PRINTER'S NO. 3114

        INTRODUCED BY STURLA, FAIRCHILD, SOLOBAY, HUTCHINSON, CORRIGAN,

           BELFANTI, CAPPELLI, FRANKEL, GEORGE, GRUCELA, HARHAI, HORSEY,

           JAMES, JOSEPHS, LESCOVITZ, MANDERINO, McGEEHAN, MELIO,

           TURZAI, PALLONE, SAINATO, SCHULER, STABACK, STEELMAN, THOMAS,

           TIGUE, VEON, WANSACZ, WOJNAROSKI, YOUNGBLOOD AND CURRY,

           JANUARY 2, 2002

        REFERRED TO COMMITTEE ON VETERANS AFFAIRS AND EMERGENCY

           PREPAREDNESS, JANUARY 2, 2002

                                     AN ACT

     1  Amending the act of April 9, 1929 (P.L.177, No.175), entitled

     2     "An act providing for and reorganizing the conduct of the

     3     executive and administrative work of the Commonwealth by the

     4     Executive Department thereof and the administrative

     5     departments, boards, commissions, and officers thereof,

     6     including the boards of trustees of State Normal Schools, or

     7     Teachers Colleges; abolishing, creating, reorganizing or

     8     authorizing the reorganization of certain administrative

     9     departments, boards, and commissions; defining the powers and

    10     duties of the Governor and other executive and administrative

    11     officers, and of the several administrative departments,

    12     boards, commissions, and officers; fixing the salaries of the

    13     Governor, Lieutenant Governor, and certain other executive

    14     and administrative officers; providing for the appointment of

    15     certain administrative officers, and of all deputies and

    16     other assistants and employes in certain departments, boards,

    17     and commissions; and prescribing the manner in which the

    18     number and compensation of the deputies and all other

    19     assistants and employes of certain departments, boards and

    20     commissions shall be determined," providing for measures to

    21     detect and track potential and existing public health

    22     emergencies, for declaring state of public health emergency,

    23     for control of property and persons during state of public

    24     health emergency and for public information regarding and

    25     planning for public health emergencies; and establishing the

    26     Public Health Emergency Planning Commission.

    27     The General Assembly of the Commonwealth of Pennsylvania

     1  hereby enacts as follows:

     2     Section 1.  The act of April 9, 1929 (P.L.177, No.175), known

     3  as The Administrative Code of 1929, is amended by adding an

     4  article to read:

     5                           ARTICLE XXV-D

     6               EMERGENCY HEALTH POWERS AND PROCEDURES

     7                    (a)  Preliminary Provisions

     8  Section 2501-D.  Short title.

     9     This article shall be known and may be cited as the Emergency

    10  Health Powers Act.

    11  Section 2502-D.  Legislative findings.

    12     The General Assembly finds that:

    13         (1)  The Commonwealth must do more to protect the health,

    14     safety and general well-being of its citizens.

    15         (2)  New and emerging dangers, including emergent and

    16     resurgent infectious diseases and incidents of civilian mass

    17     casualties, pose serious and immediate threats.

    18         (3)  A renewed focus on the prevention, detection,

    19     management and containment of public health emergencies is

    20     called for.

    21         (4)  Emergency health threats, including those caused by

    22     bioterrorism and epidemics, require the exercise of

    23     extraordinary government functions.

    24         (5)  The Commonwealth must have the ability to respond

    25     rapidly and effectively to potential or actual public health

    26     emergencies.

    27         (6)  The exercise of emergency health powers must promote

    28     the common good.

    29         (7)  Emergency health powers must be grounded in a

    30     thorough scientific understanding of public health threats

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     1     and disease transmission.

     2         (8)  Guided by principles of justice, it is the duty of

     3     the Commonwealth to act with fairness and tolerance toward

     4     individuals and groups.

     5         (9)  The rights of people to liberty, bodily integrity

     6     and privacy must be respected to the fullest extent possible

     7     consistent with the overriding importance of the public's

     8     health and security.

     9         (10)  This article is necessary to protect the health and

    10     safety of the citizens of this Commonwealth.

    11  Section 2503-D.  Purposes.

    12     The purposes of this article are to:

    13         (1)  Authorize the collection of data and records, the

    14     control of property, the management of persons and access to

    15     communications.

    16         (2)  Facilitate the early detection of a health emergency

    17     and allow for immediate investigation of such an emergency by

    18     granting access to individuals' health information under

    19     specified circumstances.

    20         (3)  Grant State officials the authority to use and

    21     appropriate property as necessary for the care, treatment and

    22     housing of patients and for the destruction of contaminated

    23     materials.

    24         (4)  Grant State officials the authority to provide care

    25     and treatment to persons who are ill or who have been exposed

    26     to infection and to separate affected individuals from the

    27     population at large for the purpose of interrupting the

    28     transmission of infectious disease.

    29         (5)  Ensure that the needs of infected or exposed persons

    30     will be addressed to the fullest extent possible given the

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     1     primary goal of controlling serious health threats.

     2         (6)  Provide State officials with the ability to prevent,

     3     detect, manage and contain emergency health threats without

     4     unduly interfering with civil rights and liberties.

     5         (7)  Require the development of a comprehensive plan to

     6     provide for a coordinated, appropriate response in the event

     7     of a public health emergency.

     8  Section 2504-D.  Definitions.

     9     The following words and phrases when used in this article

    10  shall have the meanings given to them in this section unless the

    11  context clearly indicates otherwise:

    12     "Bioterrorism."  The intentional use of any microorganism,

    13  virus, infectious substance or biological product that may be

    14  engineered as a result of biotechnology or any naturally

    15  occurring or bioengineered component of any such microorganism,

    16  virus, infectious substance or biological product to cause

    17  death, disease or other biological malfunction in a human,

    18  animal, plant or another living organism in order to influence

    19  the conduct of government or to intimidate or coerce a civilian

    20  population.

    21     "Chain of custody."  The methodology of tracking specimens

    22  for the purpose of maintaining control and accountability from

    23  initial collection to final disposition of the specimens and

    24  providing for accountability at each stage of collecting,

    25  handling, testing, storing and transporting the specimens and

    26  reporting test results.

    27     "Commission."  The Public Health Emergency Planning

    28  Commission.

    29     "Contagious disease."  An infectious disease that can be

    30  transmitted from person to person, animal to person or insect to

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     1  person.

     2     "Health care facility."  A non-Federal institution, building

     3  or agency, or portion thereof, whether for profit or nonprofit,

     4  that is used, operated or designed to provide health services,

     5  medical treatment or nursing, rehabilitative or preventive care

     6  to any person or persons. The term includes, but is not limited

     7  to, ambulatory surgical facilities, health maintenance

     8  organizations, home health agencies, hospices, hospitals,

     9  infirmaries, intermediate care facilities, kidney treatment

    10  centers, long-term care facilities, medical assistance

    11  facilities, mental health centers, outpatient facilities, public

    12  health centers, rehabilitation facilities, residential treatment

    13  facilities, skilled nursing facilities and adult day-care

    14  centers. The term also includes, but is not limited to, the

    15  following related property when used for or in connection with

    16  the foregoing: laboratories, research facilities, pharmacies,

    17  laundry facilities, health personnel training and lodging

    18  facilities, patient, guest and health personnel food service

    19  facilities and offices and office buildings for persons engaged

    20  in health care professions or services.

    21     "Health care provider."  A person or entity who provides

    22  health care services. The term includes, but is not limited to,

    23  hospitals, medical clinics and offices, special care facilities,

    24  medical laboratories, physicians, pharmacists, dentists,

    25  physician assistants, nurse practitioners, registered and other

    26  nurses, paramedics, emergency medical or laboratory technicians

    27  and ambulance and emergency medical workers.

    28     "Infectious disease."  A disease caused by a living organism,

    29  which disease may or may not be transmissible from person to

    30  person, animal to person or insect to person.

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     1     "Infectious waste."  Any of the following:

     2         (1)  Biological waste, including blood and blood

     3     products, excretions, exudates, secretions, suctioning and

     4     other body fluids and waste materials saturated with blood or

     5     body fluids.

     6         (2)  Cultures and stocks, including etiologic agents and

     7     associated biologicals, specimen cultures and dishes and

     8     devices used to transfer, innoculate and mix cultures, wastes

     9     from production of biologicals and serums and discarded live

    10     and attenuated vaccines.

    11         (3)  Pathological waste, including biopsy materials and

    12     all human tissues, anatomical parts that emanate from

    13     surgery, obstetrical procedures, autopsy and laboratory

    14     procedures and animal carcasses exposed to pathogens in

    15     research and the bedding and other waste from such animals,

    16     but not including teeth or formaldehyde or other preservative

    17     agents.

    18         (4)  Sharps, including needles, IV tubing with needles

    19     attached, scalpel blades, lancets, glass tubes that could be

    20     broken during handling and syringes that have been removed

    21     from their original sterile containers.

    22     "Isolation."  The compulsory physical separation, including

    23  the restriction of movement or confinement, of individuals or

    24  groups believed to have been exposed to or known to have been

    25  infected with a contagious disease from individuals who are

    26  believed not to have been exposed or infected, in order to

    27  prevent or limit the transmission of the disease to others.

    28     "Mental health support personnel."  This term includes, but

    29  is not limited to, psychiatrists, psychologists, social workers

    30  and volunteer crisis counseling groups.

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     1     "Protected health information."  Information, whether oral,

     2  written, electronic, visual, pictorial, physical or any other

     3  form that relates to an individual's past, present or future

     4  physical or mental health status, condition, treatment, service,

     5  products purchased or provision of care, and that reveals the

     6  identity of the individual whose health care is the subject of

     7  the information, or where there is a reasonable basis to believe

     8  such information could be utilized, either alone or with other

     9  information that is or should reasonably be known to be

    10  available to predictable recipients of such information, to

    11  reveal the identity of that individual.

    12     "Public health authority."  The Department of Health, a local

    13  government agency that acts principally to protect or preserve

    14  the public's health, a person authorized to act on behalf of the

    15  Department of Health or local public health agency.

    16     "Public health emergency."  An occurrence or imminent threat

    17  of an illness or health condition, caused by bioterrorism,

    18  epidemic or pandemic disease or novel and highly fatal

    19  infectious agent or biological toxin, that poses a substantial

    20  risk of a significant number of human fatalities or incidents of

    21  permanent or long-term disability, where such illness or health

    22  condition includes, but is not limited to, an illness or health

    23  condition resulting from a natural disaster.

    24     "Public safety authority."  The Pennsylvania Emergency

    25  Management Agency, a local government agency that acts

    26  principally to protect or preserve the public safety or a person

    27  authorized to act on behalf of the Pennsylvania Emergency

    28  Management Agency or local agency.

    29     "Quarantine."  The term shall have the same meaning as the

    30  term "isolation."

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     1     "Specimens."  The term includes, but is not limited to,

     2  blood, sputum, urine, stool, other bodily fluids, wastes,

     3  tissues and cultures necessary to perform required tests.

     4     "Tests."  The term includes, but is not limited to, any

     5  diagnostic or investigative analysis necessary to prevent the

     6  spread of disease or protect the public's health, safety and

     7  welfare.

     8      (b)  Measures to Detect and Track Potential and Existing

     9                     Public Health Emergencies

    10  Section 2511-D.  Reporting.

    11     (a)  Illness or health condition.--

    12         (1)  A health care provider, coroner or medical examiner

    13     shall report all cases of persons who harbor any illness or

    14     health condition that may be caused by bioterrorism, epidemic

    15     or pandemic disease or novel and highly fatal infectious

    16     agents or biological toxins and might pose a substantial risk

    17     of a significant number of human fatalities or incidents of

    18     permanent or long-term disability.

    19         (2)  Such illnesses and health conditions include, but

    20     are not limited to, the diseases caused by the biological

    21     agents listed in 42 CFR 72, App. A and any illnesses or

    22     health conditions identified by the public health authority

    23     as potential causes of a public health emergency.

    24     (b)  Pharmacists.--

    25         (1)  In addition to the requirements of subsection (a)

    26     for health care providers, a pharmacist shall report any

    27     unusual or increased prescription rates, unusual types of

    28     prescriptions or unusual trends in pharmacy visits that may

    29     be caused by bioterrorism, epidemic or pandemic disease or

    30     novel and highly fatal infectious agents or biological toxins

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     1     and might pose a substantial risk of a significant number of

     2     human fatalities or incidents of permanent or long-term

     3     disability.

     4         (2)  Prescription-related events that require a report

     5     include, but are not limited to, any of the following:

     6             (i)  An unusual increase in the number of

     7         prescriptions to treat fever, respiratory or

     8         gastrointestinal complaints.

     9             (ii)  An unusual increase in the number of

    10         prescriptions for antibiotics.

    11             (iii)  An unusual increase in the number of requests

    12         for information on over-the-counter pharmaceuticals to

    13         treat fever, respiratory or gastrointestinal complaints.

    14             (iv)  Any prescription that treats a disease that is

    15         relatively uncommon and has bioterrorism potential.

    16     (c)  Manner of reporting.--The report shall be made in

    17  writing within 24 hours to the public health authority. The

    18  report shall include the following information, if available:

    19         (1)  The patient's name, date of birth, sex, race and

    20     current address, including municipality and county.

    21         (2)  The name and address of the health care provider,

    22     coroner or medical examiner and of the reporting individual,

    23     if different.

    24         (3)  Any other information needed to locate the patient

    25     for follow up.

    26         (4)  For cases related to animal or insect bites, the

    27     suspected locating information of the biting animal or insect

    28     and the name and address of any known owner.

    29     (d)  Animal diseases.--

    30         (1)  A veterinarian, livestock owner, veterinary

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     1     diagnostic laboratory director or other person having the

     2     care of animals shall report animals having or suspected of

     3     having any disease that may be caused by bioterrorism,

     4     epidemic or pandemic disease or novel and highly fatal

     5     infectious agents or biological toxins and might pose a

     6     substantial risk of a significant number of human and animal

     7     fatalities or incidents of permanent or long-term disability.

     8         (2)  The report shall be made in writing within 24 hours

     9     to the public health authority and shall include the

    10     following information, if available:

    11             (i)  The suspected locating information of the

    12         animal.

    13             (ii)  The name and address of any known owner.

    14             (iii)  The name and address of the reporting

    15         individual.

    16     (e)  Enforcement.--The public health authority may enforce

    17  the provisions of this section in accordance with existing

    18  enforcement rules and regulations.

    19     (f)  Definition.--As used in this section, the term "health

    20  care provider" includes an out-of-State medical laboratory,

    21  provided that the laboratory has agreed to the reporting

    22  requirements of this Commonwealth. Results must be reported by

    23  the laboratory that performs the test, but a laboratory in this

    24  Commonwealth that sends specimens to a laboratory outside this

    25  Commonwealth shall also report the results.

    26  Section 2512-D.  Tracking.

    27     (a)  General rule.--The public health authority shall:

    28         (1)  Ascertain the existence of cases of an illness or

    29     health condition caused by bioterrorism, epidemic or pandemic

    30     disease or novel and highly fatal infectious agent or

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     1     biological toxin that poses a substantial risk of a

     2     significant number of human fatalities or incidents of

     3     permanent or long-term disability.

     4         (2)  Investigate all such cases for sources of infection

     5     and ensure that they are subject to proper control measures.

     6         (3)  Define the distribution of the illness or health

     7     condition.

     8     (b)  Identification of exposed individuals.--To fulfill these

     9  duties, the public health authority shall identify exposed

    10  individuals as follows:

    11         (1)  Acting on information developed in accordance with

    12     section 2511-D or other reliable information, the public

    13     health authority shall identify all individuals thought to

    14     have been exposed to an illness or health condition caused by

    15     bioterrorism, epidemic or pandemic disease or novel and

    16     highly fatal infectious agents or biological toxins that

    17     poses a substantial risk of a significant number of human

    18     fatalities or incidents of permanent or long-term disability.

    19         (2)  The public health authority shall counsel and

    20     interview such individuals as appropriate to assist in the

    21     positive identification of exposed individuals and develop

    22     information relating to the source and spread of the illness

    23     or health condition. Such information includes the name and

    24     address, including city and county, of any person from whom

    25     the illness or health condition may have been contracted and

    26     to whom the illness or health condition may have spread.

    27         (3)  The public health authority shall, for examination

    28     purposes, close, evacuate or decontaminate any facility or

    29     decontaminate or destroy any material when the authority

    30     reasonably suspects that such facility or material may

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     1     endanger the public health.

     2     (c)  Enforcement.--An order of the public health authority

     3  given to effectuate the purposes of this section shall be

     4  enforceable immediately by the public safety authority.

     5  Section 2513-D.  Information sharing.

     6     (a)  Duty of public safety authority.--Whenever the public

     7  safety authority learns of a case of a reportable illness or

     8  health condition, an unusual cluster or a suspicious event, it

     9  shall immediately notify the public health authority.

    10     (b)  Duty of public health authority.--Whenever the public

    11  health authority learns of a case of a reportable illness or

    12  health condition, an unusual cluster or a suspicious event that

    13  it reasonably believes has the potential to be caused by

    14  bioterrorism, it shall immediately notify the appropriate public

    15  safety authority and Federal health and public safety

    16  authorities.

    17     (c)  Limitation.--Sharing of information on reportable

    18  illnesses, health conditions, unusual clusters or suspicious

    19  events between authorized personnel shall be limited to

    20  information necessary for the treatment, control, investigation

    21  and prevention of a public health emergency.

    22          (c)  Declaring State of Public Health Emergency

    23  Section 2521-D.  Standards for declaration.

    24     (a)  Declaration by Governor.--

    25         (1)  A state of public health emergency shall be declared

    26     by the Governor if the Governor finds an occurrence or

    27     imminent threat of an illness or health condition caused by

    28     bioterrorism, epidemic or pandemic disease or novel and

    29     highly fatal infectious agents or biological toxins that

    30     poses a substantial risk of a significant number of human

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     1     fatalities or incidents of permanent or long-term disability.

     2     The declaration shall be published as a notice in the

     3     Pennsylvania Bulletin.

     4         (2)  To make such a finding, the Governor shall consult

     5     with the public health authority and may consult with any

     6     public health and other experts as needed.

     7     (b)  Construction.--Nothing in the duty of the Governor to

     8  consult with the public health authority or the discretion to

     9  consult with public health or other experts shall be construed

    10  to limit the Governor's authority to act without such

    11  consultation when the situation calls for prompt and timely

    12  action.

    13  Section 2522-D.  Procedures for declaration.

    14     The state of public health emergency shall be declared by an

    15  executive order that indicates:

    16         (1)  The nature of the public health emergency.

    17         (2)  The area that is or may be threatened.

    18         (3)  The conditions that have brought about the public

    19     health emergency.

    20  Section 2523-D.  Effect of declaration.

    21     (a)  General rule.--The declaration of a state of public

    22  health emergency shall activate the disaster response and

    23  recovery aspects of the State, local and interjurisdictional

    24  disaster emergency plans in the affected political subdivision

    25  or area. The declaration shall authorize the deployment and use

    26  of any forces to which the plans apply and the use or

    27  distribution of any supplies, equipment and materials and

    28  facilities assembled, stockpiled or arranged to be made

    29  available pursuant to this article.

    30     (b)  Emergency powers of Governor.--During a state of public

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     1  health emergency, the Governor may:

     2         (1)  Suspend the provisions of any regulatory statute

     3     prescribing procedures for conducting State business or the

     4     orders, rules and regulations of any State agency if strict

     5     compliance with the same would prevent, hinder or delay

     6     necessary action, including emergency purchases, by the

     7     public health authority to respond to the public health

     8     emergency and increase the health threat to the population.

     9     The suspension shall be published as a notice in the

    10     Pennsylvania Bulletin.

    11         (2)  Utilize all available resources of the State

    12     government and its political subdivisions, as reasonably

    13     necessary to respond to the public health emergency.

    14         (3)  Transfer the direction, personnel or functions of

    15     State departments and agencies to perform or facilitate

    16     response and recovery programs regarding the public health

    17     emergency.

    18         (4)  Mobilize all or any part of the Pennsylvania

    19     National Guard into service of the Commonwealth. An order

    20     directing the Pennsylvania National Guard to report for

    21     active duty shall state the purpose for which it is mobilized

    22     and the objectives to be accomplished.

    23         (5)  Provide aid to and seek aid from other states in

    24     accordance with any interstate emergency compact made with

    25     the Commonwealth.

    26     (c)  Coordination by public health authority.--The public

    27  health authority shall coordinate all matters pertaining to the

    28  public health emergency response of the Commonwealth. The public

    29  health authority shall have primary jurisdiction, responsibility

    30  and authority for:

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     1         (1)  Planning and executing public health emergency

     2     assessment, mitigation, preparedness response and recovery

     3     for the Commonwealth.

     4         (2)  Coordinating public health emergency response

     5     between State and political subdivisions.

     6         (3)  Collaborating with relevant Federal Government

     7     authorities, elected officials of other states, private

     8     organizations or private sector companies.

     9         (4)  Coordinating recovery operations and mitigation

    10     initiatives subsequent to public health emergencies.

    11         (5)  Organizing public information activities regarding

    12     State public health emergency response operations.

    13     (d)  Identification.--After the declaration of a state of

    14  public health emergency, special identification for all public

    15  health personnel working during the emergency shall be issued by

    16  the Governor or public health authority as soon as possible. The

    17  identification shall indicate the authority of the bearer to

    18  exercise public health functions and emergency powers during the

    19  state of public health emergency. Public health personnel shall

    20  wear the identification in plain view.

    21  Section 2524-D.  Enforcement.

    22     During a state of public health emergency, the public health

    23  authority may request assistance in enforcing orders pursuant to

    24  this article from the public safety authority. The public safety

    25  authority may request assistance, with the approval of the

    26  Governor, from the Pennsylvania National Guard in enforcing the

    27  orders of the public health authority.

    28  Section 2525-D.  Termination of declaration.

    29     (a)  Executive order.--The Governor shall terminate the state

    30  of public health emergency by executive order upon finding that

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     1  the occurrence of an illness or health condition caused by

     2  bioterrorism, epidemic or pandemic disease or novel and highly

     3  fatal infectious agents or biological toxins no longer poses a

     4  substantial risk of a significant number of human fatalities or

     5  incidents of permanent or long-term disability or that the

     6  imminent threat of such an occurrence has passed. The executive

     7  order shall be published as a notice in the Pennsylvania

     8  Bulletin.

     9     (b)  Automatic termination.--

    10         (1)  Notwithstanding any other provision of this article,

    11     a state of public health emergency shall be terminated

    12     automatically 30 days after its declaration unless renewed by

    13     the Governor under the same standards and procedures set

    14     forth in this article for a declaration of a state of public

    15     health emergency.

    16         (2)  Any such renewal shall also be terminated

    17     automatically after 30 days unless renewed by the Governor

    18     under the same standards and procedures set forth in this

    19     article for a declaration of a state of public health

    20     emergency.

    21     (c)  State legislature.--By a two-thirds vote of both

    22  chambers, the General Assembly may terminate a state of public

    23  health emergency after 60 days from the date of original

    24  declaration upon finding that the occurrence of an illness or

    25  health condition caused by bioterrorism, epidemic or pandemic

    26  disease or novel and highly fatal infectious agents or

    27  biological toxins no longer poses a substantial risk of a

    28  significant number of human fatalities or incidents of permanent

    29  or long-term disability or that the imminent threat of such an

    30  occurrence has passed. Such a termination by the General

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     1  Assembly shall supersede any renewal by the Governor.

     2     (d)  Content of termination order.--All orders terminating a

     3  state of public health emergency shall indicate:

     4         (1)  The nature of the emergency.

     5         (2)  The area that was threatened.

     6         (3)  The conditions that make possible the termination of

     7     the state of public health emergency.

     8          (d)  Control of Property during State of Public

     9                          Health Emergency

    10  Section 2531-D.  Emergency measures concerning dangerous

    11                 facilities and materials.

    12     The public health authority may exercise, for such period as

    13  the state of public health emergency exists, the following

    14  powers:

    15         (1)  To close, direct and compel the evacuation of or to

    16     decontaminate or cause to be decontaminated any facility of

    17     which there is reasonable cause to believe that it may

    18     endanger the public health.

    19         (2)  To decontaminate or cause to be decontaminated or

    20     destroy any material of which there is reasonable cause to

    21     believe that it may endanger the public health.

    22  Section 2532-D.  Access to and control of facilities and

    23                 property.

    24     The public health authority may exercise, for such period as

    25  the state of public health emergency exists, the following

    26  powers concerning facilities, materials, roads or public areas:

    27         (1)  To procure, by condemnation or otherwise, construct,

    28     lease, transport, store, maintain, renovate or distribute

    29     materials and facilities as may be reasonable and necessary

    30     for emergency response, with the right to take immediate

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     1     possession thereof. Such materials and facilities include,

     2     but are not limited to, communication devices, carriers, real

     3     estate, fuels, food, clothing and health care facilities.

     4         (2)  To compel a health care facility to provide services

     5     or the use of its facility if such services or use are

     6     reasonable and necessary for emergency response. The use of

     7     the health care facility may include transferring the

     8     management and supervision of the health care facility to the

     9     public health authority for a limited or unlimited period of

    10     time, but shall not exceed the termination of the state of

    11     public health emergency.

    12         (3)  To control, restrict and regulate by rationing and

    13     using quotas, prohibitions on shipments, price fixing,

    14     allocation or other means, the use, sale, dispensing,

    15     distribution or transportation of food, fuel, clothing and

    16     other commodities, alcoholic beverages, firearms, explosives

    17     and combustibles, as may be reasonable and necessary for

    18     emergency response.

    19         (4)  To prescribe routes, modes of transportation and

    20     destinations in connection with evacuation of persons or the

    21     provisions of emergency services.

    22