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                                                       PRINTER'S NO. 405

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 355 Session of 2007


        INTRODUCED BY SANTONI, CALTAGIRONE, COHEN, CURRY, EACHUS,
           FRANKEL, FREEMAN, GERGELY, GOODMAN, HENNESSEY, KOTIK, LEACH,
           MAHONEY, PETRONE, READSHAW, SCAVELLO, SOLOBAY, STABACK,
           STURLA, THOMAS, WALKO, WOJNAROSKI, YOUNGBLOOD AND COSTA,
           FEBRUARY 9, 2007

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           FEBRUARY 9, 2007

                                     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     defining "public health emergency"; providing for public
    21     health emergency response, for public health monitoring and
    22     for public health assessment; and further providing for State
    23     grants to county departments of health and to certain
    24     municipalities.

    25     The General Assembly of the Commonwealth of Pennsylvania
    26  hereby enacts as follows:
    27     Section 1.  Section 3 of the act of August 24, 1951

     1  (P.L.1304, No.315), known as the Local Health Administration
     2  Law, is amended by adding a subsection to read:
     3     Section 3.  Definitions.--The following terms, whenever used
     4  in this act, have the meanings indicated in this section, except
     5  where the context indicates a clearly different meaning:
     6     * * *
     7     (j)  Public health emergency."  An occurrence or imminent
     8  threat of an illness or health condition, caused by
     9  bioterrorism, epidemic or pandemic disease or novel and highly
    10  infectious agent or biological or chemical toxin, that poses a
    11  substantial risk of human fatality or long-term disability, or
    12  an occurrence where such illness or health condition results
    13  from a natural or man-made disaster.
    14     Section 2.  The act is amended by adding sections to read:
    15     Section 10.1.  Public Health Emergency Response.--The county
    16  departments of health shall plan for and respond to public
    17  health emergencies within their jurisdiction. Such plans shall
    18  include:
    19     (1)  reasonable and appropriate mechanisms for monitoring the
    20  potential for and the spread of an event which could or does
    21  pose a public health emergency;
    22     (2)  reliable testing and evaluation in order to determine
    23  the presence of a public health emergency;
    24     (3)  mechanisms for identifying and treating all individuals
    25  thought to have been exposed to an illness or health condition
    26  resulting in a public health emergency;
    27     (4)  provisions for quarantining and isolating individuals
    28  and groups who may have been exposed to or infected by a
    29  contagious or infectious agent;
    30     (5)  provisions for providing mass inoculations or treatment
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     1  for individuals who have been exposed or could reasonably be
     2  expected to be exposed to a contagious or infectious agent,
     3  including the stockpiling of inoculations, vaccines, immunizing
     4  agents, antibiotics, serums, antitoxins, medications and medical
     5  supplies as may be deemed appropriate;
     6     (6)  provisions for closing, evacuating and decontaminating
     7  facilities where there is reasonable cause to believe that a
     8  condition may endanger the public health;
     9     (7)  provisions for dealing with the victims of a public
    10  health emergency, including corpses;
    11     (8)  provisions for disposing of contaminated materials and
    12  supplies;
    13     (9)  an inventory of resources available to the county to
    14  respond to a public health emergency; and
    15     (10)  provisions for commanding the use of such resources as
    16  may be necessary to reasonably respond to a public health
    17  emergency.
    18     Section 10.2.  Public Health Monitoring.--A county department
    19  of health shall create systems, including electronic means, to
    20  monitor and collect data and other information that will enable
    21  the county department of health to determine if a public health
    22  emergency is imminent.
    23     Section 10.3.  Public Health Assessment.--A county department
    24  of health shall collect baseline health status data, disease
    25  data and other data and information that will allow the county
    26  to assess the health status of the residents of the county and
    27  evaluate the success of any public health improvement effort.
    28     Section 3.  Section 25(d) of the act, amended December 17,
    29  1990 (P.L.717, No.179), is amended and the section is amended by
    30  adding subsections to read:
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     1     Section 25.  State Grants to County Departments of Health and
     2  to Certain Municipalities.--* * *
     3     (d)  Environmental Health Services.--The Commonwealth shall
     4  pay an additional annual grant of not more than [one dollar and
     5  fifty cents ($1.50)] three dollars ($3.00) per capita resident
     6  to each county department of health or department or board of
     7  health of a municipality eligible for grants under this act for
     8  environmental health services provided by the county or
     9  municipality.
    10     As used in this subsection "environmental health services"
    11  means services such as but not limited to air and noise
    12  pollution control, restaurant and wholesale food inspection,
    13  rodent and vector control, water and sewage inspection, housing
    14  code enforcement and other similar services in addition to other
    15  local health grants for public health services.
    16     (e)  Planning and Incentive Grants.--(1)  In order to
    17  stimulate local and regional public health infrastructure, the
    18  Department of Health shall offer counties which do not have a
    19  county department of health or are not participating in a joint-
    20  county department of health on the effective date of this
    21  subsection one-time grants to enable them to plan for the
    22  development of a local department of health. The maximum grant
    23  awarded to any county for planning under this subsection shall
    24  be fifty thousand dollars ($50,000).
    25     (2)  The Department of Health shall offer incentive grants to
    26  counties which do not have a county department of health or are
    27  not participating in a joint-county department of health on the
    28  effective date of this subsection to assist them in the costs of
    29  creating a county department of health. The maximum incentive
    30  grant offered to any county under this subsection shall be five
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     1  hundred thousand dollars ($500,000).
     2     (f)  Public Health Emergency Planning Grants.--County
     3  departments of health, joint-county departments of health and
     4  municipal health departments certified by the Secretary of
     5  Health pursuant to this act shall receive a grant from the
     6  Department of Health to develop a local public health emergency
     7  plan pursuant to this act. Such grants shall be either seven and
     8  one-half cents (7 1/2¢) per capita resident or one hundred
     9  thousand dollars ($100,000), whichever amount is greater.
    10     (g)  Public Health Monitoring Grants.--County departments of
    11  health, joint-county departments of health and municipal health
    12  departments certified by the Secretary of Health pursuant to
    13  this act shall receive a one-time implementation grant from the
    14  Department of Health to develop a health monitoring system
    15  pursuant to this act. Such grants shall be for no more than two
    16  hundred and fifty thousand dollars ($250,000). After such
    17  monitoring systems are implemented, counties shall receive a
    18  monitoring system maintenance payment equal to ten cents (10¢)
    19  per capita resident.
    20     Section 4.  This act shall take effect July 1, 2007, or
    21  immediately, whichever is later.






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