1. “Maryland’s Fight Against Cancer: A Cigarette Restitution Fund Update” “Maryland’s Fight Against Cancer: A Cigarette Restitution Fund Update” THE MARYLAND CIGARETTE RESTITUTION FUND PROGRAM DEPARTMENT OF HEALTH AND MENTAL HYGIENE NOVEMBER 12, 2003 NOVEMBER 12, 2003

2. Timeline of the Cigarette Restitution Fund 1997 MULTI-STATE LITIGATION Five major tobacco companies settled with 46 states, five territories and the District of Columbia 1998 SETTLEMENT DISTRIBUTION Manufacturers to pay $206 billion over 25 years and conform to restrictions 1999GENERAL ASSEMBLY ESTABLISHES CIGARETTE RESTITUTION FUND Established the Cigarette Restitution Fund ACT (CFR) in Chapter 173

3. Timeline of the Cigarette Restitution Fund 2000 GENERAL ASSEMBLY CREATES PROGRAMS Tobacco Use Prevention and Cessation and the Cancer Prevention, Education, Screening and Treatment Programs created in SB 896/HB 1425 2001 CRFP IMPLEMENTATION On July 1, 2001 the Cigarette Restitution Fund Program began implementation in the Department of Health and Mental Hygiene

4. CIGARETTE RESTITUTION FUND PROGRAM OVERSIGHT OFFICE CANCERPROGRAMMOTAPROGRAMTOBACCOPROGRAM ADMINISTRATIVEMANAGEMENTLEGISLATIVEREPORTINGCOMPREHENSIVEEVALUATIONPROGRAMS FUNCTIONS

5. CANCER PREVENTION, EDUCATION SCREENING AND TREATMENT CANCER PREVENTION, EDUCATION SCREENING AND TREATMENT LOCAL LOCAL PUBLIC HEALTH STATEWIDE PUBLIC HEALTH SURVEILLANCE AND EVALUATION ACADEMIC HEALTH CENTERS ADMINISTRATION

6. TOBACCO USE PREVENTION AND CESSATION TOBACCO USE PREVENTION AND CESSATION LOCAL LOCAL PUBLIC HEALTH STATEWIDE PUBLIC HEALTH SURVEILLANCE AND EVALUATIONMEDIACOUNTERMARKETING ADMINISTRATION

7. CRFP SPENDING AREAS Reduction in tobacco use by youth and adults Reduction in tobacco use by youth and adults Tobacco control campaign in schools Tobacco control campaign in schools Smoking cessation programs Smoking cessation programs Enforcement of tobacco sales restrictions Enforcement of tobacco sales restrictions Education and awareness of cancer risks Education and awareness of cancer risks Screening and treatment of targeted cancers Screening and treatment of targeted cancers Cancer research and infrastructure development Cancer research and infrastructure development Eliminating minority health disparities Eliminating minority health disparities

8. CIGARETTE RESTITUTION FUND PROGRAM FUND RECIPIENTS & AWARDS FISCAL 2004 RecipientMillions Local Health Departments Tobacco Program Grants – 24 Tobacco Program Grants – 24 Cancer Program Grants –24 Cancer Program Grants –24 $ 8 $ 9 Academic Health Centers $ 19 University of Maryland – Law School $.25 Local Community-Based Minority Groups – 15 $ 1 Statewide Counter-Marketing Contract $ 4 Total $ 41.25

9. ACCOMPLISHMENTS 2001/2002/2003 23,000 Persons Screened for Cancers - 910 adenomatous polyps found 23,000 Persons Screened for Cancers - 910 adenomatous polyps found 83 Cancers diagnosed - 27 colorectal 83 Cancers diagnosed - 27 colorectal 370,000 Persons provided cancer education and awareness 370,000 Persons provided cancer education and awareness 46 Research proposals funded by Johns Hopkins Cancer Center 46 Research proposals funded by Johns Hopkins Cancer Center 18 Research Proposals funded in Other Tobacco-Related Diseases 18 Research Proposals funded in Other Tobacco-Related Diseases 164 New cancer clinical trials initiated at University of Maryland 164 New cancer clinical trials initiated at University of Maryland 27,000 Individuals reached through the Statewide Health Network 27,000 Individuals reached through the Statewide Health Network 160,000 Students provided tobacco education and awareness 160,000 Students provided tobacco education and awareness 3,500 Health care providers received tobacco education 3,500 Health care providers received tobacco education

10. ACCOMPLISHMENTS 2001/2002/2003 11,000 Adults received smoking cessation services 11,000 Adults received smoking cessation services 5,000 Youth received smoking cessation services 5,000 Youth received smoking cessation services 6,200 Retail stores were visited for compliance with tobacco 6,200 Retail stores were visited for compliance with tobaccolaws 13,000 Citations were issued to retailers and youth 13,000 Citations were issued to retailers and youth 94,000 Citizens logged on to “Smoking Stops Here” website 94,000 Citizens logged on to “Smoking Stops Here” website 10,000 Marylanders signed a pledge to take action against smoking 10,000 Marylanders signed a pledge to take action against smoking 152 Community-based minority organizations funded to assist CRFP 152 Community-based minority organizations funded to assist CRFP