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SPONSOR: |
Altamirano |
DATE TYPED: |
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HB |
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SHORT TITLE: |
Smart Moves Youth Smoking Cessation Program |
SB |
765 |
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ANALYST: |
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APPROPRIATION
Appropriation
Contained |
Estimated
Additional Impact |
Recurring or
Non-Rec |
Fund Affected |
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FY03 |
FY04 |
FY03 |
FY04 |
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$1,000.0 |
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Recurring
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Tobacco
Program Fund |
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(Parenthesis
( ) Indicate Expenditure Decreases)
Relates to:
HB144, HB137, SB133, SB228, SB534, SB707, SB730, SJR17
Relates to:
General Appropriation Act
Responses
Received From
Department
of Health (DOH)
Health
Policy Commission (HPC)
SUMMARY
Synopsis
of Bill
Senate Bill 765 appropriates $1,000,000
from the Tobacco Settlement Program Fund to the Department of Health to
continue the statewide “SMART Moves” youth smoking cessation program for
expenditure in FY 2004.
Significant
Issues
Youth
smoking is a serious problem in
FISCAL IMPLICATIONS
The
appropriation of $1,000.0 contained in this bill is a recurring expense to the
Tobacco Settlement Program fund. Any unexpended or unencumbered balance remaining
at the end of FY 04 shall revert to the Tobacco Settlement Fund. However, the bill stipulates that if the
Tobacco Settlement Fund is abolished or depleted, the appropriation would be
from the State General Fund.
SMART Moves
cessation /prevention received $900.0 in non-recurring Tobacco Settlement Program
Funds in FY 03. Smart Moves program was implemented in FY
2003 through the Behavioral Health Services Division (BHSD).
The proposed
appropriation from the Tobacco Fund would be of a recurring nature. In FY 03, the Department of Health received
$5,000.0 in Tobacco Settlement Recurring Funds.
In FY 04, the DOH will receive an additional $1,000.0 ($6,000.0) in
recurring Tobacco Funds.
ADMINISTRATIVE IMPLICATIONS
Current
staff could administer this appropriation. If the appropriation in SB 765 was
allocated to BHSD, it is the Division’s standard practice to set aside ten
percent of the amount for rigorous evaluation of the interventions.
CONFLICT, RELATIONSHIP
Conflicts with SB 298 and HB 244, both of
which propose abolishing the tobacco settlement permanent and program
funds.
SB 765 relates to:
·
HB 144, SB 133 and SB 534, which propose
tobacco program fund appropriations for SFY04.
·
HB 137, which outlines procedural
requirements for non-MSA tobacco manufacturer payments to
TECHNICAL ISSUES
DOH
proposes that the title of the appropriation should be changed to “Youth
Smoking Cessation and Alcohol, Tobacco, and Other Drug Abuse (ATODA) Prevention
Programming.” The inclusion of the SMART
Moves curricula in the title precludes many potential offerors, according to
DOH, because the Boys and Girls Club organizations are the only ones utilizing
the SMART Moves curricula. The exclusion, DOH says, of other offerors would not
provide a fair and competitive request for proposal process. See “Substantive
Issues” below for outcomes realized through the SMART Moves program and for
information on the “Not on Tobacco program.
OTHER SUBSTANTIVE ISSUES
Tobacco
use is considered the chief preventable cause of death in the
·
Among young people, the short-term health
effects of smoking include damage to the respiratory system, addiction to
nicotine, and the associated risk of other drug use. Long-term health
consequences of youth smoking are reinforced by the fact that most young people
who smoke regularly continue to smoke throughout adulthood. (CDC. Preventing
tobacco use among young people---A report of the Surgeon General. 1994, p. 15).
·
Smoking is associated with poor overall
health and a variety of short-term adverse health effects in young people and
may also be a marker for underlying mental health problems, such as depression,
among adolescents. High school seniors who are regular smokers and began
smoking by grade nine are
In
FY2002, DOH Behavioral Health Services Division (BHSD) funded four
community-based agencies to provide SMART Moves to youth in their
communities. Some of the outcomes realized
for FY02 include significant improvements in the learning level of students,
significant decreases in student hyperactive behaviors, significant reductions
in the 30-day use of inhalants, marijuana, drugs, and tobacco, significant
increases in non-parent adult support, significant decreases in depression,
significant decreases in aggressive behaviors, reductions in alcohol use,
significant decreases in impulsive behaviors, significant decreases in conduct
and inattention problems, delays in the maturation process to use alcohol,
tobacco, and other drugs (ATODs), decreases in favorable attitudes towards
ATODs, and significant increases in the perception of harm of ATODs.
In the first
half of SFY 2003, BHSD has, through contracts with two statewide agencies, provided
tobacco education and cessation services to children, youth, and families
across the State of
The
“SMART Moves” program has been recognized by the Substance Abuse and Mental
Health Services Administration (SAMHSA) as a proven prevention program. SMART Moves is part of
a series of evidence-based substance abuse prevention curricula. As stated on the National Boys’ and Girls’
Clubs of America web-site, “The SMART Moves (Skills Mastery and
Resistance Training) prevention/education program addresses the problems of
drug and alcohol use and premature sexual activity. According to the Boys and
Girls Clubs of America, SMART Moves (Skills Mastery and Resistance Training)
program is a community-based prevention/education program addressing the
problems of drug and alcohol use and premature sexual activity.
“NOT
on Tobacco”: A Total Health Approach to Help Teens Stop Smoking is a curriculum
endorsed by the American Lung Association and is a life management skills
curriculum, so that teenagers learn how to reduce stress, make decisions, and
communicate more effectively with family and friends.
The
tobacco use cessation program consists of facilitator-led same-gender groups
that help the youth either quit smoking or cut back on smoking. There is information on cessation and a cessation
plan. NOT can help solve the
smoking problem among teenagers. Teens
who smoke are at risk for developing a lifelong addiction that can cause
serious health problems and limit their life expectancy. The objectives of NOT include helping
teenagers: stop smoking; reduce the number of cigarettes smoked; increase
healthy lifestyle behaviors; and, improve life management skills.
This
current fiscal year, through the Youth Smoking Cessation and ATODA Prevention
Programming contracting process, a total of 2,030 youth and 197 families in
Annual health care
costs in
BD/njw:yr