Eliminate Quitline Iowa About 87,800 fewer tobacco users who would successfully quit At least $1.2 BILLION in excess future healthcare costs – At least $266 million would be Medicaid costs FY11 state budget for Quitline Iowa: $472,089

Eliminate Just Eliminate Lies A projected 4% increase in youth smoking 8,200 more Iowa youth becoming addicted adult smokers 2,620 additional tobacco-related deaths Future excess healthcare costs of $143.5 million – $18.5 million in increased Medicaid expenditures

Marketing $$$ Balance Sheet Countermarketing JEL:$1.45 million – $1.3 m. media campaign Quitline: $90,000 TOTAL (FY11): $1.54 million Tobacco Marketing – $174.2 million annually Industry Lobbying – ????????? TOTAL: $174.2 million +

Iowa Tobacco $$$$ Balance Sheet DEBITS Tobacco Prevention: $6.3 million TOTAL: $6.3 million Source: General Fund ASSETS Tobacco Settlement $69.6 million Tobacco Taxes: $225.8 million TOTAL:$295 million Allocation: $0 for Tobacco Prevention

Benefits to Iowa Substantial decrease in adult smoking Greater decreases in p/c consumption (56%) Substantial decrease in youth smoking Elimination of exposure to secondhand smoke in the workplace Substantial decreases in the costs of treating tobacco-related diseases

Adult Tobacco Use Behavioral Risk Factor Surveillance System ( )

Valid Smokefree Air Act Complaints

Impact of the Smokefree Air Act A decline of 10.7% in tobacco-related hospitalizations since July 2008 – 17,500 fewer admissions of which 10,100 were attributable to the SFAA A savings of $348 million in hospital costs – Average cost $34,400 per admission

WE’RE NOT DONE YET Continuing the decline in adult smoking – Access to effective cessation services – Maintaining smoke-free workplaces Resuming the decline in youth smoking – Countering tobacco industry marketing – Further limiting access to tobacco products – Regulating new products FDA regulations which allow state and local authorities to restrict tobacco marketing