Senate Bill 2422c1

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    Florida Senate - 1999                  CS for SB's 2422 & 1952

    By the Committee on Fiscal Policy and Senators Latvala and
    Casas




    309-2134-99

  1                      A bill to be entitled

  2         An act relating to trust funds; creating s.

  3         215.5601, F.S.; creating the Lawton Chiles

  4         Endowment Fund for Health and Human Services;

  5         providing definitions; providing legislative

  6         intent; specifying the purposes and uses of

  7         endowment funds; providing for administration

  8         of the endowment by the State Board of

  9         Administration; providing for the availability

10         of endowment funds; providing appropriations;

11         creating s. 215.5602, F.S.; establishing the

12         Connie Mack Biomedical Research Program within

13         the Lawton Chiles Endowment Fund; providing the

14         goals of the program; specifying the use of

15         funds appropriated under the program; creating

16         the Biomedical Research Advisory Council within

17         the Department of Health; providing for

18         membership of the council; providing

19         reimbursement for travel and other expenses for

20         council members; providing duties of the

21         council; providing for applications for funding

22         under the program; requiring the Secretary of

23         Health to award grants and fellowships, in

24         consultation with the council; providing for

25         the appointment of a peer review council to

26         review proposals for funding; requiring the

27         Department of Health to contract with an entity

28         to administer the program; providing rulemaking

29         authority; requiring the council to submit an

30         annual report to the Governor, the Secretary of

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1         Health, and the Legislature; providing an

  2         effective date.

  3

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

  5

  6         Section 1.  Section 215.5601, Florida Statutes, is

  7  created to read:

  8         215.5601  Lawton Chiles Endowment Fund for Health and

  9  Human Services.--

10         (1)  SHORT TITLE.--This section may be cited as the

11  "Lawton Chiles Endowment Fund for Health and Human Services

12  Act."

13         (2)  DEFINITIONS.--As used in this section:

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

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

16  1885 and incorporated into s. 9(c), Art. XII of the State

17  Constitution of 1968.

18         (b)  "Endowment" means the Lawton Chiles Endowment Fund

19  for Health and Human Services.

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

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

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

23  Department of Health, the Department of Children and Family

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

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

26  context indicates.

27         (3)  LEGISLATIVE INTENT.--It is the intent of the

28  Legislature to:

29         (a)  Provide a perpetual source of funding for the

30  future of health and human services initiatives, including,

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1  but not limited to, facilities and biomedical research

  2  activities.

  3         (b)  Ensure that enhancement revenues will be available

  4  to finance these important initiatives.

  5         (c)  Use tobacco settlement moneys to ensure the

  6  financial security of vital health and human services

  7  programs.

  8         (d)  Encourage the development of community-based

  9  solutions to strengthen and improve the quality of life of

10  Florida's most vulnerable citizens.

11         (e)  Provide funds for cancer research and

12  public-health research for diseases linked to tobacco use.

13         (4)  LAWTON CHILES ENDOWMENT FUND FOR HEALTH AND HUMAN

14  SERVICES; CREATION; PURPOSES AND USES.--

15         (a)  There is created the Lawton Chiles Endowment Fund

16  for Health and Human Services, to be administered by the State

17  Board of Administration. The endowment shall serve as a

18  clearing trust fund not subject to termination pursuant to s.

19  19(f), Art. III of the State Constitution and shall be funded

20  by settlement moneys received from the tobacco industry. The

21  endowment fund shall be exempt from the service charges

22  imposed by s. 215.20.

23         (b)  Funds from the endowment shall be distributed by

24  the board to trust funds of the state agencies in the amounts

25  indicated by reference to the legislative appropriations for

26  the state agencies, except as otherwise provided in this

27  section.

28         (c)  The state agencies shall use the funds from the

29  endowment to enhance or support increases in clients served or

30  in program costs in health and human services program areas.

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1         (d)  The Secretary of Health, the Secretary of Children

  2  and Family Services, the Secretary of Elderly Affairs, and the

  3  Director of Health Care Administration shall conduct meetings

  4  to discuss program priorities for endowment funding prior to

  5  submitting their budget requests to the Executive Office of

  6  the Governor and the Legislature. The purpose of the meetings

  7  shall be to gain consensus for priority requests and

  8  recommended endowment funding levels for those priority

  9  requests. An agency head may not designate a proxy for these

10  meetings.

11         (e)  Funds from the endowment may not be used to

12  supplant existing revenues.

13         (5)  ADMINISTRATION OF THE ENDOWMENT.--

14         (a)  The board is authorized to invest and reinvest

15  funds of the endowment in those securities listed in s.

16  215.47, in accordance with the fiduciary standards set forth

17  in s. 215.47(9) and consistent with an investment plan

18  developed by the executive director and approved by the board.

19  Costs and fees of the board for investment services shall be

20  deducted from the earnings accruing to the endowment.

21         (b)  Funds available from the endowment for

22  distribution by the board shall only be 95 percent of the

23  annual earnings received on the endowment. Neither the

24  original principal, the annual earning reserve of 5 percent,

25  nor the deposits from the tobacco settlement for fiscal years

26  1999-2000 through 2002-2003 shall be available for

27  appropriation or distribution.

28         (c)  The board shall establish a separate account for

29  the funds of the endowment. The board shall design and operate

30  an investment portfolio that maximizes the financial return to

31  the endowment, consistent with the risks inherent in each

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1  investment, and that is designed to preserve an appropriate

  2  diversification of the portfolio.

  3         (d)  No later than February 15, 2000, the board shall

  4  report on the financial status of the endowment to the

  5  Governor, the Speaker of the House of Representatives, the

  6  President of the Senate, the chairs of the respective

  7  appropriations and appropriate substantive committees of each

  8  chamber, and the Revenue Estimating Conference. Thereafter,

  9  the board shall make a status report to such persons no later

10  than August 15 and February 15 of each year.

11         (e)  Accountability for funds from the endowment which

12  have been appropriated to a state agency and distributed by

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

14  responsible for the proper expenditure or accountability of

15  funds from the endowment after distribution to a state agency.

16         (f)  The board may collect a fee for service from the

17  endowment no greater than that charged to the Florida

18  Retirement System.

19         (6)  AVAILABILITY OF FUNDS.--

20         (a)  Funds from the endowment shall not be available

21  for appropriation to a state agency until July 1, 2000.

22  Beginning July 1, 2000, the maximum annual amount of endowment

23  funds that may be appropriated to a state agency from the

24  earnings on the principal shall not exceed the amount of

25  interest earnings from the previous year.

26         (b)  Notwithstanding the provisions of s. 216.301 and

27  pursuant to s. 216.351, all unencumbered balances of

28  appropriations as of June 30 or undisbursed balances as of

29  December 31 shall revert to the endowment's principal.

30         (7)  ENDOWMENT PRINCIPAL; APPROPRIATION OF EARNINGS.--

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
    309-2134-99




  1         (a)  The following amounts are appropriated from the

  2  Department of Banking and Finance Tobacco Settlement Clearing

  3  Trust Fund to the Lawton Chiles Endowment Fund for Health and

  4  Human Services:

  5         1.  For fiscal year 1999-2000, $500 million;

  6         2.  For fiscal year 2000-2001, $150 million;

  7         3.  For fiscal year 2001-2002, $250 million; and

  8         4.  For fiscal year 2002-2003, $100 million.

  9         (b)  The amounts appropriated under paragraph (a),

10  together with any additional funds that are appropriated,

11  constitute the principal of the endowment and are not

12  available for appropriation from the endowment, as specified

13  in paragraph (5)(b). However, any interest or other earnings

14  on such amounts accruing to the endowment from the investment

15  of such moneys shall be available for appropriation by the

16  Legislature.

17         (c)  There is appropriated from the Lawton Chiles

18  Endowment Fund to the Connie Mack Biomedical Research Program

19  50 percent of the interest or other earnings accruing to the

20  endowment. Of the funds appropriated to the Connie Mack

21  Biomedical Research Program, 50 percent shall be distributed

22  on a competitive-project basis as provided in this paragraph

23  and 50 percent shall be appropriated directly to institutions.

24  Funds provided directly to institutions shall be distributed

25  to the following:

26         1.  University of Florida Cancer Center, 20 percent.

27         2.  University of Miami Medical Center, 20 percent.

28         3.  H. Lee Moffitt Cancer Center and Research

29  Institute, 20 percent.

30         4.  Florida State University Biomedical Research, 15

31  percent.

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1         5.  Florida Agricultural and Mechanical University

  2  Pharmacy Research, 10 percent.

  3         6.  Mayo Clinic, 5 percent.

  4         7.  University of South Florida Biomedical Research, 5

  5  percent.

  6         8.  Walt Disney Memorial Cancer Institute, 2.5 percent.

  7         9.  M.D. Anderson Cancer Center-Health Research

  8  Institute, 2.5 percent.

  9         Section 2.  Section 215.5602, Florida Statutes, is

10  created to read:

11         215.5602  Connie Mack Biomedical Research Program.--

12         (1)  There is established within the Lawton Chiles

13  Endowment Fund the Connie Mack Biomedical Research Program to

14  support research initiatives that address the health care

15  problems of Floridians in the areas of cancer, cardiovascular

16  disease, stroke, and pulmonary disease. The long-term goals of

17  the program are to:

18         (a)  Improve the health of Floridians by researching

19  better treatments for cancer, cardiovascular disease, stroke,

20  and pulmonary disease.

21         (b)  Expand the foundation of biomedical knowledge

22  relating to the diagnosis and treatment of diseases related to

23  tobacco use, including cancer, cardiovascular disease, stroke,

24  and pulmonary disease.

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

26  centers by bringing the advances of biomedical research into

27  the training of physicians and other health care providers.

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

29  biomedical research by undertaking new initiatives in

30  biomedical research that will attract additional funding from

31  outside the state.

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1         (e)  Stimulate economic activity in the state in areas

  2  related to biomedical research, such as the research and

  3  production of pharmaceuticals, biotechnology, and medical

  4  devices.

  5         (2)  Funds appropriated from the Lawton Chiles

  6  Endowment Fund to the Department of Health for the purposes of

  7  this section shall be used exclusively for the award of grants

  8  and fellowships under the program established in this section;

  9  for research relating to the diagnosis and treatment of

10  diseases related to tobacco use, including cancer,

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

12  expenses incurred in the administration of this section.

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

14  the Biomedical Research Advisory Council.

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

16  including:  the chief executive officer of the Florida

17  Division of the American Cancer Society, or a designee; the

18  chief executive officer of the Florida/Puerto Rico Affiliate

19  of the American Heart Association, or a designee; and the

20  chief executive officer of the American Lung Association of

21  Florida, or a designee. The Governor shall appoint the

22  remaining six members of the council, as follows:

23         1.  Two members with expertise in the field of

24  biomedical research.

25         2.  One member with expertise in the field of

26  behavioral or social research.

27         3.  One member from a professional medical

28  organization.

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

30         5.  One member representing the general population of

31  the state.

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  2  In making his appointments, the Governor shall select

  3  primarily, but not exclusively, Floridians with biomedical and

  4  lay expertise in the general areas of cancer, cardiovascular

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

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

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

  8  appointed by the Governor may not serve more than two

  9  consecutive terms.

10         (b)  The council shall adopt internal organizational

11  procedures as necessary for its efficient organization.

12         (c)  The department shall provide such staff,

13  information, and other assistance as is reasonably necessary

14  to assist the council in carrying out its responsibilities.

15         (d)  Members of the council shall serve without

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

17  112.061 for travel and other necessary expenses incurred in

18  the performance of their official duties.

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

20  as to the direction and scope of the biomedical research

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

22  are not limited to:

23         (a)  Providing advice on program priorities and

24  emphases.

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

26         (c)  Participating in periodic program evaluation.

27         (d)  Assisting in the development of guidelines to

28  ensure fairness, neutrality, and adherence to the principles

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

30         (e)  Assisting in the development of appropriate

31  linkages to nonacademic entities, such as voluntary

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1  organizations, health care delivery institutions, industry,

  2  government agencies, and public officials.

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

  4  research grants.

  5         (g)  Developing administrative procedures relating to

  6  solicitation, review, and award of research grants and

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

  8  system.

  9         (h)  Developing and supervising research peer review

10  panels.

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

12  recommendations for research grants and fellowships.

13         (j)  Developing and providing oversight regarding

14  mechanisms for the dissemination of research results.

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

16  under the program may be submitted from any university or

17  established research institute in the state. All qualified

18  investigators in the state, regardless of institution

19  affiliation, shall have equal access and opportunity to

20  compete for the research funding.

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

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

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

24  competitive peer review process that ensures objectivity,

25  consistency, and high quality. The following types of

26  applications shall be considered for funding:

27         1.  Investigator-initiated research grants.

28         2.  Institutional research grants.

29         3.  Predoctoral and postdoctoral research fellowships.

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

31  are appropriate and are evaluated fairly on the basis of

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1  scientific merit, the Secretary of Health, in consultation

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

  3  independent, scientifically qualified individuals to review

  4  the scientific content of each proposal and establish its

  5  scientific priority score. The priority scores shall be

  6  forwarded to the council and must be considered in determining

  7  which proposals shall be recommended for funding.

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

  9  establish and follow rigorous guidelines for ethical conduct

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

11  interest. No member of the council or panel shall participate

12  in any discussion or decision with respect to a research

13  proposal by any firm, entity, or agency with which the member

14  is associated as a member of the governing body or as an

15  employee, or with which the member has entered into a

16  contractual arrangement. Meetings of the council and the peer

17  review panels shall be subject to the provisions of chapter

18  119, s. 286.011, and s. 24, Art. I of the State Constitution.

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

20  basis with an appropriate entity to administer the program.

21  Administrative expenses may not exceed 15 percent of the total

22  funds available to the program in any given year.

23         (9)  The department, after consultation with the

24  council, may adopt rules as necessary to implement this

25  section.

26         (10)  The council shall submit an annual progress

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

28  the Governor, the Secretary of Health, the President of the

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

30  February 1. The report must include:

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1         (a)  A list of research projects supported by grants or

  2  fellowships awarded under the program.

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

  4  fellowships.

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

  6  involving research supported by grants or fellowships awarded

  7  under the program.

  8         (d)  The total amount of biomedical research funding

  9  currently flowing into the state.

10         (e)  New grants for biomedical research which were

11  funded based on research supported by grants or fellowships

12  awarded under the program.

13         (f)  Progress in the treatment of diseases related to

14  tobacco use, including cancer, cardiovascular disease, stroke,

15  and pulmonary disease.

16         Section 3.  This act shall take effect July 1, 1999.

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    Florida Senate - 1999                  CS for SB's 2422 & 1952
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  1          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
  2                       SB 2422 and SB 1952

  3

  4  Changes the name of the endowment from the "Lawton Chiles
    Endowment Fund for Children and Elders," to the "Lawton Chiles
  5  Endowment Fund for Health and Human Services." (Page 1, lines
    17-27)
  6
    Amends intent language (page 2, lines 4-15) to reflect the
  7  change in the title and scope of the endowment and include
    cancer research and public health research for diseases linked
  8  to tobacco use.

  9  Amends the list of program purposes (page 3, lines 1-3) for
    which endowment funds can be used to reflect the change in
10  scope of services and include facilities and biomedical
    research among the health and human services initiatives for
11  which endowment proceeds may be used.

12  Amends the language related to availability of funds (page 4,
    line 21, through page 5, line 5)  to provide that
13  appropriations from the endowment for any given fiscal year
    shall not exceed the amount of interest earnings on the
14  endowment fund from the prior fiscal year.  Further restricts
    annual expenditures from endowment earnings to no more than
15  95% of the of the annual earnings, with the remaining 5%
    redeposited to the endowment. Provides than neither deposits
16  made through FY 2002-2003 nor the 5% annual reserve will be
    available for appropriation or distribution.
17
    Creates the Connie Mack Biomedical Research Program within the
18  endowment; provides goals for the program; creates a
    Department of Health Biomedical Research Advisory Council,
19  establishes its membership and delineates functions;
    establishes grant application and review processes and
20  criteria; requires annual report.

21  Appropriates 50% of the interest or other earnings accruing to
    the Endowment to the Connie Mack Biomedical Research Program.
22  Of the funds appropriated to the Biomedical Research Program,
    50% is required to be distributed on a competitive basis and
23  50% is appropriated directly to named institutions.

24  Establishes the level of funding appropriated to the endowment
    as follows:
25                Fiscal Year         Amendment

26                1999-2000           $500,000,000
                  2000-2001           $150,000,000
27                2001-2002           $250,000,000
                  2002-2003           $100,000,000
28                TOTAL             $1,000,000,000

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