Native American SHS Committee Meeting Monday November 7, 2016 9:00 AM – 10:30 AM

Agenda Welcome and Introductions Jamul Indian Village Hollywood Casino Meeting with Joe Dhillon (Governor’s Office) T-21 presentation to CNIGA Members (October 20, 2016) California Indian Conference 2016 APHA, Denver 2016 (AIANNH Caucus) Policy Sub-Committee meetings update Tribal News Updates from the field Set next meeting date

Joe Dhillon – Senior Advisor for Tribal Compacts Comact Language: Revenue Sharing Trust Fund (“RSTF”) and other contributions With annual credits of up to 60% for payments for such things as local and state government, economic development, renewable energy, water treatment, and healthcare facilities Source~ Stephen Hart- Tribal Attorney

Jamul Indian Village

Tribal Impact of T21: OTHER QUESTIONS Q 31: Does the tobacco 21 law apply to tribal lands? A. It depends. Federally-recognized tribes that engage in casino-style Class III gaming have compacts with the State of California. These compacts currently exempt those tribes from any state laws or regulations governing the use of tobacco. Most compacts do not exempt the tribes from state laws or regulations governing the sale of tobacco for use off the reservation, but a few set the minimum purchase age at 18 years. State minimum age law does not apply to the sale of tobacco by a tribal member to another member of the same tribe on their reservation. Tribes may adopt minimum purchase age ordinances and tribal members who operate retail outlets on tribal land may refuse to sell to individuals under 21.

Tobacco 21

5 Tobacco laws signed by Governor Brown AB 7 X2 (Stone) - Close loopholes in smoke-free workplace laws, including hotel lobbies, small businesses, and break rooms. AB 9 X2 (Thurmond) - Require all schools to be tobacco-free. AB 11 X2 (Nazarian) - Establish an annual Board of Equalization tobacco licensing fee program. SB 5 X2 (Leno) - Add e-cigarettes to existing tobacco products definition. SB 7 X2 (Hernandez) - Increase age of sale for tobacco products to 21.

AI populations highest exposure

4 OF THE TOP 5

IT’S YOUR CHOICE! Consider younger generation Health and health care costs Consider trends and expectations amongst the younger generation Healthy alternatives Life expectancy of a smoker vs non- smoker - 14 years less Assess your revenue from the under 21 year olds

Prop 56 on the ballot $2.00 per pack increase in California tobacco tax

“Building culturally appropriate relationships and collaboratively gathering scientific data to promote healthier indoor environments on tribal lands” October 21, 2016: 3:30 – 5:00 PM

“Building culturally appropriate relationships and collaboratively gathering scientific data to promote healthier indoor environments on tribal lands” November 1, 2016: 8:30 -10:00 AM

Policy Sub-Committee Meetings Update Policy Sub-Committee Meetings

Tribal News: Many casinos are expanding – adding hotels/ increasing casino floor space. Pechanga Sycuan Win River Vallejo Elk Grove Spa Casino To name a few………… Talk about presentation to Riverside Tobacco Coalition and meeting Paul Hinrichson and Bob Heinbaugh – have a connection with Agua Caliente tribe – Margaret Park – renovating casino at this moment in time. Perfect opportunity to meet with them and discuss smoke-free options. – I had met one of their tribal council members last year and discussed smoke-free/non smoking as they think about renovations. The can have up to 6 gaming facilities.

Enterprise Rancheria – Fire Mountain Casino- Update

Development of video Stakeholder interviews Update Development of video Stakeholder interviews

Updates from the field

Set next meeting date

Thank you for your time