Senate Bill sb2212c1

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    Florida Senate - 2003                           CS for SB 2212

    By the Committee on Education; and Senator Miller





    304-2018-03

  1                      A bill to be entitled

  2         An act relating to the H. Lee Moffitt Cancer

  3         Center and Research Institute; amending s.

  4         1004.43, F.S.; authorizing the establishment of

  5         for-profit subsidiaries of the governing

  6         corporation; providing that the contract with

  7         the State Board of Education shall permit the

  8         use of lands and facilities for research,

  9         education, treatment, prevention, and early

10         detection of cancer; authorizing the governing

11         corporation and its subsidiaries to obtain

12         their own property insurance coverage;

13         providing that certain appropriations shall be

14         paid directly to the board of directors of the

15         governing corporation; changing the appointing

16         authority for certain members of the council of

17         scientific advisors; providing an effective

18         date.

19  

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

21  

22         Section 1.  Section 1004.43, Florida Statutes, is

23  amended to read:

24         1004.43  H. Lee Moffitt Cancer Center and Research

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

26  Center and Research Institute at the University of South

27  Florida.

28         (1)  The State Board of Education shall enter into an

29  agreement for the utilization of the facilities on the campus

30  of the University of South Florida to be known as the H. Lee

31  Moffitt Cancer Center and Research Institute, including all

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




 1  furnishings, equipment, and other chattels used in the

 2  operation of said facilities, with a Florida not-for-profit

 3  corporation organized solely for the purpose of governing and

 4  operating the H. Lee Moffitt Cancer Center and Research

 5  Institute. This not-for-profit corporation, acting as an

 6  instrumentality of the State of Florida, shall govern and

 7  operate the H. Lee Moffitt Cancer Center and Research

 8  Institute in accordance with the terms of the agreement

 9  between the State Board of Education and the not-for-profit

10  corporation. The not-for-profit corporation may, with the

11  prior approval of the State Board of Education, create

12  not-for-profit corporate subsidiaries to fulfill its mission.

13  The not-for-profit corporation and its subsidiaries are

14  authorized to receive, hold, invest, and administer property

15  and any moneys received from private, local, state, and

16  federal sources, as well as technical and professional income

17  generated or derived from practice activities of the

18  institute, for the benefit of the institute and the

19  fulfillment of its mission. The affairs of the corporation

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

21  without compensation. The President of the University of South

22  Florida and the chair of the State Board of Education, or his

23  or her designee, shall be directors of the not-for-profit

24  corporation, together with 5 representatives of the state

25  universities and no more than 14 nor fewer than 10 directors

26  who are not medical doctors or state employees. Each director

27  shall have only one vote, shall serve a term of 3 years, and

28  may be reelected to the board. Other than the President of the

29  University of South Florida and the chair of the State Board

30  of Education, directors shall be elected by a majority vote of

31  

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




 1  the board. The chair of the board of directors shall be

 2  selected by majority vote of the directors.

 3         (2)  The State Board of Education shall provide in the

 4  agreement with the not-for-profit corporation for the

 5  following:

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

 7  not-for-profit corporation by the State Board of Education.

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

 9  not-for-profit corporate subsidiary created by the

10  not-for-profit corporation.

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

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

13  subsidiaries for research, education, treatment, prevention,

14  and the early detection of cancer and for mutually approved

15  teaching and research programs conducted by the University of

16  South Florida or other accredited medical schools or research

17  institutes.

18         (d)  Preparation of an annual financial audit of the

19  not-for-profit corporation's accounts and records and the

20  accounts and records of any subsidiaries to be conducted by an

21  independent certified public accountant. The annual audit

22  report shall include a management letter, as defined in s.

23  11.45, and shall be submitted to the Auditor General and the

24  State Board of Education. The State Board of Education, the

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

26  Government Accountability shall have the authority to require

27  and receive from the not-for-profit corporation and any

28  subsidiaries or from their independent auditor any detail or

29  supplemental data relative to the operation of the

30  not-for-profit corporation or subsidiary.

31  

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




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

 2  its subsidiaries of equal employment opportunities to all

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

 4  national origin.

 5         (3)  The State Board of Education is authorized to

 6  secure comprehensive general liability protection, including

 7  professional liability protection, for the not-for-profit

 8  corporation and its subsidiaries pursuant to s. 1004.24. The

 9  not-for-profit corporation and its subsidiaries shall be

10  exempt from any participation in any property insurance trust

11  fund established by law, including any property insurance

12  trust fund established pursuant to chapter 284, so long as the

13  not-for-profit corporation and its subsidiaries maintain

14  property insurance protection with comparable or greater

15  coverage limits.

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

17  not-for-profit corporation and the State Board of Education is

18  terminated for any reason, the State Board of Education shall

19  resume governance and operation of said facilities.

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

21  executive officer who shall serve at the pleasure of the board

22  of directors of the not-for-profit corporation and who shall

23  have the following powers and duties subject to the approval

24  of the board of directors:

25         (a)  The chief executive officer shall establish

26  programs which fulfill the mission of the institute in

27  research, education, treatment, prevention, and the early

28  detection of cancer; however, the chief executive officer

29  shall not establish academic programs for which academic

30  credit is awarded and which terminate in the conference of a

31  degree without prior approval of the State Board of Education.

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




 1         (b)  The chief executive officer shall have control

 2  over the budget and the dollars appropriated or donated to the

 3  institute from private, local, state, and federal sources, as

 4  well as technical and professional income generated or derived

 5  from practice activities of the institute. However,

 6  professional income generated by university faculty from

 7  practice activities at the institute shall be shared between

 8  the institute and the university as determined by the chief

 9  executive officer and the appropriate university dean or vice

10  president.

11         (c)  The chief executive officer shall appoint members

12  to carry out the research, patient care, and educational

13  activities of the institute and determine compensation,

14  benefits, and terms of service. Members of the institute shall

15  be eligible to hold concurrent appointments at affiliated

16  academic institutions. University faculty shall be eligible to

17  hold concurrent appointments at the institute.

18         (d)  The chief executive officer shall have control

19  over the use and assignment of space and equipment within the

20  facilities.

21         (e)  The chief executive officer shall have the power

22  to create the administrative structure necessary to carry out

23  the mission of the institute.

24         (f)  The chief executive officer shall have a reporting

25  relationship to the Commissioner of Education.

26         (g)  The chief executive officer shall provide a copy

27  of the institute's annual report to the Governor and Cabinet,

28  the President of the Senate, the Speaker of the House of

29  Representatives, and the chair of the State Board of

30  Education.

31  

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




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

 2  corporation shall create a council of scientific advisers to

 3  the chief executive officer comprised of leading researchers,

 4  physicians, and scientists. This council shall review programs

 5  and recommend research priorities and initiatives so as to

 6  maximize the state's investment in the institute. The council

 7  shall be appointed by the board of directors of the

 8  not-for-profit corporation and shall include five appointees

 9  of the State Board of Education. Each member of the council

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

11  reappointed to the council.

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

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

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

15         (8)(a)  Records of the not-for-profit corporation and

16  of its subsidiaries are public records unless made

17  confidential or exempt by law.

18         (b)  Proprietary confidential business information is

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

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

21  Auditor General, the Office of Program Policy Analysis and

22  Government Accountability, and the State Board of Education,

23  pursuant to their oversight and auditing functions, must be

24  given access to all proprietary confidential business

25  information upon request and without subpoena and must

26  maintain the confidentiality of information so received. As

27  used in this paragraph, the term "proprietary confidential

28  business information" means information, regardless of its

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

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

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

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




 1  subsidiaries as private and the disclosure of which would harm

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

 3  its subsidiaries; has not been intentionally disclosed by the

 4  corporation or its subsidiaries unless pursuant to law, an

 5  order of a court or administrative body, a legislative

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

 7  Constitution, or a private agreement that provides that the

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

 9  information concerning:

10         1.  Internal auditing controls and reports of internal

11  auditors;

12         2.  Matters reasonably encompassed in privileged

13  attorney-client communications;

14         3.  Contracts for managed-care arrangements, including

15  preferred provider organization contracts, health maintenance

16  organization contracts, and exclusive provider organization

17  contracts, and any documents directly relating to the

18  negotiation, performance, and implementation of any such

19  contracts for managed-care arrangements;

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

21  and credit agreements the disclosure of which would impair the

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

23  to contract for goods or services on favorable terms;

24         5.  Information relating to private contractual data,

25  the disclosure of which would impair the competitive interest

26  of the provider of the information;

27         6.  Corporate officer and employee personnel

28  information;

29         7.  Information relating to the proceedings and records

30  of credentialing panels and committees and of the governing

31  

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




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

 2  relating to credentialing;

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

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

 5  minutes of meetings open to the public pursuant to subsection

 6  (9);

 7         9.  Information that reveals plans for marketing

 8  services that the corporation or its subsidiaries reasonably

 9  expect to be provided by competitors;

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

11  reimbursement methodologies or rates; or

12         11.  The identity of donors or prospective donors of

13  property who wish to remain anonymous or any information

14  identifying such donors or prospective donors. The anonymity

15  of these donors or prospective donors must be maintained in

16  the auditor's report.

17  

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

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

20  their agents to affect access to and control payment for

21  health care services. Managed-care techniques most often

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

23  retrospective review of the medical necessity and

24  appropriateness of services or site of services; contracts

25  with selected health care providers; financial incentives or

26  disincentives related to the use of specific providers,

27  services, or service sites; controlled access to and

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

29  to identify treatment alternatives and modify benefit

30  restrictions for high-cost patient care.

31  

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    Florida Senate - 2003                           CS for SB 2212
    304-2018-03




 1         (9)  Meetings of the governing board of the

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

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

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

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

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

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

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

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

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

11  the State Constitution.

12         (10)  In addition to the continuing appropriation to

13  the institute provided in s. 210.20(2), any appropriation to

14  the institute provided in a general appropriations act shall

15  be paid directly to the board of directors of the

16  not-for-profit corporation by warrant drawn by the Chief

17  Financial Officer from the State Treasury.

18         Section 2.  This act shall take effect upon becoming a

19  law.

20  

21          STATEMENT OF SUBSTANTIAL CHANGES CONTAINED IN
                       COMMITTEE SUBSTITUTE FOR
22                         Senate Bill 2212

23                                 

24  The committee substitute repeals State Board of Education
    authority to appoint five members to the council of scientific
25  advisers.

26  

27  

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30  

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