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                                                      PRINTER'S NO. 2863

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2041 Session of 2007


        INTRODUCED BY BENNINGHOFF, WATSON, ADOLPH, BAKER, BELFANTI,
           BEYER, BOBACK, CLYMER, COHEN, DALLY, J. EVANS, FLECK,
           FRANKEL, GEIST, GIBBONS, HARHAI, HARHART, HERSHEY,
           HUTCHINSON, KENNEY, MACKERETH, MANN, McGEEHAN, McILHATTAN,
           R. MILLER, MOYER, MURT, NAILOR, PAYNE, PICKETT, QUINN, RAPP,
           REICHLEY, ROAE, RUBLEY, SAYLOR, SCAVELLO, SCHRODER, SEIP,
           STERN, SWANGER, J. TAYLOR, WAGNER AND YOUNGBLOOD,
           NOVEMBER 19, 2007

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           NOVEMBER 19, 2007

                                     AN ACT

     1  Amending the act of April 23, 1956 (1955 P.L.1510, No.500),
     2     entitled, as amended, "An act providing for the prevention
     3     and control of communicable and non-communicable diseases
     4     including venereal diseases, fixing responsibility for
     5     disease prevention and control, requiring reports of
     6     diseases, and authorizing treatment of venereal diseases, and
     7     providing for premarital and prenatal blood tests; amending,
     8     revising and consolidating the laws relating thereto; and
     9     repealing certain acts," requiring reports of cases of
    10     methicillin-resistant Staphylococcus aureus; providing for
    11     examination and diagnosis of persons suspected of having
    12     methicillin-resistant Staphylococcus aureus; further
    13     providing for examinations; and further providing for rules
    14     and regulations of the board.

    15     The General Assembly of the Commonwealth of Pennsylvania
    16  hereby enacts as follows:
    17     Section 1.  The title of the act of April 23, 1956 (1955
    18  P.L.1510, No.500), known as the Disease Prevention and Control
    19  Law of 1955, amended July 5, 1957 (P.L.495, No.279), is amended
    20  to read:


     1                               AN ACT
     2  Providing for the prevention and control of communicable and
     3     non-communicable diseases including venereal diseases, fixing
     4     responsibility for disease prevention and control, requiring
     5     reports of diseases and methicillin-resistant Staphylococcus
     6     aureus, and authorizing treatment of venereal diseases, and
     7     providing for premarital and prenatal blood tests; amending,
     8     revising and consolidating the laws relating thereto; and
     9     repealing certain acts.
    10     Section 2.  Section 2(k) of the act is amended and the
    11  section is amended by adding a subsection to read:
    12     Section 2.  Definitions.--
    13     The following terms, whenever used in this act, have the
    14  meanings indicated in this section, except where the context
    15  indicates a clearly different meaning:
    16     * * *
    17     (g.1)  Methicillin-resistant Staphylococcus aureus or MRSA.
    18  A strain of bacteria that is resistant to certain antibiotics
    19  and is difficult to treat medically, commonly known as a
    20  "superbug."
    21     * * *
    22     (k)  Reportable disease. (a) Any communicable disease
    23  declared reportable by regulation; (b) any unusual or group
    24  expression of illness which, in the opinion of the secretary,
    25  may be a public health emergency; [and] (c) such non-
    26  communicable diseases and conditions for which the secretary may
    27  authorize reporting to provide data and information which, in
    28  the opinion of the Advisory Health Board, are needed in order
    29  effectively to carry out those programs of the department
    30  designed to protect and promote the health of the people of the
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     1  Commonwealth, or to determine the need for the establishment of
     2  such programs; and (d) methicillin-resistant Staphylococcus
     3  aureus (MRSA).
     4     * * *
     5     Section 3.  Section 4 of the act is amended to read:
     6     Section 4.  Reports.--
     7     (a)  Every physician who treats or examines any person who is
     8  suffering from or who is suspected of having a communicable
     9  disease or methicillin-resistant Staphylococcus aureus (MRSA),
    10  or any person who is or who is suspected of being a carrier,
    11  shall make a prompt report of the disease or infection in the
    12  manner prescribed by regulation to the local board or department
    13  of health which serves the municipality where the disease or
    14  infection occurs or where the carrier resides or to the
    15  department if so provided by regulation.
    16     (b)  The department or local boards or departments of health
    17  may require the heads of hospitals and other institutions, the
    18  directors of laboratories, school authorities, the proprietors
    19  of hotels, roentgenologists, lodging houses, rooming houses or
    20  boarding houses, nurses, midwives, householders, and other
    21  persons having knowledge or suspicion of any communicable
    22  disease or methicillin-resistant Staphylococcus aureus (MRSA),
    23  to make a prompt report of the disease or infection in a manner
    24  prescribed by regulation to the local board or department of
    25  health which serves the municipality where the disease or
    26  infection occurs, or to the department if so provided by
    27  regulation.
    28     (c)  Local boards or departments of health shall make reports
    29  of the diseases reported to them and of the cases of
    30  methicillin-resistant Staphylococcus aureus (MRSA) reported to
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     1  them to the department at such times and in such manner as shall
     2  be provided for by regulation.
     3     (d)  Every physician or every person in charge of any
     4  institution for the treatment of diseases shall be authorized,
     5  upon request of the secretary, to make reports of such diseases
     6  and conditions other than communicable diseases which in the
     7  opinion of the Advisory Health Board are needed to enable the
     8  secretary to determine and employ the most efficient and
     9  practical means to protect and to promote the health of the
    10  people by the prevention and control of such diseases and
    11  conditions other than communicable diseases. The reports shall
    12  be made upon forms prescribed by the secretary and shall be
    13  transmitted to the department or to local boards or departments
    14  of health as requested by the secretary.
    15     Section 4.  Section 7 of the act, amended September 11, 1959
    16  (P.L.865, No.343), is amended to read:
    17     Section 7.  Examination and Diagnosis of Persons Suspected of
    18  Being Infected with Venereal Disease, methicillin-resistant
    19  Staphylococcus aureus (MRSA), Tuberculosis or any other
    20  Communicable Disease, or of Being a Carrier.--
    21     Whenever the secretary or a local qualified medical health
    22  officer has reasonable grounds to suspect any person of being
    23  infected with a venereal disease, methicillin-resistant
    24  Staphylococcus aureus (MRSA), tuberculosis or any other
    25  communicable disease, or of being a carrier, he shall require
    26  the person to undergo a medical examination and any other
    27  approved diagnostic procedure, to determine whether or not he is
    28  infected with a venereal disease, methicillin-resistant
    29  Staphylococcus aureus (MRSA), tuberculosis or any other
    30  communicable disease, or is a carrier. In the event that the
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     1  person refuses to submit to the examination, the secretary or
     2  the local qualified medical health officer may (1) cause the
     3  person to be quarantined until it is determined that he is not
     4  infected with a venereal disease, methicillin-resistant
     5  Staphylococcus aureus (MRSA), tuberculosis or any other
     6  communicable disease, or of being a carrier, or (2) file a
     7  petition in the court of common pleas of the county in which the
     8  person is present, which petition shall have appended thereto a
     9  statement, under oath, by a physician duly licensed to practice
    10  in the Commonwealth, that such person is suspected of being
    11  infected with venereal disease, methicillin-resistant
    12  Staphylococcus aureus (MRSA), tuberculosis or any other
    13  communicable disease, or that such person is suspected of being
    14  a carrier. Upon filing of such petition, the court shall, within
    15  twenty-four hours after service of a copy thereof upon the
    16  respondent, hold a hearing, without a jury, to ascertain whether
    17  the person named in the petition has refused to submit to an
    18  examination to determine whether he or she is infected with
    19  venereal disease, methicillin-resistant Staphylococcus aureus
    20  (MRSA), tuberculosis or any other communicable disease, or that
    21  such person is a carrier. Upon a finding that the person has
    22  refused to submit to such examination and that there was no
    23  valid reason for such person so to do, the court shall forthwith
    24  order such person to submit to the examination. The certificate
    25  of the physician appended to the petition shall be received in
    26  evidence and shall constitute prima facie evidence that the
    27  person therein named is suspected of being infected with
    28  venereal disease, methicillin-resistant Staphylococcus aureus
    29  (MRSA), tuberculosis or any other communicable disease, or that
    30  such person is a carrier. The examination ordered by the court
    20070H2041B2863                  - 5 -     

     1  may be performed by a physician of his own choice at his own
     2  expense. The examination shall include physical and laboratory
     3  tests performed in a laboratory approved by the secretary, and
     4  shall be conducted in accordance with accepted professional
     5  practices, and the results thereof shall be reported to the
     6  local health board or health department on forms furnished by
     7  the Department of Health. Any person refusing to undergo an
     8  examination, as herein provided, may be committed by the court
     9  to an institution in this Commonwealth determined by the
    10  Secretary of Health to be suitable for the care of such cases.
    11     Section 5.  Section 16(a) of the act is amended to read:
    12     Section 16.  Rules and Regulations.--
    13     (a)  The Board may issue rules and regulations with regard to
    14  the following:
    15     (1)  the communicable and non-communicable diseases, which
    16  are to be reportable;
    17     (2)  the methods of reporting of diseases and methicillin-
    18  resistant Staphylococcus aureus (MRSA), the contents of reports
    19  and the health authorities to whom diseases and methicillin-
    20  resistant Staphylococcus aureus (MRSA) are to be reported;
    21     (3)  the communicable diseases which are to be subject to
    22  isolation, quarantine, or other control measures;
    23     (4)  the duration of the periods of isolation and quarantine;
    24     (5)  the enforcement of isolation quarantine and other
    25  control measures;
    26     (6)  the immunization and vaccination of persons and animals;
    27     (7)  the prevention and control of disease in public and
    28  private schools;
    29     (8)  the regulation of carriers;
    30     (9)  The advertisement of treatment, prophylaxis, diagnosis,
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     1  and cure of venereal diseases and the information which
     2  physicians must convey to persons being treated for a venereal
     3  disease in a communicable stage;
     4     (11)  the prevention and control of non-communicable
     5  diseases; and
     6     (12)  any other matters it may deem advisable for the
     7  prevention and control of disease and methicillin-resistant
     8  Staphylococcus aureus (MRSA) and for carrying out the provisions
     9  and purposes of this act.
    10     * * *
    11     Section 6.  This act shall take effect in 60 days.













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