House Bill hb1803

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    Florida House of Representatives - 2002                HB 1803

        By Representative Gannon






  1                      A bill to be entitled

  2         An act relating to the H. Lee Moffitt Cancer

  3         Center and Research Institute at the University

  4         of South Florida; amending s. 240.512, F.S.;

  5         assigning duties of the Board of Regents to the

  6         Florida Board of Education; providing for the

  7         utilization and governance of lands; revising

  8         provisions relating to corporate subsidiaries

  9         of the not-for-profit corporation; providing

10         for applicability of sovereign immunity

11         provisions; providing for the receipt of local

12         funds; revising provisions relating to

13         insurance protection; assigning duties of the

14         center director to a chief executive officer;

15         requiring approval of the University of South

16         Florida Board of Trustees for establishment of

17         academic programs; authorizing the creation and

18         support of an interdisciplinary oncology

19         program; providing for access to certain

20         research information; providing for

21         appropriations to be paid to the board of

22         directors of the not-for-profit corporation;

23         authorizing a challenge grant program for the

24         construction of facilities and the support of

25         clinical, research, and teaching programs at

26         the institute; providing for matching funds

27         from private sources with state funds for

28         approved projects; providing for the receipt,

29         holding, and disbursement of funds; providing

30         an effective date.

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

  2

  3         Section 1.  Section 240.512, Florida Statutes, is

  4  amended to read:

  5         240.512  H. Lee Moffitt Cancer Center and Research

  6  Institute.--There is established the H. Lee Moffitt Cancer

  7  Center and Research Institute at the University of South

  8  Florida.

  9         (1)  The Florida Board of Education Regents shall

10  maintain enter into an agreement for the utilization of the

11  lands and facilities on the campus of the University of South

12  Florida to be known as the H. Lee Moffitt Cancer Center and

13  Research Institute, including all furnishings, equipment, and

14  other chattels used in the operation of said facilities, with

15  a Florida not-for-profit corporation organized solely for the

16  purpose of governing and operating the H. Lee Moffitt Cancer

17  Center and Research Institute.  The This not-for-profit

18  corporation, acting as an instrumentality of the State of

19  Florida, shall govern and operate the H. Lee Moffitt Cancer

20  Center and Research Institute in accordance with the terms of

21  the agreement between the Florida Board of Education Regents

22  and the not-for-profit corporation. The not-for-profit

23  corporation may, with the prior approval of the Florida Board

24  of Education Regents, create not-for-profit corporate

25  subsidiaries to fulfill its mission. The not-for-profit

26  corporation and its subsidiaries shall be corporations

27  primarily acting as instrumentalities of the state, pursuant

28  to s. 768.28(2), for purposes of sovereign immunity. The

29  not-for-profit corporation and its subsidiaries are authorized

30  to receive, hold, invest, and administer property and any

31  moneys received from private, local, state, and federal

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  1  sources, as well as technical and professional income

  2  generated or derived from practice activities of the

  3  institute, for the benefit of the institute and the

  4  fulfillment of its mission. The affairs of the corporation

  5  shall be managed by a board of directors who shall serve

  6  without compensation.  The President of the University of

  7  South Florida and the chair of the Florida Board of Education

  8  Regents, or his or her designee, shall be directors of the

  9  not-for-profit corporation, together with 5 representatives of

10  the State University System and no more than 14 nor fewer than

11  10 directors who are not medical doctors or state employees.

12  Each director shall have only one vote, shall serve a term of

13  3 years, and may be reelected to the board.  Other than the

14  President of the University of South Florida and the chair of

15  the Florida Board of Education Regents, directors shall be

16  elected by a majority vote of the board. The chair of the

17  board of directors shall be selected by majority vote of the

18  directors.

19         (2)  The Florida Board of Education Regents shall

20  provide in the agreement with the not-for-profit corporation

21  for the following:

22         (a)  Approval of the articles of incorporation of the

23  not-for-profit corporation by the Florida Board of Education

24  Regents.

25         (b)  Approval of the articles of incorporation of any

26  not-for-profit corporate subsidiary created by the

27  not-for-profit corporation.

28         (c)  Utilization of lands, hospital facilities, and

29  personnel by the not-for-profit corporation and its

30  subsidiaries for research, education, treatment, prevention,

31  and the early detection of cancer and mutually approved

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  1  teaching and research programs conducted by the University of

  2  South Florida and or other accredited medical schools or

  3  research institutes.

  4         (d)  Preparation of an annual postaudit of the

  5  not-for-profit corporation's financial accounts and the

  6  financial accounts of any subsidiaries to be conducted by an

  7  independent certified public accountant. The annual audit

  8  report shall include management letters and shall be submitted

  9  to the Auditor General and the Florida Board of Education

10  Regents for review.  The Florida Board of Education Regents,

11  the Auditor General, and the Office of Program Policy Analysis

12  and Government Accountability shall have the authority to

13  require and receive from the not-for-profit corporation and

14  any subsidiaries or from their independent auditor any detail

15  or supplemental data relative to the operation of the

16  not-for-profit corporation or subsidiary.

17         (e)  Provision by the not-for-profit corporation and

18  its subsidiaries of equal employment opportunities to all

19  persons regardless of race, color, religion, sex, age, or

20  national origin.

21         (3)  The University of South Florida Health Sciences

22  Center self-insurance program Board of Regents is authorized

23  to secure comprehensive general liability protection,

24  including professional liability protection, for the

25  not-for-profit corporation and its subsidiaries pursuant to s.

26  240.213. The not-for-profit corporation and its subsidiaries

27  shall be exempt from participation in any property insurance

28  trust fund established by law, including any property

29  insurance trust fund established under chapter 284, so long as

30  the not-for-profit corporation and its subsidiaries maintain

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  1  property insurance protection with comparable or greater

  2  coverage limits.

  3         (4)  In the event that the agreement between the

  4  not-for-profit corporation and the Florida Board of Education

  5  Regents is terminated for any reason, the Florida Board of

  6  Education Regents shall assume resume governance and operation

  7  of said lands and facilities.

  8         (5)  The institute shall be administered by a chief

  9  executive officer center director who shall serve at the

10  pleasure of the board of directors of the not-for-profit

11  corporation and who shall have the following powers and duties

12  subject to the approval of the board of directors:

13         (a)  The chief executive officer center director shall

14  establish programs which fulfill the mission of the institute

15  in research, education, treatment, prevention, and the early

16  detection of cancer; however, the chief executive officer

17  center director shall not establish academic programs for

18  which academic credit is awarded and which terminate in the

19  conference of a degree without prior approval of the

20  University of South Florida Board of Trustees based on

21  criteria established by the Florida Board of Education

22  Regents.

23         (b)  The chief executive officer center director shall

24  have control over the budget and the dollars appropriated or

25  donated to the institute from private, local, state, and

26  federal sources, as well as technical and professional income

27  generated or derived from practice activities of the

28  institute.  However, professional income generated by

29  university faculty from practice activities at the institute

30  shall be shared between the institute and the university as

31  determined by the chief executive officer center director and

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  1  the appropriate university dean or vice president department

  2  chair.

  3         (c)  The chief executive officer center director shall

  4  appoint members to carry out the research, patient care, and

  5  educational activities of the institute and determine

  6  compensation, benefits, and terms of service.  Members of the

  7  institute shall be eligible to hold concurrent appointments at

  8  affiliated academic institutions. University faculty shall be

  9  eligible to hold concurrent appointments at the institute.

10         (d)  The chief executive officer center director shall

11  have control over the use and assignment of space and

12  equipment within the facilities.

13         (e)  The chief executive officer center director shall

14  have the power to create the administrative structure

15  necessary to carry out the mission of the institute.

16         (f)  The chief executive officer center director shall

17  have a reporting relationship to the Chancellor of Colleges

18  and Universities the State University System.

19         (g)  The chief executive officer center director shall

20  provide a copy of the institute's annual report to the

21  Governor and Cabinet, the President of the Senate, the Speaker

22  of the House of Representatives, and the chair of the Florida

23  Board of Education Regents.

24         (6)  The not-for-profit corporation and its

25  subsidiaries shall have the authority to enter into an

26  affiliation agreement or agreements with the University of

27  South Florida for the creation and support of an

28  interdisciplinary oncology program. The affiliation may

29  include joint financial and administrative support of the

30  clinical, research, and educational activities of university

31  faculty, as well as the sharing of revenues from those

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  1  activities by the institute and the university in furtherance

  2  of the mission of the institute.

  3         (7)(6)  The board of directors of the not-for-profit

  4  corporation shall create a council of scientific advisers to

  5  the chief executive officer center director comprised of

  6  leading researchers, physicians, and scientists.  This council

  7  shall review programs and recommend research priorities and

  8  initiatives so as to maximize the state's investment in the

  9  institute.  The council shall be appointed by the board of

10  directors of the not-for-profit corporation and shall include

11  five appointees of the Board of Regents.  Each member of the

12  council shall be appointed to serve a 2-year term and may be

13  reappointed to the council.

14         (8)(7)  In carrying out the provisions of this section,

15  the not-for-profit corporation and its subsidiaries are not

16  "agencies" within the meaning of s. 20.03(11).

17         (9)(8)(a)  Records of the not-for-profit corporation

18  and of its subsidiaries are public records unless made

19  confidential or exempt by law.

20         (b)  Proprietary confidential business information is

21  confidential and exempt from the provisions of s. 119.07(1)

22  and s. 24(a), Art. I of the State Constitution.  However, the

23  Auditor General, the Office of Program Policy Analysis and

24  Government Accountability, and Florida Board of Education

25  Regents, pursuant to their oversight and auditing functions,

26  must be given access to all proprietary confidential business

27  information upon request and without subpoena and must

28  maintain the confidentiality of information so received. As

29  used in this paragraph, the term "proprietary confidential

30  business information" means information, regardless of its

31  form or characteristics, which is owned or controlled by the

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  1  not-for-profit corporation or its subsidiaries; is intended to

  2  be and is treated by the not-for-profit corporation or its

  3  subsidiaries as private and the disclosure of which would harm

  4  the business operations of the not-for-profit corporation or

  5  its subsidiaries; has not been intentionally disclosed by the

  6  corporation or its subsidiaries unless pursuant to law, an

  7  order of a court or administrative body, a legislative

  8  proceeding pursuant to s. 5, Art. III of the State

  9  Constitution, or a private agreement that provides that the

10  information may be released to the public; and which is

11  information concerning:

12         1.  Internal auditing controls and reports of internal

13  auditors;

14         2.  Matters reasonably encompassed in privileged

15  attorney-client communications;

16         3.  Contracts for managed-care arrangements, including

17  preferred provider organization contracts, health maintenance

18  organization contracts, and exclusive provider organization

19  contracts, and any documents directly relating to the

20  negotiation, performance, and implementation of any such

21  contracts for managed-care arrangements;

22         4.  Bids or other contractual data, banking records,

23  and credit agreements the disclosure of which would impair the

24  efforts of the not-for-profit corporation or its subsidiaries

25  to contract for goods or services on favorable terms;

26         5.  Information relating to private contractual data,

27  the disclosure of which would impair the competitive interest

28  of the provider of the information;

29         6.  Corporate officer and employee personnel

30  information;

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  1         7.  Information relating to the proceedings and records

  2  of credentialing panels and committees and of the governing

  3  board of the not-for-profit corporation or its subsidiaries

  4  relating to credentialing;

  5         8.  Minutes of meetings of the governing board of the

  6  not-for-profit corporation and its subsidiaries, except

  7  minutes of meetings open to the public pursuant to subsection

  8  (10)(9);

  9         9.  Information that reveals plans for marketing

10  services that the corporation or its subsidiaries reasonably

11  expect to be provided by competitors;

12         10.  Trade secrets as defined in s. 688.002, including

13  reimbursement methodologies or rates and other materials and

14  information exempted in s. 240.241(2); or

15         11.  The identity of donors or prospective donors of

16  property who wish to remain anonymous or any information

17  identifying such donors or prospective donors.  The anonymity

18  of these donors or prospective donors must be maintained in

19  the auditor's report.

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21  As used in this paragraph, the term "managed care" means

22  systems or techniques generally used by third-party payors or

23  their agents to affect access to and control payment for

24  health care services. Managed-care techniques most often

25  include one or more of the following:  prior, concurrent, and

26  retrospective review of the medical necessity and

27  appropriateness of services or site of services; contracts

28  with selected health care providers; financial incentives or

29  disincentives related to the use of specific providers,

30  services, or service sites; controlled access to and

31  coordination of services by a case manager; and payor efforts

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  1  to identify treatment alternatives and modify benefit

  2  restrictions for high-cost patient care.

  3         (10)(9)  Meetings of the governing board of the

  4  not-for-profit corporation and meetings of the subsidiaries of

  5  the not-for-profit corporation at which the expenditure of

  6  dollars appropriated to the not-for-profit corporation by the

  7  state are discussed or reported must remain open to the public

  8  in accordance with s. 286.011 and s. 24(b), Art. I of the

  9  State Constitution, unless made confidential or exempt by law.

10  Other meetings of the governing board of the not-for-profit

11  corporation and of the subsidiaries of the not-for-profit

12  corporation are exempt from s. 286.011 and s. 24(b), Art. I of

13  the State Constitution.

14         (11)  In addition to the continuing appropriation to

15  the institute pursuant to s. 210.20(2), any appropriation to

16  the institute in the annual General Appropriations Act shall

17  be paid directly to the board of directors of the

18  not-for-profit corporation by warrant drawn by the Comptroller

19  upon the State Treasury, and shall not be subject to ss.

20  216.052(7) and 216.301 pursuant to s. 216.351.

21         (12)(a)  The Legislature recognizes that to strengthen

22  and enhance the institute, it is necessary to provide

23  facilities and support for clinical, teaching, and research

24  programs in addition to those currently available from

25  existing revenue sources. It further recognizes that there are

26  sources of private support that, if matched with state

27  support, can assist in constructing much-needed facilities,

28  support clinical, teaching, and research programs, and

29  strengthen the commitment of citizens and organizations in

30  promoting the clinical, teaching, and research missions of the

31  institute. Therefore, it is the intent of the Legislature to

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  1  establish the H. Lee Moffitt Cancer Center and Research

  2  Institute Challenge Grant Program and to authorize the

  3  not-for-profit corporation and its subsidiaries to solicit

  4  gifts from private sources to be deposited into a challenge

  5  grant account of the university foundation pursuant to ss.

  6  240.2601 and 240.2605 for the construction of facilities and

  7  the support of clinical, research, and teaching programs at

  8  the institute. Such activities are referred to collectively in

  9  this subsection as projects. The not-for-profit corporation,

10  or its designated subsidiary, shall solicit gifts from private

11  sources to provide matching funds for eligible projects. For

12  the purposes of this subsection, private sources of funds

13  shall not include any federal, state, or local government

14  funds.

15         (b)  Prior to solicitation of gifts for a project to be

16  funded through the H. Lee Moffitt Cancer Center and Research

17  Institute Challenge Grant Program, a project must be approved

18  by the Council of Scientific Advisors. For a project to be

19  eligible for funding through the H. Lee Moffitt Cancer Center

20  and Research Institute Challenge Grant Program, the

21  not-for-profit corporation, or its designated subsidiary,

22  shall raise a contribution equal to one-half of the total cost

23  of a project from private sources which shall be matched by a

24  state appropriation equal to the amount raised for a project,

25  subject to the annual General Appropriations Act.

26         (c)  By September 1 of each year, the Council of

27  Scientific Advisors may approve a list of projects that meet

28  all the eligibility requirements for participation in the H.

29  Lee Moffitt Cancer Center and Research Institute Challenge

30  Grant Program, and the board of directors of the

31  not-for-profit corporation may transmit the approved list to

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  1  the Legislature with a budget request that includes the

  2  recommended schedule necessary to complete each project.

  3         (d)  The not-for-profit corporation, or its designated

  4  subsidiary, shall transfer to the university foundation

  5  challenge grant account private gifts for projects approved

  6  for funding. The university foundation shall also receive and

  7  hold any appropriated state matching funds. Interest income

  8  accruing in the university foundation shall increase the total

  9  funds available for the approved projects. The challenge grant

10  account shall not be subject to ss. 216.052(7) and 216.301

11  pursuant to s. 216.351.

12         (e)  After receiving the state matching funds for a

13  project, the university foundation shall disburse both the

14  private contributions and the state matching funds to the

15  board of directors of the not-for-profit corporation for the

16  benefit of the project.

17         (f)  If the state's share of the required match is

18  insufficient to meet the requirements of the approved project,

19  the not-for-profit corporation, or its designated subsidiary,

20  may renegotiate the terms of the contributions with the

21  donors.

22         (g)  Nothing in this subsection shall be interpreted to

23  prevent the Legislature from providing matching funds for

24  gifts pursuant to ss. 240.2601 and 240.2605 for the

25  construction of facilities and the support of research and

26  teaching programs at the H. Lee Moffitt Cancer Center and

27  Research Institute or the University of South Florida.

28         Section 2.  This act shall take effect July 1, 2002.

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  1            *****************************************

  2                          HOUSE SUMMARY

  3
      With respect to the H. Lee Moffitt Cancer Center and
  4    Research Institute at the University of South Florida:
      assigns duties of the Board of Regents to the Florida
  5    Board of Education; provides for the utilization and
      governance of lands; revises provisions relating to
  6    corporate subsidiaries of the not-for-profit corporation;
      provides for applicability of sovereign immunity
  7    provisions; provides for the receipt of local funds;
      revises provisions relating to insurance protection;
  8    assigns duties of the center director to a chief
      executive officer; requires approval of the University of
  9    South Florida Board of Trustees for establishment of
      academic programs; authorizes the creation and support of
10    an interdisciplinary oncology program; provides for
      access to certain research information; provides for
11    appropriations to be paid to the board of directors of
      the not-for-profit corporation; and authorizes a
12    challenge grant program for the construction of
      facilities and the support of clinical, research, and
13    teaching programs at the institute.

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