| HOUSE AMENDMENT | 
                             
                            
                              | Bill No. CS/CS/SB 2216 | 
                             
                           
                         | 
                       
                     
                   | 
                
                
                  | 
					 
				 | 
                  
					 
				 | 
                
                
                  1
                 | 
                CHAMBER ACTION | 
              
              
                | 
                  2
                 | 
                
                  
                 | 
              
              
                | 
                  3
                 | 
                . | 
              
              
                | 
                  4
                 | 
                . | 
              
              
                | 
                  5
                 | 
                . | 
              
              
                | 
                  6
                 | 
                        
											 | 
              
              
                | 
                  7
                 | 
                        
											 | 
              
              
                | 
                  8
                 | 
                        
											 | 
              
              
                | 
                  9
                 | 
                        
											 | 
              
              
                | 
                  10
                 | 
                        
											 | 
              
              
                | 
                  11
                 | 
                        
											 | 
              
              
                | 
                  12
                 | 
                        
											Representative Ambler offered the following: | 
              
              
                | 
                  13
                 | 
                        
											 | 
              
              
                | 
                  14
                 | 
                        
											Amendment (with title amendment) | 
              
              
                | 
                  15
                 | 
                        
											On page 6, lines 4 and 5, | 
              
              
                | 
                  16
                 | 
                        
											remove:  all of said lines | 
              
              
                | 
                  17
                 | 
                        
											 | 
              
              
                | 
                  18
                 | 
                        
											and insert: | 
              
              
                | 
                  19
                 | 
                        
											 | 
              
              
                | 
                  20
                 | 
                        
											Section 4.  Subsection (9) is amended and subsection (10) | 
              
              
                | 
                  21
                 | 
                  
									of section 1004.445, Florida Statutes, is created to read: | 
              
              
                | 
                  22
                 | 
                        
											1004.445  Florida Alzheimer's Center and Research | 
              
              
                | 
                  23
                 | 
                  
									Institute.-- | 
              
              
                | 
                  24
                 | 
                        
												(9)(a)The following information is confidential and | 
              
              
                | 
                  25
                 | 
                  
									exempt from the provisions of s. 119.07(1) and s. 24(a), Art. I | 
              
              
                | 
                  26
                 | 
                  
									of the State Constitution: | 
              
              
                | 
                  27
                 | 
                        
											1.(a)Personal identifying information relating to clients | 
              
              
                | 
                  28
                 | 
                  
									of programs created or funded through the Florida Alzheimer's | 
              
              
                | 
                  29
                 | 
                  
									Center and Research Institute which is held by the institute,  | 
              
              
                | 
                  30
                 | 
                  
									the University of South Florida, or the State Board of Education | 
              
              
                | 
                  31
                 | 
                  
									or by persons who provide services to clients of programs | 
              
              
                | 
                  32
                 | 
                  
									created or funded through contracts with the Florida Alzheimer's | 
              
              
                | 
                  33
                 | 
                  
									Center and Research Institute; | 
              
              
                | 
                  34
                 | 
                        
											2.(b)  Any medical or health records relating to patients  | 
              
              
                | 
                  35
                 | 
                  
									heldwhich may be created or received by the institute; and | 
              
              
                | 
                  36
                 | 
                        
											3.(c)Proprietary confidential business information.  As  | 
              
              
                | 
                  37
                 | 
                  
									used in this subparagraph, the term “proprietary confidential  | 
              
              
                | 
                  38
                 | 
                  
									business information” means information, regardless of its form  | 
              
              
                | 
                  39
                 | 
                  
									or characteristics, which is owned or controlled by the  | 
              
              
                | 
                  40
                 | 
                  
									institute; is intended to be and is treated by the institute as  | 
              
              
                | 
                  41
                 | 
                  
									private and the disclosure of which would harm the business  | 
              
              
                | 
                  42
                 | 
                  
									operations of the institute; has not been intentionally  | 
              
              
                | 
                  43
                 | 
                  
									disclosed by the institute unless pursuant to law, an order of a  | 
              
              
                | 
                  44
                 | 
                  
									court or administrative body, a legislative proceeding pursuant  | 
              
              
                | 
                  45
                 | 
                  
									to s. 5, Art. III of the State Constitution, or a private  | 
              
              
                | 
                  46
                 | 
                  
									agreement that provides that the information may be released to  | 
              
              
                | 
                  47
                 | 
                  
									the public; and which is information concerning: | 
              
              
                | 
                  48
                 | 
                        
											a.Materials that relate to methods of manufacture or | 
              
              
                | 
                  49
                 | 
                  
									production, potential trade secrets, potentially patentable | 
              
              
                | 
                  50
                 | 
                  
									material, actual trade secrets as defined in s. 688.002, or | 
              
              
                | 
                  51
                 | 
                  
									proprietary information received, generated, ascertained, or | 
              
              
                | 
                  52
                 | 
                  
									discovered during the course of research conducted by or through | 
              
              
                | 
                  53
                 | 
                  
									the institute and business transactions resulting from such | 
              
              
                | 
                  54
                 | 
                  
									research; | 
              
              
                | 
                  55
                 | 
                        
											b.(d)  The identity of a donor or prospective donor to the  | 
              
              
                | 
                  56
                 | 
                  
									instituteFlorida Alzheimer's Center and Research Institutewho | 
              
              
                | 
                  57
                 | 
                  
									wishes to remain anonymous, and all information identifying such | 
              
              
                | 
                  58
                 | 
                  
									donor or prospective donor; | 
              
              
                | 
                  59
                 | 
                        
											c.(e)Any information received by the institute in the | 
              
              
                | 
                  60
                 | 
                  
									performance of its duties and responsibilities which is | 
              
              
                | 
                  61
                 | 
                  
									otherwise confidential and exempt by law; and | 
              
              
                | 
                  62
                 | 
                        
											d.(f)Any information received by the institute from a | 
              
              
                | 
                  63
                 | 
                  
									person from this oranother state or nation or the Federal | 
              
              
                | 
                  64
                 | 
                  
									Government which is otherwise exempt or confidential or exempt | 
              
              
                | 
                  65
                 | 
                  
									pursuant to this or another thatstate's or nation's laws or | 
              
              
                | 
                  66
                 | 
                  
									pursuant to federal law. | 
              
              
                | 
                  67
                 | 
                        
											e.  Internal auditing controls and reports of internal  | 
              
              
                | 
                  68
                 | 
                  
									auditors; | 
              
              
                | 
                  69
                 | 
                        
											f.  Contracts for managed-care arrangements, including  | 
              
              
                | 
                  70
                 | 
                  
									preferred provider organization contracts, health maintenance  | 
              
              
                | 
                  71
                 | 
                  
									organization contracts, and exclusive provider organization  | 
              
              
                | 
                  72
                 | 
                  
									contracts, and any documents directly relating to the  | 
              
              
                | 
                  73
                 | 
                  
									negotiation, performance, and implementation of any such  | 
              
              
                | 
                  74
                 | 
                  
									contracts for managed-care arrangements; | 
              
              
                | 
                  75
                 | 
                        
											g.  Bids or other contractual data, banking records, and  | 
              
              
                | 
                  76
                 | 
                  
									credit agreements the disclosure of which would impair the  | 
              
              
                | 
                  77
                 | 
                  
									efforts of the institute to contract for goods or services on  | 
              
              
                | 
                  78
                 | 
                  
									favorable terms; | 
              
              
                | 
                  79
                 | 
                        
											h.  Information relating to private contractual data, the  | 
              
              
                | 
                  80
                 | 
                  
									disclosure of which would impair the competitive interest of the  | 
              
              
                | 
                  81
                 | 
                  
									provider of the information; | 
              
              
                | 
                  82
                 | 
                        
											i.  Corporate officer and employee personnel information; | 
              
              
                | 
                  83
                 | 
                        
											j.  Information relating to the proceedings and records of  | 
              
              
                | 
                  84
                 | 
                  
									the credentialing panels and committees and of the governing  | 
              
              
                | 
                  85
                 | 
                  
									board of the institute relating to credentialing; | 
              
              
                | 
                  86
                 | 
                        
											k.  Minutes of meetings of the governing board of the  | 
              
              
                | 
                  87
                 | 
                  
									institute, except minutes of meetings open to the public  | 
              
              
                | 
                  88
                 | 
                  
									pursuant to subsection (10); and | 
              
              
                | 
                  89
                 | 
                        
											l.  Information that reveals plans for marketing services  | 
              
              
                | 
                  90
                 | 
                  
									that the institute reasonably expects to be provided by  | 
              
              
                | 
                  91
                 | 
                  
									competitors. | 
              
              
                | 
                  92
                 | 
                        
											 | 
              
              
                | 
                  93
                 | 
                        
											As used in this subparagraph, the term “managed care” means  | 
              
              
                | 
                  94
                 | 
                  
									systems or techniques generally used by third-party payors or  | 
              
              
                | 
                  95
                 | 
                  
									their agents to affect access to and control payment for health  | 
              
              
                | 
                  96
                 | 
                  
									care services.  Managed-care techniques most often include one  | 
              
              
                | 
                  97
                 | 
                  
									or more of the following: prior, concurrent, and retrospective  | 
              
              
                | 
                  98
                 | 
                  
									review of the medical necessity and appropriateness of services  | 
              
              
                | 
                  99
                 | 
                  
									or site of services; contracts with selected health care  | 
              
              
                | 
                  100
                 | 
                  
									providers; financial incentives or disincentives related to the  | 
              
              
                | 
                  101
                 | 
                  
									use of specific providers, services, or service sites;  | 
              
              
                | 
                  102
                 | 
                  
									controlled access to and coordination of services by a case  | 
              
              
                | 
                  103
                 | 
                  
									manager; and payor efforts to identify treatment alternatives  | 
              
              
                | 
                  104
                 | 
                  
									and modify benefit restrictions for high-cost patient care. | 
              
              
                | 
                  105
                 | 
                        
											(b)  The Auditor General, the Office of Program Policy  | 
              
              
                | 
                  106
                 | 
                  
									Analysis and Government Accountability, and the State Board of  | 
              
              
                | 
                  107
                 | 
                  
									Education, pursuant to their oversight and auditing functions,  | 
              
              
                | 
                  108
                 | 
                  
									must be given access to all proprietary confidential business  | 
              
              
                | 
                  109
                 | 
                  
									information upon request and without subpoena and must maintain  | 
              
              
                | 
                  110
                 | 
                  
									the confidentiality of information so received. 
 | 
              
              
                | 
                  111
                 | 
                        
											(c)Any governmental entity that demonstrates a need to | 
              
              
                | 
                  112
                 | 
                  
									access such confidential and exempt information in order to | 
              
              
                | 
                  113
                 | 
                  
									perform its duties and responsibilities shall have access to | 
              
              
                | 
                  114
                 | 
                  
									such information and shall otherwise keep such information | 
              
              
                | 
                  115
                 | 
                  
									confidential and exempt.  This section is subject to the Open  | 
              
              
                | 
                  116
                 | 
                  
									Government Sunset Review Act of 1995 in accordance with s.  | 
              
              
                | 
                  117
                 | 
                  
									119.15 and shall stand repealed on October 2, 2006, unless  | 
              
              
                | 
                  118
                 | 
                  
									reviewed and saved from repeal through reenactment by the  | 
              
              
                | 
                  119
                 | 
                  
									Legislature. | 
              
              
                | 
                  120
                 | 
                        
											(10)  Meetings or portions of meetings of the governing  | 
              
              
                | 
                  121
                 | 
                  
									board of the Florida Alzheimer’s Center and Research Institute  | 
              
              
                | 
                  122
                 | 
                  
									at which information is discussed that is made confidential and  | 
              
              
                | 
                  123
                 | 
                  
									exempt pursuant to subsection (9) of this section is exempt from  | 
              
              
                | 
                  124
                 | 
                  
									s. 286.011 and s. 24(b), Art. I of the State Constitution. | 
              
              
                | 
                  125
                 | 
                        
												Section 5.  Subsections (9) and (10) of s. 1004.445, F.S.,  | 
              
              
                | 
                  126
                 | 
                  
									are subject to the Open Government Sunset Review Act of 1995 in  | 
              
              
                | 
                  127
                 | 
                  
									accordance with s. 119.15, F.S., and shall stand repealed on  | 
              
              
                | 
                  128
                 | 
                  
									October 2, 2008, unless reviewed and saved from repeal through  | 
              
              
                | 
                  129
                 | 
                  
									reenactment by the Legislature. 
 | 
              
              
                | 
                  130
                 | 
                        
												Section 6.  The Legislature finds that it is a public  | 
              
              
                | 
                  131
                 | 
                  
									necessity that internal auditing controls and reports of  | 
              
              
                | 
                  132
                 | 
                  
									internal auditors; contracts for managed-care arrangements and  | 
              
              
                | 
                  133
                 | 
                  
									any documents directly relating to the negotiation, performance,  | 
              
              
                | 
                  134
                 | 
                  
									and implementation of any such contracts for managed-care  | 
              
              
                | 
                  135
                 | 
                  
									arrangements; bids or other contractual data, banking records,  | 
              
              
                | 
                  136
                 | 
                  
									and credit agreements; information relating to private  | 
              
              
                | 
                  137
                 | 
                  
									contractual data; corporate officer and employee personnel  | 
              
              
                | 
                  138
                 | 
                  
									information; information relating to the proceedings and records  | 
              
              
                | 
                  139
                 | 
                  
									of the credentialing panels and committees and of the governing  | 
              
              
                | 
                  140
                 | 
                  
									board of the Florida Alzheimer's Center and Research Institute  | 
              
              
                | 
                  141
                 | 
                  
									relating to credentialing; minutes of meetings of the governing  | 
              
              
                | 
                  142
                 | 
                  
									board of the institute; and information that reveals plans for  | 
              
              
                | 
                  143
                 | 
                  
									marketing services that the institute reasonably expects to be  | 
              
              
                | 
                  144
                 | 
                  
									provided by competitors be made confidential and exempt from  | 
              
              
                | 
                  145
                 | 
                  
									public disclosure.  The institute must compete directly with its  | 
              
              
                | 
                  146
                 | 
                  
									private-sector counterparts.  Its economic survival depends on  | 
              
              
                | 
                  147
                 | 
                  
									the institute’s ability to so compete.  As such, these  | 
              
              
                | 
                  148
                 | 
                  
									exemptions are necessary because release of such information and  | 
              
              
                | 
                  149
                 | 
                  
									records would adversely impact the institute in the competitive  | 
              
              
                | 
                  150
                 | 
                  
									health care and medical research environment.  Disclosure of  | 
              
              
                | 
                  151
                 | 
                  
									such information and records would place the institute on an  | 
              
              
                | 
                  152
                 | 
                  
									unequal footing in the marketplace as compared with private  | 
              
              
                | 
                  153
                 | 
                  
									health care providers that are not required to disclose such  | 
              
              
                | 
                  154
                 | 
                  
									confidential information and records.  The highly confidential  | 
              
              
                | 
                  155
                 | 
                  
									nature of Alzheimer-related research discoveries necessitates  | 
              
              
                | 
                  156
                 | 
                  
									that the institute  be authorized to maintain confidential   | 
              
              
                | 
                  157
                 | 
                  
									information it receives from, or generates for, the sponsors of  | 
              
              
                | 
                  158
                 | 
                  
									its research.  Accordingly, disclosure of such information and  | 
              
              
                | 
                  159
                 | 
                  
									records would impede the effective and efficient administration  | 
              
              
                | 
                  160
                 | 
                  
									of the Florida Alzheimer’s Center and Research Institute and  | 
              
              
                | 
                  161
                 | 
                  
									would create an unfair competitive advantage for persons or  | 
              
              
                | 
                  162
                 | 
                  
									entities receiving such information.  Also, such information and  | 
              
              
                | 
                  163
                 | 
                  
									records contain information of a sensitive, personal nature  | 
              
              
                | 
                  164
                 | 
                  
									regarding corporate officers and employees.  Disclosure of such  | 
              
              
                | 
                  165
                 | 
                  
									information could be harmful to the officer or employee.  It is  | 
              
              
                | 
                  166
                 | 
                  
									likewise a public necessity that the meetings of the governing  | 
              
              
                | 
                  167
                 | 
                  
									board of the institute be closed in order to protect the  | 
              
              
                | 
                  168
                 | 
                  
									competitive interest of the institute and to guarantee the  | 
              
              
                | 
                  169
                 | 
                  
									ability of the governing board to fulfill its Alzheimer’s  | 
              
              
                | 
                  170
                 | 
                  
									disease research and teaching mission for the benefit of the  | 
              
              
                | 
                  171
                 | 
                  
									public.  Closing access to such board meetings enables the  | 
              
              
                | 
                  172
                 | 
                  
									boards to be more open and frank in the information so provided  | 
              
              
                | 
                  173
                 | 
                  
									and discussed without the attendant fear that honest and  | 
              
              
                | 
                  174
                 | 
                  
									truthful exchange of information will result in the public  | 
              
              
                | 
                  175
                 | 
                  
									dissemination of information discussed that could be used to  | 
              
              
                | 
                  176
                 | 
                  
									harm the institute and its members.  Furthermore, disclosing  | 
              
              
                | 
                  177
                 | 
                  
									information and records made confidential and exempt pursuant to  | 
              
              
                | 
                  178
                 | 
                  
									the institute’s public records exemption via an open meeting  | 
              
              
                | 
                  179
                 | 
                  
									defeats the purpose of the public records exemption.
 | 
              
              
                | 
                  180
                 | 
                        
											Section 7.  This act shall take effect upon becoming a law. | 
              
              
                | 
                  181
                 | 
                        
											 | 
              
              
                | 
                  182
                 | 
                        
											 | 
              
              
                | 
                  183
                 | 
                  
											================= T I T L E  A M E N D M E N T ================= | 
              
              
                | 
                  184
                 | 
                        
											On page 1, lines 2 through 18, | 
              
              
                | 
                  185
                 | 
                        
											remove:  all of said lines | 
              
              
                | 
                  186
                 | 
                        
											 | 
              
              
                | 
                  187
                 | 
                        
											and insert: | 
              
              
                | 
                  188
                 | 
                        
											 | 
              
              
                | 
                  189
                 | 
                        
											An act relating to public records and public meetings | 
              
              
                | 
                  190
                 | 
                  
									exemptions; amending s. 1004.43, F.S.; expanding the | 
              
              
                | 
                  191
                 | 
                  
									public records exemption for proprietary confidential | 
              
              
                | 
                  192
                 | 
                  
									business information owned or controlled by the H. Lee | 
              
              
                | 
                  193
                 | 
                  
									Moffitt Cancer Center and Research Institute to include | 
              
              
                | 
                  194
                 | 
                  
									information relating to methods of manufacture or | 
              
              
                | 
                  195
                 | 
                  
									production, potential trade secrets, potentially | 
              
              
                | 
                  196
                 | 
                  
									patentable material, and proprietary information received, | 
              
              
                | 
                  197
                 | 
                  
									generated, ascertained, or discovered during the course of | 
              
              
                | 
                  198
                 | 
                  
									research, and business transactions resulting from such | 
              
              
                | 
                  199
                 | 
                  
									research; expanding the public records exemption to | 
              
              
                | 
                  200
                 | 
                  
									include information received from this or another state or | 
              
              
                | 
                  201
                 | 
                  
									nation or the Federal Government which is otherwise exempt | 
              
              
                | 
                  202
                 | 
                  
									or confidential pursuant to the laws of this or another | 
              
              
                | 
                  203
                 | 
                  
									state or nation or pursuant to federal law; providing for | 
              
              
                | 
                  204
                 | 
                  
									future review and repeal; providing a statement of public | 
              
              
                | 
                  205
                 | 
                  
									necessity; amending s. 1004.445, F.S.; creating a public | 
              
              
                | 
                  206
                 | 
                  
									records exemption for proprietary confidential business | 
              
              
                | 
                  207
                 | 
                  
									information; providing types of information that is deemed | 
              
              
                | 
                  208
                 | 
                  
									proprietary confidential business information; providing a | 
              
              
                | 
                  209
                 | 
                  
									definition of managed care; creating a public meetings | 
              
              
                | 
                  210
                 | 
                  
									exemption for the governing board of the Florida | 
              
              
                | 
                  211
                 | 
                  
									Alzheimer’s Center and Research Institute; providing for | 
              
              
                | 
                  212
                 | 
                  
									future review and |