Chap. 179.—An ACT to amend and re-enact section 1514 of the Code of Vir-
ginia, relating to the establishment of local sanatoria for sufferers from
tuberculosis, and to appropriate funds from the State treasury therefor.

[S B 63]
Approved March 20, 1930

I. Be it enacted by the general assembly of Virginia, That section
fifteen hundred and fourteen of the Code of Virginia be amended and
re-enacted so as to read as follows:

Section 1514. The board of supervisors of any county and the
council or other governing body of any city or town may unite with
other counties, cities or towns in establishing and maintaining, without
the referendum above mentioned, such institutions which shall there-
after be under the joint management of the contributing counties, cities
or towns in the same manner as those mentioned in the preceding
sections.

In order to share in the benefits of this section, any sanatorium here-
tofore or hereafter established must meet the following requirements
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 economical
operation thereof; and it must be so equipped and operated as to con-
form 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
citizens 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 may maintain and operate
a sanatorium, and must place at the disposal of the State health com-
missioner 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 the fund
created by this section, one-half of the actual per diem cost of main-
taining 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 sanatoria for the maintenance of pa-
tients 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 dif-
ference 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
for 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.

2. To encourage the establishment of such sanatoria as well as
to aid in the maintenance of sanatoria already established for the
benefit of the citizens of Virginia and not operated for profit, the sum
of fifty thousand dollars a year or as much thereof as shall be needed
to carry out the purposes of this section is hereby appropriated out of
the State treasury for each of the two years of the next fiscal biennium;
provided, that any surplus in the first fiscal year may be used, if neces-
sary, in the second year.