Chap. 203.—An ACT to amend and re-enact Section 1514, as amended, of the Code
of Virginia relating to local tuberculosis sanatoria and reimbursement thereof
by State. [S B 156]

Approved March 23, 1946

Be it enacted by the General Assembly of Virginia:

1. That section fifteen hundred fourteen, as amended, of the Code
of Virginia be amended and re-enacted, as follows:

Section 1514. The governing body of any county, city or town
may unite with other counties, cities or towns in establishing and main-
taining, without the referendum above mentioned, such institutions which
shall thereafter be under the joint management of the contributing coun-
ties, cities or towns in the same manner as those mentioned in the pre-
ceding sections.

In order to share in the benefits of this section, any sanatorium
heretofore or hereafter established must meet the following require-
ments of the State Department of Health, to-wit: It must be located at
such a point as will, in the judgment of the State Health Commissioner,
serve the interests of a population sufficiently large to insure the econom-
ical operation thereof; and it must be so equipped and operated as to
conform reasonably with the best modern standards set for the equip-
ment and operation of tuberculosis sanatoria.

In the case of sanatoria now or hereafter established, maintained
and operated by cities, counties or eleemosynary agencies duly incor-
porated under the laws of Virginia, if they wish to share in the benefits
of this section, they must make provision for the care of Virginia citi-
zens who are not residents of such cities or counties maintaining and
operating such sanatoria or of the locality for whose benefit in whole or
in part such eleemosynary agency maintains and operates a sanatorium,
and must place at the disposal of the State Health Commissioner for the
use of such Virginia citizens aforesaid twenty per centum of the total
bed capacity of such sanatoria.

To any sanatorium meeting the requirements above set forth, the
State Health Commissioner is hereby authorized to pay, out of funds
available for this purpose, the actual per diem cost of maintaining all
Virginia citizens at such sanatorium; provided that in no case shall such
per diem allowance exceed the maximum per diem expended by the
State at its own sanitoria for the maintenance of patients who share in
the payment of their own expenses; and provided, further, that any
sanatorium receiving the benefits of this section may provide for the
reimbursement to it in whole or in part of the difference between the
State allowance and the actual per diem expense incurred by it in the care
of such outside patients.

Nothing in this section shall prevent the authorities of any sana-
torium from making a moderate charge for patients willing and able
to pay a part of their own expenses; but no sanatorium taking patients
tor profit shall share in the benefits of this section, nor shall the State
appropriation be used in any case to supplement the payment for any
patient to the extent of making such patient a source of profit to the
Institution caring for him.