PRIOR PRINTER'S NOS. 259, 2335                PRINTER'S NO. 2501

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 226 Session of 1983


        INTRODUCED BY DAWIDA, POTT, PRESTON, MARMION, ITKIN, COWELL,
           DUFFY, GAMBLE, VAN HORNE, OLASZ, MICHLOVIC, MRKONIC, PETRONE,
           TRELLO AND PISTELLA, FEBRUARY 15, 1983

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           FEBRUARY 8, 1984

                                     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 July 9, 1976 (P.L.533, No.129) and subsection (d)


     1  added February 26, 1976 (P.L.26, No.12), 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 three
    23  dollars ($3.00) per year for every person within the
    24  jurisdiction of the county department of health or the
    25  department or board of health of the municipality.]
    26     This section shall not be construed to preclude the State
    27  Department of Health from making special grants to county
    28  departments of health or to municipalities for emergencies or
    29  for other special purposes. immediately.
    30     SPECIAL GRANTS MAY INCLUDE SUFFICIENT AMOUNTS TO COUNTY        <--
    19830H0226B2501                  - 2 -

     1  DEPARTMENTS OF HEALTH TO INSURE THE SOLVENCY OF ESCROW ACCOUNTS
     2  MAINTAINED AND REQUIRED PURSUANT TO THE ACT OF JANUARY 24, 1966
     3  (1965 P.L.1534, NO.536), REFERRED TO AS THE CITY RENT
     4  WITHHOLDING ACT, FOR RENT WITHHELD FOR DWELLINGS CERTIFIED AS
     5  UNFIT FOR HUMAN HABITATION. WHENEVER A COUNTY DEPARTMENT OF
     6  HEALTH DETERMINES THAT A DWELLING IS UNINHABITABLE AND RENT
     7  PAYMENTS ARE ORDERED PAID INTO AN ESCROW ACCOUNT IT SHALL BE THE
     8  DUTY OF THE DEPARTMENT OF HEALTH TO MONITOR THE ACCOUNT TO
     9  DETERMINE WHETHER OR NOT PAYMENTS ARE BEING DEPOSITED. IF
    10  INADEQUATE PAYMENTS ARE BEING MADE THE DEPARTMENT SHALL NOTIFY
    11  THE LANDLORD OF THAT EVENT AND THE TENANT SHALL COMPLETE THE
    12  PAYMENTS OR BE HELD IN DEFAULT AND BE SUBJECT TO EVICTION. IF
    13  THE DEPARTMENT OF HEALTH DOES NOT NOTIFY THE LANDLORD OF
    14  INADEQUATE PAYMENT INTO THE ESCROW ACCOUNT IT SHALL BE
    15  RESPONSIBLE TO THE LANDLORD FOR RENTS DUE.
    16     (a)  Initial Grants. Every county department of health
    17  created under this act shall receive an initial grant as
    18  provided in this section [if sufficient funds have been
    19  appropriated to pay the full amount of such grant].
    20     The county commissioners or, in the case of a joint-county
    21  department of health the joint-county health commission, shall
    22  submit to the State Secretary of Health, on forms prescribed by
    23  him, an initial estimate of expenditures to cover the operation
    24  of the county department of health from the date of its
    25  establishment to the end of the calendar year in which it is
    26  established. The initial estimate of expenditures shall state
    27  the names of the exempt municipalities which have not decided to
    28  become subject to the jurisdiction of the county department of
    29  health in accordance with section 15 of this act. The estimate
    30  shall be submitted within thirty (30) days prior to the date of
    19830H0226B2501                  - 3 -

     1  establishment.
     2     The State Secretary of Health shall examine each initial
     3  estimate of expenditures and shall deduct therefrom all items
     4  which do not represent expenditures within the lawful scope of
     5  the powers of the particular county department of health. Upon
     6  the total amount of the remaining expenditures, the State
     7  Secretary of Health shall compute the initial grant.
     8     The initial grant shall equal fifty per cent (50%) of the
     9  total of the remaining expenditures, but no initial grant shall
    10  exceed the product obtained by multiplying the population of the
    11  area within the jurisdiction of the county department of health
    12  times the number of months covered by the initial estimate of
    13  expenditures times [twenty-five cents (25¢)] thirty-seven and
    14  one-half cents (37 1/2¢). For the purpose of computation, any
    15  fraction of a month shall be counted as one month.
    16     Thirty (30) days after he has received the initial estimate
    17  of expenditures, the State Secretary of Health shall draw a
    18  requisition upon the State Auditor General in favor of the
    19  particular county department of health for the amount of the
    20  initial grant.
    21     In the event that a municipality or part of a municipality
    22  becomes subject to the jurisdiction of a county department of
    23  health in accordance with section 15 of this act after the date
    24  of establishment but prior to the first day of October of the
    25  same year, the county commissioners or, in the case of a joint-
    26  county department of health the joint-county health commission,
    27  may submit to the State Secretary of Health, on forms prescribed
    28  by him, an estimate of additional expenditures to cover the
    29  operation of the county department of health for the balance of
    30  the calendar year. The estimate shall state the name of the
    19830H0226B2501                  - 4 -

     1  municipality and the date on which it became subject to the
     2  jurisdiction of the county department of health. The State
     3  Secretary of Health shall examine the estimate of additional
     4  expenditures and shall deduct therefrom all items which do not
     5  represent expenditures within the lawful scope of the powers of
     6  the particular county department of health. Upon the total
     7  amount of the remaining expenditures, the State Secretary of
     8  Health shall compute the additional grant. The additional grant
     9  shall equal fifty percent (50%) of the total of the remaining
    10  expenditures, but no additional grant shall exceed the product
    11  obtained by multiplying the population of the municipality or
    12  the part of a municipality times the number of months remaining
    13  in the calendar year from the date the municipality or the part
    14  of a municipality became subject to the jurisdiction of the
    15  county department of health times [twenty-five cents (25¢)]
    16  thirty-seven and one-half cents (37 1/2¢). For the purpose of
    17  computation, any fraction of a month shall be counted as one
    18  month.
    19     Fifteen (15) days after he has received the estimate of
    20  additional expenditures, the State Secretary of Health shall
    21  draw a requisition upon the State Auditor General in favor of
    22  the particular county department of health for the amount of the
    23  additional grant.
    24     (b)  Annual Grants. Every county department of health created
    25  under this act and every municipality eligible for State grants
    26  under section 15 of this act shall receive annual grants from
    27  the State as provided in this section[, if sufficient funds have
    28  been appropriated to pay the full amount of such grants]. No
    29  county department of health shall begin to receive annual grants
    30  until the calendar year following the one in which it was
    19830H0226B2501                  - 5 -

     1  established. No municipality shall begin to receive annual
     2  grants until the calendar year following the one in which this
     3  act takes effect.
     4     After the beginning of each calendar year, the county
     5  commissioners or, in the case of a joint-county department of
     6  health the joint-county health commission, or the executive or
     7  executive body of any municipality eligible for State grants
     8  under section 15 of this act, shall submit to the State
     9  Secretary of Health, at such time as he shall require and on
    10  forms prescribed by him, an annual estimate of expenditures of
    11  the county department of health or the department or board of
    12  health of the municipality. In the case of a county department
    13  of health, the annual estimate of expenditures shall state the
    14  names of the exempt municipalities which have not decided to
    15  become subject to its jurisdiction in accordance with section 15
    16  of this act.
    17     The State Secretary of Health shall examine each annual
    18  estimate of expenditures and shall deduct therefrom all items
    19  which do not represent expenditures within the lawful scope of
    20  the powers of the particular county department of health or the
    21  department or board of health of the municipality. Upon the
    22  total amount of the remaining expenditures, the State Secretary
    23  of Health shall compute the annual grant. The annual grant shall
    24  equal fifty per cent (50%) of the total of the remaining
    25  expenditures, but no annual grant shall exceed the product
    26  obtained by multiplying the population of the area within the
    27  jurisdiction of the county department of health or within the
    28  jurisdiction of the department or board of health of the
    29  municipality times [three dollars ($3.00)] four dollars fifty
    30  cents ($4.50).
    19830H0226B2501                  - 6 -

     1     The annual grant shall be paid in four quarterly
     2  installments, but the moneys received in any quarter may be used
     3  any time during the year.
     4     The first installment shall be for the quarter beginning
     5  January first and ending March thirty-first; the second
     6  installment shall be for the quarter beginning April first and
     7  ending June thirtieth; the third installment shall be for the
     8  quarter beginning July first and ending September thirtieth; and
     9  the fourth installment shall be for the quarter beginning
    10  October first and ending December thirty-first. Each installment
    11  shall be paid only if it is approved by the State Secretary of
    12  Health. The State Secretary of Health shall approve the payment
    13  of any quarterly installment of an annual grant to a county
    14  department of health or to a municipality eligible under section
    15  15 of this act only if he finds:
    16     (1)  that such county department of health or municipality is
    17  complying with any and all regulations of the State Department
    18  of Health prescribing minimum public health activities, minimum
    19  standards of performance of health services, and standards of
    20  personnel administration on a merit basis; and
    21     (2)  that such county department of health or municipality is
    22  accomplishing the purposes described in section 2 of this act.
    23     If the State Secretary of Health approves the payment of the
    24  first quarterly installment of an annual grant to a county
    25  department of health or to a municipality eligible under section
    26  15 of this act, he shall draw a requisition for such installment
    27  upon the State Auditor General in favor of the county department
    28  of health or municipality within fifteen (15) days after he has
    29  received the annual estimate of expenditures. If the State
    30  Secretary of Health approves the payment of any subsequent
    19830H0226B2501                  - 7 -

     1  quarterly installment of an annual grant to a county department
     2  of health or to a municipality eligible under section 15 of this
     3  act, he shall draw a requisition for such installment upon the
     4  State Auditor General in favor of the county department of
     5  health or municipality at least fifteen (15) days before the
     6  first day of the quarter for which the payment is to be made.
     7     In the event that a municipality or part of a municipality
     8  becomes subject to the jurisdiction of a county department of
     9  health in accordance with section 15 of this act prior to the
    10  first day of September, the county commissioners or, in the case
    11  of a joint-county department of health the joint-county health
    12  commission, may submit to the State Secretary of Health, on
    13  forms prescribed by him, an estimate of additional expenditures
    14  to cover the operation of the county department of health for
    15  the balance of the calendar year. The estimate shall state the
    16  name of the municipality and the date on which it became subject
    17  to the jurisdiction of the county department of health. The
    18  estimate shall be submitted at least thirty (30) days before the
    19  first day of any quarter following the one in which the
    20  municipality or the part of a municipality became subject to the
    21  jurisdiction of the county department of health.
    22     The State Secretary of Health shall examine the estimate of
    23  additional expenditures and shall deduct therefrom all items
    24  which do not represent expenditures within the lawful scope of
    25  the powers of the particular county department of health. Upon
    26  the total amount of the remaining expenditures, the State
    27  Secretary of Health shall compute the additional grant. The
    28  additional grant shall equal fifty percent (50%) of the
    29  remaining expenditures, but no additional grant shall exceed the
    30  product obtained by multiplying the population of the
    19830H0226B2501                  - 8 -

     1  municipality or the part of a municipality times the number of
     2  months remaining in the calendar year from the date the
     3  municipality or the part of a municipality became subject to the
     4  jurisdiction of the county department of health times [twenty-
     5  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢). For
     6  the purpose of computation, any fraction of a month shall be
     7  counted as one month. The additional grant shall be added to and
     8  become part of the balance of the annual grant remaining to be
     9  paid.
    10     (c)  Adjustment of Initial and Annual Grants. After the end
    11  of every calendar year in which a county department of health or
    12  a municipality received an initial grant or all or part of an
    13  annual grant, there shall be an adjustment of such initial or
    14  annual grant on the basis of the actual expenditures of the
    15  county department of health or the department or board of health
    16  of the municipality during the year. Any additional grants to
    17  which a county department of health or a municipality may be
    18  entitled under the provisions of this subsection shall be paid[,
    19  if sufficient funds have been appropriated to pay the full
    20  amount of such grants]. Within fifteen (15) days after the end
    21  of the calendar year, the county commissioners or, in the case
    22  of a joint-county department of health the joint-county health
    23  commission, or the executive or executive body of the
    24  municipality, shall submit to the State Secretary of Health, on
    25  forms prescribed by him, a sworn, itemized statement of all the
    26  expenditures made by the county department of health or the
    27  department or board of health of the municipality during the
    28  previous year. The statement shall show the dates on which the
    29  expenditures were made and shall indicate which of the
    30  expenditures were made out of any special grants received from
    19830H0226B2501                  - 9 -

     1  the State or out of any grants received directly from the
     2  Federal Government. In the case of a county department of
     3  health, the statement shall indicate the name of any
     4  municipality which became subject to its jurisdiction in
     5  accordance with section 15 of this act and the date on which the
     6  municipality became subject to its jurisdiction.
     7     The State Secretary of Health shall examine each statement
     8  and shall deduct therefrom all the expenditures made during any
     9  quarter or quarters of the calendar year for which no
    10  installments of an annual grant were paid to the county
    11  department of health or municipality because of its failure to
    12  comply with the requirements of subsection (b) of this section.
    13  He shall then deduct from the remaining expenditures: (1) those
    14  items paid for out of any special grants received from the
    15  State; (2) those items paid for out of any grants received
    16  directly from the Federal Government; and (3) those items which
    17  do not represent expenditures made within the lawful scope of
    18  the powers of the county department of health or the department
    19  or board of health of the municipality. Upon the total amount of
    20  the remaining expenditures, the State Secretary of Health shall
    21  compute the adjusted initial or annual grant.
    22     The adjusted initial grant shall equal either (1) fifty per
    23  cent (50%) of the total of the remaining expenditures, or (2)
    24  the product obtained by multiplying the population of the area
    25  within the jurisdiction of the county department of health at
    26  the time of its establishment times the number of months for
    27  which the initial grant was paid as determined in subsection (a)
    28  of this section times [twenty-five cents (25¢)] thirty-seven and
    29  one-half cents (37 1/2¢), whichever figure is the lower. In the
    30  event that a municipality or part of a municipality became
    19830H0226B2501                 - 10 -

     1  subject to the jurisdiction of the county department of health
     2  during the year in accordance with section 15 of this act, there
     3  shall be added to the amount arrived at by applying the formula
     4  set out in clause (2) of this paragraph the product obtained by
     5  multiplying the population of the municipality or the part of a
     6  municipality times the number of months it was subject to the
     7  jurisdiction of the county department of health times [twenty-
     8  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢). For
     9  the purpose of computation, any fraction of a month shall be
    10  counted as one month.
    11     In the case of a county department of health, the adjusted
    12  annual grant shall equal either (1) fifty per cent (50%) of the
    13  total of the remaining expenditures, or (2) the product obtained
    14  by multiplying the population of the area within the
    15  jurisdiction of the county department of health at the beginning
    16  of the calendar year times the number of quarters for which
    17  installments of the annual grant were paid times [seventy-five
    18  cents (75¢)] one dollar and twelve and one-half cents ($1.12
    19  1/2), whichever figure is the lower. In the event that a
    20  municipality or part of a municipality became subject to the
    21  jurisdiction of the county department of health during the year
    22  in accordance with section 15 of this act, there shall be added
    23  to the amount arrived at by applying the formula set out in
    24  clause (2) of this paragraph the product obtained by multiplying
    25  the population of the municipality or the part of a municipality
    26  times the number of months during which it was subject to the
    27  jurisdiction of the county department of health times [twenty-
    28  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢);
    29  except that any month which fell in a quarter for which no
    30  installment of the annual grant was paid to the county
    19830H0226B2501                 - 11 -

     1  department of health shall not be counted. For the purpose of
     2  computation any fraction of a month shall be counted as one
     3  month.
     4     In the case of a municipality, the adjusted annual grant
     5  shall equal either (1) fifty percent (50%) of the total of the
     6  remaining expenditures, or (2) the product obtained by
     7  multiplying the population of the area within the jurisdiction
     8  of the department or board of health of the municipality times
     9  the number of months during which it was not subject to the
    10  jurisdiction of a county department of health times [twenty-five
    11  cents (25¢)] thirty-seven and one-half cents (37 1/2¢),
    12  whichever figure is the lower. In applying the formula set out
    13  in clause (2) of this paragraph, any month which fell in a
    14  quarter for which no installment of the annual grant was paid to
    15  the municipality shall not be counted. For the purpose of
    16  computation any fraction of a month shall be counted as one
    17  month.
    18     If the adjusted initial or annual grant exceeds the initial
    19  or annual grant actually received by a county department of
    20  health or a municipality, the State Secretary of Health shall,
    21  within fifteen (15) days after receipt of the statement of
    22  expenditures, draw a requisition upon the State Auditor General
    23  in favor of such county department of health or municipality for
    24  the amount by which the adjusted initial or annual grant exceeds
    25  the initial or annual grant actually received.
    26     If the adjusted initial or annual grant is less than the
    27  initial or annual grant actually received by a county department
    28  of health or a municipality, the State Secretary of Health shall
    29  charge the amount by which the initial or annual grant actually
    30  received exceeds the adjusted initial or annual grant against
    19830H0226B2501                 - 12 -

     1  one or more installments of the next annual grant. If any
     2  subsequent installment of the annual grant is not paid to the
     3  particular county department of health or municipality because
     4  of the failure of the county department of health or
     5  municipality to comply with the requirements of subsection (b)
     6  of this section, or because the municipality has decided to
     7  become subject to the jurisdiction of a county department of
     8  health in accordance with section 15 of this act, the State
     9  Secretary of Health may require a refund of such amount to the
    10  State.
    11     (d)  Environmental Health Services.--The Commonwealth shall
    12  pay an additional annual grant of [not more than] seventy-five
    13  cents (75¢) per capita resident to each county department of
    14  health or department or board of health of a municipality
    15  eligible for grants under this act for environmental health
    16  services provided by the county or municipality.
    17     As used in this subsection "environmental health services"
    18  means services such as but not limited to air and noise
    19  pollution control, restaurant and wholesale food inspection,
    20  rodent and vector control, water and sewage inspection, housing
    21  code enforcement and other similar services in addition to other
    22  local health grants for public health services.
    23     Section 2.  The provisions of this act shall be retroactive
    24  to July 1, 1983.
    25     Section 3.  This act shall take effect immediately.




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