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Maintaining Tobacco Control Funding in Tough Budget Times Presented by: Kathleen A. Mangskau, RDH, MPA Director, Division of Tobacco Prevention and Control North Dakota Department of Health kmangska@state.nd.us
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Overview Policy strategies to sustain state programs Insight in to the opposition’s approaches
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Objectives Describe advocacy strategies to maintain funding Agenda setting Policy promotion Understanding the opposition Countering the opposition
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Background Youth tobacco use ranks among the highest in the nation Only 10 percent of MSA funding dedicated to health Budget deficit creates challenges to compete for additional funding Tobacco industry exerts powerful influence in state
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The Policy Plan Increase the excise tax on tobacco products Maintain funding for local tobacco control programs Increase funding for cessation State employees cessation program Statewide quitline Preventing preemption
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Engaging Policy Makers Executive Branch Work with Governor’s policy staff Legislative Branch Secure champions
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Agenda Setting National Governor’s Association Policy Team Governor’s policy staff Key legislative leaders Key advocates
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Policy Promotion Educate policy makers on evidence-based approached NGA Policy Team Facts sheets Press conferences/news releases Testimony Grass roots efforts
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Evidence-Based Approaches Increasing the excise tax on tobacco products Establishing statewide quitline Sustaining state tobacco control efforts over time to build a comprehensive approach Community Preventive Services Guide Reducing Tobacco Use: A Report of the Surgeon General
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Understanding the Opposition Powerful influence of tobacco industry Industry agenda setting Questioning the credibility of advocates Nuisance bills Promoting corporate image
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Challenges to the Policy Plan 22 tobacco bills Countering bad bills Sequencing of the bills
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Countering the Opposition Prohibition bill Age 21 bill Internet tax bills Excise tax
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Tallying the Score Successes Increased funding for cessation Maintained funding for local tobacco control Banning bidis Reporting to schools same as other drugs Losses Tobacco excise tax
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Major Successes Funding for local grants program maintained Increased funding for: State employee cessation program Statewide quitline
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Conclusions Be aware of the opposition’s tactics Use evidence-based approaches to support your positions Develop counter strategies to the opposition
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