OFFICE OF THE ATTORNEY GENERAL OF TEXAS

AUSTIN

Bonorabae 0ea. %. Car State Enmlth Officer Anut in, 

### Tera8

Denr Sir!



### earbemuue St rr B eertiiisste i8- amlly or housakold 

## oh~6b8~ or th0 

## ~OUIWmaanhoturmr



# aeet* ar

or thir opialoa, (opirriea Ro. rtmnt) doe8 RoursoBill, Ha. borator~ ualy818, QC wp olkw 

### thO4or 

### ra&ihodsto be u88d b? tk8 detemi,alq the exletenc3oof 8aah dl8oe808, 

### or door Rena0 Bill Ro. 143 mma the 

### deturmination ot the mthcrda0bo used sabald ba lsrt 

### to the * wa6ai6ati6tu~6l6or6tlon 0r oh6 QhyuiOl8n~'XoonorableUeo. ,ii. cox, Page e

Your first 

### qaestion 6&ibl%ce6 **a fact**  

### 8iteaticsJ whioh this Departmeat oannot aadertahe to pass ubon The firet~uonteaao 0r *ction S of Eouae Bill X0: 142 ieadu 

### a8 fO1lOw61

"All health oertifioates Wiled for b'y 

### this Abt 8hall be bi8Qlm for 

### pablie ih6pro**tfoa at**  **the, phze**  **there the**  **pemoa naBad**  **tlmro** On i6 8i?&dOYdb, ORd 8bai$ not b0 FB8IOWd rm suoh plaoe dwingthe aontlnuanoe of maahem- 

### ~loymnt exoept by 

### a publie health offioer, II~I,","~6ppoint.d rgont, er qwn **valid** ooat .*

fhi6 SOUthR U16i9 6IIthorhOU t& publio health department and 104al lauxmking b0dfe8 to ertabli8h 8u& further mJe8, rcgdlatims ud ordinsaeer as they a6y (lo661 06sentm to **onrry** out tke intentfoaa 0r the Aat. m6 olmr intention of t&e Legislature 16 to **provide** for all 

### person6 pos8oselng health **aert5.floatea** under tbo Aot to display the came 

### at the place where ther 

### are employed. This does not man 

### that the eprployeeau& aa* iha 

### oor**tifioate** oa hfs pereon at al1 thou, ml! 

### thnt be must 

### dis**play it**  **at my**  ?lae8 

### Otbar **than the**  **plaae 45**  hi8 ePrploppent. The EO& of diaplaflhg the eortiflaate is an inuidental questlcm 

### of faot and nutboritiee di;ieotlyoonoerned uith pablia health are given -18 

### eutlanity to **enaot** clarifyI8g rule6 and **regaleticar,** ii they are eonuidered neaessary.
Seatioa Z of Ibaw Bill No. 142 pravidee that it shall be unlawful for amy mmufaoturer 

### or v8ndor cb caadiea or manufactured 8weeta to kmwingly consign, 6e11 or furnl8h mah produote to any par8on or persons for the purpoas of 

### rooale froma private reaitiense,unless such 

### person or.pereons dirpl8y a amplets valid Imalth certlfioate issued for la ah~mmber of the faally or bweebold froawbiob produet are to be resold. The ooly offense outlined by **this** 8ection i8 the sot of the mwmfaoturer **or** the 

### produot ia knolria&ly aonrigning, aelllng or furah&lag eandier 

### ar nanufaotured tweets to a per806 rho ha6 n0t mst tM requirement8 tbueia set out. The fast that the perron to v&o= the prodact baa been aold has 8ot met suah requirement8 f6 not aa offense under Se;eotiCU S. Ia 

### answer to your eeoond qw8tlon we aAvlre you that See

### tlon 2 does require a health oertlfleate for 8tWh me8ibeZ

### of the 

### ranilyor household, **mjphrdls88** of 

### whetha? not

they hare 

### atqtA.ng to do 

### with tho aotual 

### reude. a2 he “F candy.



### Ia wmwer to your fourth queatioa,wJadvb8 

### you tbit w6 find no Be%tiQ 

### or provision 

### rhioh readers the bill ~o~titutioaal, 

### OTwhioh 

### la itself oontravenes aay pmvia-ionof t&o Constitation. The protection of public health **fs** a 8ubjeet which properly falls within the exeroiae d the-polioe 

### power of the State, and it is the duty of thb Departmat 

### to resolve every resuraable Q 

### ebt 3a 

### faTor& ga validity of suah legislatioa, ii snoh doubt exists. the iaot that this Abt I8 Pew 18 8latios, wa do n0t into& to express, **au tbia**  **time, any**  op ion on mans and lesthods **hQlOyOd ia**  **the** eniOF%aMEt **Of it8**  **pY~Bh68, i.IUIOf~**  **a8 tb**  subjeot of oonstit&tiOnallty ia 

### oownrned.

Imediately **preoeding your**  third 

### qoautica the foJJ.od~ paragraph appears ia your letter:

.I **quote** fmm year opinion Ilo.O-215 and& bat8 Or JfWWY. 2’7,1939 68 f0ii0~8: ‘Se expro08 no opinion herein that a laboratory analy**al8** ia or is rmt neoeaoary to determine the existence of lnfeatioea 

### or coamnnieable diseases. 'iabold mzelyttittbe LegUlature **haanottander t&n**  to preecribe a laboratory analysis or any other partioalar nethcd or methode to **be used**  by the chysiclan In determining tlm exlatence 

### of Buoh diseases, but btiTo6 the deternriaation

### of tlw methods 

### to be used to the aoaroientious **dis** 

### oretloa of the physLDien.*

The opinion to which you ret- does mt aecesaarily hare any bear- OR the question prevented,-Bin08 it
was rendered on a statute whiOh differ8 greatly in termin

### ology from the one now 

### under scrutiny. It does apply inSOfar **aB** it **eXpraS83eEi M**  **unwi11inglm38 On**  **th% pet**  **Or this**  

### Depar&nt to dictate methods of praotioe to the mediaal profes8ion.

?rom this paragraph and 

### yaer letter as a whole, however, we gather the 

### reaaioa tbt you are priaoipal

### ly intereeted in ag whether or lrot

### tho **pFOVhb.XIU** of Roaue Bill lo. 142 **require** a phyeioiaa to 

### basr **Id8 Opin**  ion oa a laboratary analplu lu 

## l ocerE&lne **freedom** from vaereal dieease. Yerther, lt oppeara thnt tho 

### oontmreruy
as to 

### whether or sot **bleed test8**  **Ue** mbeMaPy Driaeipally arises in the ease of sxamiaations for remmeal diaeaee.

## 580

**&narible Oso.**  **‘ 15.** **Cox, Paage** **4**

artiola 44,445

ot tha Bavised Chil Statutea ai TCmr aa**rinas ~ana~aal**  **dinaases uid**  

### dealares tlmm 

### to be ~&pioua~$footioua, aommnlaabla and 

## d4n~arou4 ti % i3gvirtue 

## 0r thir lagSaletira daolarati Wuso 3111 I&. 142 and cay other lagislatita aot rbiyh &oats tha 8ubBjaotof lnfaotlou8, oolsuuniaablo and aon~&ma diseasea, doer apply to tonersal dieaa~~.
.

??aquota ths 

## rouoldng Jictims txxm BpLuo Bill Bo .' 14e for tha purpaea .i%f asaertdnlng 

### the fntantiw 

### of 

### ~giJldl.IW

~híibm the 

### hn@a&a

thaPaiE

l mplo~r

ill& of 

### aenduotlng My hot.1 Or any 0th~ pprbIf0 8lsaping or oatitag pleaa, or 

### any plaaa or rohialo whro **1-6 of**  **drink or**  aonhlnaro **there for,**  **oi My**  kind, **iJ** zuuWfaetw6, **trMSfaX ’** **Ped,** propared, 

### stored,**paokad,** 

### l rvod, sold, 

### or othorvise bandlad in thirrAata, or any manufaotura or randor of amdias or mnufaoturad maate, **shall work,**  **aploy,** 

### or **keep 1.n** their **uxiloy, In**  on, OP **8bout** any said placa or vohlala, or have dolfvorad aafartiola tharafrom, any 

### par&x& inrooted 

### with any transmlmiblo 

### oenditioa of say ldeotioua OTcontagious aiseasaI or **work, or**  employ 

### any parson 

### to 

### workln, on or about 

### 84kld ?laoo, or **to** 

### dolivar an7artlsla thrmfrvn, a0 at the time or his or bar amployaat, fallad **to** deliver to the omplayar OP his **a-t, a**  oortifiato **Ji&lad br**  **a** lagall~ llaaasad physioiM, raiding in 

### tbs oounty whsro **said** permom 1s to

m.ummbla 

### and lntaotiour dlsaaeee, 

## 0r all l uoh”

. 

## 581.

anuh axamination had bean niade dlsaloslng the fast that he or 

### any tram+asib~~ moedi~on~~f

_ of suahparson, Sh8WEUZtP28 trora sn~aoamtioah+ and llIZ8Otiou8dlIS8a888." (Undarsoorlng oy8 )
=38atioi!i

3. Ralth C8rtlrioate--Displayed, All hmlth OertI.fla@xi 

### aellsd 

### for bjrtlxls Act shall b8 ikL5playodfor publia l~~~pa~tionat the 008 WtSl% the pSrsOn nansd thereon is a~@lOyad, andshallnotbar8nmm-dfrcmsnoh plao8 

### durlqthe oont5.nuanooof 

### suohemploymot. except 

### by a publ.io haaltk 

### oiriaar, his duly appointed %8llt, or U 

### relid amrt order, &ll suoh aartiilaaten 

### shelf" bear the ewloyae*s sip,nature. 

### the narueof the phssiciwp~ ereoutlng examInationa and taxts, and shall 

### describe th0 

### color of syaa, and hals, BOight, weight, race Jex, ago, and date 

## 0r idsu8nc8,and shall be **mlid** rot six Jlnathsonly. Publia health depa&aeptS,asd looal Ii+mmk&g bodies,are heraby authorizei to establish suoh iurtber rulas, regulat1ozi.v

and ordinanoea es they .aaydeem essential to th8.axaoution or tha fntanti0.m of this :,ct; proridine, however, thst au. conditions or thir Aot shall be requisite to all such regulations and ordinanoa.9,except, that 

### the said a;hhorftlas my adopt a pkq for the reglstratlon of the physicians' 

### o%.rtificates

required by this i;ctand in lieu tharsof issue a registration oard to 8ho?ithat the person namd thereon hss mqliad with aI3 of the prorisions of this Aat; providing rurther that the **said** registr;ztionaard must basrthe signature of tha 

### person~namedthereon and skill be displayed
ror publio inspeiM.on at the glxe where suah a person 16 eixployad.w (Underscoring cups)

"3eOfloxl4. failure to COl~ply&ith .kot. %a iallure of any ;rerson,firm~corporation, cosmon carrier or associstion em3tgad in any 0r the businossas descrlbad 

### In this Aot, 

### to display at 

### the place wbera any of the oparatiom Of such bwineSs%8 era baing conducted,,a ttild health or registratfon oertiflcatc),as requ%md by this Aat, for sit& person azaployBdin, on, or about such place, shsll be prima raoie evidence that the said person, 

## rim, aorporatioa, 0txu3021 oarrler or association, in riolation of r~uframanta oalLed for by this :iet,fallad to rat@.re th8 exhIbition or 

### the pre-aatployreentXonorable Geo. X. Car, Page 6



### xI3rem;a serrandxltlon of rebster’s vJTtab5rid&l Diationary ~ntahs the iolle **definitions** ofwords appear- * in Eouse BUl No. 142:

Reotltet To follow out or throngh to tJ3eend;

to c8rr-yout or into aamplete 

### 0freotThorough: *So coraplete as 

### to leave notk&g unafYeotedoorm.ated;paiestakinglyexsot 

### or Oareful 

### about dahiL”

Zxa&re: Voteotbyanappropriate~thod; to

3.nspeataarefullyulthatiewto dlscover-therealaharaeterorstateo~ ~sOnt~~:w~ing 

### what xisinthe mst perfeet **de**



### gree; i7dis~bla ;

## importantIn the hlghestdegre~

Ihe 

### prwiskms of EOUIO Eill Eo. 

### 142 d-d *actual



## orthese terrjsit ia obtious 

### thatthe xagisl&xe intends to reqlrexmre than amere q~tim&igor aaaual examination. What type of examination is esaemtlal to the findin@ of freedomfram Weatious and aomamicable diseases could better be determIned by a 

## qualirfed phpieti, and this Department does nat desire to render any opinionwhich muld invade the field properly and capably occupied by the ~dioal protession. It is with 

## that tho@rt iamind 

### thatre have exminod several bulletins distributed by the Texas State Department or Ziealthin ZIJI sfYort to ascertain wh;ltgoeeduxe the mediaal profession and your Zemnt consider neoasaay to establish the 

## rindiagthataprson ie ire0 from lnfeotlous and ammmfeable diseases, dth pWtfeUl# refar~catoorphlllsandot~~diseases. From 

## 0~ sxsninati0aOrthis 158tarid~0rindthatbothyourDOpartaent andthe~~cal~r~iongenesallysaoato aanaider a blood teat essential to any exaz&atioIlwhichpurport~?~toestablAehfreedo=rnu.syphilis.

### Youwill n&e thattha 

### Legblaturein

## s&ion 3

of.muae Bill,%. 14?hasrOquIred that all o8rt$fi$&e8 ¥ aa tidenee that proper em&nations have&#Snmade *shall.besr the name of the physlclans executiag'zb.xminatlons, and teeta." The language hero rpred the thought that the'Lsgl.slaturecunteraplated. at physltr alan8 ~sh0ul.d



### resort to maas 

### other than a siera

### routlnu examinat1on. Cxu5ecmently Itbeeomea apparentthatwhatever tests are generdly reJred to show freedom from such dlmi+smas~~" be resmtd to by physloians issuing 

### the

Ztthe'reareavaIlablsaeansothartha~the blood tests ;hieh are acoeptable methods of dotefreedom from such dl.aeaaeaItwould of eaurse be Ia order for exaainets 

### to use such procedure. In short, the Inipslature has regrriredin 

### Boa80 Bill 60. 142 that the physl

### alanwho issusstb~tk aertI.fiaate

### nrorldedforthereln



### examination

### ortests-are necessaryoi

### ~essentlal toau& findings. 

## xi It iotrze that in order to 

### dlsoover5yphIlIs
a physical examination plus a blood test Is reglred, then physl0ie.M should mpirs blood terts of all Fer&oZIs

### extxslzwd underthe 

## 6Utbority

or House Bill 

### no. 14E. xi the t'Vas#rmann '&St is 5W=-ary then such 

### test should be admInIstered. 

### PIIS qn~tlan, 

### however,cannot b6passed xqioti by thl8 Separtimnt. 

## a7raFli43to ~3pf~u-y the

## type0rtest. which should be 

## enploye4,the 

## Legislature has left the physiaiaq unlkaqered and f?eO to resort to 

### the latest aad mat wogeh precautions qmptable to **re5entirla** effort to chac!t th&jPpra~d s&fdise-aS@- *Oreat Pependenae has **and**properly sh‘ouldbe placed upon *Aa Integrity of aa honorable pro

### fession in assrning ittill avail itselr 

### or every m+s now **at** lta corsend, of

# ~~38 available ln the 

# futnrtt,In the ever constant b6ttfa to stifle the enanies of rranirind'a health and security.

our 

## ri8id of kriowledgeis 

## not0r qrrioimt breadth to jUStirY Sny atte7st to rdec;untolydisauss this

we have use4 the d ease or syphilis 6s an exu to what zm2s or ttn8t.s 

### are necessary te 

### estabfreedomrrom this and otker dismses weHonorable Geo. W. Cox, Page 8



### frankly admit basic8imcwancs. Weart3**roroed to**  i&OH to **reliable** anthfmlty rorelgn 

### to the 

### pursuitof the

## .datSesIJRposeduponand exeouted by this Dlri.sIoon ot St+ I[i(nermmnt. Wither are 

## wecapable, on the besti o? our own' rtaliiiea

### tloaa,or alasslfylng

### diseases as thamrhlah,er 8,inieetlou8, eontagloua, and aozm~cab3e, and those wl&ah gti not.



### If this Depmtmentandtwtookto set 

### otit in this o&nion 

### the taxadnatlan 

### andthe type of teat6 to be iiia

### loyed UJIdSrBo~843au x0. 142, it WTLld ship4 b0 a refeeSa$i01% 

### of 

### opinionsand bulletinr issued and eimulated by yuuzDepartwnt **aad**

### by other oompetentmtdfosl authorities. In view of the.**faut** 

### that your pepertwnt oeeupfes thfs **field** 

### or speolaltiea knmeage w consider it o~~p(w~~aaryand improper 

### for ys to render an opinion 

### whfah reaches the premmptaous state wherein the 

### Attorney General unrZerta.kes to preserlbe w&hods which 9 phgslcienarnrt pursue inthe ethical.' prattiae og his proreeslon, and in rollming tibeplain mu%- 

## date0rthe legislature.



### RC:L?s¶

**QprOY%d** opinion **cowlttee** By R.W.F., '3xdrmm