| 1 | The Health Care General Committee recommends the following: | 
| 2 | 
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| 3 | Council/Committee Substitute | 
| 4 | Remove the entire bill and insert: | 
| 5 | A bill to be entitled | 
| 6 | An act relating to cancer research and treatment; | 
| 7 | providing a popular name; providing legislative intent;; | 
| 8 | amending s. 381.921, F.S.; authorizing the Florida Cancer | 
| 9 | Council to award grants; providing preference criteria; | 
| 10 | creating ss. 381.922, 381.923, 381.924, and 381.925, F.S.; | 
| 11 | specifying allocations of certain funds in the Cancer | 
| 12 | Research and Treatment Trust Fund; requiring Governor and | 
| 13 | Cabinet approval for capital construction projects; | 
| 14 | requiring executed contracts for council grants; providing | 
| 15 | contract requirements; requiring an extraordinary vote for | 
| 16 | contract amendment approval; requiring the council to work | 
| 17 | with the Office of Tourism, Trade, and Economic | 
| 18 | Development to determine economic benefits of grants; | 
| 19 | requiring a report; specifying report requirements; | 
| 20 | specifying a time period for council award of grants; | 
| 21 | providing for reversion of undisbursed funds; requiring | 
| 22 | the Office of Program Policy and Government Accountability | 
| 23 | to review the progress of the council and report to the | 
| 24 | Legislature; providing for subsequent reviews and reports; | 
| 25 | providing an appropriation; providing an effective date. | 
| 26 | 
 | 
| 27 | Be It Enacted by the Legislature of the State of Florida: | 
| 28 | 
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| 29 | Section 1.  This act may be cited as the "Florida Cancer | 
| 30 | Research and Treatment Act." | 
| 31 | Section 2.  It is the intent of the Legislature to | 
| 32 | dramatically reduce this state's inordinately high cancer | 
| 33 | burden, reducing both cancer incidence and mortality, while | 
| 34 | advancing scientific endeavors in this state, making this state | 
| 35 | a world-class leader in cancer research and treatment. It is | 
| 36 | also the intent of the Legislature to make this state's cancer | 
| 37 | research institutions and facilities more competitive in the | 
| 38 | pursuit of cancer research grant funding from the National | 
| 39 | Institutes of Health's National Cancer Institute and other | 
| 40 | sources, with a goal of increasing the allocation of federal | 
| 41 | cancer research grants to grantees in this state from the | 
| 42 | current level of $38 million per annum to $200 million per annum | 
| 43 | by 2010. Additionally, it is the intent of the Legislature to | 
| 44 | spawn dramatic economic development, particularly in the biotech | 
| 45 | industry, through investment in this state's cancer research and | 
| 46 | treatment infrastructure. | 
| 47 | Section 3.  Section 381.921, Florida Statutes, is amended | 
| 48 | to read: | 
| 49 | 381.921  Florida Cancer Council mission and duties.--The | 
| 50 | council, which shall work in concert with the Florida Center for | 
| 51 | Universal Research to Eradicate Disease to ensure that the goals | 
| 52 | of the center are advanced, shall endeavor to dramatically | 
| 53 | improve cancer research and treatment in this state through: | 
| 54 | (1)  Efforts to significantly expand cancer research | 
| 55 | capacity in the state by: | 
| 56 | (a)  Identifying ways to attract new research talent and | 
| 57 | attendant national grant-producing researchers to Florida-based | 
| 58 | cancer research facilities in this state; | 
| 59 | (b)  Implementing a peer-reviewed, competitive process to | 
| 60 | identify and fund the best proposals to expand cancer research | 
| 61 | institutes in this state; | 
| 62 | (c)  Funding through available resources for those | 
| 63 | proposals that demonstrate the greatest opportunity to attract | 
| 64 | federal research grants and private financial support; | 
| 65 | (d)  Encouraging the employment of bioinformatics in order | 
| 66 | to create a cancer informatics infrastructure that enhances | 
| 67 | information and resource exchange and integration through | 
| 68 | researchers working in diverse disciplines, to facilitate the | 
| 69 | full spectrum of cancer investigations; | 
| 70 | (e)  Facilitating the technical coordination, business | 
| 71 | development, and support of intellectual property as it relates | 
| 72 | to the advancement of cancer research; and | 
| 73 | (f)  Aiding in other multidisciplinary research-support | 
| 74 | activities as they inure to the advancement of cancer research. | 
| 75 | (2)  Efforts to improve both research and treatment through | 
| 76 | greater participation in clinical trials networks by: | 
| 77 | (a)  Identifying ways to increase adult enrollment in | 
| 78 | cancer clinical trials; | 
| 79 | (b)  Supporting public and private professional education | 
| 80 | programs designed to increase the awareness and knowledge about | 
| 81 | cancer clinical trials; | 
| 82 | (c)  Providing tools to cancer patients and community-based | 
| 83 | oncologists to aid in the identification of cancer clinical | 
| 84 | trials available in the state; and | 
| 85 | (d)  Creating opportunities for the state's academic cancer | 
| 86 | centers to collaborate with community-based oncologists in | 
| 87 | cancer clinical trials networks. | 
| 88 | (3)  Efforts to reduce the impact of cancer on disparate | 
| 89 | groups by: | 
| 90 | (a)  Identifying those cancers that disproportionately | 
| 91 | impact certain demographic groups; and | 
| 92 | (b)  Building collaborations designed to reduce health | 
| 93 | disparities as they relate to cancer. | 
| 94 | 
 | 
| 95 | The council may award grants, using a peer-reviewed competitive | 
| 96 | process, from funds allocated to execute the purposes set forth | 
| 97 | in this section. Grants issued by the council may only be | 
| 98 | awarded to researchers, universities, or other not-for-profit | 
| 99 | concerns that will engage in grant activity, as described in s. | 
| 100 | 381.922, within this state. The council, where possible, shall | 
| 101 | give preference to proposals that promote collaborative efforts | 
| 102 | between institutions in this state and facilities to advance | 
| 103 | cancer research, as well as the detection and treatment of | 
| 104 | cancer. | 
| 105 | Section 4.  Section 381.922, Florida Statutes, is created | 
| 106 | to read: | 
| 107 | 381.922  Florida Cancer Council grants; apportionment of | 
| 108 | allocated funds.-- | 
| 109 | (1)  From the funds deposited into the Cancer Research and | 
| 110 | Treatment Trust Fund created in s. 381.926 for the purposes | 
| 111 | prescribed in s. 381.921, the following allocations shall apply: | 
| 112 | (a)  Up to 40 percent of available proceeds may be used for | 
| 113 | grants related to attracting, recruiting, and employing experts | 
| 114 | in the field of cancer research, with emphasis given to those | 
| 115 | researchers that will generate increased federal research | 
| 116 | dollars directed to institutions in this state. | 
| 117 | (b)  Up to 40 percent of available proceeds may be used for | 
| 118 | grants related to the provision of operational start-up support | 
| 119 | to institutions in this state and facilities for those | 
| 120 | researchers or teams of researchers recruited to the state | 
| 121 | pursuant to paragraph (a), including appropriate equipment as | 
| 122 | determined by the council. | 
| 123 | (c)  Up to 20 percent of available proceeds may be used for | 
| 124 | grants related to capital projects. | 
| 125 | (2)  Any capital construction projects granted by the | 
| 126 | council pursuant to paragraph (1)(c) shall require the approval | 
| 127 | of the Governor and Cabinet. | 
| 128 | Section 5.  Section 381.923, Florida Statutes, is created | 
| 129 | to read: | 
| 130 | 381.923  Florida Cancer Council grant contracts; required | 
| 131 | provisions.-- | 
| 132 | (1)  Each grant issued by the council shall require the | 
| 133 | execution of a contract with, at a minimum, provisions: | 
| 134 | (a)  Specifying the procedures and schedules that govern | 
| 135 | the disbursement of funds under the grant. | 
| 136 | (b)  Specifying the conditions or deliverables that the | 
| 137 | grantee or grantees must satisfy before the release of any | 
| 138 | disbursement. | 
| 139 | (c)  Governing the ownership of, or security interests in, | 
| 140 | real property and personal property, including, but not limited | 
| 141 | to, research equipment obtained for private institutions through | 
| 142 | state resources, including a provision that if the grant | 
| 143 | contract is breached, or if a private sector grantee ceases | 
| 144 | operations in this state, such property purchased with state | 
| 145 | funds shall revert to the state. | 
| 146 | (d)  Requiring the grantee to be an equal opportunity | 
| 147 | employer. | 
| 148 | (e)  Requiring the grantee to submit data quarterly to the | 
| 149 | council on the activities and performance of the grantee in | 
| 150 | executing the intent of the grant, including an accounting of | 
| 151 | the funds disbursed under the grant, the number and nature of | 
| 152 | the jobs created as a result of the grant activity, and the | 
| 153 | average wages related thereto. | 
| 154 | (f)  Establishing that the council shall review the | 
| 155 | activities of the grantee to assess the grantee's financial and | 
| 156 | operational compliance with the provisions of the contract and | 
| 157 | with relevant provisions of law. | 
| 158 | (g)  Authorizing the grantee, when feasible, to use | 
| 159 | information submitted by the grantee to the National Institutes | 
| 160 | of Health's National Cancer Institute or to other organizations | 
| 161 | awarding research grants to the grantee to help meet reporting | 
| 162 | requirements under this section or the contract, if the | 
| 163 | information satisfies the reporting standards of this section | 
| 164 | and the contract. | 
| 165 | (h)  Requiring the grantee to allow the council to retain | 
| 166 | an independent certified public accountant licensed in this | 
| 167 | state pursuant to chapter 473, to inspect the records of the | 
| 168 | grantee in order to audit the expenditure of funds granted to | 
| 169 | the grantee. The independent certified accountant may not | 
| 170 | disclose any confidential or proprietary scientific information | 
| 171 | of the grantee. | 
| 172 | (i)  Requiring the grantee to maintain liability insurance | 
| 173 | and governing the coverage level of such insurance. | 
| 174 | (2)  An amendment to a contract executed under this section | 
| 175 | requires an affirmative vote by at least two-thirds of the | 
| 176 | council. | 
| 177 | Section 6.  Section 381.924, Florida Statutes, is created | 
| 178 | to read: | 
| 179 | 381.924  Florida Cancer Council; reporting on performance | 
| 180 | expectations.--The council shall work with the Office of | 
| 181 | Tourism, Trade, and Economic Development to ascertain the | 
| 182 | economic benefits accruing to the state as a result of funds | 
| 183 | being appropriated to the council for disbursement of grants to | 
| 184 | carry out the intent prescribed in s. 381.921. The council shall | 
| 185 | report to the Governor, the President of the Senate, and the | 
| 186 | Speaker of the House of Representatives in its annual report due | 
| 187 | by December 15 performance results, at a minimum, addressing: | 
| 188 | (1)  The number and dollar value of cancer research grants | 
| 189 | obtained by institutions in the state from the National | 
| 190 | Institutes of Health's National Cancer Institute or sources | 
| 191 | other than this state, as well as overall cancer research | 
| 192 | funding in this state. | 
| 193 | (2)  The percentage of total cancer research dollars | 
| 194 | received by grantees from sources other than this state which is | 
| 195 | used to conduct cancer research activities by the grantee in | 
| 196 | this state. | 
| 197 | (3)  The number or value of any patent or licensing | 
| 198 | agreements, arising from cancer research grants disbursed by the | 
| 199 | council, executed by the council's grantees. | 
| 200 | (4)  The extent to which cancer research conducted by the | 
| 201 | council's grantees results in commercial applications. | 
| 202 | (5)  The extent to which grants disbursed by the council | 
| 203 | enhance participation in cancer clinical trials, and the | 
| 204 | reportable results related to such trials. | 
| 205 | (6)  The number and nature of collaborations on cancer | 
| 206 | research between institutions in this state, as well as | 
| 207 | partnerships with out-of-state institutions engaged in cancer | 
| 208 | research. | 
| 209 | (7)  The number and nature of collaborative partnerships of | 
| 210 | council grantees with businesses in this state. | 
| 211 | (8)  The number or value of businesses created as a result | 
| 212 | of this state's investment in an enhanced cancer research and | 
| 213 | treatment infrastructure, including the number and nature of | 
| 214 | jobs created as result of council grants, as well as data on the | 
| 215 | average salary per created job. | 
| 216 | 
 | 
| 217 | The council, in consultation with the Office of Program Policy | 
| 218 | Analysis and Government Accountability, shall develop a plan for | 
| 219 | ensuring that the performance data in the council's annual | 
| 220 | report are maintained by the council and supported by the | 
| 221 | council's records. | 
| 222 | Section 7.  Section 381.925, Florida Statutes, is created | 
| 223 | to read: | 
| 224 | 381.925  Florida Cancer Council grant disbursements.--The | 
| 225 | council shall award grants over a period of 5 fiscal years, | 
| 226 | beginning July 1, 2005. The council shall complete disbursement | 
| 227 | of the total amount of grant funds appropriated by the | 
| 228 | Legislature no later than June 30, 2010, unless grantees fail to | 
| 229 | satisfy the prescribed terms and conditions of contracts. Any | 
| 230 | funds that are not disbursed by June 30, 2010, shall revert to | 
| 231 | the Cancer Research and Treatment Trust Fund created in s. | 
| 232 | 381.926. | 
| 233 | Section 8.  The Office of Program Policy Analysis and | 
| 234 | Government Accountability shall review the progress of the | 
| 235 | council in carrying out its mission and duties prescribed in s. | 
| 236 | 381.921, Florida Statutes, and shall report to the President of | 
| 237 | the Senate and the Speaker of the House of Representatives by | 
| 238 | January 1, 2007. Subsequent reviews shall be due to the | 
| 239 | President of the Senate and the Speaker of the House of | 
| 240 | Representatives by January 1, 2010, and January 1, 2012. The | 
| 241 | initial two reviews under this section may be done in | 
| 242 | conjunction with the legislatively mandated reviews prescribed | 
| 243 | in chapter 2003-420, Laws of Florida. | 
| 244 | Section 9.  The sum of $250 million shall be appropriated | 
| 245 | from the General Revenue Fund, provided such appropriation is | 
| 246 | included in the General Appropriations Act for fiscal year 2005- | 
| 247 | 2006, and deposited into the Cancer Research and Treatment Trust | 
| 248 | Fund created in s. 381.926, Florida Statutes, to further carry | 
| 249 | out the intent of this act. Unless specified in another | 
| 250 | enactment, the funds contemplated in this section shall be | 
| 251 | derived from the nonrecurring General Revenue funds available | 
| 252 | for appropriation for fiscal year 2005-2006. | 
| 253 | Section 10.  This act shall take effect July 1, 2005. |