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WELCOME TO THE WEBINAR Hello and thank you for joining today's webinar hosted by the Public Health Law Center. We will be getting started shortly. All attendees are muted. Questions will be held until the designated Q&A section at


  1. WELCOME TO THE WEBINAR • Hello and thank you for joining today's webinar hosted by the Public Health Law Center. We will be getting started shortly. • All attendees are muted. Questions will be held until the designated Q&A section at the end of the presentation but feel free to submit them at any time. To submit a question: click the black Q&A button in the bottom panel of the Zoom window. • This webinar is being recorded. If you miss details or would like to share it, a link to both the slides and recording will be available at www.publichealthlawcenter.org/webinars/archived usually within 24 hours. 12/6/2018 1

  2. WHERE WE STAND 20 YEARS AFTER THE MSA: LEGACY AND LOOSE ENDS 12/6/2018 2

  3. THE PUBLIC HEALTH LAW CENTER 12/6/2018 3

  4. 12/6/2018 4

  5. AGENDA • Welcome and brief introductions • What is the MSA? • How the MSA relates to key developments in tobacco control • Moving forward • Q & A 12/6/2018 5

  6. WEBINAR SPONSORS 12/6/2018 6

  7. SPEAKERS Michael Hering , NAAG Center for Tobacco and Public Health Tamara Schlinger , NAAG Center for Tobacco and Public Health Meg Riordan , Campaign for Tobacco Free Kids Thomas Carr , American Lung Association Cathy Callaway , American Cancer Society-Cancer Action Network Joelle Lester , Public Health Law Center 12/6/2018 7

  8. TOBACCO MASTER SETTLEMENT AGREEMENT 20 TH ANNIVERSARY M ichael Hering Tamara Schlinger Director and Chief Counsel Counsel National Association of Attorneys General Center for Tobacco and Public Health

  9. Pre-MSA Marketing Methods The tobacco industry made outlandish claims… and denied the obvious… 20th Anniversary of the M SA Webinar - December 6, 2018 9

  10. … and marketed to kids 20th Anniversary of the M SA Webinar - December 6, 2018 10

  11. 20th Anniversary of the M SA Webinar - December 6, 2018

  12. The Basics of the Agreement Participating M anufacturers “ PM s” Settling States Advertising Restrictions Settlement (“ Public Health” provisions) Payments States to release claims against companies Truth Initiative 20th Anniversary of the M SA Webinar - December 6, 2018

  13. MSA Parties § Participating [T obacco Product] M anufacturers” or “ PM s” ) § 2 “Original Participating M anufacturers” or “OPM s;” Phillip M orris, RJR § About 50 smaller “ Subsequent Participating M anufacturers” or “ SPM s” § Also, “ Non-Participating M anufacturers” or “ NPM s” States that did not sign: 52 of the 56 States and Territories signed M ississippi, Florida, the Tobacco M aster Settlement Texas, M innesota Agreement 20th Anniversary of the M SA Webinar - December 6, 2018

  14. PERCENTAGE OF HIGH SCHOOL STUDENTS WHO CURRENTL Y SMOKE 40 35 From 36.4% at 1997 peak to 8.8% in 30 2017. Current frequent use reduced from 16.7% to 2.6% (Data from CDC Youth Risk Behavior Surveillance) 25 20 15 10 5 0 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 20th Anniversary of the MSA Webinar - December 6, 2018

  15. D ECLINES IN U.S. C IGARETTE C ONSUMPTION 1990-2017 Cigarette consumption i in U U.S. 500 decl eclined ed b by 4 y 45% b bet etween een 1998 a and 2017; 201 7; p per-capita consumption b by ev even en m more 400 tion cigarettes) consumpti of c 300 billions o te c cigarette ( in b 200 100 0 Sources: 1993 -1996 US Department of Agriculture; 1997-2017 Alcohol & Tobacco Tax and Trade Bureau, Bureau of the Census 20th Anniversary of the M SA Webinar - December 6, 2018

  16. MSA Payments Due v. Payments Received Sales Year 2003-2017 $8,000,000,000.00 $7,500,000,000.00 $7,000,000,000.00 $6,500,000,000.00 $6,000,000,000.00 Payment Due Amount $5,500,000,000.00 Paid $5,000,000,000.00 $4,500,000,000.00 $4,000,000,000.00 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 20th Anniversary of the M SA Webinar - December 6, 2018

  17. MSA Advertising and Marketing Restrictions � � Prohibition on Targeting Y outh Prohibits Use of Cartoons � Limitations on Tobacco Brand Name Sponsorships � Elimination of Outdoor and Transit � Limitation on Third-Party Use Advertising of Brand Names 20th Anniversary of the M SA Webinar - December 6, 2018

  18. MSA Advertising and Marketing Restrictions � Prohibition on Payments Related to T obacco Products and M edia � Ban on T obacco Brand Name M erchandise � Ban on Y outh Access to Free Samples � Prohibition on M aterial M isrepresentations of Fact 20th Anniversary of the M SA Webinar - December 6, 2018

  19. Emerging Issues � Evolving M arketing M ethods � Evolving Products 20th Anniversary of the M SA Webinar - December 6, 2018

  20. FDA Regulation 20 20th Anniversary of the M SA Webinar - December 6, 2018

  21. MASTER SETTLEMENT AGREEMENT HISTORIC IMPORTANCE 12/6/2018 21

  22. HISTORICAL CONTEXT EVOLUTION OF THE LAW 12/6/2018 22

  23. HISTORICAL CONTEXT FIRST WAVE OF LITIGATION 12/6/2018 23

  24. HISTORICAL CONTEXT SECOND WAVE OF LITIGATION 12/6/2018 24

  25. HISTORICAL CONTEXT SCORCHED EARTH STRATEGY “The aggressive posture we have taken … continues to make these cases extremely burdensome and expensive for plaintiffs’ lawyers . . .. To paraphrase General Patton, the way we won these cases was not by spending all of [the tobacco companies’] money, but by making that other son of a bitch spend all of his.” Tobacco Industry Attorney, 1988 12/6/2018 25

  26. HISTORICAL CONTEXT THIRD WAVE OF LITIGATION 12/6/2018 26

  27. HISTORICAL CONTEXT STATE SETTLEMENTS 12/6/2018 27

  28. HISTORICAL CONTEXT U.S. V. PHILIP MORRIS 12/6/2018 28

  29. TOBACCO INDUSTRY TESTIMONY 12/6/2018 29

  30. HISTORICAL CONTEXT FEDERAL REGULATION 1994 Congressional Hearings 1996 FDA Rulemaking 2009 T obacco Control Act 12/6/2018 30

  31. STRENGTHS AND LIMITATIONS What the Master Settlement Agreement does that U.S. v. Philip Morris and the Tobacco Control Act cannot or did not do. 12/6/2018 31

  32. The State Tobacco Settlement Presented an Historic Opportunity to: • Save Lives • Protect Children • Reduce HealthCare Costs 20 Th Anniversary of State Tobacco Settlement (M SA): Opportunity to review progress and identify remaining challenges TobaccoFreeKids.org >

  33. The Problem: US Adult Smoking Disparities, 2017 TobaccoFreeKids.org > Source: National Health Interview Survey, 2017

  34. Total Annual State Tobacco Prevention Spending FY1999 - FY2019 ?? Only 3 states – AZ, CA and MA - spent any money on tobacco prevention prior to 1999. Settlement payments to states began in 1999. All states were receiving payments by 2001. Funding amounts only include state funds. * State spending for FY16 includes $13.7 million for Pennsylvania that was not available for the 2015 Broken Promises Report.

  35. Total State Tobacco Revenue vs. Total State Spending on Tobacco Prevention FY2000 - FY2019 $500 $453.4 Billion $450 $400 $350 $156.7 Billion Estimated Tobacco Over past 20 years, just $300 Settlement Revenues Billions 2.6% of Total Tobacco $250 Revenue has been spent on tobacco prevention $296.7 Billion $200 Estimated Tobacco programs Tax Revenues $150 $100 $50 $11.8 Billion $0 Total State Tobacco Revenues Total State Tobacco Prevention Spending xi

  36. FY2018 State T obacco Prevention Spending Vs. State T obacco Revenue vs. CDC Recommendations $30,000 $27.4 Billion $8.1 Billion Estimated Tobacco Settlement $25,000 Revenues $20,000 $19.3 Billion $15,000 Estimated Tobacco Tax Revenues $10,000 $3.3 Billion $5,000 $721.6 Million $0 Total State Tobacco CDC Recommended Actual State Tobacco Revenues Annual Investment Prevention Spending

  37. State T e T obacc cco C o Contr trol ol S Spen endin ing Rep eport, F FY19 s spen endin ing Release Date: Friday, December 14 th National and State-Specific press Releases State spending infographic Radio and TV interviews on December 14 th 39 TobaccoFreeKids.org >

  38. State Spending Infographics 40 TobaccoFreeKids.org >

  39. Projecting t g the Impact o of F Funding g Inc ncrease ses a s and nd C Cut uts 41 TobaccoFreeKids.org >

  40. Projecting t g the Impact o of S Smoking g De Declines es 42 TobaccoFreeKids.org >

  41. Key M essage Points 43 TobaccoFreeKids.org >

  42. Qu Ques estion ons? M eg Riordan Campaign for Tobacco-Free Kids mriordan@tobaccofreekids.org Visit Our Website @ www.tobaccofreekids.org TobaccoFreeKids.org >

  43. Key Points About M SA from Advocacy Perspective • T obacco companies can’t use cartoon characters in marketing • Annual tobacco settlement payments do not have an end date • Number of state tobacco control programs still rely on M SA payments for funding • Lock up funding by ballot measure/ constitutional amendment if possible • Securitization of M SA payments is bad, eliminates source of funding for tobacco control programs • 20 th anniversary golden opportunity to remind state officials about promises made at the time of the M SA 45 45

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