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10 | 10 | | 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 |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to cancer treatment and research; 2 |
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16 | 16 | | amending s. 381.915, F.S.; authorizing the Department 3 |
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17 | 17 | | of Health to establish the Florida Cancer Research 4 |
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18 | 18 | | Network; revising definitions; making grant funds 5 |
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19 | 19 | | available; providing requirements and criteria for 6 |
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20 | 20 | | grant fund applicants; providing criteria for awarding 7 |
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21 | 21 | | grant funds; providing data reporting requirements for 8 |
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22 | 22 | | health care providers; requiring certain data for 9 |
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23 | 23 | | collection; providing requirements for the collection 10 |
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24 | 24 | | of data; creating an online repository for best 11 |
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25 | 25 | | practices on the Florida Cancer Connect website; 12 |
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26 | 26 | | authorizing the Cancer Connect Collaborative to 13 |
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27 | 27 | | oversee the Florida Cancer Research Network; creatin g 14 |
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28 | 28 | | subcommittees; requiring the Cancer Connect 15 |
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29 | 29 | | Collaborative to annually submit a specified report to 16 |
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30 | 30 | | the Governor and the Legislature; creating the Cancer 17 |
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31 | 31 | | Connect Collaborative Incubator; providing an 18 |
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32 | 32 | | effective date. 19 |
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33 | 33 | | 20 |
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34 | 34 | | Be It Enacted by the Legislature o f the State of Florida: 21 |
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35 | 35 | | 22 |
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36 | 36 | | Section 1. Section 381.915, Florida Statutes, is amended 23 |
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37 | 37 | | to read: 24 |
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38 | 38 | | 381.915 Casey DeSantis Cancer Research Program. — 25 |
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39 | 39 | | |
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40 | 40 | | HB 1347 2025 |
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47 | 47 | | 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 |
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51 | 51 | | (1) This section may be cited as the "Casey DeSantis 26 |
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52 | 52 | | Cancer Research Act." 27 |
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53 | 53 | | (2) The Casey DeSantis Cancer R esearch Program is 28 |
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54 | 54 | | established to enhance the quality and competitiveness of cancer 29 |
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55 | 55 | | care in this state, further a statewide biomedical research 30 |
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56 | 56 | | strategy directly responsive to the health needs of Florida's 31 |
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57 | 57 | | citizens, capitalize on the potential educational opportunities 32 |
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58 | 58 | | available to its students, and promote the provision of high -33 |
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59 | 59 | | quality, innovative health care for persons undergoing cancer 34 |
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60 | 60 | | treatment in this state. The department shall: 35 |
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61 | 61 | | (a) Make payments to cancer centers recognized by the 36 |
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62 | 62 | | National Cancer Institute (NCI) at the National Institutes of 37 |
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63 | 63 | | Health as NCI-designated cancer centers or NCI -designated 38 |
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64 | 64 | | comprehensive cancer centers, and cancer centers working toward 39 |
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65 | 65 | | achieving NCI designation. The department shall distribute funds 40 |
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66 | 66 | | to participating cancer centers on a quarterly basis during each 41 |
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67 | 67 | | fiscal year for which an appropriation is made. 42 |
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68 | 68 | | (a)(b) Make cancer innovation grant funding available 43 |
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69 | 69 | | through the Cancer Innovation Fund under subsection (9) to 44 |
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70 | 70 | | health care providers and facilities that demonstra te excellence 45 |
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71 | 71 | | in patient-centered cancer treatment or research. 46 |
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72 | 72 | | (b) Establish the Florida Cancer Research Network within 47 |
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73 | 73 | | the department, under the direction of the Cancer Connect 48 |
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74 | 74 | | Collaborative, to promote the research and development of 49 |
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75 | 75 | | innovative cancer treatments through the expansion of grant 50 |
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77 | 77 | | HB 1347 2025 |
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84 | 84 | | 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 |
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88 | 88 | | opportunities, enhance patient access to emerging cancer 51 |
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89 | 89 | | therapies by extending research programs into rural and 52 |
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90 | 90 | | underserved areas, track patient data to evaluate outcomes and 53 |
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91 | 91 | | develop novel approaches to cancer ca re by increasing the 54 |
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92 | 92 | | metrics collected by the Florida Cancer Data System, and 55 |
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93 | 93 | | identify and implement best practices to ensure the delivery of 56 |
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94 | 94 | | high-quality, effective cancer treatment. 57 |
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95 | 95 | | (3) On or before September 15 of each year, the department 58 |
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96 | 96 | | shall calculate an allocation fraction to be used for 59 |
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97 | 97 | | distributing funds to participating cancer centers. On or before 60 |
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98 | 98 | | the final business day of each quarter of the state fiscal year, 61 |
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99 | 99 | | the department shall distribute to each participating cancer 62 |
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100 | 100 | | center one-fourth of that cancer center's annual allocation 63 |
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101 | 101 | | calculated under subsection (6). The allocation fraction for 64 |
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102 | 102 | | each participating cancer center is based on the cancer center's 65 |
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103 | 103 | | tier-designated weight under subsection (4) multiplied by each 66 |
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104 | 104 | | of the following allocation f actors based on activities in this 67 |
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105 | 105 | | state: number of reportable cases, peer -review costs, and 68 |
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106 | 106 | | biomedical education and training. 69 |
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107 | 107 | | (3) As used in this section, the term: 70 |
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108 | 108 | | (a) "Biomedical education and training" means instruction 71 |
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109 | 109 | | that is offered to a studen t who is enrolled in a biomedical 72 |
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110 | 110 | | research program at an affiliated university as a medical 73 |
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111 | 111 | | student or a student in a master's or doctoral degree program, 74 |
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112 | 112 | | or who is a resident physician trainee or postdoctoral trainee 75 |
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121 | 121 | | 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 |
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125 | 125 | | in such program. An affiliated univers ity biomedical research 76 |
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126 | 126 | | program must be accredited or approved by a nationally 77 |
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127 | 127 | | recognized agency and offered through an institution accredited 78 |
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128 | 128 | | by an accrediting agency or association recognized by the 79 |
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129 | 129 | | database created and maintained by the United States De partment 80 |
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130 | 130 | | of Education. Full-time equivalency for trainees shall be 81 |
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131 | 131 | | prorated for training received in oncologic sciences and 82 |
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132 | 132 | | oncologic medicine. 83 |
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133 | 133 | | (b) "Cancer center" means a comprehensive center with at 84 |
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134 | 134 | | least one geographic site in the state, a freestandin g center 85 |
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135 | 135 | | located in the state, a center situated within an academic 86 |
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136 | 136 | | institution, or a Florida -based formal research -based consortium 87 |
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137 | 137 | | under centralized leadership that has achieved NCI designation 88 |
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138 | 138 | | or is prepared to achieve NCI designation by June 30, 2025, or 89 |
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139 | 139 | | has received a Cancer Center of Excellence Award 2024. 90 |
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140 | 140 | | (c) "Florida-based" means that a health care provider or 91 |
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141 | 141 | | facility that is physically located and provides services in 92 |
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142 | 142 | | this state, and the cancer center's actual or sought designated 93 |
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143 | 143 | | status is or would be recognized by the NCI as primarily located 94 |
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144 | 144 | | in Florida and not in another state. 95 |
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145 | 145 | | (4) The Florida Cancer Research Network shall make grant 96 |
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146 | 146 | | funding available to Florida -based health care providers and 97 |
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147 | 147 | | entities that conduct or plan to conduct research and 98 |
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148 | 148 | | development of innovative cancer treatments for adult or 99 |
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149 | 149 | | pediatric patients or prov ide workforce and post -doctoral 100 |
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158 | 158 | | 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 |
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159 | 159 | | |
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160 | 160 | | |
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161 | 161 | | |
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162 | 162 | | fellowship practitioners in the prevention, screening, 101 |
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163 | 163 | | diagnosis, or treatment of cancer. 102 |
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164 | 164 | | (a) Grant funding available through the Florida Cancer 103 |
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165 | 165 | | Research Network consists of funds appropriated by the 104 |
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166 | 166 | | Legislature through th e Casey DeSantis Cancer Research Program. 105 |
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167 | 167 | | (b) A licensed or certified health care provider, 106 |
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168 | 168 | | facility, or entity shall meet the following criteria to be 107 |
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169 | 169 | | eligible for grant funding through the Florida Cancer Research 108 |
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170 | 170 | | Network: 109 |
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171 | 171 | | 1. Operate as a Florida -based cancer center; 110 |
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172 | 172 | | 2. Operate a licensed hospital that has a minimum of 30 111 |
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173 | 173 | | percent of current cancer patients that reside in rural or 112 |
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174 | 174 | | underserved areas; 113 |
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175 | 175 | | 3. Operate a licensed health care clinic or facility that 114 |
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176 | 176 | | employs or contracts with at least one lice nsed physician who 115 |
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177 | 177 | | specializes in oncology and delivers chemotherapy treatments for 116 |
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178 | 178 | | cancer; 117 |
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179 | 179 | | 4. Operate a licensed facility that employs or contracts 118 |
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180 | 180 | | with at least one licensed physician who specializes in oncology 119 |
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181 | 181 | | and that delivers radiation therapy trea tments for cancer; 120 |
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182 | 182 | | 5. Operate as a rural hospital as defined in s. 121 |
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183 | 183 | | 395.602(2); 122 |
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184 | 184 | | 6. Operate as a critical access hospital as defined in s. 123 |
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185 | 185 | | 408.07; 124 |
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197 | 197 | | |
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198 | 198 | | 7. Operate as a specialty hospital as defined in s. 125 |
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199 | 199 | | 395.002(28)(a) that serves patients up to 18 years o f age; 126 |
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200 | 200 | | 8. Engage in biomedical research intended to develop 127 |
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201 | 201 | | therapies, medical pharmaceuticals, treatment protocols, or 128 |
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202 | 202 | | medical procedures intended to cure cancer or improve a 129 |
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203 | 203 | | patient's quality of life; or 130 |
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204 | 204 | | 9. Educate or train students, post -doctoral fellows, or 131 |
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205 | 205 | | licensed or certified health care practitioners in the 132 |
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206 | 206 | | screening, diagnosis, or treatment of cancer. 133 |
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207 | 207 | | (c) The department shall oversee the distribution of grant 134 |
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208 | 208 | | funds awarded to health care providers and entities through the 135 |
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209 | 209 | | Florida Cancer Resea rch Network. The department shall distribute 136 |
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210 | 210 | | grant funds on a quarterly basis during each fiscal year for 137 |
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211 | 211 | | which an appropriation is made. 138 |
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212 | 212 | | (d) Eligible health care providers or entities must submit 139 |
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213 | 213 | | applications to the department by July 1 of each year to be 140 |
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214 | 214 | | considered for Florida Cancer Research Network grant fund 141 |
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215 | 215 | | awards. 142 |
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216 | 216 | | (e) The department shall evaluate applications submitted 143 |
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217 | 217 | | by health care providers and entities. The department shall 144 |
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218 | 218 | | consider each applicant's ability to: 145 |
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219 | 219 | | 1. Achieve objectives and ou tcomes. 146 |
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220 | 220 | | 2. Identify populations, types of cancer, and short and 147 |
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221 | 221 | | long-term goals and outcomes. 148 |
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234 | 234 | | 3. Expand access to cancer screenings, diagnostic 149 |
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235 | 235 | | services, or treatment to rural or underserved populations. 150 |
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236 | 236 | | 4. Research or implement innovative cancer tre atments or 151 |
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237 | 237 | | screenings or diagnostic services, and 152 |
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238 | 238 | | 5. Research innovative medical pharmaceutical treatments 153 |
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239 | 239 | | to cure cancer or improve the quality of life of cancer 154 |
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240 | 240 | | patients. 155 |
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241 | 241 | | 6. Collaborate with other health care providers or 156 |
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242 | 242 | | entities to deliver cancer s creenings, diagnostic services, or 157 |
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243 | 243 | | treatments; participate in phase III clinical trials of 158 |
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244 | 244 | | experimental cancer treatments; or conduct biomedical research 159 |
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245 | 245 | | intended to cure cancer or improve the quality of life of cancer 160 |
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246 | 246 | | patients. 161 |
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247 | 247 | | 7. Educate or train stude nts, post-doctoral fellows, or 162 |
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248 | 248 | | licensed or certified health care practitioners in the 163 |
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249 | 249 | | screening, diagnosis, or treatment of cancer. 164 |
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250 | 250 | | (f) The department shall deem an application qualified or 165 |
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251 | 251 | | unqualified based on its evaluation. 166 |
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252 | 252 | | (g)1. On or before Octobe r 1 of each year, the department 167 |
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253 | 253 | | shall calculate an allocation of grant funds for health care 168 |
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254 | 254 | | providers or entities that submit a qualified application. 169 |
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255 | 255 | | 2. The department shall contract with grant awardees to 170 |
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256 | 256 | | conduct research to develop innovative cancer treatments, 171 |
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257 | 257 | | procedures, therapeutic services, medical pharmaceuticals, or 172 |
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258 | 258 | | provide biomedical education and training in the care and 173 |
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271 | 271 | | treatment of cancer. 174 |
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272 | 272 | | (5)(a) The department shall expand the Florida Cancer Data 175 |
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273 | 273 | | System to include data on patient outcome s and quality of care 176 |
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274 | 274 | | submitted by licensed health care providers that diagnose, 177 |
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275 | 275 | | treat, and screen for cancer. 178 |
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276 | 276 | | (b) Licensed health care providers that diagnose, treat, 179 |
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277 | 277 | | and screen for cancer must report to the Florida Cancer Data 180 |
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278 | 278 | | System data that includes all of the following: 181 |
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279 | 279 | | 1. Patient-reported outcome measures that collect patient 182 |
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280 | 280 | | reports on symptoms, quality of life, quality of cancer care, 183 |
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281 | 281 | | and cancer treatment outcomes. 184 |
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282 | 282 | | 2. Quality of care measures that identify and report all 185 |
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283 | 283 | | of the following: 186 |
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284 | 284 | | a. Cancer screening rates. 187 |
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285 | 285 | | b. Timeliness of diagnosis and treatment. 188 |
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286 | 286 | | c. Clinical guidelines adherence. 189 |
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287 | 287 | | d. Survival rates. 190 |
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288 | 288 | | e. Tumor response rates. 191 |
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289 | 289 | | f. Progression-free survival rates. 192 |
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290 | 290 | | g. Disease-free survival rates. 193 |
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291 | 291 | | h. Treatment complication ra tes. 194 |
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292 | 292 | | i. Percentage of cancer patients receiving palliative or 195 |
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293 | 293 | | hospice care, and coordination of care. 196 |
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294 | 294 | | j. Provider volume and expertise. 197 |
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295 | 295 | | k. Adverse event monitoring. 198 |
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304 | 304 | | 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 |
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307 | 307 | | |
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308 | 308 | | l. Treatment compliance and persistence. 199 |
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309 | 309 | | m. Biomarker response. 200 |
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310 | 310 | | n. Long-term outcomes and survivorship. 201 |
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311 | 311 | | (6) The department shall create an online repository on 202 |
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312 | 312 | | the Florida Cancer Connect website of best practices for cancer 203 |
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313 | 313 | | treatment, screening, diagnosis, prevention, and survivorship. 204 |
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314 | 314 | | The repository shall include best practices fo r all of the 205 |
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315 | 315 | | following: 206 |
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316 | 316 | | (a) Screening and risk reduction of cancer. 207 |
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317 | 317 | | (b) Clinical management of cancer. 208 |
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318 | 318 | | (c) Phases I-IV clinical trials for cancer treatments. 209 |
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319 | 319 | | (d) Care plans for patients receiving post -cancer 210 |
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320 | 320 | | treatment. 211 |
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321 | 321 | | (d) "Peer-review costs" means the total annual direct 212 |
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322 | 322 | | costs for peer-reviewed cancer-related research projects, 213 |
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323 | 323 | | consistent with reporting guidelines provided by the NCI, for 214 |
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324 | 324 | | the most recent annual reporting period available. 215 |
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325 | 325 | | (e) "Reportable cases" means cases of cancer in which a 216 |
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326 | 326 | | cancer center is involved in the diagnosis, evaluation of the 217 |
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327 | 327 | | diagnosis, evaluation of the extent of cancer spread at the time 218 |
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328 | 328 | | of diagnosis, or administration of all or any part of the first 219 |
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329 | 329 | | course of therapy for the most recent annual reporting period 220 |
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330 | 330 | | available. Cases relating to patients enrolled in institutional 221 |
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331 | 331 | | or investigator-initiated interventional clinical trials shall 222 |
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332 | 332 | | be weighted at 1.2 relative to other cases weighted at 1.0. 223 |
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345 | 345 | | Determination of institutional or investigator -initiated 224 |
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346 | 346 | | interventional clinical trials must be consistent with reporting 225 |
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347 | 347 | | guidelines provided by the NCI. 226 |
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348 | 348 | | (4) Tier designations and corresponding weights within the 227 |
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349 | 349 | | Casey DeSantis Cancer Research Program are as follows: 228 |
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350 | 350 | | (a) Tier 1: NCI-designated comprehensive cancer centers, 229 |
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351 | 351 | | which shall be weighted at 1.5. 230 |
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352 | 352 | | (b) Tier 2: NCI-designated cancer centers, which shall be 231 |
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353 | 353 | | weighted at 1.25. 232 |
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354 | 354 | | (c) Tier 3: Cancer centers seeking designation as either a 233 |
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355 | 355 | | NCI-designated cancer center or NCI -designated comprehensive 234 |
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356 | 356 | | cancer center, which sh all be weighted at 1.0. 235 |
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357 | 357 | | 1. A cancer center shall meet the following minimum 236 |
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358 | 358 | | criteria to be considered eligible for Tier 3 designation in any 237 |
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359 | 359 | | given fiscal year: 238 |
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360 | 360 | | a. Conducting cancer -related basic scientific research and 239 |
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361 | 361 | | cancer-related population scienti fic research; 240 |
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362 | 362 | | b. Offering and providing the full range of diagnostic and 241 |
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363 | 363 | | treatment services on site, as determined by the Commission on 242 |
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364 | 364 | | Cancer of the American College of Surgeons; 243 |
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365 | 365 | | c. Hosting or conducting cancer -related interventional 244 |
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366 | 366 | | clinical trials that are registered with the NCI's Clinical 245 |
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367 | 367 | | Trials Reporting Program; 246 |
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368 | 368 | | d. Offering degree-granting programs or affiliating with 247 |
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369 | 369 | | universities through degree -granting programs accredited or 248 |
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382 | 382 | | approved by a nationally recognized agency and offered through 249 |
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383 | 383 | | the center or through the center in conjunction with another 250 |
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384 | 384 | | institution accredited by an accrediting agency or association 251 |
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385 | 385 | | recognized by the database created and maintained by the United 252 |
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386 | 386 | | States Department of Education; 253 |
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387 | 387 | | e. Providing training to clinical trai nees, medical 254 |
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388 | 388 | | trainees accredited by the Accreditation Council for Graduate 255 |
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389 | 389 | | Medical Education or the American Osteopathic Association, and 256 |
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390 | 390 | | postdoctoral fellows recently awarded a doctorate degree; and 257 |
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391 | 391 | | f. Having more than $5 million in annual direct costs 258 |
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392 | 392 | | associated with their total NCI peer -reviewed grant funding. 259 |
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393 | 393 | | 2. The General Appropriations Act or accompanying 260 |
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394 | 394 | | legislation may limit the number of cancer centers which shall 261 |
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395 | 395 | | receive Tier 3 designations or provide additional criteria for 262 |
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396 | 396 | | such designation. 263 |
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397 | 397 | | 3. A cancer center's participation in Tier 3 may not 264 |
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398 | 398 | | extend beyond June 30, 2024. 265 |
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399 | 399 | | 4. A cancer center that qualifies as a designated Tier 3 266 |
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400 | 400 | | center under the criteria provided in subparagraph 1. by July 1, 267 |
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401 | 401 | | 2014, is authorized to pursue NCI designation as a cancer center 268 |
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402 | 402 | | or a comprehensive cancer center until June 30, 2024. 269 |
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403 | 403 | | (5) The department shall use the following formula to 270 |
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404 | 404 | | calculate a participating cancer center's allocation fraction: 271 |
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405 | 405 | | CAF = [0.4 x (CRC÷TCRC)]+[0.3 x (CPC÷TCPC)]+[0.3 x (CBE÷TCBE)] 272 |
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406 | 406 | | Where: 273 |
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415 | 415 | | 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 |
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416 | 416 | | |
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417 | 417 | | |
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418 | 418 | | |
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419 | 419 | | CAF = A cancer center's allocation fraction. 274 |
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420 | 420 | | CRC = A cancer center's tier -weighted reportable cases. 275 |
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421 | 421 | | TCRC = The total tier -weighted reportable cases for all 276 |
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422 | 422 | | cancer centers. 277 |
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423 | 423 | | CPC = A cancer center's tier -weighted peer-review costs. 278 |
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424 | 424 | | TCPC = The total tier-weighted peer-review costs for all 279 |
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425 | 425 | | cancer centers. 280 |
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426 | 426 | | CBE = A cancer center's tier -weighted biomedical education 281 |
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427 | 427 | | and training. 282 |
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428 | 428 | | TCBE = The total tier -weighted biomedical education and 283 |
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429 | 429 | | training for all cancer centers. 284 |
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430 | 430 | | (6) A cancer center's annual allocation shall be 285 |
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431 | 431 | | calculated by multiplying the funds appropriated for the Casey 286 |
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432 | 432 | | DeSantis Cancer Research Program in the General Appropriations 287 |
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433 | 433 | | Act by that cancer center's allocation fraction. If the 288 |
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434 | 434 | | calculation results in an annual allocation that is le ss than 289 |
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435 | 435 | | $16 million, that cancer center's annual allocation shall be 290 |
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436 | 436 | | increased to a sum equaling $16 million, with the additional 291 |
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437 | 437 | | funds being provided proportionally from the annual allocations 292 |
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438 | 438 | | calculated for the other participating cancer centers. 293 |
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439 | 439 | | (7) The amount of $37,771,257 from the total funds 294 |
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440 | 440 | | appropriated in the General Appropriations Act for the Casey 295 |
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441 | 441 | | DeSantis Cancer Research Program shall be excluded from the 296 |
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442 | 442 | | annual allocation fraction calculation under subsection (5). The 297 |
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443 | 443 | | excluded amount shall be distributed to participating cancer 298 |
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444 | 444 | | |
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445 | 445 | | HB 1347 2025 |
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446 | 446 | | |
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447 | 447 | | |
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448 | 448 | | |
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451 | 451 | | Page 13 of 25 |
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452 | 452 | | 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 |
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453 | 453 | | |
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454 | 454 | | |
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455 | 455 | | |
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456 | 456 | | centers in the same proportion as determined by the allocation 299 |
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457 | 457 | | fraction calculation. 300 |
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458 | 458 | | (7)(8) The Cancer Connect Collaborative, a council as 301 |
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459 | 459 | | defined in s. 20.03, is created within the department to advise 302 |
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460 | 460 | | the department and the Legislature on developing a holistic 303 |
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461 | 461 | | approach to the state's efforts to fund cancer research, cancer 304 |
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462 | 462 | | facilities, and treatments for cancer patients. The 305 |
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463 | 463 | | collaborative may make recommendations on proposed legislation, 306 |
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464 | 464 | | proposed rules, best practices , data collection and reporting, 307 |
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465 | 465 | | issuance of grant funds, and other proposals for state policy 308 |
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466 | 466 | | relating to cancer research or treatment. 309 |
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467 | 467 | | (a) The Surgeon General shall serve as an ex officio, 310 |
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468 | 468 | | nonvoting member and shall serve as the chair. 311 |
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469 | 469 | | (b) The collaborative shall be composed of the following 312 |
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470 | 470 | | voting members, to be appointed by September 1, 2024: 313 |
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471 | 471 | | 1. Two members appointed by the Governor, one member 314 |
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472 | 472 | | appointed by the President of the Senate, and one member 315 |
---|
473 | 473 | | appointed by the Speaker of the House of Repres entatives, based 316 |
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474 | 474 | | on the criteria of this subparagraph. The appointing officers 317 |
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475 | 475 | | shall make their appointments prioritizing members who have the 318 |
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476 | 476 | | following experience or expertise: 319 |
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477 | 477 | | a. The practice of a health care profession specializing 320 |
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478 | 478 | | in oncology clinical care or research; 321 |
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479 | 479 | | b. The development of preventive and therapeutic 322 |
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480 | 480 | | treatments to control cancer; 323 |
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481 | 481 | | |
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482 | 482 | | HB 1347 2025 |
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483 | 483 | | |
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484 | 484 | | |
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485 | 485 | | |
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489 | 489 | | 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 |
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490 | 490 | | |
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491 | 491 | | |
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492 | 492 | | |
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493 | 493 | | c. The development of innovative research into the causes 324 |
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494 | 494 | | of cancer, the development of effective treatments for persons 325 |
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495 | 495 | | with cancer, or cures for cancer ; or 326 |
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496 | 496 | | d. Management-level experience with a cancer center 327 |
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497 | 497 | | licensed under chapter 395. 328 |
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498 | 498 | | 2. One member who is a resident of this state who can 329 |
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499 | 499 | | represent the interests of cancer patients in this state, 330 |
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500 | 500 | | appointed by the Governor. 331 |
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501 | 501 | | (c) The terms of appointees under paragraph (b) shall be 332 |
---|
502 | 502 | | for 2 years unless otherwise specified. However, to achieve 333 |
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503 | 503 | | staggered terms, the initial appointees under that paragraph 334 |
---|
504 | 504 | | shall serve 3 years for their first term. These appointees may 335 |
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505 | 505 | | be reappointed for no more than four consecutive terms. 336 |
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506 | 506 | | (d) Any vacancy occurring on the collaborative must be 337 |
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507 | 507 | | filled in the same manner as the original appointment. Any 338 |
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508 | 508 | | member who is appointed to fill a vacancy occurring because of 339 |
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509 | 509 | | death, resignation, or ineligibility for membership s hall serve 340 |
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510 | 510 | | only for the unexpired term of the member's predecessor. 341 |
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511 | 511 | | (e) Members whose terms have expired may continue to serve 342 |
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512 | 512 | | until replaced or reappointed, but for no more than 6 months 343 |
---|
513 | 513 | | after the expiration of their terms. 344 |
---|
514 | 514 | | (f) Members shall serve wit hout compensation but are 345 |
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515 | 515 | | entitled to reimbursement for per diem and travel expenses 346 |
---|
516 | 516 | | pursuant to s. 112.061. 347 |
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517 | 517 | | (g) The collaborative shall meet as necessary, but at 348 |
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518 | 518 | | |
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519 | 519 | | HB 1347 2025 |
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520 | 520 | | |
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521 | 521 | | |
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522 | 522 | | |
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526 | 526 | | 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 |
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527 | 527 | | |
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528 | 528 | | |
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529 | 529 | | |
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530 | 530 | | least quarterly, at the call of the chair. A majority of the 349 |
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531 | 531 | | members of the collaborative c onstitutes a quorum, and a meeting 350 |
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532 | 532 | | may not be held with less than a quorum present. In order to 351 |
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533 | 533 | | establish a quorum, the collaborative may conduct its meetings 352 |
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534 | 534 | | through teleconference or other electronic means. The 353 |
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535 | 535 | | affirmative vote of a majority of the membe rs of the 354 |
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536 | 536 | | collaborative present is necessary for any official action by 355 |
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537 | 537 | | the collaborative. 356 |
---|
538 | 538 | | (h) The collaborative shall oversee the administration and 357 |
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539 | 539 | | functions of the Florida Cancer Research Network. 358 |
---|
540 | 540 | | (i)1. The following subcommittees are created to rev iew 359 |
---|
541 | 541 | | and evaluate performance of and to advise and support the 360 |
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542 | 542 | | collaborative on the oversight of the Florida Cancer Research 361 |
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543 | 543 | | Network. Each subcommittee shall have eight members appointed by 362 |
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544 | 544 | | the State Surgeon General and be chaired by a current member of 363 |
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545 | 545 | | the collaborative: 364 |
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546 | 546 | | a. Research Funding Subcommittee. 365 |
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547 | 547 | | b. Recruitment Funding Subcommittee. 366 |
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548 | 548 | | c. Infrastructure and Technology Funding Subcommittee. 367 |
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549 | 549 | | d. Program Development Funding Subcommittee. 368 |
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550 | 550 | | 2. Appointees shall serve for a 2 -year term. However, to 369 |
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551 | 551 | | achieve staggered terms, the initial appointees shall serve for 370 |
---|
552 | 552 | | 3 years for their first term. Such appointees may be reappointed 371 |
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553 | 553 | | for no more than 4 consecutive terms. 372 |
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554 | 554 | | |
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555 | 555 | | HB 1347 2025 |
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556 | 556 | | |
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557 | 557 | | |
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558 | 558 | | |
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561 | 561 | | Page 16 of 25 |
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562 | 562 | | 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 |
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563 | 563 | | |
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564 | 564 | | |
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565 | 565 | | |
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566 | 566 | | 3. Members shall serve without compensation but are 373 |
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567 | 567 | | entitled to reimbursement for per die m and travel expenses 374 |
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568 | 568 | | pursuant to s. 112.061. 375 |
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569 | 569 | | (j) The collaborative shall prepare an annual report due 376 |
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570 | 570 | | to the Governor, President of the Senate, and Speaker of the 377 |
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571 | 571 | | House of Representatives by December 1, 2025, and each 378 |
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572 | 572 | | succeeding year that identifies and evaluates performance and 379 |
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573 | 573 | | effect of the Florida Cancer Research Network on cancer 380 |
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574 | 574 | | treatment, screening, diagnosis, prevention, practitioner and 381 |
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575 | 575 | | workforce education, and survivorship. The report shall include 382 |
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576 | 576 | | the following: 383 |
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577 | 577 | | 1. A needs assessment that ana lyzes current practices, 384 |
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578 | 578 | | patient outcomes, and gaps in care throughout the state. 385 |
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579 | 579 | | 2. A review of current evidence -based clinical guidelines 386 |
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580 | 580 | | released by reputable clinical associations. 387 |
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581 | 581 | | 3. A literature review of cancer treatment studies 388 |
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582 | 582 | | published during the previous calendar years. 389 |
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583 | 583 | | 4. An assessment of current and innovative cancer 390 |
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584 | 584 | | screening and diagnostic services. 391 |
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585 | 585 | | 5. Amount of grant funds awarded to each awardee. 392 |
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586 | 586 | | 6. Descriptions of each awardee's research or project that 393 |
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587 | 587 | | includes the following: 394 |
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588 | 588 | | a. Goals or projected outcomes 395 |
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589 | 589 | | b. Population to be served 396 |
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590 | 590 | | c. Research methods or project implementation plan 397 |
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591 | 591 | | |
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592 | 592 | | HB 1347 2025 |
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593 | 593 | | |
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594 | 594 | | |
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595 | 595 | | |
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599 | 599 | | 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 |
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600 | 600 | | |
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601 | 601 | | |
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602 | 602 | | |
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603 | 603 | | 7. An assessment of awardees of grant funds that evaluates 398 |
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604 | 604 | | performance toward achieving objectives specified in their grant 399 |
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605 | 605 | | funds applications. 400 |
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606 | 606 | | 8. Case studies of Florida patients who have received 401 |
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607 | 607 | | cancer treatment and patients who are receiving post -cancer 402 |
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608 | 608 | | treatment. 403 |
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609 | 609 | | 9. Recommendations for best practices to be implemented by 404 |
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610 | 610 | | health care providers in Florida that diagnose, treat, and 405 |
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611 | 611 | | screen for cancer. 406 |
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612 | 612 | | (k) The committee shall meet quarterly or at the call of 407 |
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613 | 613 | | the chair. A majority of the members of the committee 408 |
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614 | 614 | | constitutes a quorum, and a meeting may not be held with less 409 |
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615 | 615 | | than a quorum present. In order to establish a quorum, the 410 |
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616 | 616 | | committee may conduct its meetings through teleconference or 411 |
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617 | 617 | | other electronic means. The affirmative vote of a majority of 412 |
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618 | 618 | | the members of the committee present is necessary for any 413 |
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619 | 619 | | official action by the committee. 414 |
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620 | 620 | | (h) The collaborative shall develop a long -range 415 |
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621 | 621 | | comprehensive plan for the Casey DeSantis Cancer Research 416 |
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622 | 622 | | Program. In the development of the plan, the collaborative must 417 |
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623 | 623 | | solicit input from cancer centers, research institutions, 418 |
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624 | 624 | | biomedical education institutions, hospitals, and medical 419 |
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625 | 625 | | providers. The collaborative shall submit the plan to the 420 |
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626 | 626 | | Governor, the President of the Senate, and the Speaker of the 421 |
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627 | 627 | | House of Representatives no later than December 1, 2024. The 422 |
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628 | 628 | | |
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629 | 629 | | HB 1347 2025 |
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630 | 630 | | |
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631 | 631 | | |
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632 | 632 | | |
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635 | 635 | | Page 18 of 25 |
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636 | 636 | | 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 |
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637 | 637 | | |
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638 | 638 | | |
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639 | 639 | | |
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640 | 640 | | plan must include, but need not be limited to, all of the 423 |
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641 | 641 | | following components: 424 |
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642 | 642 | | 1. Expansion of grant fund opportunities to include a 425 |
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643 | 643 | | broader pool of Florida -based cancer centers, research 426 |
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644 | 644 | | institutions, biomedical education institutions, hospitals, and 427 |
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645 | 645 | | medical providers to receive funding through the Cancer 428 |
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646 | 646 | | Innovation Fund. 429 |
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647 | 647 | | 2. An evaluation to determine metrics that focus on 430 |
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648 | 648 | | patient outcomes, quality of care, and efficacy of treatment. 431 |
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649 | 649 | | 3. A compilation of best practices relating to cancer 432 |
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650 | 650 | | research or treatment. 433 |
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651 | 651 | | (l)(i) The department shall provide reasonable and 434 |
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652 | 652 | | necessary support sta ff and materials to assist the 435 |
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653 | 653 | | collaborative in the performance of its duties. 436 |
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654 | 654 | | (m)1.(j)1. As used in this paragraph, the term 437 |
---|
655 | 655 | | "proprietary business information" means information that: 438 |
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656 | 656 | | a. Is owned or controlled by the applicant; 439 |
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657 | 657 | | b. Is intended to be private and is treated by the 440 |
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658 | 658 | | applicant as private; 441 |
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659 | 659 | | c. Has not been disclosed except as required by law or a 442 |
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660 | 660 | | private agreement that provides that the information will not be 443 |
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661 | 661 | | released to the public; 444 |
---|
662 | 662 | | d. Is not readily available or ascertainable through 445 |
---|
663 | 663 | | proper means from another source in the same configuration as 446 |
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664 | 664 | | received by the collaborative; 447 |
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665 | 665 | | |
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666 | 666 | | HB 1347 2025 |
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667 | 667 | | |
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668 | 668 | | |
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669 | 669 | | |
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671 | 671 | | hb1347-00 |
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672 | 672 | | Page 19 of 25 |
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673 | 673 | | 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 |
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674 | 674 | | |
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675 | 675 | | |
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676 | 676 | | |
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677 | 677 | | e. Affects competitive interests, and the disclosure of 448 |
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678 | 678 | | such information would impair the competitive advantage of the 449 |
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679 | 679 | | applicant; and 450 |
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680 | 680 | | f. Is explicitly identifie d or clearly marked as 451 |
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681 | 681 | | proprietary business information. 452 |
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682 | 682 | | 2. Proprietary business information held by the department 453 |
---|
683 | 683 | | or the collaborative is confidential and exempt from s. 454 |
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684 | 684 | | 119.07(1) and s. 24(a), Art. I of the State Constitution. This 455 |
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685 | 685 | | exemption does not apply to information contained in final 456 |
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686 | 686 | | recommendations of the collaborative. 457 |
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687 | 687 | | 3. Portions of a meeting of the collaborative during which 458 |
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688 | 688 | | confidential and exempt proprietary business information is 459 |
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689 | 689 | | discussed are exempt from s. 286.011 and s. 24(b), Art. I of the 460 |
---|
690 | 690 | | State Constitution. The closed portion of a meeting must be 461 |
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691 | 691 | | recorded, and the recording must be maintained by the 462 |
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692 | 692 | | collaborative. The recording is confidential and exempt from s. 463 |
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693 | 693 | | 119.07(1) and s. 24(a), Art. I of the State Constitution. 464 |
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694 | 694 | | 4.a. Proprietary business information made confidential 465 |
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695 | 695 | | and exempt under subparagraph 2. may be disclosed with the 466 |
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696 | 696 | | express written consent of the applicant to whom the information 467 |
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697 | 697 | | pertains, or the applicant's legally authorized representative, 468 |
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698 | 698 | | or pursuant to a court order upon a showing of good cause. 469 |
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699 | 699 | | b. Recordings of those portions of exempt meetings which 470 |
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700 | 700 | | are made confidential and exempt under subparagraph 3. may be 471 |
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701 | 701 | | disclosed to the department or pursuant to a court order upon a 472 |
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702 | 702 | | |
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703 | 703 | | HB 1347 2025 |
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704 | 704 | | |
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705 | 705 | | |
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706 | 706 | | |
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707 | 707 | | CODING: Words stricken are deletions; words underlined are additions. |
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708 | 708 | | hb1347-00 |
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709 | 709 | | Page 20 of 25 |
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710 | 710 | | 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 |
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711 | 711 | | |
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712 | 712 | | |
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713 | 713 | | |
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714 | 714 | | showing of good cause. 473 |
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715 | 715 | | 5. This paragraph is subject to the Open Government Sunset 474 |
---|
716 | 716 | | Review Act in accordance with s. 119.15 and shall stand repealed 475 |
---|
717 | 717 | | on October 2, 2029, unless reviewed and saved from repeal 476 |
---|
718 | 718 | | through reenactment by the Legislature. 477 |
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719 | 719 | | (8)(9) The collaborative shall advise the department on 478 |
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720 | 720 | | the awarding of grants issued through the Cancer Innovation 479 |
---|
721 | 721 | | Fund. During any fiscal year for which funds are appropriated to 480 |
---|
722 | 722 | | the fund, the collaborative shall review all submitted grant 481 |
---|
723 | 723 | | applications and make recommendations to the department for 482 |
---|
724 | 724 | | awarding grants to support innovative cancer research and 483 |
---|
725 | 725 | | treatment models, including emerging research and treatment 484 |
---|
726 | 726 | | trends and promising treatments that may serve as catalysts for 485 |
---|
727 | 727 | | further research and treatments. The department shall make the 486 |
---|
728 | 728 | | final grant allocation awards. The collaborative shall give 487 |
---|
729 | 729 | | priority to applications seeking to expand the reach of 488 |
---|
730 | 730 | | innovative cancer treatment models into underserved areas of 489 |
---|
731 | 731 | | this state. 490 |
---|
732 | 732 | | (9)(10) Beginning July 1, 2025, and each year thereafter, 491 |
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733 | 733 | | the department, in conjunction with participating cancer 492 |
---|
734 | 734 | | centers, shall submit a report to the Cancer Control and 493 |
---|
735 | 735 | | Research Advisory Council and the collaborative on specific 494 |
---|
736 | 736 | | metrics relating to cancer mortality and external funding for 495 |
---|
737 | 737 | | cancer-related research in this s tate. If a cancer center does 496 |
---|
738 | 738 | | not endorse this report or produce an equivalent independent 497 |
---|
739 | 739 | | |
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740 | 740 | | HB 1347 2025 |
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741 | 741 | | |
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742 | 742 | | |
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743 | 743 | | |
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744 | 744 | | CODING: Words stricken are deletions; words underlined are additions. |
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746 | 746 | | Page 21 of 25 |
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747 | 747 | | 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 |
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748 | 748 | | |
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749 | 749 | | |
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750 | 750 | | |
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751 | 751 | | report, the cancer center is ineligible to receive program 498 |
---|
752 | 752 | | funding for 1 year. The department must submit this annual 499 |
---|
753 | 753 | | report, and any equivalent independent reports, to the Governor, 500 |
---|
754 | 754 | | the President of the Senate, and the Speaker of the House of 501 |
---|
755 | 755 | | Representatives no later than September 15 of each year the 502 |
---|
756 | 756 | | report or reports are submitted by the department. The report 503 |
---|
757 | 757 | | must include: 504 |
---|
758 | 758 | | (a) An analysis of trending age -adjusted cancer mortality 505 |
---|
759 | 759 | | rates in the state, which must include, at a minimum, overall 506 |
---|
760 | 760 | | age-adjusted mortality rates for cancer statewide and age -507 |
---|
761 | 761 | | adjusted mortality rates by age group, geographic region, and 508 |
---|
762 | 762 | | type of cancer, which must include, at a minimum: 509 |
---|
763 | 763 | | 1. Lung cancer. 510 |
---|
764 | 764 | | 2. Pancreatic cancer. 511 |
---|
765 | 765 | | 3. Sarcoma. 512 |
---|
766 | 766 | | 4. Melanoma. 513 |
---|
767 | 767 | | 5. Leukemia and myelodysplastic syndromes. 514 |
---|
768 | 768 | | 6. Brain cancer. 515 |
---|
769 | 769 | | 7. Breast cancer. 516 |
---|
770 | 770 | | (b) Identification of trends in overall federal funding, 517 |
---|
771 | 771 | | broken down by institutional source, for cancer -related research 518 |
---|
772 | 772 | | in the state. 519 |
---|
773 | 773 | | (c) A list and narrative description of interinstitutional 520 |
---|
774 | 774 | | collaboration among participating cancer centers, which may 521 |
---|
775 | 775 | | include grants received by participating cancer centers in 522 |
---|
776 | 776 | | |
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777 | 777 | | HB 1347 2025 |
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778 | 778 | | |
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779 | 779 | | |
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780 | 780 | | |
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781 | 781 | | CODING: Words stricken are deletions; words underlined are additions. |
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783 | 783 | | Page 22 of 25 |
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784 | 784 | | 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 |
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785 | 785 | | |
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786 | 786 | | |
---|
787 | 787 | | |
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788 | 788 | | collaboration, a comparison of such grants i n proportion to the 523 |
---|
789 | 789 | | grant totals for each cancer center, a catalog of retreats and 524 |
---|
790 | 790 | | progress seed grants using state funds, and targets for 525 |
---|
791 | 791 | | collaboration in the future and reports on progress regarding 526 |
---|
792 | 792 | | such targets where appropriate. 527 |
---|
793 | 793 | | (10)(11) Beginning July 1, 2024, each allocation agreement 528 |
---|
794 | 794 | | issued by the department relating to cancer center payments 529 |
---|
795 | 795 | | under subsection (2) must include all of the following: 530 |
---|
796 | 796 | | (a) A line-item budget narrative documenting the annual 531 |
---|
797 | 797 | | allocation of funds to a cancer center. 532 |
---|
798 | 798 | | (b) A cap on the annual award of 15 percent for 533 |
---|
799 | 799 | | administrative expenses. 534 |
---|
800 | 800 | | (c) A requirement for the cancer center to submit 535 |
---|
801 | 801 | | quarterly reports of all expenditures made by the cancer center 536 |
---|
802 | 802 | | with funds received through the Casey DeSantis Cancer Research 537 |
---|
803 | 803 | | Program. 538 |
---|
804 | 804 | | (d) A provision to allow the department and other state 539 |
---|
805 | 805 | | auditing bodies to audit all financial records, supporting 540 |
---|
806 | 806 | | documents, statistical records, and any other documents 541 |
---|
807 | 807 | | pertinent to the allocation agreement. 542 |
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808 | 808 | | (e) A provision requiring the annual re porting of outcome 543 |
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809 | 809 | | data and protocols used in achieving those outcomes. 544 |
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810 | 810 | | (11) The Legislature recognizes that nationally, targeted 545 |
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811 | 811 | | areas of cancer research require increased resources and that 546 |
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812 | 812 | | Florida should become a leader in promoting research 547 |
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813 | 813 | | |
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814 | 814 | | HB 1347 2025 |
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815 | 815 | | |
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816 | 816 | | |
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817 | 817 | | |
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818 | 818 | | CODING: Words stricken are deletions; words underlined are additions. |
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820 | 820 | | Page 23 of 25 |
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821 | 821 | | 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 |
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822 | 822 | | |
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823 | 823 | | |
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824 | 824 | | |
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825 | 825 | | opportunities for these targeted areas. Floridians should not 548 |
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826 | 826 | | have to leave the state to receive the most advanced cancer care 549 |
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827 | 827 | | and treatment. To meet this need, the Legislature is authorizing 550 |
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828 | 828 | | the creation of the Cancer Connect Collaborative Research 551 |
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829 | 829 | | Incubator to identify and provide funding for a targeted area of 552 |
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830 | 830 | | cancer research for a 5 -year period. 553 |
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831 | 831 | | (12) The collaborative shall evaluate the present state of 554 |
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832 | 832 | | cancer research in Florida and the United States and submit a 555 |
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833 | 833 | | report to the Governor, President of the Senat e, and Speaker of 556 |
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834 | 834 | | the House of Representatives by October 1, 2025, that recommends 557 |
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835 | 835 | | a targeted area of research for 5 years, beginning January 1, 558 |
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836 | 836 | | 2026, and ending December 31, 2030, for the awarding of funds. 559 |
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837 | 837 | | (13) The department shall establish criteria a nd allocate 560 |
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838 | 838 | | funds beginning January 1, 2026, and each year thereafter until 561 |
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839 | 839 | | 2030, for conducting research on the targeted area of cancer 562 |
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840 | 840 | | recommended by the report as described in (12). 563 |
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841 | 841 | | (14) The collaborative must only allocate funds for 564 |
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842 | 842 | | research in the targeted area of cancer recommended by the 565 |
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843 | 843 | | report as described in (12). 566 |
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844 | 844 | | (15) Beginning July 1, 2026, each allocation agreement 567 |
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845 | 845 | | issued by the department relating to the Cancer Connect 568 |
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846 | 846 | | Collaborative Research Incubator payments under subsection (11) 569 |
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847 | 847 | | must include all of the following: 570 |
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848 | 848 | | (a) A line-item budget narrative documenting the annual 571 |
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849 | 849 | | allocation of funds to a recipient. 572 |
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850 | 850 | | |
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851 | 851 | | HB 1347 2025 |
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852 | 852 | | |
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853 | 853 | | |
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854 | 854 | | |
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855 | 855 | | CODING: Words stricken are deletions; words underlined are additions. |
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857 | 857 | | Page 24 of 25 |
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858 | 858 | | 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 |
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859 | 859 | | |
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860 | 860 | | |
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861 | 861 | | |
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862 | 862 | | (b) A cap on the annual award of 15 percent for 573 |
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863 | 863 | | administrative expenses. 574 |
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864 | 864 | | (c) A requirement for the recipient to submit quarterly 575 |
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865 | 865 | | reports of all expenditures made by the recipient with funds 576 |
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866 | 866 | | received through the Cancer Connect Collaborative Research 577 |
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867 | 867 | | Incubator. 578 |
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868 | 868 | | (d) A provision to allow the department and other state 579 |
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869 | 869 | | auditing bodies to audit all financial records, supporting 580 |
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870 | 870 | | documents, statistical records, and any other documents 581 |
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871 | 871 | | pertinent to the allocation agreement. 582 |
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872 | 872 | | (e) A provision requiring the annual reporting of outcome 583 |
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873 | 873 | | data and protocols used in achieving those outcomes. 584 |
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874 | 874 | | (16)(a) Beginning July 1, 2027, and each year thereafter 585 |
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875 | 875 | | until 2031, the collaborative shall submit a report to the 586 |
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876 | 876 | | Governor, President of the Senate, and Speaker of the House of 587 |
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877 | 877 | | Representatives that evaluates research conducted through the 588 |
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878 | 878 | | Cancer Connect Collaborative Research Incubator and presents 589 |
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879 | 879 | | statuses and findings. 590 |
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880 | 880 | | (b) The final report submitted on July 1, 2031, must 591 |
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881 | 881 | | include all of the following: 592 |
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882 | 882 | | 1. A summary of all results from the research completed or 593 |
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883 | 883 | | the status of research in progress. 594 |
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884 | 884 | | 2. An evaluation of all research conducted under the 595 |
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885 | 885 | | Cancer Connect Collaborative Research Incubator, beginning 596 |
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886 | 886 | | January 1, 2026. 597 |
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887 | 887 | | |
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888 | 888 | | HB 1347 2025 |
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889 | 889 | | |
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890 | 890 | | |
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891 | 891 | | |
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892 | 892 | | CODING: Words stricken are deletions; words underlined are additions. |
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893 | 893 | | hb1347-00 |
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894 | 894 | | Page 25 of 25 |
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895 | 895 | | 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 |
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896 | 896 | | |
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897 | 897 | | |
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898 | 898 | | |
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899 | 899 | | 3. Recommendations for future areas of cancer research. 598 |
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900 | 900 | | (17)(12) This section is subject to annual appropriation 599 |
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901 | 901 | | by the Legislature. 600 |
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902 | 902 | | (18)(13) The department may adopt rules to admi nister this 601 |
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903 | 903 | | section. 602 |
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904 | 904 | | Section 2. This act shall take effect July 1, 2025. 603 |
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