PRINTER'S NO. 2863
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 20070H2041B2863 - 2 -
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 20070H2041B2863 - 3 -
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 20070H2041B2863 - 4 -
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, 20070H2041B2863 - 6 -
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. K14L35SFL/20070H2041B2863 - 7 -