2. Agenda
• Intros/Housekeeping
• Winnable Battles Overview
• Tobacco Program
• Amendment 35
• State Policy Work
• Federal Work
• Q&A
3. 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
4. Introductions
Top Row: Dee Thomas, Emma Goforth, Celeste
Schoenthaler, Gracie Cash
Bottom Row: Jennie Munthali, Stephanie Walton, Jill
Bednarek
5. 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
6. Tobacco Program Mission
In partnership with communities, youth and
stakeholders, our team provides leadership for
tobacco prevention by promoting and
implementing evidence-based, data-driven
strategies across Colorado.
7. 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
8. Tobacco is still the leading cause of preventable death
in 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 .
9. Tobacco use is costly for everyone
Cost to United States economy each year in
healthcare costs and lost productivity:
$193 billion
Cost to Colorado each year in healthcare costs and
lost productivity:
$2.4 billion*
Annual U.S. Medicaid costs due to smoking:
$30.9 billion
Annual Colorado Medicaid costs due to smoking:
$319 million
10. 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
11. State Policy Work
• Youth Access
• Colorado Clean Indoor Air Act (CCIAA)
• Health Systems
12. 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
13. State Policy – CCIAA
State 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
14. 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
16. 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%
17. 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
18. 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.
19. 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
20. 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
