SENATE AMENDED
        PRIOR PRINTER'S NOS. 259, 2335, 2501,         PRINTER'S NO. 2729
        2594

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

        SENATOR TILGHMAN, APPROPRIATIONS, IN SENATE, RE-REPORTED AS
           AMENDED, MARCH 26, 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


     1  Law, amended July 9, 1976 (P.L.533, No.129) and subsection (d)
     2  added February 26, 1976 (P.L.26, No.12), is amended to read:
     3     Section 25.  State Grants to County Departments of Health and
     4  to Certain Municipalities.--County departments of health created
     5  under this act and municipalities eligible for State grants
     6  under the provisions of section 15 of this act shall receive
     7  State grants in accordance with the procedure outlined in
     8  subsections (a), (b) and (c) of this section. [, if sufficient    <--
     9  funds have been appropriated to pay the full amount of the
    10  grants to which county departments of health and certain
    11  municipalities may be entitled under subsections (a), (b) and
    12  (c) of this section.
    13     In the event that sufficient funds to pay the full amount of
    14  the grants to which county departments of health and certain
    15  municipalities may be entitled under subsections (a), (b) and
    16  (c) of this section have not been appropriated, the State
    17  Secretary of Health, with the advice of the Advisory Health
    18  Board, shall distribute such funds as are available among county
    19  departments of health and municipalities eligible for State
    20  grants under section 15 of this act on an equitable basis,
    21  without reference to the procedure outlined in subsections (a),
    22  (b) and (c) of this section; except that no county department of
    23  health or municipality shall receive a grant which exceeds
    24  [three dollars ($3.00)] FOUR DOLLARS AND FIFTY CENTS ($4.50) per  <--
    25  year for every person within the jurisdiction of the county
    26  department of health or the department or board of health of the
    27  municipality.]                                                    <--
    28     This section shall not be construed to preclude the State
    29  Department of Health from making special grants to county
    30  departments of health or to municipalities for emergencies or
    19830H0226B2729                  - 2 -

     1  for other special purposes.
     2     Special grants may include sufficient amounts to county
     3  departments of health to insure the solvency of escrow accounts
     4  maintained and required pursuant to the act of January 24, 1966
     5  (1965 P.L.1534, No.536), referred to as the City Rent
     6  Withholding Act, for rent withheld for dwellings certified as
     7  unfit for human habitation. Whenever a county department of       <--
     8  health determines that a dwelling is uninhabitable and rent
     9  payments are ordered paid into an escrow account it shall be the
    10  duty of the COUNTY department of health to monitor the account    <--
    11  to determine whether or not payments are being deposited. If
    12  inadequate payments are being made the department shall notify
    13  the landlord of that event and the tenant shall complete the
    14  payments or be held in default and be subject to eviction. If
    15  the COUNTY department of health does not notify the landlord of   <--
    16  inadequate payment into the escrow account it shall be
    17  responsible to the landlord for rents due. WHEN AN AGENCY OR      <--
    18  DEPARTMENT CERTIFIES THAT A DWELLING IS UNINHABITABLE AND THE
    19  TENANT ELECTS TO PAY RENT INTO AN ESCROW ACCOUNT ESTABLISHED
    20  UNDER THE CITY RENT WITHHOLDING ACT, IT SHALL BE THE DUTY OF THE
    21  CERTIFYING AGENCY OR DEPARTMENT TO SUBMIT A MONTHLY STATEMENT OF
    22  ESCROWED FUNDS TO THE LANDLORD BY FIRST CLASS MAIL. IF FUNDS
    23  DEPOSITED IN ESCROW BY THE TENANT ARE INSUFFICIENT UNDER THE
    24  LANDLORD-TENANT ARRANGEMENT, THE TENANT SHALL BE SUBJECT TO
    25  EVICTION. IF THE COUNTY DEPARTMENT OF HEALTH DOES NOT PROVIDE
    26  THE LANDLORD WITH A MONTHLY STATEMENT OF ESCROWED FUNDS BY FIRST
    27  CLASS MAIL, IT SHALL BE RESPONSIBLE TO THE LANDLORD FOR RENTS
    28  DUE.
    29     (a)  Initial Grants. Every county department of health
    30  created under this act shall receive an initial grant as
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     1  provided in this section [if sufficient funds have been           <--
     2  appropriated to pay the full amount of such grant].               <--
     3     The county commissioners or, in the case of a joint-county
     4  department of health the joint-county health commission, shall
     5  submit to the State Secretary of Health, on forms prescribed by
     6  him, an initial estimate of expenditures to cover the operation
     7  of the county department of health from the date of its
     8  establishment to the end of the calendar year in which it is
     9  established. The initial estimate of expenditures shall state
    10  the names of the exempt municipalities which have not decided to
    11  become subject to the jurisdiction of the county department of
    12  health in accordance with section 15 of this act. The estimate
    13  shall be submitted within thirty (30) days prior to the date of
    14  establishment.
    15     The State Secretary of Health shall examine each initial
    16  estimate of expenditures and shall deduct therefrom all items
    17  which do not represent expenditures within the lawful scope of
    18  the powers of the particular county department of health. Upon
    19  the total amount of the remaining expenditures, the State
    20  Secretary of Health shall compute the initial grant.
    21     The initial grant shall equal fifty per cent (50%) of the
    22  total of the remaining expenditures, but no initial grant shall
    23  exceed the product obtained by multiplying the population of the
    24  area within the jurisdiction of the county department of health
    25  times the number of months covered by the initial estimate of
    26  expenditures times [twenty-five cents (25¢)] thirty-seven and
    27  one-half cents (37 1/2¢). For the purpose of computation, any
    28  fraction of a month shall be counted as one month.
    29     Thirty (30) days after he has received the initial estimate
    30  of expenditures, the State Secretary of Health shall draw a
    19830H0226B2729                  - 4 -

     1  requisition upon the State Auditor General in favor of the
     2  particular county department of health for the amount of the
     3  initial grant.
     4     In the event that a municipality or part of a municipality
     5  becomes subject to the jurisdiction of a county department of
     6  health in accordance with section 15 of this act after the date
     7  of establishment but prior to the first day of October of the
     8  same year, the county commissioners or, in the case of a joint-
     9  county department of health the joint-county health commission,
    10  may submit to the State Secretary of Health, on forms prescribed
    11  by him, an estimate of additional expenditures to cover the
    12  operation of the county department of health for the balance of
    13  the calendar year. The estimate shall state the name of the
    14  municipality and the date on which it became subject to the
    15  jurisdiction of the county department of health. The State
    16  Secretary of Health shall examine the estimate of additional
    17  expenditures and shall deduct therefrom all items which do not
    18  represent expenditures within the lawful scope of the powers of
    19  the particular county department of health. Upon the total
    20  amount of the remaining expenditures, the State Secretary of
    21  Health shall compute the additional grant. The additional grant
    22  shall equal fifty percent (50%) of the total of the remaining
    23  expenditures, but no additional grant shall exceed the product
    24  obtained by multiplying the population of the municipality or
    25  the part of a municipality times the number of months remaining
    26  in the calendar year from the date the municipality or the part
    27  of a municipality became subject to the jurisdiction of the
    28  county department of health times [twenty-five cents (25¢)]
    29  thirty-seven and one-half cents (37 1/2¢). For the purpose of
    30  computation, any fraction of a month shall be counted as one
    19830H0226B2729                  - 5 -

     1  month.
     2     Fifteen (15) days after he has received the estimate of
     3  additional expenditures, the State Secretary of Health shall
     4  draw a requisition upon the State Auditor General in favor of
     5  the particular county department of health for the amount of the
     6  additional grant.
     7     (b)  Annual Grants. Every county department of health created
     8  under this act and every municipality eligible for State grants
     9  under section 15 of this act shall receive annual grants from
    10  the State as provided in this section[, if sufficient funds have  <--
    11  been appropriated to pay the full amount of such grants]. No      <--
    12  county department of health shall begin to receive annual grants
    13  until the calendar year following the one in which it was
    14  established. No municipality shall begin to receive annual
    15  grants until the calendar year following the one in which this
    16  act takes effect.
    17     After the beginning of each calendar year, the county
    18  commissioners or, in the case of a joint-county department of
    19  health the joint-county health commission, or the executive or
    20  executive body of any municipality eligible for State grants
    21  under section 15 of this act, shall submit to the State
    22  Secretary of Health, at such time as he shall require and on
    23  forms prescribed by him, an annual estimate of expenditures of
    24  the county department of health or the department or board of
    25  health of the municipality. In the case of a county department
    26  of health, the annual estimate of expenditures shall state the
    27  names of the exempt municipalities which have not decided to
    28  become subject to its jurisdiction in accordance with section 15
    29  of this act.
    30     The State Secretary of Health shall examine each annual
    19830H0226B2729                  - 6 -

     1  estimate of expenditures and shall deduct therefrom all items
     2  which do not represent expenditures within the lawful scope of
     3  the powers of the particular county department of health or the
     4  department or board of health of the municipality. Upon the
     5  total amount of the remaining expenditures, the State Secretary
     6  of Health shall compute the annual grant. The annual grant shall
     7  equal fifty per cent (50%) of the total of the remaining
     8  expenditures, but no annual grant shall exceed the product
     9  obtained by multiplying the population of the area within the
    10  jurisdiction of the county department of health or within the
    11  jurisdiction of the department or board of health of the
    12  municipality times [three dollars ($3.00)] four dollars and
    13  fifty cents ($4.50).
    14     The annual grant shall be paid in four quarterly
    15  installments, but the moneys received in any quarter may be used
    16  any time during the year.
    17     The first installment shall be for the quarter beginning
    18  January first and ending March thirty-first; the second
    19  installment shall be for the quarter beginning April first and
    20  ending June thirtieth; the third installment shall be for the
    21  quarter beginning July first and ending September thirtieth; and
    22  the fourth installment shall be for the quarter beginning
    23  October first and ending December thirty-first. Each installment
    24  shall be paid only if it is approved by the State Secretary of
    25  Health. The State Secretary of Health shall approve the payment
    26  of any quarterly installment of an annual grant to a county
    27  department of health or to a municipality eligible under section
    28  15 of this act only if he finds:
    29     (1)  that such county department of health or municipality is
    30  complying with any and all regulations of the State Department
    19830H0226B2729                  - 7 -

     1  of Health prescribing minimum public health activities, minimum
     2  standards of performance of health services, and standards of
     3  personnel administration on a merit basis; and
     4     (2)  that such county department of health or municipality is
     5  accomplishing the purposes described in section 2 of this act.
     6     If the State Secretary of Health approves the payment of the
     7  first quarterly installment of an annual grant to a county
     8  department of health or to a municipality eligible under section
     9  15 of this act, he shall draw a requisition for such installment
    10  upon the State Auditor General in favor of the county department
    11  of health or municipality within fifteen (15) days after he has
    12  received the annual estimate of expenditures. If the State
    13  Secretary of Health approves the payment of any subsequent
    14  quarterly installment of an annual grant to a county department
    15  of health or to a municipality eligible under section 15 of this
    16  act, he shall draw a requisition for such installment upon the
    17  State Auditor General in favor of the county department of
    18  health or municipality at least fifteen (15) days before the
    19  first day of the quarter for which the payment is to be made.
    20     In the event that a municipality or part of a municipality
    21  becomes subject to the jurisdiction of a county department of
    22  health in accordance with section 15 of this act prior to the
    23  first day of September, the county commissioners or, in the case
    24  of a joint-county department of health the joint-county health
    25  commission, may submit to the State Secretary of Health, on
    26  forms prescribed by him, an estimate of additional expenditures
    27  to cover the operation of the county department of health for
    28  the balance of the calendar year. The estimate shall state the
    29  name of the municipality and the date on which it became subject
    30  to the jurisdiction of the county department of health. The
    19830H0226B2729                  - 8 -

     1  estimate shall be submitted at least thirty (30) days before the
     2  first day of any quarter following the one in which the
     3  municipality or the part of a municipality became subject to the
     4  jurisdiction of the county department of health.
     5     The State Secretary of Health shall examine the estimate of
     6  additional expenditures and shall deduct therefrom all items
     7  which do not represent expenditures within the lawful scope of
     8  the powers of the particular county department of health. Upon
     9  the total amount of the remaining expenditures, the State
    10  Secretary of Health shall compute the additional grant. The
    11  additional grant shall equal fifty percent (50%) of the
    12  remaining expenditures, but no additional grant shall exceed the
    13  product obtained by multiplying the population of the
    14  municipality or the part of a municipality times the number of
    15  months remaining in the calendar year from the date the
    16  municipality or the part of a municipality became subject to the
    17  jurisdiction of the county department of health times [twenty-
    18  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢). For
    19  the purpose of computation, any fraction of a month shall be
    20  counted as one month. The additional grant shall be added to and
    21  become part of the balance of the annual grant remaining to be
    22  paid.
    23     (c)  Adjustment of Initial and Annual Grants. After the end
    24  of every calendar year in which a county department of health or
    25  a municipality received an initial grant or all or part of an
    26  annual grant, there shall be an adjustment of such initial or
    27  annual grant on the basis of the actual expenditures of the
    28  county department of health or the department or board of health
    29  of the municipality during the year. Any additional grants to
    30  which a county department of health or a municipality may be
    19830H0226B2729                  - 9 -

     1  entitled under the provisions of this subsection shall be paid[,  <--
     2  if sufficient funds have been appropriated to pay the full
     3  amount of such grants]. Within fifteen (15) days after the end    <--
     4  of the calendar year, the county commissioners or, in the case
     5  of a joint-county department of health the joint-county health
     6  commission, or the executive or executive body of the
     7  municipality, shall submit to the State Secretary of Health, on
     8  forms prescribed by him, a sworn, itemized statement of all the
     9  expenditures made by the county department of health or the
    10  department or board of health of the municipality during the
    11  previous year. The statement shall show the dates on which the
    12  expenditures were made and shall indicate which of the
    13  expenditures were made out of any special grants received from
    14  the State or out of any grants received directly from the
    15  Federal Government. In the case of a county department of
    16  health, the statement shall indicate the name of any
    17  municipality which became subject to its jurisdiction in
    18  accordance with section 15 of this act and the date on which the
    19  municipality became subject to its jurisdiction.
    20     The State Secretary of Health shall examine each statement
    21  and shall deduct therefrom all the expenditures made during any
    22  quarter or quarters of the calendar year for which no
    23  installments of an annual grant were paid to the county
    24  department of health or municipality because of its failure to
    25  comply with the requirements of subsection (b) of this section.
    26  He shall then deduct from the remaining expenditures: (1) those
    27  items paid for out of any special grants received from the
    28  State; (2) those items paid for out of any grants received
    29  directly from the Federal Government; and (3) those items which
    30  do not represent expenditures made within the lawful scope of
    19830H0226B2729                 - 10 -

     1  the powers of the county department of health or the department
     2  or board of health of the municipality. Upon the total amount of
     3  the remaining expenditures, the State Secretary of Health shall
     4  compute the adjusted initial or annual grant.
     5     The adjusted initial grant shall equal either (1) fifty per
     6  cent (50%) of the total of the remaining expenditures, or (2)
     7  the product obtained by multiplying the population of the area
     8  within the jurisdiction of the county department of health at
     9  the time of its establishment times the number of months for
    10  which the initial grant was paid as determined in subsection (a)
    11  of this section times [twenty-five cents (25¢)] thirty-seven and
    12  one-half cents (37 1/2¢), whichever figure is the lower. In the
    13  event that a municipality or part of a municipality became
    14  subject to the jurisdiction of the county department of health
    15  during the year in accordance with section 15 of this act, there
    16  shall be added to the amount arrived at by applying the formula
    17  set out in clause (2) of this paragraph the product obtained by
    18  multiplying the population of the municipality or the part of a
    19  municipality times the number of months it was subject to the
    20  jurisdiction of the county department of health times [twenty-
    21  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢). For
    22  the purpose of computation, any fraction of a month shall be
    23  counted as one month.
    24     In the case of a county department of health, the adjusted
    25  annual grant shall equal either (1) fifty per cent (50%) of the
    26  total of the remaining expenditures, or (2) the product obtained
    27  by multiplying the population of the area within the
    28  jurisdiction of the county department of health at the beginning
    29  of the calendar year times the number of quarters for which
    30  installments of the annual grant were paid times [seventy-five
    19830H0226B2729                 - 11 -

     1  cents (75¢)] one dollar and twelve and one-half cents ($1.12
     2  1/2), whichever figure is the lower. In the event that a
     3  municipality or part of a municipality became subject to the
     4  jurisdiction of the county department of health during the year
     5  in accordance with section 15 of this act, there shall be added
     6  to the amount arrived at by applying the formula set out in
     7  clause (2) of this paragraph the product obtained by multiplying
     8  the population of the municipality or the part of a municipality
     9  times the number of months during which it was subject to the
    10  jurisdiction of the county department of health times [twenty-
    11  five cents (25¢)] thirty-seven and one-half cents (37 1/2¢);
    12  except that any month which fell in a quarter for which no
    13  installment of the annual grant was paid to the county
    14  department of health shall not be counted. For the purpose of
    15  computation any fraction of a month shall be counted as one
    16  month.
    17     In the case of a municipality, the adjusted annual grant
    18  shall equal either (1) fifty percent (50%) of the total of the
    19  remaining expenditures, or (2) the product obtained by
    20  multiplying the population of the area within the jurisdiction
    21  of the department or board of health of the municipality times
    22  the number of months during which it was not subject to the
    23  jurisdiction of a county department of health times [twenty-five
    24  cents (25¢)] thirty-seven and one-half cents (37 1/2¢),
    25  whichever figure is the lower. In applying the formula set out
    26  in clause (2) of this paragraph, any month which fell in a
    27  quarter for which no installment of the annual grant was paid to
    28  the municipality shall not be counted. For the purpose of
    29  computation any fraction of a month shall be counted as one
    30  month.
    19830H0226B2729                 - 12 -

     1     If the adjusted initial or annual grant exceeds the initial
     2  or annual grant actually received by a county department of
     3  health or a municipality, the State Secretary of Health shall,
     4  within fifteen (15) days after receipt of the statement of
     5  expenditures, draw a requisition upon the State Auditor General
     6  in favor of such county department of health or municipality for
     7  the amount by which the adjusted initial or annual grant exceeds
     8  the initial or annual grant actually received.
     9     If the adjusted initial or annual grant is less than the
    10  initial or annual grant actually received by a county department
    11  of health or a municipality, the State Secretary of Health shall
    12  charge the amount by which the initial or annual grant actually
    13  received exceeds the adjusted initial or annual grant against
    14  one or more installments of the next annual grant. If any
    15  subsequent installment of the annual grant is not paid to the
    16  particular county department of health or municipality because
    17  of the failure of the county department of health or
    18  municipality to comply with the requirements of subsection (b)
    19  of this section, or because the municipality has decided to
    20  become subject to the jurisdiction of a county department of
    21  health in accordance with section 15 of this act, the State
    22  Secretary of Health may require a refund of such amount to the
    23  State.
    24     (d)  Environmental Health Services.--The Commonwealth shall
    25  pay an additional annual grant of [not more than] seventy-five
    26  cents (75¢) per capita resident to each county department of
    27  health or department or board of health of a municipality
    28  eligible for grants under this act for environmental health
    29  services provided by the county or municipality.
    30     As used in this subsection "environmental health services"
    19830H0226B2729                 - 13 -

     1  means services such as but not limited to air and noise
     2  pollution control, restaurant and wholesale food inspection,
     3  rodent and vector control, water and sewage inspection, housing
     4  code enforcement and other similar services in addition to other
     5  local health grants for public health services.
     6     Section 2.  The provisions of this act shall be retroactive
     7  to July 1, 1983.
     8     Section 3.  This act shall take effect immediately.















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