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receipt. When said hospital is completed and ready for the treatment of patients, or whenever thereafter there are vacancies therein, admissions to said hospital shall be made in the order in which the names of applicants shall appear upon the application book to be kept as above provided, in so far as such applicants are certified to by the superintendent to be suffering from tuberculosis. No discrimination shall be made in the accommodation, care or treatment of any patient because of the fact that the patient or his relatives contribute to the cost of his maintenance in whole or in part, and no patient shall be permitted to pay for his maintenance in such hospital a greater sum than the average per capita cost of maintenance therein, including a reasonable allowance for the interest on the cost of the hospital; and no officer or employee of such hospital shall accept from any patient thereof any fee, payment or gratuity whatsoever for his services.

§ 49-a. Maintenance of patients in the county in which hospital is situated. Wherever a patient has been admitted to said hospital from the county in which the hospital is situated, the superintendent shall cause such inquiry to be made as he may deem necessary, as to his circumstances, and of the relatives of such patient legally liable for his support. If he find that such patient, or said relatives are able to pay for his care and treatment in whole or in part, an order shall be made directing such patient, or said relatives to pay to the treasurer of such hospital for the support of such patient a specified sum per week, in proportion to their financial ability, but such sum shall not exceed the actual per capita cost of maintenance. The superintendent shall have the same power and authority to collect such sum from the estate of the patient, or his relatives legally liable for his support, as is possessed by an overseer of the poor in like circumstances. If the superintendent find that such patient, or said relatives are not able to pay, either in whole or in part, for his care and treatment in such hospital, the same shall become a charge upon the county.

49-b. Admission of patients from counties not having a hospital. In any county not having a county hospital for the care and treatment of persons suffering from tuberculosis, a county superintendent of the poor, upon the receipt of the application and

certificate hereinafter provided for, may apply to the superintendent of any such hospital established by any other county, for the admission of such patient. Any person residing in a county in which there is no such hospital, who desires to receive treatment in such a hospital, may apply therefor in writing to the superintendent of the poor of the county in which he resides on a blank to be provided by said superintendent for that purpose, submitting with such application a written certificate signed by a reputable physician on a blank to be provided by the superintendent of the poor for such purpose, stating that such physician has, within the ten days then next preceding, examined such person, and that, in his judgment, such person is suffering from tuberculosis. The superintendent of the poor, on receipt of such application and certificate, shall forward the same to the superintendent of any hospital for the care and treatment of tuberculosis. If such patient be accepted by such hospital, the superintendent of the poor shall provide for his transportation thereto, and for his maintenance therein at a rate to be fixed as hereinafter provided.

§ 49-c. Maintenance of patients from counties not having a hospital. Whenever the superintendent of such a county hospital, shall receive from a superintendent of the poor of any other county an application for the admission of a patient, if it appear from such application that the person therein referred to is suffering from tuberculosis, the superintendent shall notify said person to appear in person at the hospital, provided there be a vacancy in such hospital and there be no pending application from a patient residing in the county in which the hospital is located. If, upon personal examination of the patient, the superintendent is satisfied that such patient is suffering from tuberculosis, he shall admit him to the hospital. Every patient so admitted shall be a charge against the county sending such patient, at a rate to be fixed by the board of managers, which shall not exceed the per capita cost. of maintenance therein, including a reasonable allowance for interest on the costs of the hospital; and the bill therefor shall, when verified by the superintendent of the poor of the county from which said patient was sent, be audited and paid by the board of supervisors of the said county. The said superintendent of the

poor shall cause an investigation to be made into the circumstances of such patient, and of his relatives legally liable for his support, and shall have the same authority as an overseer of the poor in like circumstances to collect therefrom, in whole or in part, according to their financial ability, the cost of the maintenance of such person in said hospital.

§ 49-d. Visitation and inspection. The resident officer of the hospital shall admit the managers into every part of the hospital and the premises and give them access on demand to all books, papers, accounts and records pertaining to the hospital and shall furnish copies, abstracts and reports whenever required by them. All hospitals established or maintained under the provisions of sections forty-five to forty-nine-e, inclusive, of this chapter, shall be subject to inspection by any duly authorized representative of the state board of charities, or the state department of health, of the state charities aid association and of the board of supervisors of the county; and the resident officers shall admit such representatives into every part of the hospital and its buildings, and give them access on demand to all records, reports, books, papers and accounts pertaining to the hospital.

§ 49-e. Hospitals at almshouses. Wherever a hospital for the care and treatment of persons suffering from tuberculosis exists in connection with, or on the grounds of a county almshouse, the board of supervisors may, after sections forty-five to forty-nine-e of this chapter take effect, appoint a board of managers for such hospital and such hospital, and its board of managers, shall thereafter be subject to all the provisions of this act, in like manner as if it had been originally established hereunder. Any hospital which may hereafter be established by any board of supervisors shall in like manner be subject to all the provisions of said section.

Senate bill No. 726, introduced by Mr. Newcomb, became chapter 342, and amended the Greater New York charter, relative to the establishment of hospitals for, and the care and treatment of, persons suffering from contagious or infectious diseases. As amended the section provides as follows:

§ 1170. Said board may remove or cause to be removed to a proper place designated by it, any person sick with a contagious, pestilential or infectious disease and designate, provide and pay

for the use of places for such persons. The board may erect, establish, maintain and furnish in such places within the city as are now used or may hereafter be designated by the board of estimate and apportionment for such purposes, buildings and hospitals for the care and treatment of persons sick with contagious diseases, and shall have exclusive charge and control of all municipal hospitals for the treatment of Asiatic cholera, plague, typhus fever, scarlet fever, yellow fever, measles, diphtheria and smallpox, but this shall not be construed to require the board of health to remove any person suffering from any of these diseases to the hospital therefor, unless in its judgment such removal is necessary for the protection of the public health. With the concurrence in writing of the department or departments thereby affected, the board of health shall, from time to time, subject to the approval of the board of estimate and apportionment, designate such hospitals established for or actually caring for persons suffering from a pestilential, contagious or infectious disease, as in its judgment should, in the public interest and for the protection of the public health, be under the exclusive charge and control of the said board. of health, and all hospitals so designated maintained by any municipal department or departments, together with the employees of such hospitals, shall upon such designation by the board of health and approval of the board of estimate and apportionment, granted after a public hearing, be transferred to the board of health and the control and maintenance thereof shall thereafter be vested in the board of health; provided, however, that the said board of health, with the concurrence in writing of the department or departments thereby affected, may from time to time designate a hospital for the treatment of an infectious disease, other than Asiatic cholera, plague, typhus fever, scarlet fever, yellow fever, measles, diphtheria and smallpox, under the jurisdiction of the board of health as one which may, without danger to the public health, be transferred to the jurisdiction of other municipal authorities authorized by law to establish or maintain public hospitals, and such designation, if approved by the board of estimate and apportionment, after a public hearing shall take effect, and the hospital so designated, together with the employees of such hospital, shall thereupon be transferred to such other municipal

authorities as are designated, and the duty of maintaining such hospitals shall thereupon vest in such other municipal authorities. Any municipal authority or hospital corporation maintaining a hospital or ward for the treatment of persons having a contagious or infectious disease may admit to such hospital or ward any person applying for admission thereto, and certified by the physicians of the said hospital to have the disease for which the said hospital or ward is maintained, and each such admission shall be reported immediately by such municipal authorities or hospital corporations to the board of health. The discharge of such person shall also be reported forthwith to the board of health. For the purposes of this section, a pestilential, contagious or infectious disease shall be one declared to be such by the board of health. The board of health shall have power to take possession of, and occupy for temporary hospitals, any building or buildings in the said city, during the prevalence of an epidemic, if in the judgment of the board the same may be required, and shall pay for private property so taken a just compensation for the same. Said board may cause proper care and attendance to be given to persons sick or removed, when it shall be made to appear to the said board that any such person is so poor as to be unable to procure for himself such care and attendance, or that the public health requires special medical care and attendance. The board of health may send to such place as it may direct, all aliens and other persons in the city, not residents thereof, who shall be sick of any infectious, pestilential or contagious disease. The expense of the support of such aliens or other persons shall be defrayed by the corporation of the city of New York, unless such aliens or other persons shall be entitled to support from the commissioners of emigration. No person shall remove any person sick with infectious, contagious or pestilential disease from any vessel or other place in said city without a written permit from the board of health.

Assembly bill No. 1335, introduced by Mr. J. S. Phillips, became chapter 347, and amended section 56 of the Poor Law, relative to the care and commitment of poor children, by making the section applicable to New York City as it previously applied to New York county, and also providing that poor law officers

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