Bill Text: IA HF2084 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to the adoption of the interstate curing disease compact. (See HF 2519.)

Spectrum: Partisan Bill (Republican 3-0)

Status: (Introduced - Dead) 2020-02-19 - Committee report, recommending passage. H.J. 309. [HF2084 Detail]

Download: Iowa-2019-HF2084-Introduced.html
House File 2084 - Introduced HOUSE FILE 2084 BY LUNDGREN , WILLS , and FRY A BILL FOR An Act relating to the adoption of the interstate curing 1 disease compact. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5484YH (6) 88 pf/rh
H.F. 2084 Section 1. NEW SECTION . 139D.1 Interstate curing disease 1 compact. 2 1. Article I —— Definitions. For the purposes of this 3 compact: 4 a. “Compact” means the solemn covenant of the states to 5 award prizes for curing diseases enacted in this chapter. 6 b. “Compacting state” means either of the following: 7 (1) Any state that has enacted the compact and which has not 8 withdrawn or been suspended pursuant to article XIV. 9 (2) The federal government in accordance with the 10 commission’s bylaws. 11 c. “Non-compacting state” means any state or the federal 12 government, if it is not at the time a compacting state. 13 d. “Public health expenses” means the amount of all costs 14 paid by taxpayers in a specified geographic area relating to a 15 particular disease. 16 e. “State” means any state, district, or territory of the 17 United States of America. 18 2. Article II —— Establishment of the commission; membership. 19 a. Upon the enactment of the compact by six states, the 20 compacting states shall establish the solemn covenant of states 21 commission. 22 b. The commission is a body corporate and politic and 23 an instrumentality of each of the compacting states and is 24 solely responsible for its liabilities, except as otherwise 25 specifically provided in the compact. 26 c. Each compacting state shall be represented by one 27 member as selected by the compacting state. Each compacting 28 state shall determine its member’s qualifications and period 29 of service and shall be responsible for any action to remove 30 or suspend its member or to fill the member’s position if it 31 becomes vacant. Nothing in the compact shall be construed 32 to affect a compacting state’s authority regarding the 33 qualification, selection, or service of its own member. 34 3. Article III —— Powers of the commission. The powers of 35 -1- LSB 5484YH (6) 88 pf/rh 1/ 22
H.F. 2084 the commission include all of the following: 1 a. To adopt bylaws and rules pursuant to articles V and VI 2 of the compact, which shall have the force and effect of law 3 and shall be binding in the compacting states to the extent and 4 in the manner provided in the compact. 5 b. To receive and review in an expeditious manner treatments 6 and therapeutic protocols for the cure of disease submitted to 7 the commission and to award prizes for submissions that meet 8 the commission’s standards for a successful cure treatment or 9 therapeutic protocol. 10 c. To make widely available a cure treatment or therapeutic 11 protocol upon a prize winner claiming a prize and transferring 12 any intellectual property necessary for the manufacture 13 and distribution of the cure in accordance with article VI, 14 paragraph “c” , subparagraph (7), subparagraph division (a), 15 including by arranging or contracting for the manufacturing, 16 production, or provision of any drug, serum, or other 17 substance, device, or process, provided that the commission 18 does not market the cure or conduct any other activity 19 regarding the cure not specifically authorized in the compact. 20 d. To establish a selling price for the cure, which shall 21 be not more than the expenses for the cure’s manufacturing, 22 distribution, licensing, and any other necessary governmental 23 requirements for compacting states, or those expenses plus any 24 royalty fees, for non-compacting states. The price shall not 25 include the expenses of any other activities. 26 e. In non-compacting states and foreign countries, to 27 establish and collect royalty fees imposed on manufacturers, 28 producers, and providers in non-compacting states or foreign 29 countries of any drug, serum, or other substance, device, or 30 process used for a cure treatment or therapeutic protocol, for 31 which a prize is awarded. Royalty fees may be added to the 32 sales price of the cure pursuant to paragraph “d” ; provided 33 that the royalty fees shall cumulatively be not more than the 34 estimated five-year savings in public health expenses for 35 -2- LSB 5484YH (6) 88 pf/rh 2/ 22
H.F. 2084 that state or country, as calculated by actuaries employed or 1 contracted by the commission. 2 f. To do the following regarding the collected royalty fees: 3 (1) Pay or reimburse expenses related to the payment 4 of a prize, which shall include employing or contracting 5 actuaries to calculate annual taxpayer savings amounts in 6 compacting states in accordance with article VI, paragraph 7 “c” , subparagraph (7), subparagraph division (a), and payment 8 of interest and other expenses related to a loan obtained in 9 accordance with article VI, paragraph “c” , subparagraph (7), 10 subparagraph division (f). 11 (2) Annually disburse any amounts remaining after making 12 payments or reimbursements under subparagraph (1) as refunds 13 to compacting states based on the percent of the state’s prize 14 obligation in relation to the total obligation amount of all 15 compacting states. 16 g. To bring and prosecute legal proceedings or actions in 17 its name as the commission. 18 h. To issue subpoenas requiring the attendance and testimony 19 of witnesses and the production of evidence. 20 i. To establish and maintain offices. 21 j. To borrow, accept, or contract for personnel services, 22 including personnel services from employees of a compacting 23 state. 24 k. To hire employees, professionals, or specialists, and 25 elect or appoint officers, and to fix their compensation, 26 define their duties and give them appropriate authority 27 to carry out the purposes of the compact, and determine 28 their qualifications; and to establish the commission’s 29 personnel policies and programs relating to, among other 30 things, conflicts of interest, rates of compensation, and 31 qualifications of personnel. 32 l. To accept any and all appropriate donations and grants 33 of money, equipment, supplies, materials, and services, and to 34 receive, utilize, and dispose of them; provided that at all 35 -3- LSB 5484YH (6) 88 pf/rh 3/ 22
H.F. 2084 times the commission shall strive to avoid any appearance of 1 impropriety. 2 m. To lease, purchase, or accept appropriate gifts or 3 donations of, or otherwise to own, hold, improve, or use, any 4 property, real, personal, or mixed; provided, that at all 5 times the commission shall strive to avoid any appearance of 6 impropriety. 7 n. To sell, convey, mortgage, pledge, lease, exchange, 8 abandon, or otherwise dispose of any property, real, personal, 9 or mixed. 10 o. To monitor compacting states for compliance with the 11 commission’s bylaws and rules. 12 p. To enforce compliance by compacting states with the 13 commission’s bylaws and rules. 14 q. To provide for dispute resolution among compacting states 15 or between the commission and those who submit treatments 16 and therapeutic protocols for the cure of disease for 17 consideration. 18 r. To establish a budget and make expenditures. 19 s. To borrow money. 20 t. To appoint committees, including management, legislative, 21 and advisory committees comprised of members, state legislators 22 or their representatives, medical professionals, and such other 23 interested persons as may be designated by the commission. 24 u. To establish annual membership dues for compacting states 25 which shall be used for daily expenses of the commission and 26 not for interest or prize payments. 27 v. To adopt and use a corporate seal. 28 w. To perform such other functions as may be necessary or 29 appropriate to achieve the purposes of this compact. 30 4. Article IV —— Meetings and voting. 31 a. The commission shall meet and take such actions as are 32 consistent with the compact, bylaws, and rules. 33 b. A majority of the members of the commission shall 34 constitute a quorum necessary in order to conduct business or 35 -4- LSB 5484YH (6) 88 pf/rh 4/ 22
H.F. 2084 take actions at meetings of the commission. 1 c. Each member of the commission shall have the right and 2 power to cast one vote regarding matters determined or actions 3 to be taken by the commission. Each member shall have the 4 right and power to participate in the business and affairs of 5 the commission. 6 d. A member shall vote in person or by such other means as 7 provided in the commission’s bylaws. The commission’s bylaws 8 may provide for members’ participation in meetings by telephone 9 or other means of communication. 10 e. The commission shall meet at least once during each 11 calendar year. Additional meetings shall be held as set forth 12 in the commission’s bylaws. 13 f. No decision of the commission with respect to the 14 approval of an award for a treatment or therapeutic protocol 15 for the cure of a disease shall be effective unless two-thirds 16 of all the members of the commission vote in favor of the 17 approval. 18 g. Guidelines and voting requirements for all other 19 decisions of the commission shall be established in the 20 commission’s bylaws. 21 5. Article V —— Bylaws. The commission shall, by a majority 22 vote of all the members of the commission, prescribe bylaws 23 to govern its conduct as may be necessary or appropriate to 24 carry out the purposes and exercise the powers of the compact 25 including but not limited to: 26 a. Establishing the fiscal year of the commission. 27 b. Providing reasonable procedures for appointing and 28 electing members and holding meetings of the management 29 committee. 30 c. Providing reasonable standards and procedures relating 31 to all of the following: 32 (1) The establishment and meetings of other committees. 33 (2) Governing any general or specific delegation of any 34 authority or function of the commission. 35 -5- LSB 5484YH (6) 88 pf/rh 5/ 22
H.F. 2084 (3) Voting guidelines and procedures for commission 1 decisions. 2 d. Providing reasonable procedures for calling and 3 conducting meetings of the commission that shall consist of 4 requiring a quorum to be present, ensuring reasonable advance 5 notice of each such meeting, and providing for the right of 6 citizens to attend each such meeting with enumerated exceptions 7 designed to protect the public’s interest and the privacy of 8 individuals. 9 e. Providing a list of matters about which the commission 10 may go into executive session and requiring a majority of all 11 members of the commission vote to enter into such session. As 12 soon as practicable, the commission shall make public: 13 (1) A copy of the vote to go into executive session, 14 revealing the vote of each member with no proxy votes allowed. 15 (2) The matter requiring executive session, without 16 identifying the actual issues or individuals involved. 17 f. Establishing the titles, duties, authority, and 18 reasonable procedures for the election of the officers of the 19 commission. 20 g. Providing reasonable standards and procedures for the 21 establishment of the personnel policies and programs of the 22 commission. Notwithstanding any civil service or other similar 23 laws of any compacting state, the commission’s bylaws shall 24 exclusively govern the personnel policies and programs of the 25 commission. 26 h. Allowing a mechanism for: 27 (1) The federal government to join as a compacting state. 28 (2) Foreign countries or subdivisions of those countries to 29 join as liaison members by adopting the compact; provided that 30 adopting countries or subdivisions shall not have voting power 31 or the power to bind the commission in any way. 32 i. Adopting a code of ethics to address permissible and 33 prohibited activities of members and employees. 34 j. Providing for the maintenance of the commission’s books 35 -6- LSB 5484YH (6) 88 pf/rh 6/ 22
H.F. 2084 and records. 1 k. Governing the acceptance of and accounting for 2 donations, annual member dues, and other sources of funding 3 and establishing the proportion of these funds to be allocated 4 to prize amounts for treatments and therapeutic protocols that 5 cure disease. 6 l. Governing any fundraising efforts in which the commission 7 wishes to engage. 8 m. Providing a mechanism for winding up the operations of 9 the commission and the equitable disposition of any surplus 10 funds that may exist after the termination of the compact after 11 the payment and reserving of all its debts and obligations. 12 6. Article VI —— Rules. 13 a. The commission shall adopt rules to do the following: 14 (1) Effectively and efficiently achieve the purposes of 15 this compact. 16 (2) Govern the methods, processes, and any other aspect 17 of the research, creation, and testing of a treatment or 18 therapeutic protocol for each disease for which a prize may be 19 awarded. 20 b. The commission shall also adopt rules establishing 21 the criteria for defining and classifying the diseases for 22 which prizes shall be awarded. The commission may define and 23 classify subsets of diseases, for example, tubular carcinoma of 24 the breast. For the purposes of paragraph “c” , subparagraphs 25 (1) and (3), a subset of a disease shall be considered one 26 disease. The commission may consult the most recent edition of 27 the international classification of disease as published by the 28 world health organization or other definitions agreed to by a 29 two-thirds vote of the commission. 30 c. The commission shall also adopt rules regarding prizes 31 for curing diseases that establish the following: 32 (1) At least ten major diseases for which to create prizes, 33 which shall be determined based on the following factors: 34 (a) The severity of the disease to a human individual’s 35 -7- LSB 5484YH (6) 88 pf/rh 7/ 22
H.F. 2084 overall health and well-being. 1 (b) The survival rate or severity of impact of the disease. 2 (c) The public health expenses and treatment expenses for 3 the disease. 4 (2) The criteria a treatment or therapeutic protocol must 5 meet in order to be considered a cure for any of the diseases 6 for which a prize may be awarded, which shall include the 7 following requirements: 8 (a) It must be approved by the federal food and drug 9 administration or have otherwise obtained legal status for the 10 compact to immediately contract to manufacture and distribute 11 in the United States. 12 (b) Except as provided in paragraph “d” , it must yield a 13 significant increase in survival with respect to the diseases 14 if early death is the usual outcome. 15 (c) It requires less than one year of the treatment or 16 protocol to completely cure the disease. 17 (3) The procedure for determining the diseases for which 18 to award prizes, which includes the option to award prizes for 19 more than ten diseases that meet the above criteria, if agreed 20 to by two-thirds vote of the commission, and a requirement to 21 update the list every three years. 22 (4) The submission and evaluation procedures and 23 guidelines, including filing and review procedures, a 24 requirement that the person or entity submitting the cure bears 25 the burden of proof in demonstrating that the treatment or 26 therapeutic protocol meets the above criteria, and limitations 27 preventing public access to treatment or protocol submissions. 28 (5) The estimated five-year public health savings that 29 would result from a cure, which shall be equal to the five-year 30 public health expenses for each disease in each compacting 31 state, and a procedure to update these expenses every three 32 years in conjunction with the requirements in paragraph “c” , 33 subparagraph (3). The estimated five-year public health 34 savings amount shall be calculated, estimated, and publicized 35 -8- LSB 5484YH (6) 88 pf/rh 8/ 22
H.F. 2084 every three years by actuaries employed or contracted by the 1 commission. 2 (6) The prize amount with respect to cures for each disease, 3 which shall be equal to the most recent estimated total 4 five-year savings in public health expenses for the disease as 5 calculated in paragraph “c” , subparagraph (5), in all of the 6 compacting states; amounts donated by charities, individuals, 7 and any other entities intended for the prize under article I; 8 and any other factors that the commission deems appropriate. 9 (7) The prize distribution procedures and guidelines, which 10 shall include the following requirements: 11 (a) Upon acceptance of a cure, the prize winner shall 12 transfer to the commission the patent and all related 13 intellectual property for the manufacture and distribution 14 of the treatment or therapeutic protocol in exchange for the 15 prize, except in the case that the prize money is considered by 16 the commission to be too low, and that a prize will be awarded 17 only to the first person or entity that submits a successful 18 cure for a disease for which a prize may be awarded. 19 (b) Donation amounts intended for the prize shall be kept 20 in a separate, interest-bearing account maintained by the 21 commission. This account shall be the only account in which 22 prize money is kept. 23 (c) Each compacting state shall have the responsibility to 24 pay annually the compacting state’s actual one-year savings 25 in public health expenses for the particular disease for 26 which a cure has been accepted. The compacting state shall 27 make such an annual payment until it has fulfilled its prize 28 responsibility as established in paragraph “c” , subparagraph 29 (6). Each compacting state’s payment responsibility begins 30 one year after the date the cure becomes widely available. 31 The commission shall employ or contract with actuaries to 32 calculate each state’s actual one-year savings in public health 33 expenses at the end of each year to determine each state’s 34 responsibility for the succeeding year. 35 -9- LSB 5484YH (6) 88 pf/rh 9/ 22
H.F. 2084 (d) Compacting states may meet prize responsibilities 1 by any method including the issuance of bonds or other 2 obligations, with the principal and interest of those bonds 3 or obligations to be repaid only from revenue derived from 4 estimated public health expense savings from a cure to a 5 disease. If the compacting state does not make such revenue 6 available to repay some or all of the revenue bonds or 7 obligations issued, the owners or holders of those bonds or 8 obligations have no right to have excises or taxes levied to 9 pay the principal or interest on them. The revenue bonds and 10 obligations are not a debt of the issuing compacting state. 11 (e) A compacting state may issue bonds or other debt 12 that are general obligations, under which the full faith and 13 credit, revenue, and taxing power of the state is pledged to 14 pay the principal and interest under those obligations, only 15 if authorized by the compacting state’s constitution or, if 16 constitutional authorization is not required, by other law of 17 the compacting state. 18 (f) Upon acceptance of a cure, the commission shall obtain 19 a loan from a financial institution in an amount equal to the 20 most recently calculated total estimated five-year public 21 health expenses for the disease in all compacting states, 22 in accordance with paragraph “c” , subparagraph (6). The 23 commission reserves the right to continuously evaluate the cure 24 in the interim and rescind a prize offer if the commission 25 finds that the cure no longer meets the commission’s criteria. 26 d. The commission may award a prize for a treatment or 27 therapeutic protocol that yields a survival rate that is less 28 than what is established in the cure criteria through at least 29 five years after the treatment or protocol has ended. In 30 that case, the prize amount awarded for that treatment or 31 therapeutic protocol shall be reduced from the prize amount 32 originally determined by the commission for a cure for that 33 disease. The reduction shall be in proportion to the survival 34 rate yielded by that treatment or protocol as compared to the 35 -10- LSB 5484YH (6) 88 pf/rh 10/ 22
H.F. 2084 survival rate established in the cure criteria. 1 e. The commission also shall adopt rules that do the 2 following: 3 (1) Establish the following regarding commission records: 4 (a) Conditions and procedures for public inspection and 5 copying of its information and official records, except such 6 information and records involving the privacy of individuals or 7 that would otherwise violate privacy laws under federal law and 8 the laws of the compacting states. 9 (b) Procedures for sharing with federal and state agencies, 10 including law enforcement agencies, records and information 11 otherwise exempt from disclosure. 12 (c) Guidelines for entering into agreements with federal 13 and state agencies to receive or exchange information 14 or records subject to nondisclosure and confidentiality 15 provisions. 16 (2) Provide a process for commission review of submitted 17 treatments and therapeutic protocols for curing diseases that 18 includes the following: 19 (a) An opportunity for an appeal, not later than thirty 20 days after a rejection of a treatment or protocol for prize 21 consideration, to a review panel established under the 22 commission’s dispute resolution process. 23 (b) Commission monitoring and review of treatment and 24 protocol effectiveness consistent with the cure criteria 25 established by the commission for the particular disease. 26 (c) Commission reconsideration, modification, or withdrawal 27 of approval of a treatment or protocol for prize consideration 28 for failure to continue to meet the cure criteria established 29 by the commission for the particular disease. 30 (d) Establishment of a dispute resolution process to 31 resolve disputes or other issues under the compact that may 32 arise between two or more compacting states or between the 33 commission and individuals or entities who submit treatments 34 and therapeutic protocols to cure diseases, which process shall 35 -11- LSB 5484YH (6) 88 pf/rh 11/ 22
H.F. 2084 provide for all of the following: 1 (i) Administrative review by a review panel appointed by the 2 commission. 3 (ii) Judicial review of decisions issued after an 4 administrative review. 5 (iii) Qualifications to be appointed to a panel, due process 6 requirements, including notice and hearing procedures, and any 7 other procedure, requirement, or standard necessary to provide 8 adequate dispute resolution. 9 (e) Establishment and imposition of annual member dues 10 on compacting states, which shall be calculated based on the 11 percentage of each compacting state’s population in relation to 12 the population of all the compacting states. 13 f. (1) Recognizing that the goal of the compact is to 14 pool the potential savings of as many states and countries as 15 possible to generate sufficient financial incentives to develop 16 a cure for many of the world’s most devastating diseases, the 17 compact will respect the laws of each of these United States by 18 adopting rules that establish ethical standards for research 19 that shall be followed in order for a prize to be claimed. 20 The compact, in the rules, shall establish a common set of 21 ethical standards that embodies the laws and restrictions in 22 each of the states so that to be eligible for claiming a prize, 23 the entity submitting a cure must not have violated any of 24 the ethical standards in any one of the fifty states, whether 25 the states have joined the compact or not. The compact will 26 publish these common ethical standards along with the specific 27 criteria for a cure for each of the diseases the compact has 28 targeted. 29 (2) So long as a researcher follows the common ethical 30 standards in effect at the time the research is done, an 31 entity presenting a cure will be deemed to have followed the 32 standards. On or before January 1 of each year, the compact 33 shall review all state laws to determine if additional ethical 34 standards have been enacted by any of the fifty states and 35 -12- LSB 5484YH (6) 88 pf/rh 12/ 22
H.F. 2084 the federal government. Any changes to the common ethical 1 standards rules based on new state laws shall be adopted and 2 published by the compact, but shall not take effect in cure 3 criteria for a period of three years to allow for sufficient 4 notice to researchers. 5 g. All rules may be amended as the commission sees 6 necessary. 7 h. All rules shall be adopted pursuant to a rulemaking 8 process that conforms to the model state administrative 9 procedure act of 1981 by the uniform law commissioners, 10 as amended, as may be appropriate to the operations of the 11 commission. 12 i. In the event the commission exercises its rulemaking 13 authority in a manner that is beyond the scope of the purpose 14 of this compact, or the powers granted under the compact, then 15 such rule shall be invalid and have no force and effect. 16 7. Article VII —— Committees. 17 a. Management committee. 18 (1) The commission may establish a management committee 19 comprised of not more than fourteen members when twenty-six 20 states enact the compact. 21 (2) The committee shall consist of those members 22 representing compacting states whose total public health 23 expenses of all of the established diseases are the highest. 24 (3) The committee shall have such authority and duties 25 as may be set forth in the commission’s bylaws and rules, 26 including: 27 (a) Managing authority over the day-to-day affairs of the 28 commission in a manner consistent with the commission’s bylaws 29 and rules and the purposes of the compact. 30 (b) Overseeing the offices of the commission. 31 (c) Planning, implementing, and coordinating communications 32 and activities with state, federal, and local government 33 organizations in order to advance the goals of the compact. 34 (4) The commission annually shall elect officers for the 35 -13- LSB 5484YH (6) 88 pf/rh 13/ 22
H.F. 2084 committee, with each having such authority and duties as may be 1 specified in the commission’s bylaws and rules. 2 (5) The management committee, subject to commission 3 approval, may appoint or retain an executive director for 4 such period, upon such terms and conditions and for such 5 compensation as the committee determines. The executive 6 director shall serve as secretary to the commission but shall 7 not be a member of the commission. The executive director 8 shall hire and supervise such other staff as may be authorized 9 by the committee. 10 b. Advisory committees. The commission may appoint advisory 11 committees to monitor all operations related to the purposes 12 of the compact and make recommendations to the commission, 13 provided that the manner of selection and term of any committee 14 member shall be as set forth in the commission’s bylaws 15 and rules. The commission shall consult with an advisory 16 committee, to the extent required by the commission’s bylaws or 17 rules, before doing any of the following: 18 (1) Approving cure criteria. 19 (2) Amending, enacting, or repealing any bylaw or rule. 20 (3) Adopting the commission’s annual budget. 21 (4) Addressing any other significant matter or taking any 22 other significant action. 23 8. Article VIII —— Finance. 24 a. The commission annually shall establish a budget to pay 25 or provide for the payment of its reasonable expenses. To 26 fund the cost of initial operations, the commission may accept 27 contributions and other forms of funding from the compacting 28 states and other sources. Contributions and other forms of 29 funding from other sources shall be of such a nature that the 30 independence of the commission concerning the performance of 31 its duties shall not be compromised. 32 b. The commission shall be exempt from all taxation in and 33 by the compacting states. 34 c. The commission shall keep complete and accurate 35 -14- LSB 5484YH (6) 88 pf/rh 14/ 22
H.F. 2084 accounts of all of its internal receipts, including grants 1 and donations, and disbursements of all funds under its 2 control. The internal financial accounts of the commission 3 shall be subject to the accounting procedures established 4 under the commission’s bylaws or rules. The financial 5 accounts and reports including the system of internal controls 6 and procedures of the commission shall be audited annually 7 by an independent certified public accountant. Upon the 8 determination of the commission, but not less frequently than 9 every three years, the review of the independent auditor shall 10 include a management and performance audit of the commission. 11 The commission shall make an annual report to the governors and 12 legislatures of the compacting states, which shall include a 13 report of the independent audit. The commission’s internal 14 accounts shall not be confidential and such materials may be 15 shared with any compacting state upon request, provided however 16 that any work papers related to any internal or independent 17 audit and any information subject to the compacting states’ 18 privacy laws, shall remain confidential. 19 d. No compacting state shall have any claim or ownership 20 of any property held by or vested in the commission or to 21 any commission funds held pursuant to the provisions of the 22 compact. 23 9. Article IX —— Records. Except as to privileged 24 records, data, and information, the laws of any compacting 25 state pertaining to confidentiality or nondisclosure shall 26 not relieve any member of the duty to disclose any relevant 27 records, data, or information to the commission; provided that 28 disclosure to the commission shall not be deemed to waive 29 or otherwise affect any confidentiality requirement; and 30 further provided that, except as otherwise expressly provided 31 in the compact, the commission shall not be subject to the 32 compacting state’s laws pertaining to confidentiality and 33 nondisclosure with respect to records, data, and information 34 in its possession. Confidential information of the commission 35 -15- LSB 5484YH (6) 88 pf/rh 15/ 22
H.F. 2084 shall remain confidential after such information is provided to 1 any member. All cure submissions received by the commission 2 are confidential. 3 10. Article X —— Compliance. The commission shall notify 4 a compacting state in writing of any noncompliance with 5 commission bylaws and rules. If a compacting state fails to 6 remedy its noncompliance within the time specified in the 7 notice, the compacting state shall be deemed to be in default 8 as set forth in article XIV. 9 11. Article XI —— Venue. Venue for any judicial 10 proceedings by or against the commission shall be brought 11 in the appropriate court of competent jurisdiction for 12 the geographical area in which the principal office of the 13 commission is located. 14 12. Article XII —— Qualified immunity, defense, and 15 indemnification. 16 a. The members, officers, executive director, employees, 17 and representatives of the commission shall be immune from suit 18 and liability, either personally or in their official capacity, 19 for any claim for damage to or loss of property or personal 20 injury or other civil liability caused by or arising out of any 21 actual or alleged act, error, or omission that occurred, or 22 that such person had a reasonable basis for believing occurred 23 within the scope of the person’s commission employment, duties, 24 or responsibilities; provided that nothing in this paragraph 25 “a” shall be construed to protect any such person from suit or 26 liability for any damage, loss, injury, or liability caused 27 by the intentional or willful and wanton misconduct of that 28 person. 29 b. The commission shall defend any member, officer, 30 executive director, employee, or representative of the 31 commission in any civil action seeking to impose liability 32 arising out of any actual or alleged act, error, or omission 33 that occurred within the scope of the person’s commission 34 employment, duties, or responsibilities, or that such person 35 -16- LSB 5484YH (6) 88 pf/rh 16/ 22
H.F. 2084 had a reasonable basis for believing occurred within the scope 1 of commission employment, duties, or responsibilities; provided 2 that nothing in the compact or commission bylaws or rules 3 shall be construed to prohibit that person from retaining the 4 person’s own counsel; and provided further that the actual 5 or alleged act, error, or omission did not result from that 6 person’s intentional or willful and wanton misconduct. 7 c. The commission shall indemnify and hold harmless 8 any member, officer, executive director, employee, or 9 representative of the commission for the amount of any 10 settlement or judgment obtained against the person arising out 11 of any actual or alleged act, error, or omission that occurred 12 within the scope of the person’s commission employment, duties, 13 or responsibilities, or that such person had a reasonable 14 basis for believing occurred within the scope of commission 15 employment, duties, or responsibilities; provided that the 16 actual or alleged act, error, or omission did not result from 17 the intentional or willful and wanton misconduct of that 18 person. 19 13. Article XIII —— Compacting states, effective date, and 20 amendment. 21 a. Any state is eligible to become a compacting state. 22 b. The compact shall become effective and binding upon 23 legislative enactment of the compact into law by two compacting 24 states; provided the commission shall only be established after 25 six states become compacting states. Thereafter, the compact 26 shall become effective and binding as to any other compacting 27 state upon enactment of the compact into law by that state. 28 c. Amendments to the compact may be proposed by the 29 commission for enactment by the compacting states. No 30 amendment shall become effective and binding until all 31 compacting states enact the amendment into law. 32 d. If funding is requested or required, the legislative 33 authority of each compacting state shall be responsible for 34 making the appropriations it determines necessary to pay for 35 -17- LSB 5484YH (6) 88 pf/rh 17/ 22
H.F. 2084 the cost of the compact, including annual member dues and prize 1 distributions. 2 14. Article XIV —— Withdrawal, default, and expulsion. 3 a. Withdrawal. 4 (1) Once effective, the compact shall continue in force and 5 remain binding upon each and every compacting state; provided 6 that a compacting state may withdraw from the compact by doing 7 both of the following: 8 (a) Repealing the law enacting the compact in that state. 9 (b) Notifying the commission in writing of the intent to 10 withdraw on a date that is both of the following: 11 (i) At least three years after the date the notice is sent. 12 (ii) After the repeal takes effect. 13 (2) The effective date of withdrawal is the date described 14 in paragraph “a” , subparagraph (1), subparagraph division (b). 15 (3) The member representing the withdrawing state shall 16 immediately notify the management committee in writing upon 17 the introduction of legislation in that state repealing the 18 compact. If a management committee has not been established, 19 the member shall immediately notify the commission. 20 (4) The commission or management committee, as applicable, 21 shall notify the other compacting states of the introduction of 22 such legislation within ten days after its receipt of notice of 23 introduction of such legislation. 24 (5) The withdrawing state is responsible for all 25 obligations, duties, and liabilities incurred through the 26 effective date of withdrawal, including any obligations, the 27 performance of which extend beyond the effective date of 28 withdrawal. The commission’s actions shall continue to be 29 effective and be given full force and effect in the withdrawing 30 state. 31 (6) Reinstatement following a state’s withdrawal shall 32 become effective upon the effective date of the subsequent 33 enactment of the compact by that state. 34 b. Default. 35 -18- LSB 5484YH (6) 88 pf/rh 18/ 22
H.F. 2084 (1) If the commission determines that any compacting 1 state has at any time defaulted in the performance of any 2 of its obligations or responsibilities under the compact or 3 the commission’s bylaws or rules, then, after notice and 4 hearing as set forth in the bylaws, all rights, privileges, 5 and benefits conferred by this compact on the defaulting 6 state shall be suspended from the effective date of default 7 as fixed by the commission. The grounds for default include 8 failure of a compacting state to perform its obligations 9 or responsibilities, and any other grounds designated in 10 commission rules. The commission shall immediately notify the 11 defaulting state in writing of the suspension pending cure of 12 the default. The commission shall stipulate the conditions 13 and the time period within which the defaulting state shall 14 cure its default. If the defaulting state fails to cure the 15 default within the time period specified by the commission, the 16 defaulting state shall be expelled from the compact and all 17 rights, privileges, and benefits conferred by the compact shall 18 be terminated from the effective date of the expulsion. Any 19 state that is expelled from the compact shall be liable for any 20 cure prize or prizes for three years after its removal. The 21 commission shall also take appropriate legal action to ensure 22 that any compacting state that withdraws from the compact 23 remains liable for paying its responsibility toward a prize 24 for a cure that was accepted while the compacting state was a 25 member of the commission. 26 (2) The expelled state must reenact the compact in order to 27 become a compacting state. 28 c. Dissolution of compact. 29 (1) The compact dissolves effective upon the date of either 30 of the following: 31 (a) The withdrawal or expulsion of a compacting state, which 32 withdrawal or expulsion reduces membership in the compact to 33 one compacting state. 34 (b) The commission votes to dissolve the compact. 35 -19- LSB 5484YH (6) 88 pf/rh 19/ 22
H.F. 2084 (2) Upon the dissolution of the compact, the compact becomes 1 null and void and shall be of no further force or effect, and 2 the business and affairs of the commission shall be wound up 3 and any surplus funds shall be distributed in accordance with 4 the commission’s bylaws, provided, that the commission shall 5 pay all outstanding prizes awarded before the dissolution 6 of the compact, as well as any other outstanding debts and 7 obligations incurred during the existence of the compact. 8 Any unawarded funds donated to be a part of a prize shall be 9 returned to the donor, along with any interest earned on the 10 amount. 11 15. Article XV —— Severability and construction. 12 a. The provisions of the compact shall be severable; 13 and if any phrase, clause, sentence, or provision is deemed 14 unenforceable, the remaining provisions of the compact shall 15 be enforceable. 16 b. The provisions of the compact shall be liberally 17 construed to effectuate its purposes. 18 16. Article XVI —— Binding effect of compact and other laws. 19 a. Other laws. Nothing in this compact prevents the 20 enforcement of any other law of a compacting state, except as 21 provided in paragraph “b” , subparagraph (2). 22 b. Binding effect of the compact. 23 (1) All lawful actions of the commission, including all 24 commission rules, are binding upon the compacting states. 25 (2) All agreements between the commission and the 26 compacting states are binding in accordance with their terms. 27 (3) Except to the extent authorized by the compacting 28 state’s constitution or, if constitutional authorization is not 29 required by other law of the compacting state, such state, by 30 entering into the compact, does not do any of the following: 31 (a) Commit the full faith and credit or taxing power of the 32 compacting state for the payment of prizes or other obligations 33 under the compact. 34 (b) Make prize payment responsibilities or other 35 -20- LSB 5484YH (6) 88 pf/rh 20/ 22
H.F. 2084 obligations under the compact a debt of the compacting state. 1 (4) Upon the request of a party to a conflict over the 2 meaning or interpretation of commission actions, and upon a 3 majority vote of the compacting states, the commission may 4 issue advisory opinions regarding the meaning or interpretation 5 in dispute. 6 (5) In the event any provision of the compact exceeds 7 the constitutional limits imposed on any compacting state, 8 the obligations, duties, powers, or jurisdiction sought to 9 be conferred by that provision upon the commission shall be 10 ineffective as to that compacting state, and those obligations, 11 duties, powers, or jurisdiction shall remain in the compacting 12 state and shall be exercised by the agency of the compacting 13 state to which those obligations, duties, powers, or 14 jurisdiction are delegated by law in effect at the time the 15 compact becomes effective. 16 EXPLANATION 17 The inclusion of this explanation does not constitute agreement with 18 the explanation’s substance by the members of the general assembly. 19 This bill establishes the interstate curing disease 20 compact intended to award prizes for curing diseases. The 21 compact becomes effective and finding upon enactment into 22 law by two compacting states. Once six states enact the 23 compact, the governing commission is established and the 24 compact becomes binding and effective on any other state 25 that enacts the compact into law. The commission is a body 26 corporate and politic and an instrumentality of each of the 27 compacting states. In general, the commission has the power 28 to receive and review in an expeditious manner treatments and 29 therapeutic protocols for the cure of diseases specified by 30 the commission, and to award prizes for submissions that meet 31 the commission’s standards for a successful cure treatment and 32 therapeutic protocol. The bill includes provisions relating 33 to the establishment and membership of the commission; the 34 powers of the commission; meetings and voting requirements 35 -21- LSB 5484YH (6) 88 pf/rh 21/ 22
H.F. 2084 of the commission; commission bylaws; rules; commission 1 committees; finance; records of the commission; compacting 2 state compliance; venue for judicial proceedings; qualified 3 immunity, defense, and indemnification; effective dates and 4 amendments to the compact; withdrawal, default, and expulsion; 5 severability and construction; and the binding effect of the 6 compact and other laws. 7 -22- LSB 5484YH (6) 88 pf/rh 22/ 22
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