PRIOR PRINTER'S NO. 1837                     PRINTER'S NO. 2147

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1575 Session of 1981


        INTRODUCED BY CORDISCO, HASAY, CLARK, PETRARCA, BELARDI,
           SERAFINI, MILLER, STEVENS, CESSAR, COHEN, CAPPABIANCA,
           JACKSON, GREENFIELD, WOZNIAK, COCHRAN, FREIND, BROWN,
           KUKOVICH, GALLAGHER, STEWART, MORRIS, STEIGHNER, DONATUCCI,
           COLAFELLA, DeWEESE AND E. Z. TAYLOR, JUNE 15, 1981

        AS REPORTED FROM COMMITTEE ON FEDERAL-STATE RELATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, SEPTEMBER 15, 1981

                                     AN ACT

     1  Establishing an Agent Orange A VIETNAM HERBICIDES Information     <--
     2     Commission; imposing powers and duties on the commission;
     3     granting additional powers and duties to the Department of
     4     Health and making an appropriation.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7  Section 1.  Short title.
     8     This act shall be known and may be cited as the "Agent Orange  <--
     9  Victims' Act." "VIETNAM HERBICIDES INFORMATION ACT."              <--
    10  Section 2.  Definitions.
    11     The following words and phrases when used in this act shall
    12  have, unless the context clearly indicates otherwise, the
    13  meanings given to them in this section:
    14     "Agent Orange."  The herbicide composed of tri-chlorphenoxy
    15  acidic acid and di-chlorphenoxy acidic acid. ACITIC ACID AND DI-  <--
    16  CHLORPHENOXYACITIC ACID.
    17     "Commission."  The Agent Orange VIETNAM HERBICIDES             <--

     1  Information Commission established pursuant to section 4.
     2     "Department."  The Department of Health of the Commonwealth
     3  of Pennsylvania.
     4     "Secretary."  The Secretary of Health of the Commonwealth of
     5  Pennsylvania.
     6     "VETERAN."  A PERSON WHO WAS A RESIDENT OF THE COMMONWEALTH    <--
     7  AT THE TIME OF HIS INDUCTION INTO THE ARMED FORCES OF THE UNITED
     8  STATES OF AMERICA OR IS A RESIDENT OF THIS COMMONWEALTH WHO
     9  SERVED IN VIETNAM, CAMBODIA, THAILAND OR LAOS DURING THE VIETNAM
    10  CONFLICT.
    11     "VIETNAM HERBICIDE."  THE HERBICIDES, DEFOLIANTS AND OTHER
    12  CAUSATIVE AGENTS, INCLUDING AGENT ORANGE, USED IN THE VIETNAM
    13  CONFLICT.
    14  Section 3.  Legislative findings.
    15     The General Assembly finds and determines that a large number
    16  of Vietnam War Veterans were exposed to Agent Orange and other    <--
    17  debilitating defoliants HERBICIDES, DEFOLIANTS AND OTHER          <--
    18  CAUSATIVE AGENTS, INCLUDING AGENT ORANGE, during their service
    19  in Vietnam and that it is a legitimate concern and
    20  responsibility of the State to determine the extent of their
    21  injuries and to provide support and counseling services to these  <--
    22  victims.
    23  Section 4.  The Agent Orange VIETNAM HERBICIDES                   <--
    24              Information Commission.
    25     (a)  There is hereby created within the Department of Health
    26  an advisory commission to be known as the Agent Orange            <--
    27  Information VIETNAM HERBICIDES Commission. This commission on     <--
    28  Agent Orange VIETNAM HERBICIDES exposure is to obtain             <--
    29  information relating to the health effects of exposure to
    30  herbicides containing dioxin AND OTHER CAUSATIVE AGENTS for       <--
    19810H1575B2147                  - 2 -

     1  Vietnam veteran residents of the State of Pennsylvania who may
     2  have been exposed to these substances during their period of
     3  military service.
     4     (b)  The commission shall consist of nine members to be        <--
     5  appointed by the Governor for a term of two years. Six members
     6  shall be honorably discharged veterans of the Vietnam War, with
     7  at least one veteran selected from each of the areas covered by
     8  the Governor's Veterans Outreach Centers established by the
     9  Secretary of Labor and Industry. The three other members of the
    10  commission shall be dependents of veterans of the Vietnam War.
    11     (B)  THE COMMISSION SHALL CONSIST OF 13 MEMBERS WHO SHALL      <--
    12  SERVE FOR A TERM OF TWO YEARS. THE GOVERNOR SHALL APPOINT THE
    13  SECRETARY OF HEALTH AND TEN OTHER MEMBERS OF WHOM SIX SHALL BE
    14  HONORABLY DISCHARGED VETERANS OF THE VIETNAM CONFLICT WITH AT
    15  LEAST ONE VETERAN SELECTED FROM EACH OF THE FIVE AREAS COVERED
    16  BY THE GOVERNOR'S VETERANS OUTREACH CENTERS OF THE REMAINING
    17  MEMBERS TO BE APPOINTED BY THE GOVERNOR, ONE SHALL BE AN
    18  EPIDEMIOLOGIST SELECTED FROM THE STATE PUBLIC HEALTH SCHOOLS,
    19  ONE SHALL BE A HEALTH ENVIRONMENTALIST SELECTED FROM THE STATE
    20  PUBLIC HEALTH SCHOOLS AND ONE SHALL BE A TOXICOLOGIST SELECTED
    21  FROM THE STATE PUBLIC HEALTH SCHOOLS AND ONE SHALL BE A
    22  SPECIALIST IN PUBLIC HEALTH SELECTED FROM THE STATE PUBLIC
    23  HEALTH SCHOOLS. THE SPEAKER OF THE HOUSE OF REPRESENTATIVES
    24  SHALL APPOINT ONE MEMBER OF THE HOUSE TO THE COMMISSION. THE
    25  PRESIDENT PRO TEMPORE OF THE SENATE SHALL APPOINT ONE MEMBER OF
    26  THE SENATE TO THE COMMISSION.
    27     (c)  The commission shall elect a chairperson from the
    28  members of the commission.
    29     (d)  Vacancies in the membership of the commission and its
    30  officers shall be filled for the unexpired term in the same
    19810H1575B2147                  - 3 -

     1  manner as the original appointment or election.
     2     (e)  The commission shall meet at least four times each year
     3  at the call of the chairperson. The initial meeting of the
     4  commission shall be called by the Secretary of Health not later
     5  than December 1, 1981. FEBRUARY 1, 1982.                          <--
     6     (F)  THE COMMISSION SHALL BE ESTABLISHED FOR A PERIOD OF TWO
     7  YEARS.
     8     (f) (G)  The members of the commission shall receive no        <--
     9  compensation for their services but shall be allowed their
    10  actual and necessary expenses incurred in the performance of
    11  their duties hereunder.
    12  Section 5.  Powers and duties of the commission.
    13     The commission shall have the following powers and duties:
    14         (1)  Determine what medical, administrative and social
    15     assistance is needed for victims of dioxin exposure VETERANS   <--
    16     WHO WERE EXPOSED TO VIETNAM HERBICIDES and submit its
    17     recommendations to the Legislature for its consideration.
    18         (2)  Conduct an extensive outreach program to inform
    19     Vietnam era veterans who may have been exposed to herbicides   <--
    20     containing dioxin of any Federal or State assistance
    21     available to them.
    22         (3)  Act as the official agent of the State for
    23     disseminating information to Vietnam War Veterans VETERANS     <--
    24     about epidemiological or other studies relating to dioxin      <--
    25     VIETNAM HERBICIDES exposure which are being conducted by the   <--
    26     Federal or State Government.
    27         (4)  Employ and at its pleasure remove such personnel as   <--
    28     it may deem necessary, including an executive director, for
    29     the performance of its functions and fix their compensation
    30     within the amounts made available therefor.
    19810H1575B2147                  - 4 -

     1  Section 6.  Cooperation with other agencies.
     2     To the maximum extent feasible, the commission shall be
     3  entitled to request and receive and shall utilize and be
     4  provided with such facilities, resources and data of any court,
     5  department, division, board, bureau, commission or agency of the
     6  State or any political subdivision thereof as it may reasonably
     7  request to carry out properly its powers and duties hereunder.
     8  Section 7.  Information to be confidential.
     9     The commission shall not disclose information received
    10  pursuant to this act so as to divulge the identities of the
    11  persons to whom it relates except as is necessary to carry out
    12  the purposes of this act.
    13  Section 8.  Reports.
    14     The commission shall make a preliminary report to the
    15  Governor and the Legislature of its findings, conclusions and
    16  recommendations not later than March 1, 1982 and a final report
    17  of its findings, conclusions and recommendations not later than
    18  March 1, 1983.
    19  Section 9.  Duties of the Department of Health.
    20     For the purpose of identifying persons who were exposed to a   <--
    21  herbicide containing dioxin VIETNAM HERBICIDES and for the        <--
    22  purpose of compiling data on the health effects of this
    23  exposure, the department shall:
    24         (1)  Establish, promote and maintain a public information
    25     program on dioxin VIETNAM HERBICIDES. Such program shall       <--
    26     include, but may not be limited to, an effort to contact
    27     Vietnam era veterans who were exposed to the herbicide         <--
    28     containing dioxin.
    29         (2)  Initiate an epidemiological study of the health       <--
    30     effects of exposure to herbicides containing dioxin of the
    19810H1575B2147                  - 5 -

     1     above Vietnam War Veteran residents of Pennsylvania.
     2         (2)  ESTABLISH, MAINTAIN AND PROMOTE A REPORTING PROCESS   <--
     3     FOR VETERANS WHO WERE EXPOSED TO HERBICIDES, DEFOLIANTS AND
     4     OTHER CAUSATIVE AGENTS, INCLUDING AGENT ORANGE.
     5         (3)  Maintain a central data bank within the Department    <--
     6     of Health DEPARTMENT for information collected on the health   <--
     7     effects of exposure to dioxin VIETNAM HERBICIDES and for the   <--
     8     cataloguing of existing scientific and medical literature on
     9     the health effects of this exposure.
    10         (4)  Initiate education for health professionals to
    11     assist them in understanding the potential risks and state-
    12     of-art knowledge with regard to detection, diagnosis and
    13     treatment of acute and chronic symptoms associated with
    14     dioxin VIETNAM HERBICIDES exposure.                            <--
    15  SECTION 10.  REPORTS TO THE DEPARTMENT.                           <--
    16     (A)  A PHYSICIAN WHO HAS PRIMARY RESPONSIBILITY FOR TREATING
    17  A VETERAN WHO BELIEVES HE MAY HAVE BEEN EXPOSED TO CHEMICAL
    18  HERBICIDES OR DEFOLIANTS, INCLUDING AGENT ORANGE, WHILE SERVING
    19  IN THE ARMED FORCES OF THE UNITED STATES, SHALL, AT THE REQUEST
    20  OF THE VETERAN, SUBMIT A REPORT TO THE DEPARTMENT ON A FORM
    21  PROVIDED BY THE DEPARTMENT. IF THERE IS NO PHYSICIAN HAVING
    22  PRIMARY RESPONSIBILITY FOR TREATING THE VETERAN, THE HOSPITAL
    23  TREATING THE VETERAN SHALL, AT THE REQUEST OF THE VETERAN,
    24  SUBMIT THE REPORT TO THE DEPARTMENT.
    25     (B)  THE FORM PROVIDED BY THE DEPARTMENT TO THE PHYSICIAN
    26  SHALL REQUEST THE FOLLOWING INFORMATION:
    27         (1)  SYMPTOMS TO A CHEMICAL HERBICIDE OR DEFOLIANT OR
    28     OTHER CAUSITIVE AGENT, INCLUDING AGENT ORANGE.
    29         (2)  DIAGNOSIS OF THE VETERAN.
    30         (3)  METHODS OF TREATMENT PRESCRIBED.
    19810H1575B2147                  - 6 -

     1     (C)  THE DEPARTMENT MAY REQUIRE THE VETERAN TO PROVIDE SUCH
     2  OTHER INFORMATION AS DETERMINED BY THE SECRETARY OF THE
     3  DEPARTMENT.
     4  Section 10 11.  Cooperation with department.                      <--
     5     The secretary may request and shall receive from any
     6  department, division, board, bureau, commission or agency of the
     7  State or of any political subdivision thereof such assistance
     8  and data as will enable him to properly carry out his activities
     9  hereunder and effectuate the purposes herein set forth. The
    10  secretary may also enter into any contract for services as he
    11  deems necessary with a private agency or concern upon said terms
    12  and conditions as he deems appropriate. Information concerning
    13  patient and medical data provided to the secretary pursuant to
    14  this section shall be kept confidential according to these
    15  provisions. STATISTICAL INFORMATION COLLECTED UNDER THIS ACT IS   <--
    16  PUBLIC INFORMATION.
    17  SECTION 12.  IMMUNITY FROM LIABILITY.
    18     A PHYSICIAN OR A HOSPITAL SUBJECT TO THIS ACT WHO COMPLIES
    19  WITH THIS ACT MAY NOT BE HELD CIVILLY OR CRIMINALLY LIABLE FOR
    20  PROVIDING THE INFORMATION REQUIRED BY THIS ACT.
    21  Section 11 13.  Report by department.                             <--
    22     The department shall make an annual report to the Legislature
    23  of its findings and recommendations concerning the
    24  effectiveness, impact and benefits derived from the special
    25  policies as provided for in this section ACT. Such report shall   <--
    26  be delivered on or before March 1 and shall contain evaluations
    27  of the policies and any legislation deemed necessary and proper
    28  to the House FEDERAL-STATE RELATIONS COMMITTEE and THE Senate     <--
    29  Military and Veterans Affairs Committees COMMITTEE.               <--
    30  Section 12.  Location of commission in department.                <--
    19810H1575B2147                  - 7 -

     1     The commission shall be housed in the Pennsylvania Department
     2  of Health in Harrisburg and an office shall be made available
     3  with a phone and clerical support in a State health building in
     4  both Philadelphia and Pittsburgh. The offices in Philadelphia
     5  and Pittsburgh shall assist with data gathering and information
     6  outreach services to Agent Orange victims from Pennsylvania with
     7  service in Vietnam.
     8  Section 13.  Appropriations 14.  APPROPRIATION.                   <--
     9     The sum of $225,000 $300,000, or as much thereof as may be     <--
    10  necessary, is specifically appropriated to the Department of
    11  Health for the fiscal period 1981-1982 to be allocated by the     <--
    12  Department of Health as follows:
    13         (1)  $100,000 to the Department of Health to carry out
    14     the provisions of this act.
    15         (2)  $75,000 to the commission to carry out its duties.
    16         (3)  $50,000 to the commission for the salaries of its
    17     executive director and clerical staff. TO CARRY OUT THE        <--
    18     PROVISIONS OF THIS ACT.
    19  Section 14 15.  Effective date.                                   <--
    20     This act shall take effect September DECEMBER 1, 1981.         <--







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