CDPHE Winnable Battles: Tobacco May 1, 2012 CDPHE Tobacco Program Team
Agenda• Intros/Housekeeping• Winnable Battles Overview• Tobacco Program• Amendment 35• State Policy Work• Federal Work• Q&A
Housekeeping• Call in number: 1-877-820-7831• Participant code: 198740#• Please mute your phone – press *6 if your phone does not have a mute button• Do not place on hold• Submit questions via webinar dashboard or during Q&A• Focus is Tobacco Winnable Battle
IntroductionsTop Row: Dee Thomas, Emma Goforth, CelesteSchoenthaler, Gracie CashBottom Row: Jennie Munthali, Stephanie Walton, JillBednarek
Colorado’s 10 Winnable Battles Clean Air Clean Water Infectious Disease Prevention Injury Prevention Mental Health and Substance Abuse Obesity Oral Health Safe Food Tobacco Unintended Pregnancy
Tobacco Program MissionIn partnership with communities, youth and stakeholders, our team provides leadership for tobacco prevention by promoting and implementing evidence-based, data-driven strategies across Colorado.
CDPHE Tobacco Program Celeste Schoenthaler, Healthy Living Unit Manager Jennie Munthali, Vacant, Tobacco Free Tobacco Free Living Living Supervisor Supervisor Dee Thomas, Jill Bednarek, FDA Enforcement Secondhand Smoke Coordinator Coordinator Gracie Cash, Stephanie Walton, Program Compliance Youth Policy Coordinator Coordinator Emma Goforth, Vacant, Adult Cessation Youth and Young Adult Coordinator Initiatives Coord. Vacant, Program Compliance Coordinator Vacant, FDA Enforcement Coordinator
Tobacco is still the leading cause of preventable deathin the US and in Colorado • In Colorado, nearly 4,390 deaths each year due to tobacco use.* • Smoking causes more deaths than HIV, illegal drug use, alcohol use, motor vehicle injuries, suicides, and murders COMBINED.† * MMWR (2009), 58 (02); 29-33. †MMWR (2008), 57 (45): 1226 – 1228; CDC (2009), Health, United States, 2008; Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual Causes of Death in the United States. JAMA: Journal of the American Medical Association 2004;291(10):1238–1245 .
Tobacco use is costly for everyoneCost to United States economy each year inhealthcare costs and lost productivity: $193 billionCost to Colorado each year in healthcare costs andlost productivity: $2.4 billion*Annual U.S. Medicaid costs due to smoking: $30.9 billionAnnual Colorado Medicaid costs due to smoking: $319 million
Amendment 35• New 2012-2020 strategic plan: http://www.coprevent.org/2012/03/tobacco-education-prevention-and.html• Purpose of the Plan is to: – Provide focus and guidance for Review Committee grant prioritization, – Direct Colorado Tobacco Education, Prevention and Cessation Program projects, activities and grants towards specific outcomes, – And inform the efforts of Colorado agencies, coalitions and organizations working tobacco prevention and control• 2020 Goals
State Policy Work• Youth Access• Colorado Clean Indoor Air Act (CCIAA)• Health Systems
State Policy – Youth Access• ARRA Project Feb. 2010 – Feb. 2012• Convened stakeholders• Chose state policy priorities – State tobacco retail licensing – Remove “poison pill” – Improve enforcement of tobacco free schools law – Increase fees and fines for retailers that sell to minors• Stakeholder report:https://docs.google.com/file/d/0B9jHm5oZD78FYzJ hMjljYWYtMWI2OS00YzExLTgyNTctYjY3NDA0Yzlh Mjhi/edit?hl=en_US
State Policy – CCIAAState law designed to protect Coloradans from exposure to SHS.• Assess opportunities to strengthen the law• Monitor compliance of the law• Watch for attempts to weaken the law• Assist with administrative implementation of the law – CDHS – Childcare licensure rules – Assisted living facilities
State Policy – Health Systems• Medicaid – Expanded pharmacotherapy benefit – NRT included in Over-the-Counter bill (SB10-117) – 50% match for QuitLine services• Health Plans & Employers – Comprehensive cessation benefits – United States Preventative Services Task Force (USPSTF) A and B recommendations• Communications – Educate consumers re: coverage – Educate health care providers re: reimbursement opportunities
Federal/CDC work• FDA• Healthy Housing• CDC collaboration and projects
Federal work - FDA• CDPHE has a contract with FDA Center for Tobacco Products• Enforce the Family Smoking Prevention and Tobacco Control Act• CDPHE subcontracts with 6 local health agencies to conduct compliance checks (Denver, Jefferson, El Paso, Pueblo, Weld & Mesa)• To date conducted approximately 6,500 inspections• Average violation rate of 10.5%
FDA and Synar• CDPHE and Synar meet quarterly to discuss coordination of state-wide enforcement• CPDHE and Synar coordinate the sampling of retailer list to reduce duplication of efforts• For more information see FDA CTP website & searchable database• http://www.fda.gov/TobaccoProducts/Guidan ceComplianceRegulatoryInformation/ucm232 109.htm
Federal Work – Healthy Housing• Improve variety of health outcomes and reduce safety hazards among people who live, work and play in affordable housing settings.• Collaborative effort in Colorado with DOLA/Division of Housing, HCPF and Federal Agencies• 2009 Healthy Housing Call for Action HUD and HHS• Anticipate a 2012 update to the Call for Action in late summer.
Federal work - collaboration• CDPHE receives federal funding from CDC to supplement state and federal policy work• ARRA• National media campaign: Tips From a Former Smoker• Surgeon General reports
Questions?• Anything we did not cover that you want to ask about?• www.Coprevent.org Health Collaboratives tab• Receive regular updates regarding winnable battles and state initiatives