Am. H.B. No. 345 Summary

• Enacts the "Solemn Covenant of the States to Award Prizes for Curing Diseases" compact to establish an interstate commission that reviews disease cure treatments and awards prizes funded by taxpayer health savings and donations.

• Commission becomes operational when six states enact the compact; requires two-thirds vote to approve cure awards; establishes at least ten major diseases for prize eligibility with treatments requiring 95% five-year survival rates and no more than one year of treatment.

• Prize amounts equal estimated five-year public health expense savings across compacting states plus donated funds; compacting states pay annually based on actual one-year savings starting one year after cure becomes widely available.

• Collects royalty fees from non-compacting states and foreign countries producing approved cure treatments, capped at five-year estimated savings; fees fund prize payments and commission operations with annual refunds to compacting states.

• Establishes ethical research standards embodying laws from all fifty states; provides state withdrawal with three-year notice, default procedures with suspension and expulsion, and dissolution provisions ensuring outstanding prize obligations are paid before wind-up.