes, but is not limited to, an illness or health
    27  condition resulting from a natural disaster.
    28     "Public safety authority."  The Pennsylvania Emergency
    29  Management Agency, a local government agency that acts
    30  principally to protect or preserve the public safety or a person
    20070H1791B2387                  - 7 -     

     1  authorized to act on behalf of the Pennsylvania Emergency
     2  Management Agency or local agency.
     3     "Quarantine."  The term shall have the same meaning as the
     4  term "isolation."
     5     "Specimens."  The term includes, but is not limited to,
     6  blood, sputum, urine, stool, other bodily fluids, wastes,
     7  tissues and cultures necessary to perform required tests.
     8     "Tests."  The term includes, but is not limited to, any
     9  diagnostic or investigative analysis necessary to prevent the
    10  spread of disease or protect the public's health, safety and
    11  welfare.
    12          (b)  Measures to Detect and Track Potential and
    13                 Existing Public Health Emergencies
    14  Section 2511-D.  Reporting.
    15     (a)  Illness or health condition.--
    16         (1)  A health care provider, coroner or medical examiner
    17     shall report all cases of persons who harbor any illness or
    18     health condition that may be caused by bioterrorism, epidemic
    19     or pandemic disease or novel and highly fatal infectious
    20     agents or biological toxins and might pose a substantial risk
    21     of a significant number of human fatalities or incidents of
    22     permanent or long-term disability.
    23         (2)  Such illnesses and health conditions include, but
    24     are not limited to, the diseases caused by the biological
    25     agents listed in 42 CFR 72, App. A (relating to select
    26     agents) and any illnesses or health conditions identified by
    27     the public health authority as potential causes of a public
    28     health emergency.
    29     (b)  Pharmacists.--
    30         (1)  In addition to the requirements of subsection (a)
    20070H1791B2387                  - 8 -     

     1     for health care providers, a pharmacist shall report any
     2     unusual or increased prescription rates, unusual types of
     3     prescriptions or unusual trends in pharmacy visits that may
     4     be caused by bioterrorism, epidemic or pandemic disease or
     5     novel and highly fatal infectious agents or biological toxins
     6     and might pose a substantial risk of a significant number of
     7     human fatalities or incidents of permanent or long-term
     8     disability.
     9         (2)  Prescription-related events that require a report
    10     include, but are not limited to, any of the following:
    11             (i)  An unusual increase in the number of
    12         prescriptions to treat fever, respiratory or
    13         gastrointestinal complaints.
    14             (ii)  An unusual increase in the number of
    15         prescriptions for antibiotics.
    16             (iii)  An unusual increase in the number of requests
    17         for information on over-the-counter pharmaceuticals to
    18         treat fever, respiratory or gastrointestinal complaints.
    19             (iv)  Any prescription that treats a disease that is
    20         relatively uncommon and has bioterrorism potential.
    21     (c)  Manner of reporting.--The report shall be made within 24
    22  hours to the public health authority in writing or via PA-NEDSS
    23  or another electronic disease surveillance system approved by
    24  the Department of Health. The report shall include the following
    25  information, if available:
    26         (1)  The patient's name, date of birth, sex, race and
    27     current address, including municipality and county.
    28         (2)  The name and address of the health care provider,
    29     coroner or medical examiner and of the reporting individual,
    30     if different.
    20070H1791B2387                  - 9 -     

     1         (3)  Any other information needed to locate the patient
     2     for follow up.
     3         (4)  For cases related to animal or insect bites, the
     4     suspected locating information of the biting animal or insect
     5     and the name and address of any known owner.
     6     (d)  Animal diseases.--
     7         (1)  A veterinarian, livestock owner, veterinary
     8     diagnostic laboratory director or other person having the
     9     care of animals shall report animals having or suspected of
    10     having any disease that may be caused by bioterrorism,
    11     epidemic or pandemic disease or novel and highly fatal
    12     infectious agents or biological toxins and might pose a
    13     substantial risk of a significant number of human and animal
    14     fatalities or incidents of permanent or long-term disability.
    15         (2)  The report shall be made in writing within 24 hours
    16     to the public health authority and shall include the
    17     following information, if available:
    18             (i)  The suspected locating information of the
    19         animal.
    20             (ii)  The name and address of any known owner.
    21             (iii)  The name and address of the reporting
    22         individual.
    23     (e)  Enforcement.--The public health authority may enforce
    24  the provisions of this section in accordance with existing
    25  enforcement rules and regulations.
    26     (f)  Definition.--As used in this section, the term "health
    27  care provider" includes an out-of-State medical laboratory,
    28  provided that the laboratory has agreed to the reporting
    29  requirements of this Commonwealth. Results must be reported by
    30  the laboratory that performs the test, but a laboratory in this
    20070H1791B2387                 - 10 -     

     1  Commonwealth that sends specimens to a laboratory outside this
     2  Commonwealth shall also report the results.
     3  Section 2512-D.  Tracking.
     4     (a)  General rule.--The public health authority shall:
     5         (1)  Ascertain the existence of cases of an illness or
     6     health condition caused by bioterrorism, epidemic or pandemic
     7     disease or novel and highly fatal infectious agent or
     8     biological toxin that poses a substantial risk of a
     9     significant number of human fatalities or incidents of
    10     permanent or long-term disability.
    11         (2)  Investigate all such cases for sources of infection
    12     and ensure that they are subject to proper control measures.
    13         (3)  Define the distribution of the illness or health
    14     condition.
    15     (b)  Identification of exposed individuals.--To fulfill these
    16  duties, the public health authority shall identify exposed
    17  individuals as follows:
    18         (1)  Acting on information developed in accordance with
    19     section 2511-D or other reliable information, the public
    20     health authority shall identify all individuals thought to
    21     have been exposed to an illness or health condition caused by
    22     bioterrorism, epidemic or pandemic disease or novel and
    23     highly fatal infectious agents or biological toxins that
    24     poses a substantial risk of a significant number of human
    25     fatalities or incidents of permanent or long-term disability.
    26         (2)  The public health authority shall counsel and
    27     interview such individuals as appropriate to assist in the
    28     positive identification of exposed individuals and develop
    29     information relating to the source and spread of the illness
    30     or health condition. Such information includes the name and
    20070H1791B2387                 - 11 -     

     1     address, including city and county, of any person from whom
     2     the illness or health condition may have been contracted and
     3     to whom the illness or health condition may have spread.
     4         (3)  The public health authority shall, for examination
     5     purposes, close, evacuate or decontaminate any facility or
     6     decontaminate or destroy any material when the authority
     7     reasonably suspects that such facility or material may
     8     endanger the public health.
     9     (c)  Enforcement.--An order of the public health authority
    10  given to effectuate the purposes of this section shall be
    11  enforceable immediately by the public safety authority.
    12  Section 2513-D.  Information sharing.
    13     (a)  Duty of public safety authority.--Whenever the public
    14  safety authority learns of a case of a reportable illness or
    15  health condition, an unusual cluster or a suspicious event, it
    16  shall immediately notify the public health authority.
    17     (b)  Duty of public health authority.--Whenever the public
    18  health authority learns of a case of a reportable illness or
    19  health condition, an unusual cluster or a suspicious event that
    20  it reasonably believes has the potential to be caused by
    21  bioterrorism, it shall immediately notify the appropriate public
    22  safety authority and Federal health and public safety
    23  authorities.
    24     (c)  Limitation.--Sharing of information on reportable
    25  illnesses, health conditions, unusual clusters or suspicious
    26  events between authorized personnel shall be limited to
    27  information necessary for the treatment, control, investigation
    28  and prevention of a public health emergency.
    29          (c)  Declaring State of Public Health Emergency
    30  Section 2521-D.  Standards for declaration.
    20070H1791B2387                 - 12 -     

     1     (a)  Declaration by Governor.--
     2         (1)  A state of public health emergency shall be declared
     3     by the Governor if the Governor finds an occurrence or
     4     imminent threat of an illness or health condition caused by
     5     bioterrorism, epidemic or pandemic disease or novel and
     6     highly fatal infectious agents or biological toxins that
     7     poses a substantial risk of a significant number of human
     8     fatalities or incidents of permanent or long-term disability.
     9     The declaration shall be published as a notice in the
    10     Pennsylvania Bulletin.
    11         (2)  To make such a finding, the Governor shall consult
    12     with the public health authority and may consult with any
    13     public health and other experts as needed.
    14     (b)  Construction.--Nothing in the duty of the Governor to
    15  consult with the public health authority or the discretion to
    16  consult with public health or other experts shall be construed
    17  to limit the Governor's authority to act without such
    18  consultation when the situation calls for prompt and timely
    19  action.
    20  Section 2522-D.  Procedures for declaration.
    21     The state of public health emergency shall be declared by an
    22  executive order that indicates:
    23         (1)  The nature of the public health emergency.
    24         (2)  The area that is or may be threatened.
    25         (3)  The conditions that have brought about the public
    26     health emergency.
    27  Section 2523-D.  Effect of declaration.
    28     (a)  General rule.--The declaration of a state of public
    29  health emergency shall activate the disaster response and
    30  recovery aspects of the State, local and interjurisdictional
    20070H1791B2387                 - 13 -     

     1  disaster emergency plans in the affected political subdivision
     2  or area. The declaration shall authorize the deployment and use
     3  of any forces to which the plans apply and the use or
     4  distribution of any supplies, equipment and materials and
     5  facilities assembled, stockpiled or arranged to be made
     6  available pursuant to this article.
     7     (b)  Emergency powers of Governor.--During a state of public
     8  health emergency, the Governor may:
     9         (1)  Suspend the provisions of any regulatory statute
    10     prescribing procedures for conducting State business or the
    11     orders, rules and regulations of any State agency if strict
    12     compliance with the same would prevent, hinder or delay
    13     necessary action, including emergency purchases, by the
    14     public health authority to respond to the public health
    15     emergency and increase the health threat to the population.
    16     The suspension shall be published as a notice in the
    17     Pennsylvania Bulletin.
    18         (2)  Utilize all available resources of the State
    19     government and its political subdivisions, as reasonably
    20     necessary to respond to the public health emergency.
    21         (3)  Transfer the direction, personnel or functions of
    22     State departments and agencies to perform or facilitate
    23     response and recovery programs regarding the public health
    24     emergency.
    25         (4)  Mobilize all or any part of the Pennsylvania
    26     National Guard into service of the Commonwealth. An order
    27     directing the Pennsylvania National Guard to report for
    28     active duty shall state the purpose for which it is mobilized
    29     and the objectives to be accomplished.
    30         (5)  Provide aid to and seek aid from other states in
    20070H1791B2387                 - 14 -     

     1     accordance with any interstate emergency compact made with
     2     the Commonwealth.
     3     (c)  Coordination by public health authority.--The public
     4  health authority shall coordinate all matters pertaining to the
     5  public health emergency response of the Commonwealth. The public
     6  health authority shall have primary jurisdiction, responsibility
     7  and authority for:
     8         (1)  Planning and executing public health emergency
     9     assessment, mitigation, preparedness response and recovery
    10     for the Commonwealth.
    11         (2)  Coordinating public health emergency response
    12     between State and political subdivisions.
    13         (3)  Collaborating with relevant Federal Government
    14     authorities, elected officials of other states, private
    15     organizations or private sector companies.
    16         (4)  Coordinating recovery operations and mitigation
    17     initiatives subsequent to public health emergencies.
    18         (5)  Organizing public information activities regarding
    19     State public health emergency response operations.
    20     (d)  Identification.--After the declaration of a state of
    21  public health emergency, special identification for all public
    22  health personnel working during the emergency shall be issued by
    23  the Governor or public health authority as soon as possible. The
    24  identification shall indicate the authority of the bearer to
    25  exercise public health functions and emergency powers during the
    26  state of public health emergency. Public health personnel shall
    27  wear the identification in plain view.
    28  Section 2524-D.  Enforcement.
    29     During a state of public health emergency, the public health
    30  authority may request assistance in enforcing orders pursuant to
    20070H1791B2387                 - 15 -     

     1  this article from the public safety authority. The public safety
     2  authority may request assistance, with the approval of the
     3  Governor, from the Pennsylvania National Guard in enforcing the
     4  orders of the public health authority.
     5  Section 2525-D.  Termination of declaration.
     6     (a)  Executive order.--The Governor shall terminate the state
     7  of public health emergency by executive order upon finding that
     8  the occurrence of an illness or health condition caused by
     9  bioterrorism, epidemic or pandemic disease or novel and highly
    10  fatal infectious agents or biological toxins no longer poses a
    11  substantial risk of a significant number of human fatalities or
    12  incidents of permanent or long-term disability or that the
    13  imminent threat of such an occurrence has passed. The executive
    14  order shall be published as a notice in the Pennsylvania
    15  Bulletin.
    16     (b)  Automatic termination.--
    17         (1)  Notwithstanding any other provision of this article,
    18     a state of public health emergency shall be terminated
    19     automatically 30 days after its declaration unless renewed by
    20     the Governor under the same standards and procedures set
    21     forth in this article for a declaration of a state of public
    22     health emergency.
    23         (2)  Any such renewal shall also be terminated
    24     automatically after 30 days unless renewed by the Governor
    25     under the same standards and procedures set forth in this
    26     article for a declaration of a state of public health
    27     emergency.
    28     (c)  State legislature.--By a two-thirds vote of both
    29  chambers, the General Assembly may terminate a state of public
    30  health emergency after 60 days from the date of original
    20070H1791B2387                 - 16 -     

     1  declaration upon finding that the occurrence of an illness or
     2  health condition caused by bioterrorism, epidemic or pandemic
     3  disease or novel and highly fatal infectious agents or
     4  biological toxins no longer poses a substantial risk of a
     5  significant number of human fatalities or incidents of permanent
     6  or long-term disability or that the imminent threat of such an
     7  occurrence has passed. Such a termination by the General
     8  Assembly shall supersede any renewal by the Governor.
     9     (d)  Content of termination order.--All orders terminating a
    10  state of public health emergency shall indicate:
    11         (1)  The nature of the emergency.
    12         (2)  The area that was threatened.
    13         (3)  The conditions that make possible the termination of
    14     the state of public health emergency.
    15          (d)  Control of Property during State of Public
    16                          Health Emergency
    17  Section 2531-D.  Emergency measures concerning dangerous
    18                     facilities and materials.
    19     The public health authority may exercise, for such period as
    20  the state of public health emergency exists, the following
    21  powers:
    22         (1)  To close, direct and compel the evacuation of or to
    23     decontaminate or cause to be decontaminated any facility of
    24     which there is reasonable cause to believe that it may
    25     endanger the public health.
    26         (2)  To decontaminate or cause to be decontaminated or
    27     destroy any material of which there is reasonable cause to
    28     believe that it may endanger the public health.
    29  Section 2532-D.  Access to and control of facilities and
    30                     property.
    20070H1791B2387                 - 17 -     

     1     The public health authority may exercise, for such period as
     2  the state of public health emergency exists, the following
     3  powers concerning facilities, materials, roads or public areas:
     4         (1)  To procure, by condemnation or otherwise, construct,
     5     lease, transport, store, maintain, renovate or distribute
     6     materials and facilities as may be reasonable and necessary
     7     for emergency response, with the right to take immediate
     8     possession thereof. Such materials and facilities include,
     9     but are not limited to, communication devices, carriers, real
    10     estate, fuels, food, clothing and health care facilities.
    11         (2)  To compel a health care facility to provide services
    12     or the use of its facility if such services or use are
    13     reasonable and necessary for emergency response. The use of
    14     the health care facility may include transferring the
    15     management and supervision of the health care facility to the
    16     public health authority for a limited or unlimited period of
    17     time, but shall not exceed the termination of the state of
    18     public health emergency.
    19         (3)  To control, restrict and regulate by rationing and
    20     using quotas, prohibitions on shipments, price fixing,
    21     allocation or other means, the use, sale, dispensing,
    22     distribution or transportation of food, fuel, clothing and
    23     other commodities, alcoholic beverages, firearms, explosives
    24     and combustibles, as may be reasonable and necessary for
    25     emergency response.
    26         (4)  To prescribe routes, modes of transportation and
    27     destinations in connection with evacuation of persons or the
    28     provisions of emergency services.
    29         (5)  To control ingress and egress to and from any
    30     stricken or threatened public area, the movement of persons
    20070H1791B2387                 - 18 -     

     1     within the area and the occupancy of premises therein, if
     2     such action is reasonable and necessary for emergency
     3     response.
     4  Section 2533-D.  Safe disposal of infectious waste.
     5     The public health authority may exercise, for such period as
     6  the state of public health emergency exists, the following
     7  powers regarding the safe disposal of infectious waste:
     8         (1)  To adopt and enforce measures to provide for the
     9     safe disposal of infectious waste as may be reasonable and
    10     necessary for emergency response. Such measures may include,
    11     but are not limited to, the collection, storage, handling,
    12     destruction, treatment, transportation and disposal of
    13     infectious waste.
    14         (2)  To compel any business or facility authorized to
    15     collect, store, handle, destroy, treat, transport and dispose
    16     of infectious waste under the laws of this Commonwealth and
    17     any landfill business or other such property to accept
    18     infectious waste or provide services or the use of the
    19     business, facility or property, if such action is reasonable
    20     and necessary for emergency response. The use of the
    21     business, facility or property may include transferring the
    22     management and supervision of such business, facility or
    23     property to the public health authority for a limited or
    24     unlimited period of time, but shall not exceed the
    25     termination of the state of public health emergency.
    26         (3)  To procure, by condemnation or otherwise, any
    27     business or facility authorized to collect, store, handle,
    28     destroy, treat, transport and dispose of infectious waste
    29     under the laws of this Commonwealth and any landfill business
    30     or other such property as may be reasonable and necessary for
    20070H1791B2387                 - 19 -     

     1     emergency response, with the right to take immediate
     2     possession thereof.
     3         (4)  To require that all bags, boxes or other containers
     4     for infectious waste be clearly identified as containing
     5     infectious waste.
     6  Section 2534-D.  Safe disposal of corpses.
     7     The public health authority may exercise, for such period as
     8  the state of public health emergency exists, the following
     9  powers regarding the safe disposal of corpses:
    10         (1)  To adopt and enforce measures to provide for the
    11     safe disposal of corpses as may be reasonable and necessary
    12     for emergency response. Such measures may include, but are
    13     not limited to, the embalming, burial, cremation, interment,
    14     disinterment, transportation and disposal of corpses.
    15         (2)  To take possession or control of any corpse.
    16         (3)  To order the disposal of any corpse of a person who
    17     died of an infectious disease through burial or cremation
    18     within 24 hours after death.
    19         (4)  To compel any business or facility authorized to
    20     embalm, bury, cremate, inter, disinter, transport and dispose
    21     of corpses under the laws of this Commonwealth to accept any
    22     corpse or provide the use of its business or facility if such
    23     actions are reasonable and necessary for emergency response.
    24     The use of the business or facility may include transferring
    25     the management and supervision of such business or facility
    26     to the public health authority for a limited or unlimited
    27     period of time, but shall not exceed the termination of the
    28     state of public health emergency.
    29         (5)  To procure, by condemnation or otherwise, any
    30     business or facility authorized to embalm, bury, cremate,
    20070H1791B2387                 - 20 -     

     1     inter, disinter, transport and dispose of corpses under the
     2     laws of this Commonwealth as may be reasonable and necessary
     3     for emergency response, with the right to take immediate
     4     possession thereof.
     5         (6)  To require that any corpse, prior to disposal, be
     6     clearly labeled with all available information to identify
     7     the decedent and the circumstances of death. Any corpse of a
     8     person with an infectious disease shall have an external,
     9     clearly visible tag indicating that the corpse is infected
    10     and, if known, the infectious disease.
    11         (7)  To require that any person in charge of disposing of
    12     a corpse shall maintain a written record of the corpse and
    13     all available information to identify the decedent and the
    14     circumstances of death and disposal. If a corpse cannot be
    15     identified, prior to disposal a qualified person shall, to
    16     the extent possible, take fingerprints and one or more
    17     photographs of the corpse and collect a DNA specimen. All
    18     information gathered under this paragraph shall be promptly
    19     forwarded to the public health authority.
    20  Section 2535-D.  Control of health care supplies.
    21     (a)  Procurement.--The public health authority may purchase
    22  and distribute antitoxins, serums, vaccines, immunizing agents,
    23  antibiotics and other pharmaceutical agents or medical supplies
    24  that it deems advisable in the interest of preparing for or
    25  controlling a public health emergency, without any additional
    26  legislative authorization.
    27     (b)  Rationing.--
    28         (1)  If a state of public health emergency results in a
    29     Statewide or regional shortage or threatened shortage of any
    30     product covered by subsection (a), whether or not such
    20070H1791B2387                 - 21 -     

     1     product has been purchased by the public health authority,
     2     the public health authority may control, restrict and
     3     regulate by rationing and using quotas, prohibitions on
     4     shipments, price fixing, allocation or other means, the use,
     5     sale, dispensing, distribution or transportation of the
     6     relevant product necessary to protect the health, safety and
     7     welfare of the people of this Commonwealth.
     8         (2)  In making rationing or other supply and distribution
     9     decisions, the public health authority may give preference to
    10     health care providers, disaster response personnel and
    11     mortuary staff.
    12     (c)  Distribution.--
    13         (1)  During a state of public health emergency, the
    14     public health authority may procure, store or distribute any
    15     antitoxins, serums, vaccines, immunizing agents, antibiotics
    16     and other pharmaceutical agents or medical supplies located
    17     within this Commonwealth as may be reasonable and necessary
    18     for emergency response, with the right to take immediate
    19     possession thereof.
    20         (2)  If a public health emergency simultaneously affects
    21     more than one state, nothing in this section shall be
    22     construed to allow the public health authority to obtain
    23     antitoxins, serums, vaccines, immunizing agents, antibiotics
    24     and other pharmaceutical agents or medical supplies for the
    25     primary purpose of hoarding such items or preventing their
    26     fair and equitable distribution among affected states.
    27  Section 2536-D.  Compensation.
    28     The Commonwealth shall pay just compensation to the owner of
    29  any facility or materials that are lawfully taken or
    30  appropriated by a public health authority for its temporary or
    20070H1791B2387                 - 22 -     

     1  permanent use under this article according to the procedures and
     2  standards set forth in section 2575-D. Compensation may not be
     3  provided for facilities or materials that are closed, evacuated,
     4  decontaminated or destroyed when there is reasonable cause to
     5  believe that they may endanger the public health pursuant to
     6  section 2531-D.
     7  Section 2537-D.  Destruction of property.
     8     To the extent practicable, consistent with the protection of
     9  public health, prior to the destruction of any property under
    10  this article, the public health authority shall institute
    11  appropriate civil proceedings against the property to be
    12  destroyed in accordance with the existing laws and rules of the
    13  courts of this Commonwealth or any such rules that may be
    14  developed by the courts for use during a state of public health
    15  emergency. Any property acquired by the public health authority
    16  through such proceedings shall, after entry of the decree, be
    17  disposed of by destruction as the court may direct.
    18       (e)  Control of Persons During Public Health Emergency
    19  Section 2541-D.  Control of individuals.
    20     During a state of public health emergency, the public health
    21  authority shall use every available means to prevent the
    22  transmission of infectious disease and to ensure that all cases
    23  of infectious disease are subject to proper control and
    24  treatment.
    25  Section 2542-D.  Mandatory medical examinations.
    26     (a)  Powers of public health authority.--The public health
    27  authority may exercise, for such period as the state of public
    28  health emergency exists, the following emergency powers over
    29  persons:
    30         (1)  To compel a person to submit to a physical
    20070H1791B2387                 - 23 -     

     1     examination or testing, or both, as necessary to diagnose or
     2     treat the person subject to the following:
     3             (i)  The medical examination or testing may be
     4         performed by any qualified person authorized by the
     5         public health authority.
     6             (ii)  The medical examination or testing may not be
     7         reasonably likely to result in serious harm to the
     8         affected individual.
     9             (iii)  The medical examination or testing shall be
    10         performed immediately upon the order of the public health
    11         authority without resort to judicial or quasi-judicial
    12         authority.
    13             (iv)  If the public health authority is uncertain
    14         whether a person who refuses to undergo medical
    15         examination or testing may have been exposed to an
    16         infectious disease or otherwise poses a danger to public
    17         health, the public health authority may subject the
    18         individual to isolation or quarantine as provided in this
    19         article.
    20         (2)  To require any physician or other health care
    21     provider to perform the medical examination or testing, or
    22     both.
    23     (b)  Enforcement.--An order of the public health authority
    24  given to effectuate the purposes of this section shall be
    25  immediately enforceable by any law enforcement officer.
    26     (c)  Penalty.--A person who refuses to submit or perform a
    27  medical examination or test under this section commits a
    28  misdemeanor of the third degree.
    29  Section 2543-D.  Isolation and quarantine.
    30     (a)  State policy and powers.--
    20070H1791B2387                 - 24 -     

     1         (1)  It is the policy of the Commonwealth that the
     2     individual dignity of any person isolated or quarantined
     3     during a state of public health emergency shall be respected
     4     at all times and upon all occasions.
     5         (2)  The needs of persons isolated or quarantined shall
     6     be addressed in a systematic and competent fashion.
     7         (3)  To the extent possible, the premises in which
     8     persons are isolated or quarantined shall be maintained in
     9     safe and hygenic manners, designed to minimize the likelihood
    10     of further transmission of infection or other harm to persons
    11     subject to isolation or quarantine.
    12         (4)  Adequate food, clothing, medication and other
    13     necessities and competent medical care shall be provided to
    14     persons who are isolated or quarantined.
    15         (5)  The public health authority may exercise, for such
    16     period as the state of public health emergency exists, the
    17     following emergency powers over persons:
    18             (i)  To establish and maintain places of isolation
    19         and quarantine.
    20             (ii)  To require isolation or quarantine of any
    21         person by the least restrictive means necessary to
    22         protect the public health. All reasonable means shall be
    23         taken to prevent the transmission of infection among the
    24         isolated or quarantined individuals.
    25     (b)  Individual cooperation.--A person subject to isolation
    26  or quarantine:
    27         (1)  Shall comply with the public health authority's
    28     rules and orders.
    29         (2)  Shall not go beyond the isolation or quarantine
    30     premises.
    20070H1791B2387                 - 25 -     

     1         (3)  Shall not put himself in contact with any person not
     2     subject to isolation or quarantine other than a physician or
     3     other health care provider, public health authority or person
     4     authorized to enter an isolation or quarantine premises by
     5     the public health authority.
     6     (c)  Unauthorized entry.--No person other than a person
     7  authorized by the public health authority shall enter an
     8  isolation or quarantine premises. If, by reason of an
     9  unauthorized entry into an isolation or quarantine premises, the
    10  person poses a danger to public health, that person may be
    11  subject to isolation or quarantine pursuant to the provisions of
    12  this article.
    13     (d)  Termination.--Isolation or quarantine of any person
    14  shall be terminated when the public health authority determines
    15  that such isolation or quarantine of such person is no longer
    16  necessary to protect the public health.
    17     (e)  Due process.--
    18         (1)  Before isolating or quarantining a person, the
    19     public health authority shall obtain a written, ex parte
    20     order from a court of this Commonwealth authorizing such
    21     action. The court shall grant such order upon finding that
    22     probable cause exists to believe isolation or quarantine is
    23     warranted pursuant to the provisions of this article. A copy
    24     of the authorizing order shall be given to the person
    25     isolated or quarantined, along with notification that the
    26     person has a right to a hearing under this paragraph.
    27         (2)  Notwithstanding paragraph (1), the public health
    28     authority may isolate or quarantine a person without first
    29     obtaining a written, ex parte order from the court if any
    30     delay in the isolation or quarantine of the person would pose
    20070H1791B2387                 - 26 -     

     1     an immediate threat to the public health. Following such
     2     isolation or quarantine, the public health authority shall
     3     promptly obtain a written, ex parte order from the court
     4     authorizing the isolation or quarantine.
     5         (3)  A person isolated or quarantined pursuant to the
     6     provisions of paragraph (1) or (2) shall have the right to a
     7     court hearing to contest the ex parte order. If such person,
     8     or person's representative, requests a hearing, the hearing
     9     shall be held within 72 hours of receipt of such request,
    10     excluding Saturdays, Sundays and legal holidays. The request
    11     shall be in writing. A request for a hearing shall not stay
    12     the order of isolation or quarantine. At the hearing, the
    13     public health authority must show that the isolation or
    14     quarantine is warranted pursuant to the provisions of this
    15     section.
    16         (4)  On or after 30 days following a hearing on the ex
    17     parte order or such hearing as is provided for this
    18     subsection, a person isolated or quarantined pursuant to the
    19     provisions of this section may request in writing a court
    20     hearing to contest that person's continued isolation or
    21     quarantine. The hearing shall be held within 72 hours of
    22     receipt of such request, excluding Saturdays, Sundays and
    23     legal holidays. A request for a hearing shall not alter the
    24     order of isolation or quarantine. At the hearing, the public
    25     health authority must show that continuation of the isolation
    26     or quarantine is warranted pursuant to the provisions of this
    27     section.
    28         (5)  A person isolated or quarantined pursuant to the
    29     provisions of this section may request a hearing in the
    30     courts of this Commonwealth for remedies regarding that
    20070H1791B2387                 - 27 -     

     1     person's treatment and the terms and conditions of such
     2     isolation or quarantine. Upon receiving a request for either
     3     type of hearing described in this paragraph, the court shall
     4     fix a date for a hearing. The hearing shall take place within
     5     ten days of the receipt of the request by the court. The
     6     request for a hearing shall not alter the order of isolation
     7     or quarantine.
     8         (6)  If, upon hearing, the court finds that the isolation
     9     or quarantine of the individual is not warranted under the
    10     provisions of this section, then the person shall be released
    11     from isolation or quarantine. If the court finds that the
    12     isolation or quarantine of the individual is not in
    13     compliance with the provisions of subsection (a), the court
    14     may then fashion remedies appropriate to the circumstances of
    15     the state of public health emergency and in keeping with the
    16     provisions of this article.
    17         (7)  Judicial decisions shall be based upon clear and
    18     convincing evidence, and a written record of the disposition
    19     of the case shall be made and retained. The petitioner shall
    20     have the right to be represented by counsel or other lawful
    21     representative. The manner in which the request for a hearing
    22     is filed and acted upon will be in accordance with the
    23     existing laws and rules of the courts of this Commonwealth or
    24     any such rules that are developed by the courts for use
    25     during a state of public health emergency.
    26     (f)  Penalty.--A person who fails to comply with the
    27  provisions of subsection (b) or (c) commits a misdemeanor of the
    28  third degree.
    29  Section 2544-D.  Vaccination and treatment.
    30     (a)  Powers of public health authority.--The public health
    20070H1791B2387                 - 28 -     

     1  authority may, for such period as the state of public health
     2  emergency exists, compel a person to be vaccinated or treated,
     3  or both, for an infectious disease subject to the following
     4  provisions:
     5         (1)  Vaccination may be performed by any qualified person
     6     authorized by the public health authority.
     7         (2)  A vaccine may not be given if the public health
     8     authority has reason to know that a particular individual is
     9     likely to suffer serious harm from the vaccination.
    10         (3)  Treatment may be performed by any qualified person
    11     authorized by the public health authority.
    12         (4)  Treatment must not be such as is reasonably likely
    13     to lead to serious harm to the affected individual.
    14     (b)  Refusal.--If, by reason of refusal of vaccination or
    15  treatment, the person poses a danger to the public health, the
    16  person may be isolated or quarantined pursuant to the provisions
    17  of this article.
    18     (c)  Enforcement.--An order of the public health authority
    19  given to effectuate the purposes of this section shall be
    20  immediately enforceable by any peace officer.
    21     (d)  Penalty.--A person who fails to comply with this section
    22  commits a misdemeanor of the third degree.
    23  Section 2545-D.  Collection of laboratory specimens; performance
    24                     of tests.
    25     The public health authority may, for such period as the state
    26  of public health emergency exists, collect specimens and perform
    27  tests on any person or animal, living or deceased, and may
    28  acquire any previously collected specimens or test results that
    29  are reasonable and necessary for emergency response subject to
    30  the following provisions:
    20070H1791B2387                 - 29 -     

     1         (1)  A specimen shall be clearly marked.
     2         (2)  Specimen collection, handling, storage and transport
     3     to a testing site shall be performed in a manner that will
     4     reasonably preclude specimen contamination or adulteration
     5     and provide for the safe collection, storage, handling and
     6     transport of the specimen.
     7         (3)  A person authorized to collect specimens or perform
     8     tests shall use chain of custody procedures to ensure proper
     9     recordkeeping, handling, labeling and identification of
    10     specimens to be tested. This requirement applies to all
    11     specimens, including specimens collected using onsite testing
    12     kits.
    13         (4)  A business, facility or agency authorized to collect
    14     specimens or perform tests shall provide such support as is
    15     reasonable and necessary to aid in a relevant criminal
    16     investigation.
    17  Section 2546-D.  Access and disclosure of patient records.
    18     (a)  Access to patient records.--Access to protected health
    19  information of patients under the isolation, quarantine or care
    20  of the public health authority shall be limited to those persons
    21  having a legitimate need to acquire or use the information for
    22  purposes of:
    23         (1)  providing treatment or care to the individual who is
    24     the subject of the health information;
    25         (2)  conducting epidemiologic research; or
    26         (3)  investigating the causes of transmission.
    27     (b)  Disclosure of patient records.--Protected health
    28  information held by the public health authority may not be
    29  disclosed to other persons without specific informed consent of
    30  the patient except for disclosures made:
    20070H1791B2387                 - 30 -     

     1         (1)  directly to the patient;
     2         (2)  to the patient's immediate family members or life
     3     partners;
     4         (3)  to appropriate Federal agencies or authorities;
     5         (4)  to health care personnel where needed to protect the
     6     health or life of the patient who is the subject of the
     7     information;
     8         (5)  pursuant to a court order or executive order of the
     9     Governor, to avert a clear danger to an individual or the
    10     public health; or
    11         (6)  to identify a deceased person or determine the
    12     manner or cause of death.
    13  Section 2547-D.  Licensing and appointment of health personnel.
    14     The public health authority may exercise, for such period as
    15  the state of public health emergency exists, the following
    16  emergency powers regarding licensing of health personnel:
    17         (1)  To appoint and prescribe the duties of such
    18     emergency health care providers from other states as may be
    19     reasonable and necessary for emergency response, subject to
    20     the following provisions:
    21             (i)  The appointment of emergency health care
    22         providers from other states pursuant to this section may
    23         be for a limited or unlimited time, but shall not exceed
    24         the termination of the state of public health emergency.
    25         The public health authority may terminate the out-of-
    26         State appointments at any time or for any reason provided
    27         that such termination may not jeopardize the health,
    28         safety and welfare of the people of this Commonwealth.
    29             (ii)  The public health authority may waive any or
    30         all licensing requirements, permits or fees required by
    20070H1791B2387                 - 31 -     

     1         State law and applicable orders, rules or regulations for
     2         health care providers from other jurisdictions to
     3         practice in this Commonwealth.
     4             (iii)  An emergency health care provider from another
     5         state appointed pursuant to this section may not be held
     6         liable for any civil damages as a result of medical care
     7         or treatment related to the emergency response unless
     8         such damages result from providing or failing to provide
     9         medical care or treatment under circumstances
    10         demonstrating a reckless disregard for the consequences
    11         so as to affect the life or health of the patient.
    12         (2)  To authorize the medical examiner or coroner to
    13     appoint and prescribe the duties of such emergency assistant
    14     medical examiners or coroners as may be required for the
    15     proper performance of the duties of the office, subject to
    16     the following provisions:
    17             (i)  The appointment of emergency assistant medical
    18         examiners or coroners pursuant to this section may be for
    19         a limited or unlimited time, but shall not exceed the
    20         termination of the state of public health emergency. The
    21         medical examiner or coroner may terminate the emergency
    22         appointments at any time or for any reason, provided that
    23         the termination may not impede the performance of the
    24         duties of the office.
    25             (ii)  The medical examiner or coroner may waive any
    26         or all licensing requirements, permits or fees required
    27         by State law and applicable orders, rules or regulations
    28         for the performance of these duties.
    29             (iii)  An emergency assistant medical examiner or
    30         coroner appointed pursuant to this section and acting
    20070H1791B2387                 - 32 -     

     1         without malice and within the scope of the prescribed
     2         duties shall be immune from civil liability in the
     3         performance of such duties.
     4              (f)  Public Information Regarding Public
     5                          Health Emergency
     6  Section 2551-D.  Dissemination of information.
     7     (a)  General rule.--The public health authority shall inform
     8  the people of this Commonwealth when a state of public health
     9  emergency has been declared or terminated, how to protect
    10  themselves and what actions are being taken to control the
    11  emergency.
    12     (b)  Means of dissemination.--The public health authority
    13  shall provide information by all available and reasonable means
    14  calculated to bring the information promptly to the attention of
    15  the general public.
    16     (c)  Languages.--If the public health authority has reason to
    17  believe there are people of this Commonwealth who lack
    18  sufficient skills in English to understand the information, the
    19  public health authority shall make reasonable efforts to provide
    20  the information in the primary languages of those people as well
    21  as in English.
    22     (d)  Accessibility.--The provision of information shall be
    23  made in a manner accessible to individuals with disabilities.
    24  Section 2552-D.  Provision of access to mental health support
    25                     personnel.
    26     During and after a state of public health emergency, the
    27  public health authority shall provide information about and
    28  referrals to mental health support personnel to address
    29  psychological responses to the public health emergency.
    30             (g)  Planning for Public Health Emergency
    20070H1791B2387                 - 33 -     

     1  Section 2561-D.  Public Health Emergency Planning Commission.
     2     A Public Health Emergency Planning Commission is established
     3  and shall consist of the secretaries, or their designees, of
     4  agencies the Governor deems relevant to public health emergency
     5  preparedness and any other persons chosen by the Governor. The
     6  Governor shall designate the chairperson of the commission.
     7  Section 2562-D.  Public health emergency plan.
     8     (a)  Content.--The commission shall, within six months of its
     9  appointment, deliver to the Governor a plan for responding to a
    10  public health emergency that includes provisions for the
    11  following:
    12         (1)  A means of notifying and communicating with the
    13     population during a state of public health emergency in
    14     compliance with this article.
    15         (2)  Centralized coordination of resources, manpower and
    16     services, including coordination of responses by Federal,
    17     State and local agencies.
    18         (3)  The location, procurement, storage, transportation,
    19     maintenance and distribution of essential materials,
    20     including medical supplies, drugs, vaccines, food, shelter
    21     and beds.
    22         (4)  The continued, effective operation of the judicial
    23     system, including, if deemed necessary, the identification
    24     and training of personnel to serve as emergency judges
    25     regarding matters of isolation and quarantine as described in
    26     this article.
    27         (5)  The method of evacuating populations and housing and
    28     feeding evacuated populations.
    29         (6)  The identification and training of health care
    30     providers to diagnose and treat persons with infectious
    20070H1791B2387                 - 34 -     

     1     diseases.
     2         (7)  Guidelines for the vaccination of persons, in
     3     compliance with this article.
     4         (8)  Guidelines for the treatment of persons who have
     5     been exposed to or who are infected with diseases or health
     6     conditions caused by bioterrorism, epidemic or pandemic
     7     disease or novel and highly fatal infectious agents or
     8     biological toxins, that pose a substantial risk of a
     9     significant number of fatalities or incidents of permanent or
    10     long-term disability. The guidelines shall cover, but not be
    11     limited to, the following diseases: anthrax, botulism,
    12     smallpox, plague, tularemia and viral hemorrhagic fevers.
    13         (9)  Guidelines for the safe disposal of corpses, in
    14     compliance with this article.
    15         (10)  Guidelines for the safe disposal of infectious
    16     waste, in compliance with this article.
    17         (11)  Guidelines for the safe and effective management of
    18     persons isolated, quarantined, vaccinated or treated during a
    19     state of public health emergency.
    20         (12)  Tracking the source and outcomes of infected
    21     persons.
    22         (13)  Ensuring that each municipality identifies the
    23     following:
    24             (i)  Sites where persons may be isolated or
    25         quarantined, with such sites complying with this article
    26         regarding the least restrictive means for isolation and
    27         quarantine and the requirements for the safety, health
    28         and maintenance of personal dignity of those isolated or
    29         quarantined.
    30             (ii)  Sites where medical supplies, food and other
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     1         essentials may be distributed to the population.
     2             (iii)  Sites where emergency workers may be housed
     3         and fed.
     4             (iv)  Routes and means of transportation of people
     5         and materials.
     6         (14)  Coordination with the Federal Government and other
     7     states.
     8         (15)  Taking into account cultural norms, values and
     9     traditions that may be relevant.
    10         (16)  Distribution of the plan and guidelines to those
    11     persons who will be responsible for implementing the plan.
    12         (17)  Other measures necessary to carry out the purposes
    13     of this article.
    14     (b)  Review.--The commission shall review its plan for
    15  responding to a public health emergency every two years.
    16                   (h)  Miscellaneous Provisions
    17  Section 2571-D.  Rules and regulations.
    18     The public health authority is authorized to promulgate and
    19  implement such rules and regulations as are reasonable and
    20  necessary to implement and effectuate the provisions of this
    21  article.
    22  Section 2572-D.  Enforcement.
    23     (a)  General rule.--The public health authority shall have
    24  the power to enforce the provisions of this article through the
    25  imposition of fines and penalties, the issuance of orders and
    26  such other remedies as are provided by law.
    27     (b)  Construction.--Nothing in this section shall be
    28  construed to limit specific enforcement powers enumerated in
    29  this article.
    30  Section 2573-D.  Financing and expenses.
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     1     (a)  Transfer of funds.--Subject to subsection (c), the
     2  Governor may transfer from any fund available to the Governor in
     3  the State Treasury such sums as may be necessary to meet the
     4  public health emergency.
     5     (b)  Repayment.--Moneys transferred pursuant to subsection
     6  (a) shall be repaid to the fund from which they were transferred
     7  when moneys become available for that purpose, by legislative
     8  appropriation or otherwise.
     9     (c)  Conditions.--A transfer of funds by the Governor
    10  pursuant to this section may be made only when one or more of
    11  the following conditions exists:
    12         (1)  No appropriation or other authorization is available
    13     to meet the public health emergency.
    14         (2)  An appropriation is insufficient to meet the public
    15     health emergency.
    16         (3)  Federal moneys available for such a public health
    17     emergency require the use of State or other public moneys.
    18     (d)  Expenses.--All expenses incurred by this Commonwealth
    19  during a state of public health emergency shall be subject to
    20  the following limitations:
    21         (1)  No expense shall be incurred against the moneys
    22     authorized under this section, without the approval of the
    23     Governor.
    24         (2)  The aggregate amount of all expenses incurred under
    25     the provisions of this section shall not exceed $10,000,000
    26     for any fiscal year.
    27         (3)  Moneys authorized for a state of public health
    28     emergency in prior fiscal years may be used in subsequent
    29     fiscal years only for the public health emergency for which
    30     they were authorized. Moneys authorized for a public health
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     1     emergency in prior fiscal years and expended in subsequent
     2     fiscal years for the public health emergency for which they
     3     were authorized, apply toward the $10,000,000 expense limit
     4     for the fiscal year in which they were authorized.
     5  Section 2574-D.  Liability.
     6     (a)  State immunity.--Neither the Commonwealth, its political
     7  subdivisions, nor, except in cases of gross negligence or
     8  willful misconduct, the Governor, the public health authority or
     9  any other State official referenced in this article shall be
    10  liable for the death of or any injury to persons or damage to
    11  property as a result of complying with or attempting to comply
    12  with this article or any rule or regulations promulgated
    13  pursuant to this article.
    14     (b)  Private liability.--
    15         (1)  During a state of public health emergency, no person
    16     owning or controlling real estate or other premises who
    17     voluntarily and without compensation grants a license or
    18     privilege or otherwise permits the designation or use of the
    19     whole or any part or parts of such real estate or premises
    20     for the purpose of sheltering persons, together with that
    21     person's successors in interest, if any, shall be civilly
    22     liable for negligently causing the death of or injury to any
    23     person on or about such real estate or premises under such
    24     license, privilege or other permission or for negligently
    25     causing loss of or damage to the property of such person.
    26         (2)  During a state of public health emergency, no
    27     private person, firm or corporation and employees and agents
    28     of such person, firm or corporation in the performance of a
    29     contract with and under the direction of the Commonwealth or
    30     its political subdivisions under the provisions of this
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     1     article shall be civilly liable for causing the death of or
     2     injury to any person or damage to any property except in the
     3     event of gross negligence or willful misconduct.
     4         (3)  During a state of public health emergency, no
     5     private person, firm or corporation and employees and agents
     6     of such person, firm or corporation who renders assistance or
     7     advice at the request of the Commonwealth or its political
     8     subdivisions under the provisions of this article shall be
     9     civilly liable for causing the death of or injury to any
    10     person or damage to any property except in the event of gross
    11     negligence or willful misconduct.
    12     (c)  Applicability.--The immunities provided in this section
    13  shall not apply to any private person, firm or corporation or
    14  employees and agents of such person, firm or corporation whose
    15  act or omission caused in whole or in part the public health
    16  emergency and who would otherwise be liable therefor.
    17  Section 2575-D.  Compensation.
    18     (a)  Taking.--Compensation for property shall be made only if
    19  private property is lawfully taken or appropriated by a public
    20  health authority for its temporary or permanent use during a
    21  state of public health emergency declared by the Governor
    22  pursuant to this article.
    23     (b)  Actions.--Any action against the Commonwealth with
    24  regard to the payment of compensation shall be brought in the
    25  courts of this Commonwealth in accordance with existing court
    26  laws and rules or any such rules that may be developed by the
    27  courts for use during a state of public health emergency.
    28     (c)  Amount.--The amount of compensation shall be calculated
    29  in the same manner as compensation due for taking of property
    30  pursuant to eminent domain procedures, as provided in 26 Pa.C.S.
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     1  (relating to Eminent Domain), except that the amount of
     2  compensation calculated for items obtained under section 2536-D
     3  shall be limited to the costs incurred to produce the item.
     4     Section 2.  The provisions of this act are severable. If any
     5  provision of this act or its application to any person or
     6  circumstances is held invalid in a Federal or State court having
     7  jurisdiction, the invalidity will not affect other provisions or
     8  applications of this act that can be given effect without the
     9  invalid provision or application.
    10     Section 3.  This act does not explicitly preempt other laws
    11  or regulations that preserve to a greater degree the powers of
    12  the Governor or public health authority, provided such laws or
    13  regulations are consistent and do not otherwise restrict or
    14  interfere with the operation or enforcement of the provisions of
    15  this act.
    16     Section 4.  This act shall not be construed to supersede any
    17  provision of section 301 of the act of December 16, 2002
    18  (P.L.1967, No.227), known as the Counterterrorism Planning,
    19  Preparedness and Response Act.
    20     Section 5.  This act shall not be construed to restrict any
    21  person from complying with Federal law or regulations.
    22     Section 6.  No later than 90 days after the effective date of
    23  this act, and every 12 months thereafter, the Governor shall
    24  transmit to the General Assembly a report that shall include:
    25         (1)  A description of the detection and tracking efforts
    26     made under this act.
    27         (2)  A description of any state of public health
    28     emergency declared under this act.
    29         (3)  A description of the emergency powers utilized under
    30     this act.
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     1         (4)  A description of the moneys transferred and
     2     liabilities and expenses incurred under this act.
     3     Section 7.  This act shall take effect immediately.


















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