of each county shall in accordance with the request of the district board levy a tax for such purpose of not less than 2 cents and not more than 8 cents on each $100 of assessed valuation of property in the county, and the sheriff shall collect this tax as other State and county taxes are collected.

Where two or more counties unite to form such district, the first cost of construction of the sanatorium and equipment, and the cost of all betterments and additions thereto, shall be paid by the counties composing the district, in proportion to the taxable property of each county, as shown by their respective county assessments.

Where a county or counties shall join such a district subsequently to its establishment, there shall be paid into the treasury of the district by each of said counties joining a sum to be determined as follows, viz, the first cost of construction of the sanatorium and equipment and the cost of all betterments and additions thereto to the date of such joining shall be apportioned among the counties which shall compose such district, after the admission of the county or counties joining, according to the taxable property of each county, as shown by their respective county assessments; and the amount so apportioned to each county joining shall be the sum payable by it. Said sum when paid into the treasury of the district board of trustees shall be used by it for the purpose of procuring and furnishing such additional grounds, buildings, and other equipment as may be proper and necessary, so as to provide reasonably and equitably for the care of patients from all the counties of the district.

The annual expense of maintaining the sanatorium, to which shall be added necessary transportation expenses of free patients admitted, shall be apportioned by the district board of trustees, borne to the counties composing the district in such proportion as said district board may determine to be reasonable and equitable in relation to the taxable property of each county.

The fiscal court or courts of the county or counties composing such district shall from time to time as the taxes levied for the purposes of said sanatorium are collected, appropriate same to the use of such sanatorium and shall direct the county treasurer to pay the amount of such appropriation to the secretary of said sanatorium, and to take the receipt of said secretary, countersigned by the president of said sanatorium, as his voucher thereefor.

Provided, however, That in a district wherein there is a county or counties containing a city or cities of the second class the district board of trustees shall annually estimate and, prior to December 31, lay before the general council or board of commissioners of such city or cities the need of such district for the site, erection, and maintenance, or for improvements, additions, and maintenance, or for improvements, additions, and maintenance [sic], or for the maintenance of the tuberculosis sanatorium for the next succeeding

year.

In order to raise such portion of this money as the board holds to be equitable proportion for the city or cities for the purpose or purposes above set out, such general council or board of commissioners shall at the next succeeding levy cause to be levied and collected a tax of not less than 2 cents and not more than 8 cents on each $100 of property assessed for taxation for city purposes, and said levy shall be included in the annual appropriation ordinance for that year. And where such portion is asked of a city or cities the district board shall ask of the county or counties of the district only such portion of the total sum estimated to be necessary for the sanatorium district as the district board holds to be the equitable proportion for such county or counties.

180482-20- 6

(10) When a tuberculosis district shall have been established by any county or counties, and an appropriation shall have been made, or a tax levied for the construction of a sanatorium, the board of trustees of said district shall select a site for said sanatorium, but, before any site can be fianlly selected and adopted, the same shall be approved by the State board of health. The site selected by said district board of trustees shall be in such part of the district as in their judgment shall be best adapted to the wants of the institu tion and most economical to the district, regard being had in the selection to water supply, drainage, facility of access, with a quality of soil suitable for farming purposes, and price asked for the land. All plans and specifications for the erection of such sanatorium shall be submitted to the State board of health for its approval, and, if approved by it, such district board of trustees shall be authorized to proceed at once with the erection of same. If not ap proved by the State board of health, then said board shall make such recommendations as to it may seem best, and if such recommendations are acceptel by the board of trustees of the district, then it shall proceed with the erection of a sanatorium in accordance with the recommendations of the State board of health.

(11) Said board of trustees, as heretofore created, shall have the general control of the property and affairs of the sanatorium and shall take such action as shall be necessary to carry out the purposes of this act.

Said board shall also have power, in connection with said sanatorium or as part thereof, to provide for, establish, operate, and maintain clinics, dispensaries, day camps, summer camps, visiting nurses, to promote and carry on campaigns of education, and to use such other suitable and adequate means and methods as may seem necessary and proper for the treatment, relief, and prevention of tuberculosis; and said board may use the property, equipment, and supplies of the sanatorium for said purposes, or may cooperate with anti tuberculosis leagues, medical societies, and organizations which are engaged in carrying on such work.

(12) The district board of trustees shall have power to borrow money on the credit of the board in anticipation of the revenue to be collected from the county and city taxes levied for the tuberculosis sanatorium district, for the fiscal half year in which the same is borrowed, and to pledge said taxes levie for the tuberculosis sanatorium district for the payment of the principal and interest of said loan: Provided, That the interest paid shall in no case exceed 6 per cent per annum and the principal shall in no case exceed 50 per cent of the anticipated revenue for the fiscal half year in which the same is borrowed.

The members of the board of trustees shall receive no compensation for their services, but they shall be reimbursed for their actual expenses necessarily incurred in the performance of their duties, upon vouchers duly approved by the board of trustees, signed by the secretary and countersigned by the president thereof.

The district board of trustees shall appoint a medical superintendent of the senatorium who shall not be a member of said board, who shall be a legally qualified physician in good standing, either man or woman. The superintendent shall be a graduate in medicine and surgery from a medical college ap proved by the State board of health and of acknowledged skill in his pro Tession, and must have had special training and experience in a hospital or sanatorium for tuberculosis. The superintendent shall, in all matters pertaining to the sanatorium, be under the general supervision of the board of trustees, and may be removed by such board at any time for cause upon writteda charges preferred and after an opportunity to appear and make defense. The

1

board shall also have power to appoint a successor to the superintendent, and may for good cause employ some one to act temporarily as medical superintendent of the sanatorium who is not possessed of all the above-mentioned qualifications: Provided, That such temporary employment shall be for a term not exceeding 12 months: And provided further, That such employee shall at no time be a member of said board.

The medical superintendent shall be the chief executive officer of the sanatorlum. He shall have the general superintendence of the buildings, grounds, furniture, fixtures, stock, and the direction and control of all persons therein, subject to the by-laws and regulations prescribed by the district board of trustees. He or his representative shall daily ascertain the condition of each and all the patients and prescribe or direct their treatment. He shall cause full and fair records of all his official acts and the entire business and operation of the sanatorium to be kept regularly from day to day, in the manner and to the extent prescribed by the by-laws; and he shall see that all the accounts and records are fully made up, and present the same to the board of trustees at their annual meeting. It shall be the duty of the medical superintendent to admit any member of the board of trustees, or any member or officer of the State board of health at any time into every part of the sanatorium, and to exhibit to him or them on demand all books, papers, accounts, and writings belonging to the sanatorium, or pertaining to its business management, discipline, or government. He shall make at the time of reception of patients a record of the date of same, name, age, residence, occupation, and such other statistics in regard to every patient admitted to the sanatorium as the by-laws may require. The medical superintendent shall have power to appoint, with the advice and consent of the board of trustees, whenever in their discretion it seems necessary, an assistant physician or physicians, each of whom shall be a legally qualified physician, a graduate in medicine and surgery from some medical college recognized as in good standing by the State board of health and of acknowledged skill in the medical profession. The medical superintendent shall also have power to remove such assistant physician or physicians, with the consent of the board of trustees. The medical superintendent shall have the power and authority to employ any servant or employee at the sanatorium, all of whom shall be under his direct supervision, and any of whom may be removed by him at will. All moneys collected by the medical superintendent shall be immediately paid over by him to the treasurer of the sanatorium, and his receipt be taken therefor. No personal fees, charges, or pecuniary compensation of any kind shall be collected by the medical superintendent or any employee of said sanatorium for services rendered to a patient while a patient in said sanatorium.

(13) No member of the board of trustees of said sanatorium, and no employee thereof, shall be interested directly or indirectly in any contract, or receive any benefit directly or indirectly from any contract made with said sanatorium.

(14) The treasurer shall have the custody of all moneys, bonds, notes, mortgages, and other securities and obligations belonging to said sanatorium, and moneys shall be disbursed only for the uses and purposes of the sanatorium and in the manner prescribed by the by-laws on itemized vouchers allowed by the board of trustees, and signed by the secretary and countersigned by the president. He shall keep a full and accurate account of all receipts and payments in the manner directed in the by-laws, and such other accounts as the board of trustees shall prescribe; he shall render statements of accounts of the several books, and of the funds and other property in his custody whenever required so to do by the board of trustees. He shall have all accounts

and records fully made up to the last day preceding the annual meeting, and present the same to the board of trustees at its annual meeting.

(15) There shall be a thorough visitation of said sanatorium by two of the trustees thereof monthly, and by the whole board annually. On each of these occasions a written report of the State of the institution shall be submitted to them by the superintendent of the sanatorium. On a day to be fixed by the by-laws of the board of trustees of each district, there shall be held each year the regular annual meeting of the board, at which the superintendent of the sanatorium and the secretary and the treasurer thereof shall each submit a report of the affairs of the sanatorium in such form as may be prescribed by the State board of health, and the secretary and treasurer shall also submit a statement of his accounts, and the reports of the superintendent, secretary, and treasurer, and the latter's statement of accounts shall be transmitted in duplicate by the board with their annual report to the State board of health.

(16) The district board of trustees shall have power to establish such bylaws as it may deem necessary and expedient from time to time for defining the duties of officers, assistants, or employees, for fixing the conditions of admission to the institution, support, and discharge of patients, and for conducting in a proper manner the professional and business affairs of the sanatorium, and also to ordain and enforce a suitable system of rules and regulations for the internal government, discipline, and management of the sanatorium.

(17) No person shall be received into said sanatorium as a free patient, unless said person shall have been a resident of Kentucky and of said district for at least 12 months next preceding such person's application for admission into said sanatorium, and no person entitled to be admitted as above shall be received as a free patient in said sanatorium, unless said person shall file with his or her application for admission into said sanatorium a certifcate of the county judge of the county of which such person is a resident stating that from evidence submitted to said county judge, he is of the opinion that such applicant is unable to pay for maintenance in said sanatorium. The board of trustees of said sanatorium shall have power to provide by rule, the character of examination to which any applicant for admission into said sanatorium shall submit before being admitted into said sanatorium for the purpose of ascertaining whether or not such applicant is suffering from tuberculosis No greater number of persons shall be admitted to said institution than can be properly taken care of and treated. As nearly as it may be done, each county of the district shall have the right to have admitted its proper and proportionate number of free patients, who are unable to pay their maintenance in said sanatorium.

(17a) Where patients who have been or may be maintained in said sana. torium, have or shall acquire estate which can be subjected to debt, the county attorney of such county of said patient's residence is authorized and directed in every such case to sue them in the name of said sanatorium and recover the amount of such patient's maintenance, or so much thereof as such estate will suffice to pay for the time such patients shall have been kept and maintained therein, and not otherwise paid for, and by proper proceedings subject their estates, respectively, for the payment thereof; and when the husband, wife, or parent of any such patient, who has been or may be supported in said sanatorium, shall have estate sufficient for the support of such patient, in addition to the support of any other persons who may be dependent on such husband or parent, in like manner to sue and recover from such

husband the amount of his wife's maintenance, from such wife the amount of her husband's maintenance, from such parent the amount of his or her child's maintenance, at the rate aforesaid for the time that they shall have been respectively maintained by said sanatorium, and the statute of limitations providing the time in which actions for such recovery may be instituted shall not run against recovery herein provided for until from and after time at which said estate is acquired. Such suit shall create a lis pendens lien, and if judgment is obtained, such judgment shall constitute a lien upon so much of the patient's estate as is described in the petition, and said county attorney shall be allowed a fee of 15 per cent of the amount collected for his services.

(176) If at any time the accommodations of the sanatorium will permit the treatment and care of patients in excess of the indigent patients sent by the county or counties of the district, as hereinbefore provided, persons, residents of this State, whether residing inside or outside of said district, may be received into such sanatorium when the cost of transportation, support, care, and maintenance is paid to the sanatorium by any county, person, public health league, or any other agency whatsoever, and when such other requirements as may be established by the district board of trustees are complied with. The amount to be charged by said sanatorium for the care and maintenance of such persons shall be fixed by the district board of trustees. Before such persons shall be admitted to said sanatorium, for the purpose of determining whether or not they are afflicted with tuberculosis, they shall submit to such an examination as the district board of trustees may by rule determine.

(17c) The fiscal court of any county, in lieu of providing for the erection of a district sanatorium for tuberculosis, may contract with the district board of trustees of any other district where such sanatorium has been constructed for the care and treatment of its residents of such county who are suffering from tuberculosis, and the fiscal court of the county in which such patients reside shall pay to the sanatorium of the district receiving such patients the actual cost incurred in their care and treatment and other necessaries, and shall also pay for their transportation, and shall pay further sum to such sanatorium as the board of trustees may under proper rules and regulations provide.

(177) All sanatoria established under this act shall at all reasonable times keep open for the inspection of the State inspector and examiner all of its records and books of accounts.

(17e) The State board of health is hereby authorized to make such rules and regulations as may be necessary to enforce any of the provisions of this act, such rules and regulations not being in conflict with the powers delegated to local boards, and such rules and regulations as may be necessary to control the action of local boards when its members fail or refuse to execute the * provisions of this act as herein provided.

(18) That it being the intention of the general assembly in enacting this law to enact each section of this act separately, if any section or proviso contained in any section of it shall be held to be invalid, such fact shall not affect the remaining portion of said act or section, it being the intention of the legis lature to enact each section and each proviso thereto separately.

(19) That the State board of health is hereby authorized in its cooperation. with the national, State, or other sanitary or philanthropic organizations, for the preservation and protection of the health and efficiency of the people of this commonwealth, to accept funds from the National Congress, or any branch