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
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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withdrawn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
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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
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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
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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
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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.
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(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
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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
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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
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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.
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(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
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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
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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
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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
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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
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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
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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
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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
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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
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(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
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(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
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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