F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 1 A bill to be entitled 2 An act relating to cancer funding; amending s. 3 381.915, F.S.; revising the purpose of the Casey 4 DeSantis Cancer Research Program; revising duties of 5 the Department of Health under the program; creating 6 the Cancer Connect Collaborative within the department 7 for a specified purpose; authorizing the collaborative 8 to make certain recommendations on state policy 9 relating to cancer research or treatment; providing 10 for membership and meetings of the collaborative; 11 requiring the collaborative to develop a long-range 12 comprehensive plan for the program; requiring the 13 collaborative to solicit input from certain 14 stakeholders in the development of the plan; requiring 15 the collaborative to submit the plan to the Governor 16 and the Legislature by a specified date; specifying 17 required components of the plan; requiring the 18 department to provide administrative support and staff 19 to the collaborative; requiring the collaborative to 20 administer the Cancer Innovation Fund; requiring the 21 collaborative to review grant applications and make 22 recommendations to the department for awarding grants 23 upon the appropriation of funds to the fund; requiring 24 the department to make the final grant allocation 25 award; requiring the collaborative to prioritize Page 1 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 26 certain applications for grant funding; revising the 27 frequency with which the department, in conjunction 28 with participating cancer centers, must submit a 29 specified report to the Cancer Control and Research 30 Advisory Council and the collaborative; requiring the 31 department to submit the report, and any equivalent 32 independent reports, to the Governor and the 33 Legislature by a specified date each year; revising 34 requirements of such reports; beginning on a specified 35 date, requiring that each allocation agreement issued 36 by the department relating to certain cancer center 37 payments include specified elements; providing an 38 effective date. 39 40 Be It Enacted by the Legislature of the State of Florida: 41 42 Section 1. Subsections (8), (9), and (10) of section 43 381.915, Florida Statutes, are renumbered as subsection s (10), 44 (12), and (13), respectively, subsection (2) and present 45 subsection (8) are amended, and new subsections (8) and (9) and 46 subsection (11) are added to that section, to read: 47 381.915 Casey DeSantis Cancer Research Program.— 48 (2) The Casey DeSantis Cancer Research Program is 49 established to enhance the quality and competitiveness of cancer 50 care in this state, further a statewide biomedical research Page 2 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 51 strategy directly responsive to the health needs of Florida's 52 citizens, and capitalize on the potential educational 53 opportunities available to its students, and promote the 54 provision of high-quality, innovative health care for persons 55 undergoing cancer treatment in this state. The department shall: 56 (a) Make payments to cancer centers recognized by the 57 National Cancer Institute (NCI) at the National Institutes of 58 Health as NCI-designated cancer centers or NCI-designated 59 comprehensive cancer centers, and cancer centers working toward 60 achieving NCI designation. The department shall distribute funds 61 to participating cancer centers on a quarterly basis during each 62 fiscal year for which an appropriation is made. 63 (b) Make cancer innovation grant funding available through 64 the Cancer Innovation Fund administered by the Cancer Connect 65 Collaborative under subsection (9) to health care providers and 66 facilities that demonstrate excellence in patient-centered 67 cancer treatment or research. 68 (8) The Cancer Connect Collaborative, a council as defined 69 in s. 20.03, is created within the department to advise the 70 department and the Legislature on developing a holistic approach 71 to the state's efforts to fund cancer research, cancer 72 facilities, and treatments for cancer patients. The 73 collaborative may make recommendations on proposed legislation, 74 proposed rules, best practices, data collection and reporting, 75 issuance of grant funds, and other proposals for state policy Page 3 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 76 relating to cancer research or treatment. 77 (a) The Surgeon General shall serve as an ex officio, 78 nonvoting member and shall serve as the chair. 79 (b) The collaborative shall be composed of the following 80 voting members, to be appointed by September 1, 2024: 81 1. Two members appointed by the Governor, one member 82 appointed by the President of the Senate, and one member 83 appointed by the Speaker of the House of Representatives, based 84 on the criteria of this subparagraph. The appointing officers 85 shall make their appointments prioritizing members who have 86 experience or expertise in the following: 87 a. The practice of a health care profession specializing 88 in oncology clinical care or research; 89 b. The development of preventive and therapeutic 90 treatments to control cancer; 91 c. The development of innovative research into the causes 92 of cancer, the development of effective treatments for persons 93 with cancer, or cures for cancer; or 94 d. Management-level experience with a cancer center 95 licensed under chapter 395. 96 2. One member who is a resident of this state who can 97 represent the interests of cancer patients in this state, 98 appointed by the Governor. 99 (c) The terms of appointees under paragraph (b) shall be 100 for 2 years unless otherwise specified. However, to achieve Page 4 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 101 staggered terms, the initial appointees under that paragraph 102 shall serve 3 years for their first term. These appointees may 103 be reappointed for no more than four consecutive terms. 104 (d) Any vacancy occurring on the collaborative must be 105 filled in the same manner as the original appointment. Any 106 member who is appointed to fill a vacancy occurring because of 107 death, resignation, or ineligibility for membership shall serve 108 only for the unexpired term of the member's predecessor. 109 (e) Members whose terms have expired may continue to serve 110 until replaced or reappointed, but for no more than 6 months 111 after the expiration of their terms. 112 (f) Members shall serve without compensation but are 113 entitled to reimbursement for per diem and travel expenses 114 pursuant to s. 112.061. 115 (g) The collaborative shall meet as necessary, but at 116 least quarterly, at the call of the chair. A majority of the 117 members of the collaborative constitutes a quorum, and a meeting 118 may not be held with less than a quorum present. In order to 119 establish a quorum, the collaborative may conduct its meetings 120 through teleconference or other electronic means. The 121 affirmative vote of a majority of the members of the 122 collaborative present is necessary for any official action by 123 the collaborative. 124 (h) The collaborative shall develop a long-range 125 comprehensive plan for the Casey DeSantis Cancer Research Page 5 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 126 Program. In the development of the plan, the collaborative must 127 solicit input from cancer centers, research institutions, 128 biomedical education institutions, hospitals, and medical 129 providers. The collaborative shall submit the plan to the 130 Governor, the President of the Senate, and the Speaker o f the 131 House of Representatives no later than December 1, 2024. The 132 plan must include, but need not be limited to, all of the 133 following components: 134 1. Expansion of grant fund opportunities to include a 135 broader pool of Florida-based cancer centers, research 136 institutions, biomedical education institutions, hospitals, and 137 medical providers to receive funding through the Cancer 138 Innovation Fund. 139 2. An evaluation to determine metrics that focus on 140 patient outcomes, quality of care, and efficacy of treatment. 141 3. A compilation of best practices relating to cancer 142 research or treatment. 143 (i) The department shall provide reasonable and necessary 144 support staff and materials to assist the collaborative in the 145 performance of its duties. 146 (9) The collaborative shall administer the Cancer 147 Innovation Fund. During any fiscal year for which funds are 148 appropriated to the fund, the collaborative shall review all 149 submitted grant applications and make recommendations to the 150 department for awarding grants to support innovative cancer Page 6 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 151 research and treatment models, including emerging research and 152 treatment trends and promising treatments that may serve as 153 catalysts for further research and treatments. The department 154 shall make the final grant allocation awards. The collaborati ve 155 shall give priority to applications seeking to expand the reach 156 of innovative cancer treatment models into underserved areas of 157 this state. 158 (10)(8) Beginning July 1, 2025 2017, and each year every 3 159 years thereafter, the department, in conjunction with 160 participating cancer centers, shall submit a report to the 161 Cancer Control and Research Advisory Council and the 162 collaborative on specific metrics relating to cancer mortality 163 and external funding for cancer-related research in this the 164 state. If a cancer center does not endorse this report or 165 produce an equivalent independent report, the cancer center is 166 ineligible to receive shall be suspended from the program 167 funding for 1 year. The department must submit this annual 168 report, and any equivalent independent reports, to the Governor, 169 the President of the Senate, and the Speaker of the House of 170 Representatives no later than September 15 of each year the 171 report or reports are submitted by the department. The report 172 must include: 173 (a) An analysis of trending age-adjusted cancer mortality 174 rates in the state, which must include, at a minimum, overall 175 age-adjusted mortality rates for cancer statewide and age- Page 7 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 176 adjusted mortality rates by age group, geographic region, and 177 type of cancer, which must include, at a minimum: 178 1. Lung cancer. 179 2. Pancreatic cancer. 180 3. Sarcoma. 181 4. Melanoma. 182 5. Leukemia and myelodysplastic syndromes. 183 6. Brain cancer. 184 7. Breast cancer. 185 (b) Identification of trends in overall federal funding, 186 broken down by institutional source, for cancer-related research 187 in the state. 188 (c) A list and narrative description of collaborative 189 grants and interinstitutional collaboration among participating 190 cancer centers, which may include grants received by 191 participating cancer centers in collaboration, a comparison of 192 such collaborative grants in proportion to the grant totals for 193 each cancer center, a catalog of retreats and progress seed 194 grants using state funds, and targets for collaboration in the 195 future and reports on progress regarding such targets where 196 appropriate. 197 (11) Beginning July 1, 2024, each allocation agreement 198 issued by the department relating to cancer center payments 199 under subsection (2) must include all of the following: 200 (a) A line-item budget narrative documenting the annual Page 8 of 9 CODING: Words stricken are deletions; words underlined are additions. hb7087-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 7087 2024 201 allocation of funds to a cancer center. 202 (b) A cap on the annual award of 15 percent for 203 administrative expenses. 204 (c) A requirement for the cancer center to submit 205 quarterly reports of all expenditures made by the cancer center 206 with funds received through the Casey DeSantis Cancer Research 207 Program. 208 (d) A provision to allow the department and other state 209 auditing bodies to audit all financial records, supporting 210 documents, statistical records, and any other documents 211 pertinent to the allocation agreement. 212 (e) A provision requiring the annual reporting of outcome 213 data and protocols used in achieving those outcomes. 214 (12)(9) This section is subject to annual appropriation by 215 the Legislature. 216 (13)(10) The department may adopt rules to administer this