State Board of Health-Bacteriologist and Assistant Bacteriologists-Appointment, Duties, and Salaries—Appropriation. (Act 247, May 10, 1917.)

SECTION 1. Sections 1 and 5 of act No. 109 of the public acts of 1907, entitled "An act to provide for the appointment of a bacteriologist by the State board of health; to provide for the purchase of the necessary appliances and apparatus for bacteriological examinations and providing an appropriation therefor," being compilers' sections 5001 and 5005 of the compiled laws of 1915, are hereby amended to read as follows:

SECTION 1. The State board of health is hereby authorized and empowered to employ a competent bacteriologist, whose duties shall be such as are or may be defined by law or defined by said board of health and shall be performed in connection with the department of public health. The salary of the person appointed bacteriologist shall be fixed by the said board of health. The State board of health is further authorized and empowered to employ such assistant bacteriologists as may be necessary to perform the work contemplated in this act; the salaries of such assistant bacteriologists shall be fixed by the State board of health.

SEC. 5. There is hereby appropriated annually out of any moneys in the State treasury to the credit of the general fund the sum of $7,500 for the purpose of carrying out the provisions of this act, which amount shall be paid to the State board of health in the manner now provided by the general accounting laws of this State. The auditor general shall add to and incorporate in the State tax for the year 1917 and every year thereafter, the sum of $7,500, which, when collected, shall be used to reimburse the general fund in the State treasury for the amount appropriated by this act.

County Tuberculosis Sanatoriums-Tax Levy for-State Aid. (Act 237, May 10, 1917.)

SECTION 1. Section 2 of act No. 139 of the public acts of 1909, entitled "An act relative to the maintenance and construction of hospitals and sanatoria within the counties of this State and to provide a tax to raise moneys therefor," being section 10855 of the compiled laws of 1915, is hereby amended to read as follows, and a new section is hereby added thereto to be known as section 5:

SEC. 2. The tax provided for herein shall be apportioned and collected as other taxes for county purposes. Said tax shall not exceed two-tenths of 1 mill on each dollar of assessed valuation of said county, unless the same shall have been submitted to a vote of the qualified electors of such county.

SEC. 5. Any sanatorium, established under the provisions of this act solely for the treatment of tuberculosis and which shall have expended at least $10,000 in buildings and equipment, may, upon application to the State board of health, be placed upon the approved list of county sanatoriums, and once entered upon said approved list, may remain listed and be entitled to State aid so long as the scope and character of its work are maintained in such manner as to meet the approval of the State board of health. On the first day of July of each year the secretary of the board of said sanatorium on the approved list, shall report under oath to the State board of health, the character of the work done and the treatment given, the number and names of the persons employed and patients treated and on said date remaining in such sanatorium, the amount contributed by said county or counties for the support of such sanatorium, and such other matters as may be required by the State board of health. Upon the receipt of such report, if it shall appear that the sanatorium has been maintained in a satisfactory manner, the secretary of the State board of health shall make a certificate to that effect, together with the cost of maintenance for the year and the amount actually contributed by each county therefor, and file it with the auditor general. Upon receiving such certificate the auditor general shall draw his warrant payable to 180457°-2015

the treasurer of each county contributing toward the maintenance of such sanatorium, for a sum equal to one-half the amount actually contributed by said county for the support of such sanatorium for the preceding year: Provided, That the total sum so paid as State aid shall not exceed the sum of $3,000 for any one sanatorium in any one year. The auditor general shall annually, beginning in the year 1918, include and apportion in the State tax such sums as shall have been so paid.

Joint County Tuberculosis Sanatoriums-Establishment and Maintenance-Employees-State Aid. (Act 343, May 10, 1917.)

SECTION 1. Any two or more counties in this State may cooperate for the establishment and maintenance of a joint county sanatorium for the treatment of tuberculosis in the manner hereinafter provided. It shall be competent for the board of supervisors of any county to appoint a committee to confer with a like committee similarly chosen from any other county, for the purpose of formulating and agreeing upon initial plans for agreeing on a site for a joint county sanatorium and procuring an option or options for such site or sites.

SEC. 2. Whenever it is deemed desirable that a joint sanatorium be established, under the provisions of this act, and after the formulation of initial plans aforesaid, it shall be competent for the board of supervisors of each county concerned to appoint two suitable persons, residents of said county, as members of the board of trustees of such sanatorium. In the first instance one of such trustees shall serve for a period of one year from and after his appointment, and the other trustee shall serve for a term of two years from and after his appointment. Thereafter each trustee appointed in accordance with this act shall hold office for two years and until his successor is appointed and qualifies. Any person appointed as such trustee shall file his acceptance with the county clerk of his county, and shall also take and file with said clerk the constitutional oath of office.

SEC. 3. The trustees of any proposed sanatorium to be established hereunder shall immediately upon their appointment as herein before provided meet and organize by the election of a president, a vice president, a secretary and a treasurer. All the said officers shall be members of the board and their terms as officers shall expire with the expiration of their terms as such members. The initial meeting may be called by any four trustees, on the service of written notice upon the trustees selected in all the counties concerned.

SEC. 4. Said board of trustees shall adopt rules and regulations governing its own procedure, its time and place of regular meetings, the manner of calling special meetings, and such other matters as will enable said board to perform its duties and carry out the purpose of this act.

SEC. 5. At said first meeting, or as soon thereafter as may be, said board of trustees may advertise for, or otherwise procure, plans and specifications for a suitable building or buildings. The board of trustees shall meet with a committee of three appointed by each board of supervisors in counties cooperating. Said committee shall be members of the boards of supervisors and shall serve for one year from and after their appointment or until their successors are elected and qualified. Said committee shall estimate the amount to be expended for such site and sanatorium with the necessary equipment, together with the amount necessary for current expenses of such institu tion for the first year. Said committees and said board of trustees shall thereupon apportion the aggregate of the amount so required among the various counties concerned in proportion to the valuations of such counties as equalized by the State board of equalization at the preceding equalization thereof. The amount required to be raised by each of said counties together with the total amount so determined shall be certified by them to the several boards of supervisors, at the next session thereof, and they shall order a tax spread for such amount at the regular October meeting; or in its discretion any board of supervisors may borrow a part or all of such

amount and issue the obligations of the county therefor. Any tax hereby authorized shall be spread and collected in the manner provided by the general tax law of the State, and shall be subject to all incidents thereof.

SEC. 6. On or before the first day of September of each subsequent year said board of trustees and committee appointed as aforesaid shall estimate and determine upon the amounts necessary for current expenses and for necessary repairs and maintenance of such sanatorium and shall certify such determination to boards of supervisors who shall apportion the aggregate of such amounts among the various counties in the manner provided in the preceding section. Such apportionment shall be made and the amount to be raised by each county certified to the various boards of supervisors on or before the first day of October of each year; thereupon said boards shall order a tax spread for the portion raised by such county.

SEC. 7. All moneys raised either by taxation or by borrowing under the provisions of this act, shall be, in the first instance, paid into the treasury of the county where raised. The treasurer of said county shall, in case such money is raised by borrowing, immediately transmit the same to the treasurer of the county in which said sanatorium is located; and if said morey is raised by taxation, shall transmit the same on or before the 15th of March of each year. The county treasurer receiving such amounts shall deposit them in a special fund to be known as "The general fund of the joint sanatorium of the counties of....

SEC. 8. Money shall be paid out of the fund herein before provided for only for the purposes of this act, and only on the order of the treasurer of the board of the trustees of such sanatorium, countersigned by the secretary. A full and detailed account of all receipts and expenditures shall be kept and a report thereof shall be made to the board of supervisors in each county concerned, at the regular October session thereof. Such report shall be incorporated in the minutes of the board and be published as a part thereof.

SEC. 9. The board of trustees hereby created shall be a body corporate to be known and designated as "The board of trustees of a joint sanatorium of the counties of

;" and may sue and be sued by such corporate name. Said board is authorized and empowered to accept donations and bequests, to purchase and hold property in its corporate capacity for the purposes hereof, and to make all contracts that may be necessary for the carrying out of the duties hereby imposed. Said board may enter into necessary undertakings for the construction of a sanatorium subject to the same incidents as are now, or may be, by general law imposed upon public officials and boards of this State or of the various municipalities thereof invested with like powers and charged with like duties.

SEC. 10. Said board shall have general charge and oversight of the sanatorium established hereunder and may make rules and regulations therefor. Said board shall employ a competent person to act as superintendent of such institution, who shall be the principal executive thereof. The board may also employ such other officials, nurses and employees, as may be found necessary and may fix the compensation of all persons appointed or employed hereunder. Such compensation shall be paid out of the fund hereinbefore provided for. No claim against such board of trustees arising out of contractual liability or otherwise shall be deemed to impose any obligation whatsoever on any of the counties contributing to the support of said institution.

SEC. 11. No building shall be erected to be used as a part of such sanatorium for the treatment of tuberculosis patients unless and until the plans and specifications therefor, as adopted by the board of trustees, and said committees, shall have been submitted to, and approved by the State board of health. In all cases where the cost of construction exceeds the sum of $500 bids shall be advertised for, in accordance with such general rules and regulations as the board of trustees may establish.

SEC. 12. Any sanatorium established hereunder shall be deemed to exist and be maintained for the benefit of the people of the counties contributing to the support thereof. The board of trustees shall make regulations governing the admission and conduct of patients and may exclude any person or persons wilfully violating such regulations. Any indigent person afflicted with tuberculosis, in any of the said counties, may be admitted on the certificate of the superintendents of the poor or county physician, or any of them, of his county, upon such terms as may be determined by the said board of trustees. A person afflicted with tuberculosis who is not in indigent circumstances may be admitted and shall pay to said board of trustees, for the bereit of the institution, such reasonable compensation as shall be agreed on by such persons and such board. If the facilities of the institution will permit, the board of trustees may, in its discretion, accept patients afflicted with tuberculosis who are not residents of any of the counties contributing to the support of the institution, upon such terms as may be deemed proper.

SEC. 13. Said board of trustees shall, as soon as possible, make provision for the care and maintenance of dependent children whose parent or parents are inmates of the institution.

SEC. 14. In the treatment of inmates of such sanatorium no discrimination shall be made against practitioners of any school of medicine or healing recognized by the laws of this State. Each patient so receiving treatment shall have the right to employ, at his own expense, his own physician or practitioner and nurse; and any physician, practitioner or nurse so employed shall be permitted entire freedom with reference to the treatment of the said case, subject however to such reasonable rules and regula tions as shall be established by the board of trustees in accordance with the provisions of this act.

SEC. 15. Any vacancy occurring on said board of trustees shall be filled for the remainder of the term by the board of supervisors of the county represented by such trustee. The resignation of any such trustee shall be presented to his board of supervisors for action thereby.

SEC. 16. The said board of trustees may fix the compensation of the superintendent hereinbefore provided for at such reasonable amount, not exceeding $3,000 per year. as may be deemed proper. No member of said board shall be entitled to any compensation for his services but he may be reimbursed out of the fund of the sanatorium for any expense necessarily and properly incurred by him as a member of said board ani in pursuance of his official duties as such. All such claims shall be approved by the board of trustees and paid in the manner hereinbefore provided. No member of such board shall be in any way interested in any contract on behalf of the institution; nor shall he be employed to render services therefor: Provided, That nothing in this act contained shall be construed to affect any sanatorium established and maintained by any one county.

SEC. 17. Any sanatorium, established under the provisions of this act, and which shall have expended at least $10,000 in buildings and equipment, may, upon app'i stion to the State board of health, be placed upon the approved list of joint count sanatoriums. A joint county sanatorium, once entered upon said approved list, maremain listed and be entitled to State aid so long as the scope and character of its work are maintained in such manner as to meet the approval of the State board of health On the first day of July of each year the secretary of the board of each joint county sanatorium on the approved list shall report under oath to the State board of hea'th, the character of the work done and the treatment given, the number and names of the persons employed and patients treated and on said date remaining in such sanatorium, the amount contributed by each county for the support of such sanatorium, and sch other matters as may be required by the State board of health. Upon the receipt such report, if it shall appear that the sanatorium has been maintained in a satisfactory manner, the secretary of the State board of health shall make a certificate to that

effect, together with the cost of maintenance for the year and the amount actually contributed by each county therefor, and file it with the auditor general. Upon receiving such certificate the auditor general shall draw his warrant payable to the treasurer of each county contributing toward the maintenance of such sanatorium, for a sum equal to one-half the amount actually contributed by each county for the support of such sanatorium for the preceding year: Provided, That the total sum so paid as State aid shall not exceed the sum of $3,000 for any one sanatorium in any one year. The auditor general shall annually, beginning in the year 1918, include and apportion in the State tax such sums as shall have been so paid.

Health Districts-Creation-Appointment, Powers, and Duties of Board of Health (Act 130, Apr. 25, 1917.)

and Health Officer-Taxes-Regulations.

SECTION 1. Any two or more contiguous townships or villages in any county, or portion of an adjoining county in this State, may unite to form and constitute a health district in the manner hereinafter provided.

SEC. 2. On petition of not less than 15 per cent of the qualified electors of any township or village, the township board, common council or board of trustees, as the case may be, shall submit to the determination of the electors of said township or village the question of uniting with other designated contiguous townships or villages for the purpose of forming a health district subject to the provisions of this act. Such question may be submitted at either a general or specified election in accordance with the statutes of this State pertaining thereto. Said petition shall be filed with the township clerk or the village clerk, as the case may be, and shall be presented to the township board or the village council at the next meeting thereof: Provided, That said petition shall be found by the clerk with whom it is filed to be signed by the requisite number of qualified electors. Thereupon it shall be the duty of said township board or trustees to at once examine said petition, and if the same is found to be in accordance with the requirements of this act, to provide for the submission of the question as aforesaid.

SEC. 3. The submission of such question shall in all respects except as herein otherwise provided, be governed by the general election laws of the State and ballots shall be prepared accordingly. It shall be the duty of the township board, common council or the board of trustees to prescribe the form of such ballot by proper resolution. The vote cast on such question shall be cast and counted in the same manner as is provided by law for the casting and counting of votes at general elections, and return thereof shall be made to the county board of canvassers of the county in which said township or village is situated. Such board of canvassers shall proceed to canvass said returns in accordance with the general election law of the State and shall certify the result thereof to the county clerk. If it appears from said certificate that a majority of all the votes cast in each of the townships and villages voting on said proposition and embraced within the district as designated in the initiatory petitions are in favor of the establishment of such district, it shall be the duty of such county clerk to place such certificate before the board of supervisors of the county at the next regular or special session thereof. Said board shall thereupon, by resolution, declare the health district created and shall assign thereto a distinctive number.

SEC. 4. Immediately upon the adoption of the resolution aforesaid, the township hoard of each township, common council or board of trustees of each village embraced within the health district shall select by ballot a member of the district board of health. The person so appointed shall be notified of such fact by the township or the village clerk. The persons so appointed shall constitute said district board, and the first meeting thereof may be called at a suitable time and place within the district by any two of such members on the serving of written notice upon the other members of the board. Each member of such board shall hold his office for two years and until his