House Bill hb0563er

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    2001 Legislature                   CS/HB 563, Second Engrossed



  1                                 

  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; providing for a portion of

12         unappropriated funds to be deposited into the

13         endowment fund; establishing an advisory

14         council; amending s. 215.5602, F.S.; providing

15         for public health and biomedical research;

16         providing an appropriation; providing an

17         effective date.

18  

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

20  

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

22  Statutes, is amended to read:

23         17.41  Department of Banking and Finance Tobacco

24  Settlement Clearing Trust Fund.--

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

26  agreement received by the state shall be immediately deposited

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

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

29  Clearing Trust Fund.

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

31  20.435, Florida Statutes, is amended to read:


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  1         20.435  Department of Health; trust funds.--

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

  3  be administered by the Department of Health:

  4         (h)  Biomedical Research Trust Fund.

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

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

  7  215.5601(4). Funds shall be used for the purposes of the

  8  Florida Biomedical Research Program as specified in s.

  9  215.5602. The trust fund is exempt from the service charges

10  imposed by s. 215.20.

11         2.  Notwithstanding the provisions of s. 216.301 and

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

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

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

15  purposes of the trust fund.

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

17  terminated on July 1, 2004.

18         Section 3.  Section 215.5601, Florida Statutes, is

19  amended to read:

20         (Substantial rewording of section. See

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

22         215.5601  Lawton Chiles Endowment Fund.--

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

24  Legislature to:

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

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

27  children's community-based health and human services

28  initiatives, elder programs, and biomedical research

29  activities related to tobacco use.

30  

31  


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

  2  enhanced funding to ensure the financial security of vital

  3  health and human services programs for children and elders.

  4         (c)  Ensure that enhancement revenues will be available

  5  to help finance these important programs and initiatives.

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

  7  biomedical research for the prevention, diagnosis, and

  8  treatment of diseases related to tobacco use by creating an

  9  annual and perpetual source of funding for biomedical research

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

11  knowledge relating to the prevention, diagnosis, and treatment

12  of diseases related to tobacco use, including cancer,

13  cardiovascular disease, stroke, and pulmonary disease; improve

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

15  the advances of biomedical research into the training of

16  physicians and other health care providers; and increase the

17  state's per capita funding for biomedical research by

18  undertaking new initiatives in biomedical research which will

19  attract additional funding from outside the state while also

20  stimulating economic activity in the state in areas related to

21  biomedical research, such as the research and production of

22  pharmaceuticals, biotechnology, and medical devices.

23         (e)  Encourage the development of community-based

24  solutions to strengthen and improve the quality of life of

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

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

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

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

29  1885 and incorporated into s. 9(c), Art. XII of the State

30  Constitution of 1968.

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

  2  Fund.

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

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

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

  6  Department of Health, the Department of Children and Family

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

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

  9  context indicates.

10         (3)  LAWTON CHILES ENDOWMENT FUND; CREATION;

11  PRINCIPAL.--

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

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

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

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

16  Constitution. The endowment fund shall be exempt from the

17  service charges imposed by s. 215.20.

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

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

20  tobacco settlement agreement as defined in s. 215.56005,

21  including the right to receive payments under such agreement,

22  and from accounts transferred from the Department of Banking

23  and Finance Tobacco Settlement Clearing Trust Fund established

24  under s. 17.41. Amounts to be transferred from the Department

25  of Banking and Finance Tobacco Settlement Clearing Trust Fund

26  to the endowment shall be in the following amounts for the

27  following fiscal years:

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

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

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

31         4.  For fiscal year 2002-2003, $200 million; and


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  1         (c)  Amounts to be transferred under subparagraphs

  2  (b)2., 3., and 4. may be reduced by an amount equal to the

  3  lesser of $200 million or the amount the endowment receives in

  4  that fiscal year from the sale of the state's right, title,

  5  and interest in and to the tobacco settlement agreement.

  6         (d)  For fiscal year 2001-2002, $150 million of the

  7  existing principal in the endowment shall be reserved and

  8  accounted for within the endowment, the income from which

  9  shall be used solely for the funding for biomedical research

10  activities as provided in s. 215.5602. The income from the

11  remaining principal shall be used solely as the source of

12  funding for health and human services programs for children

13  and elders as provided in subsection (5). The separate account

14  for biomedical research shall be dissolved and the entire

15  principal in the endowment shall be used exclusively for

16  health and human services programs when cures have been found

17  for tobacco-related cancer, heart, and lung disease.

18         (4)  ADMINISTRATION.--

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

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

21  investment plan developed by the executive director and

22  approved by the board.

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

24  investment objective shall be long-term preservation of the

25  real value of the principal and a specified regular annual

26  cash outflow for appropriation, as nonrecurring revenue. From

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

28  for biomedical research activities as provided in paragraph

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

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

31  cash outflow dedicated to the biomedical research portion of


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  1  the endowment shall be reinvested and applied to that portion

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

  3  on biomedical research activities consistent with this

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

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

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

  7  include separate sections on the financial status of the

  8  endowment in its annual investment report to the Legislature.

  9         (d)  Accountability for funds from the endowment which

10  have been appropriated to a state agency and distributed by

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

12  responsible for the proper expenditure of or accountability

13  concerning funds from the endowment after distribution to a

14  state agency.

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

16  services shall be deducted from the earnings accruing to the

17  endowment. Fees for investment services shall be no greater

18  than fees charged to the Florida Retirement System.

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

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

21  legislative appropriation shall be transferred by the board to

22  the Department of Banking and Finance Tobacco Settlement

23  Clearing Trust Fund, created in s. 17.41, and disbursed in

24  accordance with the legislative appropriation.

25         1.  Appropriations by the Legislature to the Department

26  of Health from endowment earnings from the principal set aside

27  for biomedical research shall be from a category called

28  Florida Biomedical Research Program and shall be deposited

29  into the Biomedical Research Trust Fund in the Department of

30  Health established in s. 20.435.

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  1         2.  Appropriations by the Legislature to the Department

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

  3  the Department of Elderly Affairs for health and human

  4  services programs shall be from a category called the Lawton

  5  Chiles Endowment Fund Programs and shall be deposited into

  6  each department's respective Tobacco Settlement Trust Fund as

  7  appropriated.

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

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

10  the purposes intended by the Legislature, the Legislature

11  shall establish line item categories for the state agencies

12  describing the designated use of the appropriated funds as

13  provided in the General Appropriations Act.

14         (c)  The secretaries of the state agencies shall

15  conduct meetings to discuss priorities for endowment funding

16  for health and human services programs for children and elders

17  before submitting their legislative budget requests to the

18  Executive Office of the Governor and the Legislature. The

19  purpose of the meetings is to gain consensus for priority

20  requests and recommended endowment funding levels for those

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

22  secretaries of the state agencies shall also submit their

23  concensus priority requests to the Lawton Chiles Endowment

24  Fund Advisory Council created in subsection (6).

25         (d)  Subject to legislative appropriations, state

26  agencies shall use distributions from the endowment to enhance

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

28  program costs in health and human services program areas.

29  Funds distributed from the endowment may not be used to

30  supplant existing revenues.

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

  2  216.351, all unencumbered balances of appropriations as of

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

  4  to the endowment's principal. Unencumbered or undisbursed

  5  balances appropriated for biomedical research shall revert to

  6  the principal in the separately reserved and accounted-for

  7  portion of the endowment established for biomedical research

  8  activities.

  9         (f)  When advised by the Revenue Estimating Conference

10  that a deficit will occur with respect to the appropriations

11  from the tobacco settlement trust funds of the state agencies

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

13  action to eliminate the deficit. Before implementing the plan

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

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

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

17  absent any specific directions to the contrary in the General

18  Appropriations Act, any reductions in appropriations from the

19  tobacco settlement trust funds of the state agencies for a

20  fiscal year shall be prorated among the specific

21  appropriations made from all tobacco settlement trust funds of

22  the state agencies for that year.

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

24  Fund Advisory Council is established for the purpose of

25  reviewing the funding priorities of the state agencies,

26  evaluating their requests against the mission and goals of the

27  agencies and legislative intent for the use of endowment

28  funds, and allowing for public input and advocacy.

29         (a)  The advisory council shall consist of 15 members,

30  including:

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  1         1.  The director of the United Way of Florida, Inc., or

  2  his or her designee;

  3         2.  The director of the Foster Parents Association, or

  4  his or her designee;

  5         3.  The chair of the Department of Elderly Affairs

  6  Advisory Council, or his or her designee;

  7         4.  The president of the Florida Association of Area

  8  Agencies on Aging, or his or her designee;

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

10  designee;

11         6. The state director of the Florida AARP, or his or

12  her designee;

13         7.  The director of the Florida Pediatric Society, or

14  his or her designee;

15         8.  A representative of the Guardian Ad Litem Program,

16  appointed by the Governor;

17         9.  A representative of a child welfare lead agency for

18  community-based care, appointed by the Governor;

19         10.  A representative of an elder care lead agency for

20  community-based care, appointed by the Governor;

21         11.  A representative of a statewide child advocacy

22  organization, appointed by the Governor;

23         12.  One consumer caregiver for children, appointed by

24  the Governor;

25         13.  One person over the age of 60 years to represent

26  the interests of elders, appointed by the Governor;

27         14.  One person under the age of 18 years to represent

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

29         15.  One consumer caregiver for a functionally impaired

30  elderly person, appointed by the Governor.

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

  2  council shall advise the Governor and the Legislature as to

  3  its recommendations with respect to the priorities submitted

  4  by the secretaries of the state agencies with respect to

  5  endowment funding for health and human services programs for

  6  children and elders. The responsibilities of the advisory

  7  council include:

  8         1.  Evaluating the value of programs and services

  9  submitted by the state agencies as they relate to the overall

10  enhancement of services to children and elders;

11         2.  Developing criteria and guiding principles for

12  ranking the priorities submitted by the state agencies;

13         3.  Providing recommendations with respect to funding

14  levels for the programs ranked by the advisory council;

15         4.  Participating in periodic evaluation of programs

16  funded by the endowment to determine the need for continued

17  funding; and

18         5.  Soliciting input from child and elder advocacy

19  organizations, community stakeholders, providers, and the

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

21  effectiveness of program service delivery systems.

22         (c)  Members of the advisory council shall serve

23  without compensation, but may receive reimbursement as

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

25  incurred in the performance of their official duties. The

26  Department of Children and Family Services shall provide staff

27  and other administrative assistance reasonably necessary to

28  assist the advisory council in carrying out its

29  responsibilities. Administrative costs of the advisory council

30  shall be charged equally to endowment funds deposited in the

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  1  Department of Children and Family Services and the Department

  2  of Elderly Affairs Tobacco Settlement Trust Funds.

  3         Section 4.  Section 215.5602, Florida Statutes, is

  4  amended to read:

  5         215.5602  Florida Biomedical Research Program.--

  6         (1)  There is established within the Department of

  7  Health the Florida Biomedical Research Program funded by the

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

  9  215.5601 s. 215.5601(4). The purpose of the Florida Biomedical

10  Research Program is to provide an annual and perpetual source

11  of funding in order to support research initiatives that

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

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

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

15         (a)  Improve the health of Floridians by researching

16  better prevention, diagnoses, and treatments for cancer,

17  cardiovascular disease, stroke, and pulmonary disease.

18         (b)  Expand the foundation of biomedical knowledge

19  relating to the prevention, diagnosis, and treatment of

20  diseases related to tobacco use, including cancer,

21  cardiovascular disease, stroke, and pulmonary disease.

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

23  centers by bringing the advances of biomedical research into

24  the training of physicians and other health care providers.

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

26  biomedical research by undertaking new initiatives in public

27  health and biomedical research that will attract additional

28  funding from outside the state.

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

30  related to biomedical research, such as the research and

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  1  production of pharmaceuticals, biotechnology, and medical

  2  devices.

  3         (2)  Funds appropriated for the Florida Biomedical

  4  Research Program shall be used exclusively for the award of

  5  grants and fellowships as established in this section; for

  6  research relating to the prevention, diagnosis, and treatment

  7  of diseases related to tobacco use, including cancer,

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

  9  expenses incurred in the administration of this section.

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

11  the Biomedical Research Advisory Council.

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

13  including: the chief executive officer of the Florida Division

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

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

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

17  executive officer of the American Lung Association of Florida,

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

19  members of the council, as follows:

20         1.  Two members with expertise in the field of

21  biomedical research.

22         2.  One member with expertise in the field of

23  behavioral or social research.

24         3.  One member from a professional medical

25  organization.

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

27         5.  One member representing the general population of

28  the state.

29  

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

31  primarily, but not exclusively, Floridians with biomedical and


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  1  lay expertise in the general areas of cancer, cardiovascular

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

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

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

  5  appointed by the Governor may not serve more than two

  6  consecutive terms.

  7         (b)  The council shall adopt internal organizational

  8  procedures as necessary for its efficient organization.

  9         (c)  The department shall provide such staff,

10  information, and other assistance as is reasonably necessary

11  to assist the council in carrying out its responsibilities.

12         (d)  Members of the council shall serve without

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

14  112.061 for travel and other necessary expenses incurred in

15  the performance of their official duties.

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

17  as to the direction and scope of the biomedical research

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

19  are not limited to:

20         (a)  Providing advice on program priorities and

21  emphases.

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

23         (c)  Participating in periodic program evaluation.

24         (d)  Assisting in the development of guidelines to

25  ensure fairness, neutrality, and adherence to the principles

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

27         (e)  Assisting in the development of appropriate

28  linkages to nonacademic entities, such as voluntary

29  organizations, health care delivery institutions, industry,

30  government agencies, and public officials.

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

  2  research grants.

  3         (g)  Developing administrative procedures relating to

  4  solicitation, review, and award of research grants and

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

  6  system.

  7         (h)  Developing and supervising research peer review

  8  panels.

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

10  recommendations for research grants and fellowships.

11         (j)  Developing and providing oversight regarding

12  mechanisms for the dissemination of research results.

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

14  under the program may be submitted from any university or

15  established research institute in the state. All qualified

16  investigators in the state, regardless of institution

17  affiliation, shall have equal access and opportunity to

18  compete for the research funding.

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

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

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

22  competitive peer review process that ensures objectivity,

23  consistency, and high quality. The following types of

24  applications shall be considered for funding:

25         1.  Investigator-initiated research grants.

26         2.  Institutional research grants.

27         3.  Predoctoral and postdoctoral research fellowships.

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

29  are appropriate and are evaluated fairly on the basis of

30  scientific merit, the Secretary of Health, in consultation

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


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  1  independent, scientifically qualified individuals to review

  2  the scientific content of each proposal and establish its

  3  scientific priority score. The priority scores shall be

  4  forwarded to the council and must be considered in determining

  5  which proposals shall be recommended for funding.

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

  7  establish and follow rigorous guidelines for ethical conduct

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

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

10  participate in any discussion or decision with respect to a

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

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

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

14  contractual arrangement. Meetings of the council and the peer

15  review panels shall be subject to the provisions of chapter

16  119, s. 286.011, and s. 24, Art. I of the State Constitution.

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

18  basis with an appropriate entity to administer the program.

19  Administrative expenses may not exceed 15 percent of the total

20  funds available to the program in any given year.

21         (9)  The department, after consultation with the

22  council, may adopt rules as necessary to implement this

23  section.

24         (10)  The council shall submit an annual progress

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

26  the Governor, the Secretary of Health, the President of the

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

28  February 1. The report must include:

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

30  fellowships awarded under the program.

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

  2  fellowships.

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

  4  involving research supported by grants or fellowships awarded

  5  under the program.

  6         (d)  The total amount of biomedical research funding

  7  currently flowing into the state.

  8         (e)  New grants for biomedical research which were

  9  funded based on research supported by grants or fellowships

10  awarded under the program.

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

12  treatment of diseases related to tobacco use, including

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

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

15  Department of Children and Family Services and the Department

16  of Elderly Affairs from Lawton Chiles endowment funds

17  deposited into each department's Tobacco Settlement Trust Fund

18  to pay for administrative costs associated with the Lawton

19  Chiles Endowment Fund Advisory Council established in section

20  215.5601, Florida Statutes.

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

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