OFFICE OF THE ATTORNEY GENERAL OF TEXAS 

AUSTIN 
8~16 *hall file 8 eopy:J of l uah aa8h l 4 a oepr bf h%r 

l ppolntmeat with the texnr State Boor4 af Health; 

and. until rush ooolee are 80 fll8d. 88id efflser 

-&ail not be Qeed ~10 

aad, ia &i&ttlon thirate, b 

oh dutlar a8 ohall be pnrorlb84 

for MD uuder thr rules, re(ul*tionr mid requiresent8 o? the tcxaa Nat8 Board of Pealth, BC the 

pro8ldeat thereof, and ir l a p o wer m&l ml l uthorltti 

tts wtabllsh, aalntala awl enforoe quarantine within 

h:r 6otmt7. He l hmll 8lao be npu1r.d to *id urd 

nrrirt the Strte Board of okrltb la a11 matter* t3f 

load quarantIa0, ia*potion, dleeaae DrOVWbt%OR 

-a 8upg3re88ba, rltnl an4 aorWary 8tatistlo8 anil 

gmeral unltrtlon wlthln hlr oowtr; and he rlull 

at ell timer report to 8ata Itate bo8r4, la 8uoh 

aunn*r nau f6rm aI it 8hnLl QlWOOr%k, the praroaar 

of 811 oontagiorrr, lnf8e$iou8 o.ud baagebwur 

eplderio 418#8re8 vlthla hi8 jurlm%letioq and he 

rhe,ll ~ske 8uah other end furthar ropertr ia 8uah 

mnmtr adI form and et 8uoh blrer 88 raid St8te Bo8rd 

l hall dlreot~ touohlng an ruah matters me my be 

~ropctr for 8rld Stat. bawd to dlnot~ nud he 8h8ll 

aid *aid State Ekwwi at 811 timer In the enrorwmsnt 

bf it8 pro~w ruleo, nfp’L*tLoua, requlreaent8 8nd 

ordlnanoo8, 8nd la the l nfaroeaent of r1.l l raltmly 

hur 8ud quarantlue Mgulstlaas wlthln hi8 jwrladictlaa. * (Unffereoartng our81 
Bonar8ble c. %OUOOS, pi&go 3 

lot8 thrrt rund#r &tiOl~ tilff t&S OOUQtJ hO81th 

orrloer 18 requlr8d to *perform l vob alt188 88 hew boon 

F0qUir.d Of OOUntl phlr8~OiJlO8, rlth TOl8tiOlt t0 OStiO~ ?Or 

the.primmsrr in Oo WIty Ja il8 l * * a& other 8uoh dutlo8 

80 MJ be lmirrlly requird of the oounty pbyala~ur br 

the 8OMiB8iOMr8’ OOWt 8ad Other Off180~8 of the Omllty, 

d rho11 di86har$O 81~7 rddltioul d~tle8 whloh it ray k 

9PQ98r iOr OOUOt7 8Uth0ritiSS d8r the pFO#Ont law t0 

resulre of oouaty ph~8lol8n8; * l *' 

oi OOUrSO, 88 YOU kWW, the &id.88 qaOM &OVO 

#I’8 a pert of th* hot a? Oh* 91ra0 @dm WoolOll Of Thor 

k~iShtW8 Of 

ghf8101UI md 

Uhat dutlea aould 

Could they b8 r8W&?M k l tS8m# @8okW# tn the o0udy J811? 

Zh18 W88 tht @VOW -8tta bOtON th0 tkPl'Om8 COtUt ia 

the #a80 of @d.wetn~~%tYnty t. Baolo, 91 tax. SW, 4S 8.Y. 

198. hur8 tb0 086~U#loa#rU' Oaolpt hdl l lOOtOd the I9981180 

oOWt;l 9h~SiO%&8 ul uong othtar duties rat forth La him e 

golntmoat ho 18 wqulreU to dgtro 8o6loal l ttontlom to the 

prl8ebwro et tbo ail.* 

!I 

The qu0etwU WS the mahority 0r 

the 6dtiiOUP'O @OUPt t0 win thW0 dutio8 Of &~~lOO 

8nd ew akpmmo Court raidt 

-0 the first qU.StlW pro$#ealR584, we unuw*r 

t;llt the Oslla1@81OMrr' OWFt Of ~TOStOll dOUIlt~ 

,. m outhorlaoU to nolo the owtr&ot for redloul 

l OWiOO8 t0 b@ l’OOi38FO~ t0 ~&lOrS aad 9~~008,~O 

! tW WhOSO O&W Wd SUpwl’t the OOWt~ It08 Nqulcti to pPovlbe.e 

The authority there me proMoat8di upon the fol~lowir( 

868tUtO (n0w ~rt~el0 1037, c&O Of armed ~08&W8)! 

*&ah OOU#t7 #h&%1 br 118b10 fOl' 811 OX9OlbOS 

iWUWOd OII 8OOWNBt Of th0 #St* kSaplU# Of 9F186Ib 

em oonfinod in Jail or kept us&or pad, l xeopt 

grironere brought fr08 8wtbr oowty for auf0 

kemplag, Or On hrrb888 OOrplU Or Cihall#O Of VSllUO; 

in vhlah OllS~S the Soun)~ trOr uhloh th8 9rtSQWr 

lr.braqht #hail be llabla tar the eXpen#e of hi8 

r nh k a ~~np . l 

The oaul¶t7'* aoty with rospret to %tS tJrlr8aon WOS 

l oT8 flmlf flxti b;r an tit of the L#gi81~tnn of 19m tnblr 

hrtlalr 1040, C&e af Urlriml W%WekWe) providing, ln wCOI 

'_ 
Honorable C. Sbwionm, pfkge 4 

'For the l efe keeplng, l upnort and mmlntmnanas 

of prlmonerm oonflned la 4811 or under qu8rd, the eherI?? shall be mllowed the tollowlng ohmrgmmr 

! 

: ” 

‘3. For neoemrary mdloal bill and namesmbtm 

extra compmn88tlon for attention to 8 brimmnmr 

during l ioknccm, muoh mm amount ae the oo#slmmlonerm 

oourt of the count7 uhere the prlmoaer!. 18 eonfiamd 

may detemlne to be Jurt md propmr,* 

You are aaoordingly l dvlmeQ thet It la the duty of 

the oounty hemlth ottlorr et the rmquemt of the oouil8slmker8~ 

oourt, the l herl?? or other qr,roper authoritiee, to &ttead and 

rendor mediaal amelnthnoc to urimonerm oontlnad in the awnt~ 

jail. Under Artlole 4423, l UDr 8, he mmy be mlloued l ny rmuonable oaraenmatloa by the oouPl8mlonnr8' oourt Sor 8ny l enieem 

aotually render&. 

Your meooad qaemtlon la with rmmpmet to the llmbllIty 

af the county for 8 nrlvate phymlolan~m fee when oalled by the 

l hmri?? to Mnimter to 8 prleoner oonflamd In the oounty J8ill. 

It ie clit?loult to sn8wer your qwstloa oategorlmal17. The llablllt~ o? the oount* for the tee of 8 ph~mislur other 

than the oountr health offloor rumt 6epen4 upon the oUearmtrnoe8 

involved In esoh vartloulmr otee. hportnrt ooneider8tlmnm ~113 

be the l vailablllty 8d v~2ll~nmer at the oouaty km8Pth ottioer 

to perform the dottern reqdre4, the UrganoJ of the SblliUes, rad 

the reamon8blenemc of thm fem. 

1Smmumlng the failure or retuul of the oounty health 

offlaer or hle unavAilablllty and that aodlo8l Attention 18 urgently needed by 8 oountr prl6Oaer, you AC0 mdVlmm6 that the 

eherl?? mry bind the oountf for a remmnble pbymlolaa'm tee. 

Wm had ooammian to oenmlder 8 l lsllar qua8tlon ln 

op1nlon lo. o-212. We were thara aonomrnmi aflth thm li8bility 

O? the stata ?Or neoemrar~ hOmQit8llt8tiOn 8Bd Pmd%m81 8csrViOm8 

readered a Qrlaoncr vhile in the oumtody o f l member of the 

Texmm Jil&hvaj Fatrol. In mperklng of the Stk.th'm duty to 

pr~monerm, we maid! 

i 

f 
Honorable C. Slamonm, page 6 

‘It lo the vcll emtabllmhmd genorml rule that 

the duty 8 l hmrl?? or other pmaoe ottloer ovem to 

-the etmte or to the 9ubllo to l atel~ keep a prlmeaer 

oowsltted to him wmtod~ and deliver him over to 

the moper euthorltlma ot the prapbr time, la no 

more compulsory than 1s the duty he owmm the orlmoner hlmmelt to exsrolme resmon8blm and srdlnaryomre 

to protect hlm 1We end haalth. There tvo dutlem 

are co-•xtenmlve an4 arlme by virtue of the oumtody 

dmuoh prleoner by muah ottloer under orIsIn8l 

oro0emm. 

MO. 101. 

21 R. C. L. 0. 1173 (Primoam 8nd Frlmoaerm, 

Logan v. U.8., 144 U.S. 26s 12 su9. ct. 

617; 36 L.&l. 42Q; kx Prrts Jenklnm, 66 W.r. 560; Stmte 

vm. Ciobln, 94 Fed. 48.' 

Xoreover, wm Doiatm6 out thet the or!t':oil oondltlmn 

of A prlmoner aa3 rmqulre that medlo81 attentloa be rendend 

by other8 than those umually required to perton l umh l erv~oem, 

l wlws 

'Am lllumtr8tlve of thlm bimormtion to WaIV8 

l tatutory ton8lltlem Ia l nmrgmnolem, we olte the 

aam of Lamar vm. Pike County, 30 I1.E. 912, holding 

th8t a oounty nm 118ble for wdloml ~ervloem 

rendered by a ph~mlolan l uaeoaed by the Jailer to 

Attend & rrrlmoner In 8n emergvnoy not adnIttIa(r 

of the tour hour@' delay nememm8ry tcs grooura the 

8ttenQr;ame of the l eoretar~ et the board o? hellth, 

rho remlded twlve ~11~ 8vaj from the Jill, aotvlthmkndlng the 88mtutm drovlddl ttmt the letter 

l houlQ rvnfier l uob meblaal l arvicce 8e wre Nqulred by 9rlmanerm. Ths oourt maMd 

*‘In the omme be?are urn It vae the duty m? 

Smith, the J8llOr la ahargr of the prlmoner 8nd 

aotlng for the mherltt, to mummoB a ewpetent 

phrmlolan under the exlmtlng easrgenej to treat 

the prlmoner, and threby l ave hlm life, I? muoh 

eauld be dono. It vauld here bmea ~aexeum8ble 

negleot OQ the part of the Jailer to have wmftmtl 

tour hourm to m\uaan the l eoraterjr of the baud 

of hemlth, twlve 8lle8 dirttat, whoa the neaeml ary redlaal mid oeuld be obtained mpmedlly dad 

near ot hrnd, and u8m ersentlrl to move the llte 

of the prlsoner . . . . Urn oannot believe that the 
Honorable C. %1a8oam, page 6 

l8v Intended where m n8n vam ln Jail, and In need 

of medloal menlae under the everganey exirtlag 

la thlm oame, where the bored of oouaty oonlmeloamrm hF.d l ppolnted A l eoretmr~ at the bored of 

hemlth, vhoee duty It wmm la muoh dame8 to render 

muoh medloel 8mmlmtmnoe, but whome remldenoe wee 

l o resote tram the oounty Jell thet he soula not 

be prooured In time to render the aiA nutled, thmt 

the orlmoner l hmula be left to mutter and perhpm 

&lo, and that the eountf would not be liable for 

the l ervlaom thum renderml by A p~mIolmn uader 

the erplo~ment of the j8Iler bavlag the prleaner 

in oharge . ' * 

Cartmlnlj 8 county owe* no gremter tlwtr to It8 

paper8 th8n to ltr prlmonerm, end long ago the Teum Oourt 

o? 4ppemlm held In Xonghoa It &lmmoa v. VAR Zanttt bUatJ, 8 

Wl'ilmon, Clv. Cam. Ct. App., seetloa 198, ttmt a county 

warn liable for sedioal m~rvloem rendered A pauper mt the 

requemt at the oounty Judge aaU a cuber of the -1melloaere 

oourt . The oourt 8mIQr 

~Countlam an reqalrsd to provide tar thW 

'muppnort' of their pauper@. 'Suuopert,' am umed 

here, ueane more than n~pvl~lag them v;;hnptit 

and alothlng 8nd a Boame to atal In. 

~11 that 18 noeemmary to bmdlly he8lth rrnd @mafort, a d l mpeolally dorr It lnolu8e prope&;;m, 

clttentlon snd tremtaent aumg l ~oknemm. 

18 m l uprmme oblIg8tlOa of hruanlt~, lndepoa4ent 

of any 6trtutory unflmte. And whare aaequ8te provlmlon hnm not bmen am&e bf the eaulmmlouerm' 

oourt to ?urnlmh theam prI8e neoemoitlem of life, 

the oounty Judge, bmlng the prlnoIpml rmprmrent~- 

tlve of the eouats, or 8ay other member of the 

oo~lmmIonerm~ aeurt, aan, by eontrmot, bind thm 

oountf la say reamon8bla mum nooemmmry tar th0 

l up~:jort of m pruper. Ulthaut A ~MViOU8 OOUtFAOt 

ta that e?teot, It la 0810 of 8lokOere e phYmI018~ 

ehould glve hlm protemmiasll #arm And rttmRtlOn to 

8 wmr, ma implied oantrmet to pmf tar muoh 

l ervloem A rmrmonrble AOSpeR8ution vould l Xi@ t 

on the part of the couIPty. Ia thlm oame therm 

irn no quemtlon but that the l ervloee renderetl 
Woaorebl* c. Siamonr, QSge 7 

by ap?ellants were neoeerrry, ad we- well end 

skillfully verformed, and that the amount olalned 

.therrfor le remoneble. Suah beIn& the cane, it 

Is the duty of the oounty to pay the mount 

olalmee; wherefore the Judgment 18 revermee, and 

Judgment lo here ranfier?rd far e~ellrnte nealnet 

appellee for the amount olalaed and oostm.’ 

It 18 therefore our oonrldered oplnloa tml you am 

l dvIee5 that when the oount;l health offleer Ie umtilllag or 

utmbh to attend ant3 a private ~hyrIoIrn Ie oalled by thr 

l heriif, the county Ie liable for rearenable feee reeulting 

from hl8 a:nIetratIon to a oounty orleoner urgently in need 

of medlo81 attontlon. 

COMMn-mL 

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’ / Aseletant