and opportunity to be heard. The managers or trustees of each hospital now in office shall continue in office during the terms for which they were appointed.

Legislation § 2147. Added by Stats. 1903, p. 491.

§ 2148. Managers, eligibility of, and causes of forfeiture of office. No person is eligible to the office of manager, who is a member of the legislature or an elective state officer, and if he becomes such after his appointment his office is thereby vacated. If any manager fails for three months to attend the regular meetings of the board, unless he is ill or absent from the state, his office becomes vacant, and the board, by resolution, must so declare, and must forthwith transmit a certified copy of such resolution to the governor.

Legislation § 2148. Added by Stats. 1903, p. 491.

§ 2149. Managers' compensation. The managers are entitled to ten dollars per day for their attendance at meetings of the board, and while in the actual service of the state, and to their necessary traveling expenses, to be paid as are other current expenses of the hospitai; provided, that no manager shall receive more than two hundred and forty dollars, exclusive of traveling expenses, in any one year.

Legislation § 2149. Added by Stats. 1903, p. 492.

§ 2150. Powers and duties of the managers. Subject to the powers of the commission, each board of managers has general control and direction of the property and concerns of the institution for which it is appointed, not otherwise provided by law. It is the duty of the board of

managers:

1. To take care of the interests of the hospital, and see that its design and its by-laws, rules, and regulations are carried into effect, according to law;

2. To establish such by-laws, rules, and regulations subject to the approval of the commission, as it may deem necessary and expedient for regulating the duties of officers and employees of the hospital, and for the internal government, discipline, and management of the same;

3. To maintain an effective inspection of the hospital, for which purpose a majority of the board must visit the hospital at least every month, and the whole board once a year, and at such other times as may be prescribed in the by-laws;

4. To keep, in a book provided for the purpose, a fair and full record of its doings, which must at all times be open to the inspection of the commissioners in lunacy, or either house of the legislature;

5. To cause, within ten days after each meeting of such managers, or a committee thereof, a copy of the minutes and proceedings of such meeting to be sent to each member of such board and to the commission; 6. To enter, in a book kept by them for that purpose, the date of each of their visits, and the condition of the hospital and patients, and all the managers present must sign such entry;

7. To make to the commission, on or before the fifteenth day of August of each year, a detailed report of their visits and inspections, with suitable suggestions and such other matters as may be required of them by the commission, for the year ending on the thirtieth day of June preceding the date of such report;

8. To bring such actions in the name of the hospital with the consent of the attorney-general necessary to protect the interests of the hospital or to recover for the use of the hospital the amount due the hospital or any bond, note or other cause of action accruing to the hospital other than for the care, support, maintenance and expense of any patient or inmate therein.

Legislation § 2150. Added by Stats. 1903, p. 492.

§ 2151. Limitation upon the powers of managers. No money must be expended by the managers of any state hospital for the erection of additional buildings or for unusual repairs or improvements, except upon plans and specifications approved by the commission. The cost of such buildings to be occupied by patients, or inmates, including the necessary equipment for heating, lighting, ventilating, fixtures, and furniture, must in no case exceed five hundred and fifty dollars per capita for the patients or inmates to be accommodated therein; and subject to the said approval, the managers may employ a competent architect to prepare plans, specifications, or estimates of cost of proposed structures, and adopt such plans, specifications, or estimates, and after plans, specifications, or estimates of cost are so approved, may let contracts for erection of such buildings or making of such repairs, and may employ a competent architect to superintend the construction of such building or the making of such repairs.

Legislation § 2151. Added by Stats. 1903, p. 492.

§ 2152. Appointments by board of managers of state hospitals. Each board of managers must appoint for the hospital under its control, as often as vacancies may occur therein:

1. Medical superintendent. A medical superintendent, who must be a graduate of an incorporated medical college, and a well-educated physician, of good moral character. The medical superintendent of each of the hospitals for the care and treatment of the insane must have had not less than three years' experience in the care and treatment of the insane; and the medical superintendent of the Sonoma State Home for the care and training of the feeble-minded must have had not less than three years' experience in the care and treatment of the feeble-minded. The medical superintendent of the homeopathic hospital must be a homeopathic physician, and he must, in other respects, possess the same qualifications as other medical superintendents.

2. Treasurer. Removal. A treasurer, who is also ex officio secretary of the board, and who must keep all the books, records, and papers pertaining to the business of his office, and maintain such office wherever the board of managers directs. He must give an undertaking to the people of the state, in such sum as the board requires for the faithful performance of this trust, with sureties to be approved by it.

Any medical superintendent or treasurer may be removed by a majority vote of the board of managers for cause; such cause must be stated in writing and served upon the official charged. He must thereafter be given an opportunity to be heard. If removed upon such hearing, his removal is final.

3. Examination for medical superintendent. The appointment of any person as medical superintendent shall not be effective for any purpose

unless such person has passed, or shall pass, an examination touching his qualifications in all the different branches of medicine and surgery and especially in diseases affecting the mind and nervous system. The questions for such examination shall be prepared by the general superintendent and such medical superintendents as may be designated by the commission subject to the approval of the commission. Such examination shall be conducted by the general superintendent or by such medical superintendent of the hospitals as may be named by the commission for that purpose. An examination shall not be required of any medical superintendent or assistant physicians now in office in any state hospital. [Amendment approved 1915; Stats. 1915, p. 182.]

Legislation § 2152. by Stats. 1915, p. 182. § 2153. Medical superintendents. Duties of. The medical superintendent of each hospital is its chief executive officer. In his absence or sickness the first assistant physician or other medical officer designated by the medical superintendent, or by the commission, must perform his duties and be subject to his responsibilities. Subject to the rules and regulations established by the board of managers, the medical superintendent has general superintendence of all buildings, together with their furniture, fixtures, and stock, and the direction and control of all persons therein, and must:

1. Added by Stats. 1903, p. 493. 2. Amended

1. Personally maintain an effective supervision and inspection of all parts of the hospital, and generally direct the care and treatment of the patients and inmates. To this end the superintendent must personally examine the condition of each patient or inmate within five days after his admission to the hospital, and must visit all the wards or apartments for patients or inmates at such times as the rules and regulations of the hospital prescribe;

2. The superintendent of the home for feeble-minded must, on or before the fifth day of each month, prepare a true and correct report, verified by oath, of all inmates supported, cared for, trained, and educated in such hospital for the preceding month, and whose support, care, training, and education in such hospital are provided to be paid for by the several counties whence they came. This report must give the names and residences of all such inmates, together with the dates of their admission, and the department of the hospital in which they are detained, and the special grade of mental deficiency with which each is afflicted. Copies of this report must be filed in the offices of the state board of examiners, the controller, the treasurer of state, and state commission in lunacy, but must not be printed, or used, nor permitted to be used, for any other purpose than the special information of the officers designated. The superintendent must also, within the time above designated, prepare a report, verified by his oath, showing substantially the facts set forth in the above report, which must be filed with the county auditors of the several counties from which the commitments have been made to the institution, showing the name of each inmate supported, and for which such county is liable to the state for support and maintenance.

3. The superintendent of the home for feeble-minded must, annually, after the close of the fiscal year, and before the date at which the man

agers are required to make their annual report, make to the managers a report, giving the name, age, sex, nativity, residence, and date of reception of each pupil in the institution within the preceding year; and, as far as can be ascertained, the causes of imbecility; also the number discharged, with the date and reason therefor in each case, together with the name of each paying pupil, and the amount charged for him, and the amounts paid or unpaid; and also such other information and suggestions as may seem proper; which report must be kept on file in the office of the secretary of the board, but must not be printed. [Amendment approved 1909; Stats. 1909, p. 60.]

Legislation § 2153. 1. Added by Stats. 1903, p. 493. 2. Amended by Stats. 1909, p. 60.

§ 2153a. Powers and duties of medical superintendent. The medical superintendent of each hospital must appoint, by and with the consent of the board of managers:

1. Appointees of medical superintendent of state hospital. A supervisor, matron, and business manager, and all employees, none of whom must be his relatives, or that of any member of the board of managers, either by consanguinity or marriage, who shall be subject to such examination as he deems for the best interest of the hospital, the questions to be prepared by the general superintendent, subject to the approval of the commission;

2. Qualifications of assistant physicians. Such assistant physicians and internes as may be determined by the commission. Such assistant physicians and internes must be graduates of incorporated medical colleges, well education in their profession, who have received a certificate from the state board of medical examiners, and of good moral character;

3. Same. Where there are first and second assistant physicians, the first assistant physician must have had two years' actual experience, and the second assistant physician one year's actual experience in the care and treatment of the insane;

4. Women assistants. From and after the first day of July, A. D. nineteen hundred and five, whenever an additional assistant physician is appointed in any state hospital for the care and treatment of the insane or the California Home for the Care and Training of the Feeble-minded Children at Eldridge, Sonoma County, the appointment of such additional assistant shall be so made that at least one physician in each of said state hospitals and said home shall be a woman;

5. Examinations for assistants. No appointment of any person as first, second, or other assistant physician or interne shall be effective for any purpose unless such person shall pass or has passed an examination touching his qualifications for such position in all the different branches of medicine and surgery, and especially of diseases affecting the mind and nervous system. Such examination shall be conducted by the medical superintendent on questions prepared by the general superintendent and by such medical superintendents as may be designated by the commission, subject to the approval of the commission. The passing of an examination for a given position in any state hospital shall qualify any person for a similar position in any other state hospital;

6. Qualifications for homeopathic hospitals. At the homeopathic state hospital all assistant physicians and internes besides possessing the qualifications herein prescribed, must be graduates of an incorporated homeopathic medical college;

7. Duties of superintendent: Orders. The medical superintendent must: Give such orders and instructions as he may deem best calculated to insure good conduct, fidelity, and economy in every department of labor and expenses;

8. Maintain discipline. Maintain salutary discipline among all who are employed in the institution, and enforce strict compliance with his instructions and uniform obedience to all rules and regulations of the hospital;

9. Keep accounts. Cause full and fair accounts and records of the entire business and operations of the hospital to be kept regularly, from day to day, in books or forms provided for that purpose;

10. Report accounts to managers. See that all such accounts and records are fully up to the last day of June in each year, and that the principal facts and results, with his report thereon, are presented to the managers within thirty days thereafter, who must incorporate them in their report to the commission;

11. Record of patients. Keep a book, in which he must cause to be entered at the time of reception of any patient, his name, residence, and occupation, and the date of such reception, by whom brought and by what authority, and on whose petition committed, and an abstract of all orders, warrants, requests, petitions, certificates, and other papers accompanying such person;

12. Pay-rolls; accounts of support of patients. To prepare and keep the pay-rolls of the hospital, and collect all moneys; keep the accounts for the support of the patients, and expenses incurred in their behalf, furnish the treasurer statements thereof as they fall due; turn all moneys collected over to the treasurer, and report same to the board of managers at each meeting; notify the treasurer of the death or discharge of reimbursing or pay patients, within five days after such death or discharge;

13. Annual estimate for supplies, etc. Commission may revise estimate. Contracts to lowest bidder. Prepare triplicate estimates of the amount, kind, and quality of furniture and household furnishing goods, provisions, fuel, forage, clothing or material for clothing, and other material required for the twelve months ending June 30th of each year, which must be approved by the board of managers, unless a different time is allowed by the commission. He must submit two of the triplicate estimates to the commission, and file the third in his office. The commission may revise the estimate for supplies, either as to quality or quantity thereof, and must certify that it has carefully examined the same, and that the articles contained in such estimate as approved by it, are actually required for the use of the hospital; whereupon, after having approved the estimates, the commission must, beginning upon the fifteenth day of the month preceding the month in which contracts are to be let, advertise for four successive weeks, for contracts for furnish

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