104175-104189

HEALTH AND SAFETY CODE
SECTION 104175-104189




104175.  The Legislature finds and declares that decades after the
war on cancer was declared, it remains an insidious killer of
Californians. Simultaneously, cancer absorbs millions of dollars from
California's economy through health care costs, and takes an
horrendous toll on the personal lives of citizens.



104180.  The Cancer Research Fund is hereby established in the State
Treasury. Moneys in the fund shall be available for expenditure by
the department, upon appropriation by the Legislature. The fund shall
consist of money accepted by the department from grants and
donations from private entities and of public moneys transferred to
the fund. It is the intent of the Legislature that, after the initial
appropriation made pursuant to Assembly Bill 1554 of the 1997-98
Regular Session, the fund be enhanced by annual allocations
determined in subsequent budget acts.



104181.  (a) The moneys in the Cancer Research Fund, established
pursuant to Section 104180, shall be expended for the purpose of
cancer research.
   (b) The State Department of Health Services shall establish and
administer the Cancer Research Program created by this article in a
manner that will ensure the participation of both private sector and
public research organizations. The State Department of Health
Services may contract with nonprofit organizations, foundations, or
public entities to administer the Cancer Research Program created by
this article. A nonprofit organization shall be established under
Section 501(c)(3) of the Internal Revenue Code for the purpose of
conducting public health research. A nonprofit organization,
foundation, or public entity shall have prior experience
administering research programs offering comprehensive grant and
contract opportunities for research concerning public health and
disease-related projects, with substantial participation by private
entities and public research organizations. In addition, a nonprofit
organization, foundation, or public entity shall have experience in
seeking, combining, and maximizing private funding to supplement
public funding of projects. It is the intent of the Legislature that
this program incorporate the principles and organizational elements
set forth in this article, including, but not limited to, a research
program office with a director and other essential staff, a cancer
research council, and a research peer review panel.
   (c) For the purposes of this article, all of the following shall
apply:
   (1) "Cancer research" is research with respect to the cause and
prevention, cure, diagnosis, and treatment of cancer, including, but
not limited to, intramural and extramural research in the fields of
biomedical science and engineering, economics, epidemiology, diet and
lifestyle, public health, and technology development and
translation, with emphasis on noninvasive treatments.
   (2) "Department" means the State Department of Health Services.
   (3) "Grantee" means any qualifying public, private, or nonprofit
agency or individual, including, but not limited to, colleges,
universities, hospitals, laboratories, research institutions, local
health departments, voluntary health agencies, cancer registries,
health maintenance organizations, publicly traded or private
corporations, students, fellows, entrepreneurs, and individuals
conducting research in this state. A grantee may also be a
corporation that is headquartered in California and that will conduct
a substantial majority of the grant's research in this state.
   (4) "Indirect costs" includes use allowance for research
facilities, heating, lighting, library services, health and safety
services, project administration, and building maintenance, as
defined by federal cost accounting guidelines for federally sponsored
research.
   (5) "Program" means the Cancer Research Program.
   (6) "Council" means the Cancer Research Council established
pursuant to Section 104182.



104181.5.  The department, in awarding grants under this program,
shall not encumber money allocated in any fiscal year other than the
fiscal year in which the appropriation was made beginning with
nonobligated 2000-01 fiscal year funds, subject to receiving
multiyear spending authority for those funds.



104181.6.  Notwithstanding subdivision (a) of Section 2.00 of the
Budget Act of 2002 and any other provision of law, commencing with
the appropriation for the 2002-03 fiscal year, and for each fiscal
year thereafter, any amount appropriated to the department for the
Cancer Research Program shall be available, for purposes of that
program, for encumbrance for one fiscal year beyond the year of
appropriation and for expenditure for three fiscal years beyond the
year of encumbrance.



104182.  (a) The Cancer Research Council is hereby established, to
consist of 15 members appointed by the Director of Health Services
representing a range of expertise and experience, and the chief of
the California Cancer Registry as an ex officio, nonvoting member.
The voting members shall be appointed by February 15, 1998, as
follows:
   (1) Nine members from persons recommended by relevant
organizations, as follows:
   (A) One member drawn from a cancer survivor group or
cancer-related advocacy group.
   (B) Five members drawn from the ranks of scientists or clinicians,
two from public universities or research organizations, and three
from private universities or research organizations. The scientists
shall have expertise in one or more of the various fields of cancer
research.
   (C) One member who is a practicing cancer medical specialist from
a health organization with a commitment to cancer research and
control.
   (D) Two members from private industry with an interest in cancer
research and control, including, but not limited to, entrepreneurs or
persons from the science or high technology industry.
   (2) Three members nominated by the Senate Committee on Rules as
follows:
   (A) One member drawn from a cancer survivor group or
cancer-related advocacy group.
   (B) One member drawn from a health organization.
   (C) One member drawn from private industry with an interest in
cancer research or control.
   (3) Three members nominated by the Speaker of the Assembly as
follows:
   (A) One member drawn from a cancer survivor group or
cancer-related advocacy group.
   (B) One member drawn from a health organization.
   (C) One scientist or clinician who has expertise in one or more of
the various fields of cancer research.
   (b) It is the intent of the Legislature that the council contain
the proportional representation of appointees described in
subdivision (a) when the council approves the funding of research
grants, and that vacancies affecting the proportional representation
be filled before grants are approved, and within 45 days of the
occurrence of a vacancy.
   (c) Members shall serve without compensation, but may receive
reimbursement for travel and other necessary expenses actually
incurred in the performance of their official duties.
   (d) All appointments shall be for a term of four years, except
that, for purposes of the initial appointments, the Director of
Health Services shall appoint five members to four-year terms, five
members to three-year terms, and five members to two-year terms. Each
of those groups of five members shall include three members
appointed under paragraph (1) of subdivision (a), one member
appointed under paragraph (2) of that subdivision, and one member
appointed under paragraph (3) of that subdivision.



104182.5.  Not less than a majority of the appointed members of the
Cancer Research Council shall be present and voting for approval and
selection of research priorities under Section 104185 and ultimate
recommendations to the State Department of Health Services regarding
grantmaking decisions.


104182.7.  (a) The department shall grant a minimum of 65 percent of
any fiscal year appropriation that is awarded for research to cancer
research proposals directly researching gender-specific cancers.
   (b) Any amount of funding for gender-specific cancer research for
any fiscal year, to the extent the amount is below the threshold
minimum allocation for any fiscal year established pursuant to
subdivision (a), shall be carried forward, upon approval of the
council for the following fiscal year or years for gender-specific
cancer research, to the extent allowed by the limitations on the
appropriated funds subject to that allocation. Funding allocations
carried over from any fiscal year under this subdivision shall be in
addition to the funding allocation for gender-specific cancer
research for fiscal years to which the additional allocation is
transferred pursuant to this subdivision.



104185.  (a) This program shall incorporate the principles and
organizational elements set forth in this article, including, but not
limited to, a research program office with a director and other
essential staff, a research council, and a research peer review
panel. No more than 10 percent of the annual allocation for this
program, up to a maximum of five hundred thousand dollars ($500,000),
shall be expended annually for the total administrative costs of the
program. Administrative costs shall be kept to a strict minimum.
   (b) The program shall be administered pursuant to the following
principles:
   (1) The department shall work in close collaboration with the
council and seek the advice of the council before taking an action
different from an action recommended by the council.
   (2) The council shall participate in the development of the
strategic objectives and priorities of the program based on the
intent of this article and advise on what and how many research
grants should be funded based on the research priorities that are
established for the program and the technical merits of the proposals
as determined by the peer review panels.
   (3) The research priorities shall reflect, and the program shall
fund, innovative and creative research, with a special emphasis on
research that complements, rather than duplicates, the research
funded by the federal government and other entities.
   (4) All research funds shall be awarded on the basis of the
priorities established for the program, statutorily or by the
council, and the scientific merit and clinical applicability of the
proposed research, as determined by an open, competitive peer review
process that ensures objectivity, consistency, and high quality. All
investigators, regardless of affiliation, shall have equal access and
opportunity to compete for program funds.
   (5) The peer review process for the selection of research grants
awarded under this program shall be generally modeled on that used by
the National Institute of Health in its grantmaking process,
including the appeals process, but shall reflect in composition the
creativity and diversity called for in this article and in the
research priorities established in this article and by the council.
   (6) A grantee shall be awarded grants for both direct and indirect
costs of conducting the sponsored research consistent with those
federal guidelines governing all federal research grants and
contracts. All intellectual property assets developed under this
program shall be treated in accordance with state and federal law.
   (7) In establishing research priorities, the council shall
consider a broad range of cross-disciplinary cancer research, as
defined in paragraph (1) of subdivision (c) of Section 104181,
including, but not limited to, research into the cause and
prevention, cure, diagnosis, and treatment of cancer, emphasizing
gender-specific cancers, based on magnitude of incidence and
mortality, that have not previously received state funding.



104187.  The State Department of Health Services shall do all of the
following:
   (a) Provide overall coordination of the program.
   (b) Provide staff assistance to the program and council.
   (c) Develop administrative procedures relative to the
solicitation, review, and awarding of grants to ensure an impartial,
high-quality peer review system.
   (d) Recruit and supervise research review panels. The membership
of these panels shall vary depending on the subject matter of
proposals and review requirements, and shall draw on the most
qualified individuals. The work of the review panels shall be
administered pursuant to policies and procedures established for the
implementation of the program. In order to avoid conflicts of
interest and to ensure access to qualified reviewers, the department
may utilize reviewers not only from California but also from outside
the state. When serving on review panels, institutions, corporations,
or individuals who have submitted grant applications for funding by
this program shall be governed by conflict-of-interest provisions
consistent with Section 52h.5 of Title 42 of the Code of Federal
Regulations governing scientific review of research grant
applications, and any applicable conflict-of-interest provisions in
state law. Any appointed member of the Cancer Research Council shall
be ineligible to apply for or receive funding for cancer research
from the Cancer Research Program during his or her term of service on
the council, and for one cycle immediately following his or her term
of service on the council, if the council member helped plan that
subsequent cycle.
   (e) Provide for periodic program evaluation to ensure that
research funded is consistent with program goals.
   (f) Disseminate grant moneys within 60 days of notification of the
award and maintain a system of financial reporting and
accountability. Grant moneys disseminated pursuant to this
subdivision shall be available for expenditure for a period of three
years beginning with funds appropriated in the 1998-99 fiscal year.
   (g) Provide for the systematic dissemination of research results
to the public and the health care community, including work to
produce public service advertising on screening and research results,
and provide for a mechanism to disseminate the most current research
findings in the areas of cause and prevention, cure, diagnosis, and
treatment of cancer, in order that these findings may be applied to
the planning, implementation, and evaluation of any cancer-related
programs of the department.
   (h) Develop policies and procedures to facilitate the translation
of research results into commercial, alternate technological, and
other applications wherever appropriate and consistent with state and
federal law.
   (i) Transmit, on or before December 31, 1998, and annually on or
before each December 31 thereafter, a report to the Legislature on
grants made, grants in progress, program accomplishments, and future
program directions. Each report shall include, but not be limited to,
all of the following information:
   (1) The number and dollar amounts of research grants, including
the amount allocated to indirect costs.
   (2) The subject of research grants.
   (3) The relationship between federal and state funding for cancer
research.
   (4) The relationship between each project and the overall strategy
of the research program.
   (5) A summary of research findings, including discussion of
promising new areas.
   (6) The corporations, institutions, and campuses receiving grant
awards.


104187.5.  Peer review panels, in reviewing proposals for cancer
research, may recommend the awarding of a grant to a cancer research
proposal on the condition that a single adjustment or correction be
made before the receipt of funding under this article.



104188.  The maximum indirect cost rate that may be charged on any
cancer research program grant awarded to any institution under this
article shall not be more than 25 percent of the institution's direct
costs.


104189.  The responsibilities of the council shall include, but not
be limited to, all of the following:
   (a) Development and review of the strategic objectives and
research priorities of the program.
   (b) Delineation of resource allocation across the various
priorities established for the program.
   (c) Participation in periodic program and financial review,
including the report transmitted pursuant to subdivision (i) of
Section 104187.
   (d) Development and review of guidelines to ensure fairness,
neutrality, and adherence to the principles of merit and quality in
the conduct of the program.
   (e) Development of appropriate linkages to nonacademic entities,
including, but not limited to, voluntary organizations, health care
delivery systems, industry, government agencies, research
entrepreneurs, and public officials.
   (f) Development and review of criteria and standards for granting
awards.
   (g) Oversight and review of the request for applications (RFA).
   (h) Review of research review panel reports and recommendations
for grant awards.
   (i) Make recommendations relating to the grants that are to be
awarded.
   (j) Development and review of oversight mechanisms for the
dissemination of research results.
   (k) Development and review of policies and liaison programs to
facilitate the translation of research results into commercial,
alternate technological, or other applications wherever appropriate.
   ( l) Establishment of its own internal rules of operation.
   (m) Participation in the identification and recruitment of
scientists with relevant expertise for possible participation in a
peer review panel. The council may propose to assign a member of the
council to sit as a nonvoting member of the peer review panels.