Senate Bill sb1286c1

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    Florida Senate - 2001                           CS for SB 1286

    By the Committee on Children and Families; and Senator King





    300-1664-01

  1                      A bill to be entitled

  2         An act relating to the Lawton Chiles Endowment

  3         Fund; amending ss. 17.41, 20.435, F.S.;

  4         conforming statutory cross-references; amending

  5         s. 215.5601, F.S.; providing legislative intent

  6         to provide funds for the support of public

  7         health and biomedical research; revising

  8         procedures for the administration of the

  9         endowment fund; revising provisions concerning

10         the availability and use of funds from the

11         endowment; establishing an advisory council;

12         amending s. 215.5602, F.S.; providing for

13         public health and biomedical research;

14         providing an appropriation; providing an

15         effective date.

16

17  Be It Enacted by the Legislature of the State of Florida:

18

19         Section 1.  Subsection (4) of section 17.41, Florida

20  Statutes, is amended to read:

21         17.41  Department of Banking and Finance Tobacco

22  Settlement Clearing Trust Fund.--

23         (4)  Net proceeds of the sale of the tobacco settlement

24  agreement received by the state shall be immediately deposited

25  into the Lawton Chiles Endowment Fund, created in s. 215.5601

26  s. 215.5601(4), without deposit to the Tobacco Settlement

27  Clearing Trust Fund.

28         Section 2.  Paragraph (h) of subsection (1) of section

29  20.435, Florida Statutes, is amended to read:

30         20.435  Department of Health; trust funds.--

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  1         (1)  The following trust funds are hereby created, to

  2  be administered by the Department of Health:

  3         (h)  Biomedical Research Trust Fund.

  4         1.  Funds to be credited to the trust fund shall

  5  consist of funds deposited pursuant to s. 215.5601 s.

  6  215.5601(4). Funds shall be used for the purposes of the

  7  Florida Biomedical Research Program as specified in s.

  8  215.5602. The trust fund is exempt from the service charges

  9  imposed by s. 215.20.

10         2.  Notwithstanding the provisions of s. 216.301 and

11  pursuant to s. 216.351, any balance in the trust fund at the

12  end of any fiscal year shall remain in the trust fund at the

13  end of the year and shall be available for carrying out the

14  purposes of the trust fund.

15         3.  The trust fund shall, unless terminated sooner, be

16  terminated on July 1, 2004.

17         Section 3.  Section 215.5601, Florida Statutes, is

18  amended to read:

19         (Substantial rewording of section. See

20         s. 215.5601, F.S., for present text.)

21         215.5601  Lawton Chiles Endowment Fund.--

22         (1)  LEGISLATIVE INTENT.--It is the intent of the

23  Legislature to:

24         (a)  Provide a perpetual source of enhanced funding for

25  state children's health programs, child welfare programs,

26  children's community-based health and human services

27  initiatives, elder programs, and biomedical research

28  activities related to tobacco use.

29         (b)  Use tobacco settlement moneys as the source of

30  enhanced funding to ensure the financial security of vital

31  health and human services programs for children and elders.

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  1         (c)  Ensure that enhancement revenues will be available

  2  to help finance these important programs and initiatives.

  3         (d)  Provide funds to help support public-health and

  4  biomedical research for the prevention, diagnosis, and

  5  treatment of diseases related to tobacco use by creating an

  6  annual and perpetual source of funding for biomedical research

  7  in the state in order to expand the foundation of biomedical

  8  knowledge relating to the prevention, diagnosis, and treatment

  9  of diseases related to tobacco use, including cancer,

10  cardiovascular disease, stroke, and pulmonary disease; improve

11  the quality of the state's academic health centers by bringing

12  the advances of biomedical research into the training of

13  physicians and other health care providers; and increase the

14  state's per capita funding for biomedical research by

15  undertaking new initiatives in biomedical research which will

16  attract additional funding from outside the state while also

17  stimulating economic activity in the state in areas related to

18  biomedical research, such as the research and production of

19  pharmaceuticals, biotechnology, and medical devices.

20         (e)  Encourage the development of community-based

21  solutions to strengthen and improve the quality of life of

22  Florida's most vulnerable citizens, its children and elders.

23         (2)  DEFINITIONS.--As used in this section, the term:

24         (a)  "Board" means the State Board of Administration

25  established by s. 16, Art. IX of the State Constitution of

26  1885 and incorporated into s. 9(c), Art. XII of the State

27  Constitution of 1968.

28         (b)  "Endowment" means the Lawton Chiles Endowment

29  Fund.

30         (c)  "Earnings" means all income generated by

31  investments and the net change in the market value of assets.

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  1         (d)  "State agency" or "state agencies" means the

  2  Department of Health, the Department of Children and Family

  3  Services, the Department of Elderly Affairs, or the Agency for

  4  Health Care Administration, or any combination thereof, as the

  5  context indicates.

  6         (3)  LAWTON CHILES ENDOWMENT FUND; CREATION;

  7  PRINCIPAL.--

  8         (a)  There is created the Lawton Chiles Endowment Fund,

  9  to be administered by the State Board of Administration. The

10  endowment shall serve as a clearing trust fund, not subject to

11  termination under s. 19(f), Art. III of the State

12  Constitution. The endowment fund shall be exempt from the

13  service charges imposed by s. 215.20.

14         (b)  The endowment shall receive moneys from the sale

15  of the state's right, title, and interest in and to the

16  tobacco settlement agreement as defined in s. 215.56005,

17  including the right to receive payments under such agreement,

18  and from accounts transferred from the Department of Banking

19  and Finance Tobacco Settlement Clearing Trust Fund established

20  under s. 17.41. Amounts to be transferred from the Tobacco

21  Settlement Clearing Trust Fund to the endowment shall be in

22  the following amounts for the following fiscal years:

23         1.  For fiscal year 1999-2000, $1.1 billion;

24         2.  For fiscal year 2000-2001, $200 million;

25         3.  For fiscal year 2001-2002, $200 million; and

26         4.  For fiscal year 2002-2003, $200 million.

27         (c)  Amounts to be transferred under subparagraphs 2.,

28  3., and 4. of paragraph (a) may be reduced by the amount the

29  endowment receives in that fiscal year from the sale of the

30  state's right, title, and interest in and to the tobacco

31  settlement agreement.

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  1         (d)  Beginning in fiscal year 2001-2002, $150 million

  2  of the existing principal in the endowment shall be reserved

  3  and accounted for within the endowment to be used solely for

  4  the funding for biomedical research activities as provided in

  5  s. 215.5602. The remaining principal shall be used solely as

  6  the source of funding for health and human services programs

  7  for children and elders as provided in subsection (5). The

  8  separate account for biomedical research shall be dissolved

  9  and the entire principal in the endowment shall be used

10  exclusively for health and human services programs when cures

11  have been found for tobacco-related cancer, heart, and lung

12  disease.

13         (4)  ADMINISTRATION.--

14         (a)  The board may invest and reinvest funds of the

15  endowment in accordance with s. 215.47 and consistent with an

16  investment plan developed by the executive director and

17  approved by the board.

18         (b)  The endowment shall be managed as an annuity. The

19  investment objective shall be long-term preservation of the

20  real value of the principal and a specified regular annual

21  cash outflow for appropriation, as nonrecurring revenue. From

22  the annual cash outflow, a pro rata share shall be used solely

23  for biomedical research activities as provided in paragraph

24  (3)(d), until such time as cures are found for tobacco-related

25  cancer and heart and lung disease. Five percent of the annual

26  cash outflow dedicated to the biomedical research portion of

27  the endowment shall be reinvested and applied to that portion

28  of the endowment's principal, with the remainder to be spent

29  on biomedical research activities consistent with this

30  section. The schedule of annual cash outflow shall be included

31  within the investment plan adopted under paragraph (a).

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  1         (c)  In accordance with s. 215.44, the board shall

  2  include separate sections on the financial status of the

  3  endowment in its annual investment report to the Legislature.

  4         (d)  Accountability for funds from the endowment which

  5  have been appropriated to a state agency and distributed by

  6  the board shall reside with the state agency. The board is not

  7  responsible for the proper expenditure of or accountability

  8  concerning funds from the endowment after distribution to a

  9  state agency.

10         (e)  Costs and fees of the board for investment

11  services shall be deducted from the earnings accruing to the

12  endowment. Fees for investment services shall be no greater

13  than fees charged to the Florida Retirement System.

14         (5)  AVAILABILITY OF FUNDS; USES.--

15         (a)  Funds from the endowment which are available for

16  legislative appropriation shall be transferred by the board to

17  the Tobacco Settlement Clearing Trust Fund, created in s.

18  17.41, and disbursed in accordance with the legislative

19  appropriation.

20         1.  Appropriations by the Legislature to the Department

21  of Health from endowment earnings from the principal set aside

22  for biomedical research shall be from a category called

23  Florida Biomedical Research Program and shall be deposited

24  into the Biomedical Research Trust Fund in the Department of

25  Health established in s. 20.435.

26         2.  Appropriations by the Legislature to the Department

27  of Children and Family Services, the Department of Health, or

28  the Department of Elderly Affairs for health and human

29  services programs shall be from a category called the Lawton

30  Chiles Endowment Fund Programs and shall be deposited into

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  1  each department's respective Tobacco Settlement Trust Fund as

  2  appropriated.

  3         (b)  In order to ensure that the expenditure of funds

  4  earned from the Lawton Chiles Endowment Fund will be used for

  5  the purposes intended by the Legislature, the Legislature

  6  shall establish line item categories for the state agencies

  7  describing the designated use of the appropriated funds as

  8  provided in the General Appropriations Act.

  9         (c)  The secretaries of the state agencies shall

10  conduct meetings to discuss priorities for endowment funding

11  for health and human services programs for children and elders

12  before submitting their legislative budget requests to the

13  Executive Office of the Governor and the Legislature. The

14  purpose of the meetings is to gain consensus for priority

15  requests and recommended endowment funding levels for those

16  priority requests. No later than September 1 of each year, the

17  secretaries of the state agencies shall also submit their

18  concensus priority requests to the Lawton Chiles Endowment

19  Fund Advisory Council created in subsection (6).

20         (d)  Subject to legislative appropriations, state

21  agencies shall use distributions from the endowment to enhance

22  or support increases in clients served or to meet increases in

23  program costs in health and human services program areas.

24  Funds distributed from the endowment may not be used to

25  supplant existing revenues.

26         (e)  Notwithstanding s. 216.301 and pursuant to s.

27  216.351, all unencumbered balances of appropriations as of

28  June 30 or undisbursed balances as of December 31 shall revert

29  to the endowment's principal. Unencumbered or undisbursed

30  balances appropriated for biomedical research shall revert to

31  the principal in the separately reserved and accounted-for

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  1  portion of the endowment established for biomedical research

  2  activities.

  3         (f)  When advised by the Revenue Estimating Conference

  4  that a deficit will occur with respect to the appropriations

  5  from the tobacco settlement trust funds of the state agencies

  6  in any fiscal year, the Governor shall develop a plan of

  7  action to eliminate the deficit. Before implementing the plan

  8  of action, the Governor must comply with s. 216.177(2). In

  9  developing the plan of action, the Governor shall, to the

10  extent possible, preserve legislative policy and intent, and,

11  absent any specific directions to the contrary in the General

12  Appropriations Act, any reductions in appropriations from the

13  tobacco settlement trust funds of the state agencies for a

14  fiscal year shall be prorated among the purposes for which

15  funds were appropriated from the Tobacco Settlement Trust Fund

16  for that year.

17         (6)  ADVISORY COUNCIL.--The Lawton Chiles Endowment

18  Fund Advisory Council is established for the purpose of

19  reviewing the funding priorities of the state agencies,

20  evaluating their requests against the mission and goals of the

21  agencies and legislative intent for the use of endowment

22  funds, and allowing for public input and advocacy.

23         (a)  The advisory council shall consist of 16 members,

24  including:

25         1.  The Director of the United Way of Florida, Inc., or

26  his or her designee;

27         2.  The Director of the Foster Parents Association, or

28  his or her designee;

29         3.  The chair of the Department of Elderly Affairs

30  Advisory Council, or his or her designee;

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  1         4.  The President of the Florida Association of Area

  2  Agencies on Aging, or his or her designee;

  3         5.  The State Long-Term Care Ombudsman, or his or her

  4  designee;

  5         6.  State Director of Florida AARP, or his or her

  6  designee;

  7         7.  Chair of Elder Law Section of The Florida Bar, or

  8  his or her designee;

  9         8.  The Director of the Florida Pediatric Society, or

10  his or her designee;

11         9.  A representative of the Guardian Ad Litem Program,

12  appointed by the Governor;

13         10.  A representative of a child welfare lead agency

14  for community-based care, appointed by the Governor;

15         11.  A representative of an elder care lead agency for

16  community-based care, appointed by the Governor;

17         12.  A representative of a statewide child advocacy

18  organization, appointed by the Governor;

19         13.  One consumer caregiver for children, appointed by

20  the Governor;

21         14.  One person over the age of 60 years to represent

22  the interests of elders, appointed by the Governor;

23         15.  One person under the age of 18 years to represent

24  the interests of children, appointed by the Governor; and

25         16.  One consumer caregiver for a functionally impaired

26  elderly person, appointed by the Governor.

27         (b)  Before November 1 of each year, the advisory

28  council shall advise the Governor and the Legislature as to

29  its recommendations with respect to the priorities submitted

30  by the secretaries of the state agencies with respect to

31  endowment funding for health and human services programs for

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  1  children and elders. The responsibilities of the advisory

  2  council include:

  3         1.  Evaluating the value of programs and services

  4  submitted by the agencies as they relate to the overall

  5  enhancement of services to children and elders;

  6         2.  Developing criteria and guiding principles for

  7  ranking the priorities submitted by the state agencies;

  8         3.  Providing recommendations with respect to funding

  9  levels for the programs ranked by the advisory council;

10         4.  Participating in periodic evaluation of programs

11  funded by the endowment to determine the need for continued

12  funding; and

13         5.  Soliciting input from child and elder advocacy

14  organizations, community stakeholders, providers, and the

15  public with respect to statewide child and elder needs and the

16  effectiveness of program service delivery systems.

17         (c)  Members of the advisory council shall serve

18  without compensation, but may receive reimbursement as

19  provided in s. 112.061 for per diem and travel expenses

20  incurred in the performance of their official duties. The

21  Department of Children and Family Services shall provide staff

22  and other administrative assistance reasonably necessary to

23  assist the advisory council in carrying out its

24  responsibilities. Administrative costs of the council shall be

25  charged equally to endowment funds deposited in the Department

26  of Children and Family Services and the Department of Elderly

27  Affairs Tobacco Settlement Trust Funds.

28         Section 4.  Section 215.5602, Florida Statutes, is

29  amended to read:

30         215.5602  Florida Biomedical Research Program.--

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  1         (1)  There is established within the Department of

  2  Health the Florida Biomedical Research Program funded by the

  3  proceeds of the Lawton Chiles Endowment Fund pursuant to s.

  4  215.5601 s. 215.5601(4). The purpose of the Florida Biomedical

  5  Research Program is to provide an annual and perpetual source

  6  of funding in order to support research initiatives that

  7  address the health care problems of Floridians in the areas of

  8  tobacco-related cancer, cardiovascular disease, stroke, and

  9  pulmonary disease. The long-term goals of the program are to:

10         (a)  Improve the health of Floridians by researching

11  better prevention, diagnoses, and treatments for cancer,

12  cardiovascular disease, stroke, and pulmonary disease.

13         (b)  Expand the foundation of biomedical knowledge

14  relating to the prevention, diagnosis, and treatment of

15  diseases related to tobacco use, including cancer,

16  cardiovascular disease, stroke, and pulmonary disease.

17         (c)  Improve the quality of the state's academic health

18  centers by bringing the advances of biomedical research into

19  the training of physicians and other health care providers.

20         (d)  Increase the state's per capita funding for

21  biomedical research by undertaking new initiatives in public

22  health and biomedical research that will attract additional

23  funding from outside the state.

24         (e)  Stimulate economic activity in the state in areas

25  related to biomedical research, such as the research and

26  production of pharmaceuticals, biotechnology, and medical

27  devices.

28         (2)  Funds appropriated for the Florida Biomedical

29  Research Program shall be used exclusively for the award of

30  grants and fellowships as established in this section; for

31  research relating to the prevention, diagnosis, and treatment

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  1  of diseases related to tobacco use, including cancer,

  2  cardiovascular disease, stroke, and pulmonary disease; and for

  3  expenses incurred in the administration of this section.

  4         (3)  There is created within the Department of Health

  5  the Biomedical Research Advisory Council.

  6         (a)  The council shall consist of nine members,

  7  including: the chief executive officer of the Florida Division

  8  of the American Cancer Society, or a designee; the chief

  9  executive officer of the Florida/Puerto Rico Affiliate of the

10  American Heart Association, or a designee; and the chief

11  executive officer of the American Lung Association of Florida,

12  or a designee. The Governor shall appoint the remaining six

13  members of the council, as follows:

14         1.  Two members with expertise in the field of

15  biomedical research.

16         2.  One member with expertise in the field of

17  behavioral or social research.

18         3.  One member from a professional medical

19  organization.

20         4.  One member from a research university in the state.

21         5.  One member representing the general population of

22  the state.

23

24  In making his or her appointments, the Governor shall select

25  primarily, but not exclusively, Floridians with biomedical and

26  lay expertise in the general areas of cancer, cardiovascular

27  disease, stroke, and pulmonary disease. The Governor's

28  appointments shall be for a 3-year term and shall reflect the

29  diversity of the state's population. A council member

30  appointed by the Governor may not serve more than two

31  consecutive terms.

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  1         (b)  The council shall adopt internal organizational

  2  procedures as necessary for its efficient organization.

  3         (c)  The department shall provide such staff,

  4  information, and other assistance as is reasonably necessary

  5  to assist the council in carrying out its responsibilities.

  6         (d)  Members of the council shall serve without

  7  compensation, but may receive reimbursement as provided in s.

  8  112.061 for travel and other necessary expenses incurred in

  9  the performance of their official duties.

10         (4)  The council shall advise the Secretary of Health

11  as to the direction and scope of the biomedical research

12  program. The responsibilities of the council may include, but

13  are not limited to:

14         (a)  Providing advice on program priorities and

15  emphases.

16         (b)  Providing advice on the overall program budget.

17         (c)  Participating in periodic program evaluation.

18         (d)  Assisting in the development of guidelines to

19  ensure fairness, neutrality, and adherence to the principles

20  of merit and quality in the conduct of the program.

21         (e)  Assisting in the development of appropriate

22  linkages to nonacademic entities, such as voluntary

23  organizations, health care delivery institutions, industry,

24  government agencies, and public officials.

25         (f)  Developing criteria and standards for the award of

26  research grants.

27         (g)  Developing administrative procedures relating to

28  solicitation, review, and award of research grants and

29  fellowships, to ensure an impartial, high-quality peer review

30  system.

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  1         (h)  Developing and supervising research peer review

  2  panels.

  3         (i)  Reviewing reports of peer review panels and making

  4  recommendations for research grants and fellowships.

  5         (j)  Developing and providing oversight regarding

  6  mechanisms for the dissemination of research results.

  7         (5)(a)  Applications for biomedical research funding

  8  under the program may be submitted from any university or

  9  established research institute in the state. All qualified

10  investigators in the state, regardless of institution

11  affiliation, shall have equal access and opportunity to

12  compete for the research funding.

13         (b)  Grants and fellowships shall be awarded by the

14  Secretary of Health, after consultation with the council, on

15  the basis of scientific merit, as determined by an open

16  competitive peer review process that ensures objectivity,

17  consistency, and high quality. The following types of

18  applications shall be considered for funding:

19         1.  Investigator-initiated research grants.

20         2.  Institutional research grants.

21         3.  Predoctoral and postdoctoral research fellowships.

22         (6)  To ensure that all proposals for research funding

23  are appropriate and are evaluated fairly on the basis of

24  scientific merit, the Secretary of Health, in consultation

25  with the council, shall appoint a peer review panel of

26  independent, scientifically qualified individuals to review

27  the scientific content of each proposal and establish its

28  scientific priority score. The priority scores shall be

29  forwarded to the council and must be considered in determining

30  which proposals shall be recommended for funding.

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  1         (7)  The council and the peer review panel shall

  2  establish and follow rigorous guidelines for ethical conduct

  3  and adhere to a strict policy with regard to conflict of

  4  interest. A No member of the council or panel may not shall

  5  participate in any discussion or decision with respect to a

  6  research proposal by any firm, entity, or agency with which

  7  the member is associated as a member of the governing body or

  8  as an employee, or with which the member has entered into a

  9  contractual arrangement. Meetings of the council and the peer

10  review panels shall be subject to the provisions of chapter

11  119, s. 286.011, and s. 24, Art. I of the State Constitution.

12         (8)  The department may contract on a competitive-bid

13  basis with an appropriate entity to administer the program.

14  Administrative expenses may not exceed 15 percent of the total

15  funds available to the program in any given year.

16         (9)  The department, after consultation with the

17  council, may adopt rules as necessary to implement this

18  section.

19         (10)  The council shall submit an annual progress

20  report on the state of biomedical research in this state to

21  the Governor, the Secretary of Health, the President of the

22  Senate, and the Speaker of the House of Representatives by

23  February 1. The report must include:

24         (a)  A list of research projects supported by grants or

25  fellowships awarded under the program.

26         (b)  A list of recipients of program grants or

27  fellowships.

28         (c)  A list of publications in peer reviewed journals

29  involving research supported by grants or fellowships awarded

30  under the program.

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  1         (d)  The total amount of biomedical research funding

  2  currently flowing into the state.

  3         (e)  New grants for biomedical research which were

  4  funded based on research supported by grants or fellowships

  5  awarded under the program.

  6         (f)  Progress in the prevention, diagnosis, and

  7  treatment of diseases related to tobacco use, including

  8  cancer, cardiovascular disease, stroke, and pulmonary disease.

  9         Section 5.  There is appropriated $25,000 each to the

10  Department of Children and Family Services and the Department

11  of Elderly Affairs from Lawton Chiles endowment funds

12  deposited into each department's Tobacco Settlement Trust Fund

13  to pay for administrative costs associated with the Lawton

14  Chiles Endowment Fund Advisory Council established in section

15  215.5601, Florida Statutes.

16         Section 6.  This act shall take effect July 1, 2001.

17

18          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
19                         Senate Bill 1286

20

21  Adds the Department of Health as one of the state agencies
    that may be appropriated funds from the Lawton Chiles
22  Endowment by the Legislature for health and human services
    programs.
23
    Adds three members to the Lawton Chiles Endowment Fund
24  Advisory Council:

25       -      Chair of the Department of Elderly Affairs
                Advisory Council, or a designee;
26
         -      Chair of Elder Law Section of the Florida Bar, or
27              a designee; and

28       -      One person under the age of 18 years to represent
                the interests of children, appointed by the
29              Governor.

30  Removes the Director of the Florida Council on Aging from the
    Lawton Chiles Endowment Fund Advisory Council.
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