Senate Bill sb2202c1

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    Florida Senate - 2002                           CS for SB 2202

    By the Committee on Appropriations; and Senator Sullivan





    309-2284-02

  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         providing an effective date.

24  

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

26  

27         Section 1.  Section 240.512, Florida Statutes, is

28  amended to read:

29         240.512  H. Lee Moffitt Cancer Center and Research

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

31  

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    Florida Senate - 2002                           CS for SB 2202
    309-2284-02




  1  Center and Research Institute at the University of South

  2  Florida.

  3         (1)  The Florida Board of Education Regents shall

  4  maintain enter into an agreement for the utilization of the

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

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

  7  Research Institute, including all furnishings, equipment, and

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

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

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

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

12  corporation, acting as an instrumentality of the State of

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

14  Center and Research Institute in accordance with the terms of

15  the agreement between the Florida Board of Education Regents

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

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

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

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

20  corporation and its subsidiaries shall be corporations

21  primarily acting as instrumentalities of the state, pursuant

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

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

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

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

26  sources, as well as technical and professional income

27  generated or derived from practice activities of the

28  institute, for the benefit of the institute and the

29  fulfillment of its mission. The affairs of the corporation

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

31  without compensation.  The President of the University of

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    Florida Senate - 2002                           CS for SB 2202
    309-2284-02




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

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

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

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

  5  10 directors who are not medical doctors or state employees.

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

  7  3 years, and may be reelected to the board.  Other than the

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

  9  the Florida Board of Education Regents, directors shall be

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

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

12  directors.

13         (2)  The Florida Board of Education Regents shall

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

15  for the following:

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

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

18  Regents.

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

20  not-for-profit corporate subsidiary created by the

21  not-for-profit corporation.

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

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

24  subsidiaries for research, education, treatment, prevention,

25  and the early detection of cancer and mutually approved

26  teaching and research programs conducted by the University of

27  South Florida and or other accredited medical schools or

28  research institutes.

29         (d)  Preparation of an annual postaudit of the

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

31  financial accounts of any subsidiaries to be conducted by an

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    Florida Senate - 2002                           CS for SB 2202
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  1  independent certified public accountant. The annual audit

  2  report shall include management letters and shall be submitted

  3  to the Auditor General and the Florida Board of Education

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

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

  6  and Government Accountability shall have the authority to

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

  8  any subsidiaries or from their independent auditor any detail

  9  or supplemental data relative to the operation of the

10  not-for-profit corporation or subsidiary.

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

12  its subsidiaries of equal employment opportunities to all

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

14  national origin.

15         (3)  The University of South Florida Health Sciences

16  Center self-insurance program Board of Regents is authorized

17  to secure comprehensive general liability protection,

18  including professional liability protection, for the

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

20  240.213. The not-for-profit corporation and its subsidiaries

21  shall be exempt from participation in any property insurance

22  trust fund established by law, including any property

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

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

25  property insurance protection with comparable or greater

26  coverage limits.

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

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

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

30  Education Regents shall assume resume governance and operation

31  of said lands and facilities.

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    Florida Senate - 2002                           CS for SB 2202
    309-2284-02




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

  2  executive officer center director who shall serve at the

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

  4  corporation and who shall have the following powers and duties

  5  subject to the approval of the board of directors:

  6         (a)  The chief executive officer center director shall

  7  establish programs which fulfill the mission of the institute

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

  9  detection of cancer; however, the chief executive officer

10  center director shall not establish academic programs for

11  which academic credit is awarded and which terminate in the

12  conference of a degree without prior approval of the

13  University of South Florida Board of Trustees based on

14  criteria established by the Florida Board of Education

15  Regents.

16         (b)  The chief executive officer center director shall

17  have control over the budget and the dollars appropriated or

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

19  federal sources, as well as technical and professional income

20  generated or derived from practice activities of the

21  institute.  However, professional income generated by

22  university faculty from practice activities at the institute

23  shall be shared between the institute and the university as

24  determined by the chief executive officer center director and

25  the appropriate university dean or vice president department

26  chair.

27         (c)  The chief executive officer center director shall

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

29  educational activities of the institute and determine

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

31  institute shall be eligible to hold concurrent appointments at

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    Florida Senate - 2002                           CS for SB 2202
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  1  affiliated academic institutions. University faculty shall be

  2  eligible to hold concurrent appointments at the institute.

  3         (d)  The chief executive officer center director shall

  4  have control over the use and assignment of space and

  5  equipment within the facilities.

  6         (e)  The chief executive officer center director shall

  7  have the power to create the administrative structure

  8  necessary to carry out the mission of the institute.

  9         (f)  The chief executive officer center director shall

10  have a reporting relationship to the Chancellor of Colleges

11  and Universities the State University System.

12         (g)  The chief executive officer center director shall

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

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

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

16  Board of Education Regents.

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

18  subsidiaries shall have the authority to enter into an

19  affiliation agreement or agreements with the University of

20  South Florida for the creation and support of an

21  interdisciplinary oncology program. The affiliation may

22  include joint financial and administrative support of the

23  clinical, research, and educational activities of university

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

25  activities by the institute and the university in furtherance

26  of the mission of the institute.

27         (7)(6)  The board of directors of the not-for-profit

28  corporation shall create a council of scientific advisers to

29  the chief executive officer center director comprised of

30  leading researchers, physicians, and scientists.  This council

31  shall review programs and recommend research priorities and

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    Florida Senate - 2002                           CS for SB 2202
    309-2284-02




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

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

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

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

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

  6  reappointed to the council.

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

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

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

10         (9)(8)(a)  Records of the not-for-profit corporation

11  and of its subsidiaries are public records unless made

12  confidential or exempt by law.

13         (b)  Proprietary confidential business information is

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

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

16  Auditor General, the Office of Program Policy Analysis and

17  Government Accountability, and Florida Board of Education

18  Regents, pursuant to their oversight and auditing functions,

19  must be given access to all proprietary confidential business

20  information upon request and without subpoena and must

21  maintain the confidentiality of information so received. As

22  used in this paragraph, the term "proprietary confidential

23  business information" means information, regardless of its

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

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

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

27  subsidiaries as private and the disclosure of which would harm

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

29  its subsidiaries; has not been intentionally disclosed by the

30  corporation or its subsidiaries unless pursuant to law, an

31  order of a court or administrative body, a legislative

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    Florida Senate - 2002                           CS for SB 2202
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  1  proceeding pursuant to s. 5, Art. III of the State

  2  Constitution, or a private agreement that provides that the

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

  4  information concerning:

  5         1.  Internal auditing controls and reports of internal

  6  auditors;

  7         2.  Matters reasonably encompassed in privileged

  8  attorney-client communications;

  9         3.  Contracts for managed-care arrangements, including

10  preferred provider organization contracts, health maintenance

11  organization contracts, and exclusive provider organization

12  contracts, and any documents directly relating to the

13  negotiation, performance, and implementation of any such

14  contracts for managed-care arrangements;

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

16  and credit agreements the disclosure of which would impair the

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

18  to contract for goods or services on favorable terms;

19         5.  Information relating to private contractual data,

20  the disclosure of which would impair the competitive interest

21  of the provider of the information;

22         6.  Corporate officer and employee personnel

23  information;

24         7.  Information relating to the proceedings and records

25  of credentialing panels and committees and of the governing

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

27  relating to credentialing;

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

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

30  minutes of meetings open to the public pursuant to subsection

31  (10)(9);

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    Florida Senate - 2002                           CS for SB 2202
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  1         9.  Information that reveals plans for marketing

  2  services that the corporation or its subsidiaries reasonably

  3  expect to be provided by competitors;

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

  5  reimbursement methodologies or rates; or

  6         11.  The identity of donors or prospective donors of

  7  property who wish to remain anonymous or any information

  8  identifying such donors or prospective donors.  The anonymity

  9  of these donors or prospective donors must be maintained in

10  the auditor's report.

11  

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

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

14  their agents to affect access to and control payment for

15  health care services. Managed-care techniques most often

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

17  retrospective review of the medical necessity and

18  appropriateness of services or site of services; contracts

19  with selected health care providers; financial incentives or

20  disincentives related to the use of specific providers,

21  services, or service sites; controlled access to and

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

23  to identify treatment alternatives and modify benefit

24  restrictions for high-cost patient care.

25         (10)(9)  Meetings of the governing board of the

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

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

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

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

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

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

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    Florida Senate - 2002                           CS for SB 2202
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  1  Other meetings of the governing board of the not-for-profit

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

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

  4  the State Constitution.

  5         (11)  In addition to the continuing appropriation to

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

  7  the institute in the annual General Appropriations Act shall

  8  be paid directly to the board of directors of the

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

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

11  216.052(7) and 216.301 pursuant to s. 216.351.

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

13  

14          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
15                         Senate Bill 2202

16                                 

17  The Committee Substitute for SB 2202 deletes the challenge
    grant program for facilities, research, and teaching at the
18  Moffitt Cancer Center.  The Committee Substitute also deletes
    a provision that would have led to an expansion of the public
19  records exemption for the center.  The current records
    exemption stays in place without expansion.
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