VOTING FOR TOBACCO CONTROL Headaches, Hazards & Opportunities

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VOTING FOR TOBACCO CONTROL Headaches, Hazards & Opportunities The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

Public Health Policy Change Webinar Series Providing substantive public health policy knowledge, competencies & research in an interactive format Covering public health policy topics surrounding Tobacco, Obesity, School and Worksite Wellness, and more Typically each month from 12:00 p.m. to 1:30 p.m. Central Time Visit http://publichealthlawcenter.org/ for more information The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

How to Use Webex If you can hear us through your computer, you do not need to dial into the call. Just adjust your computer speakers as needed. If you need technical assistance, call Webex Technical Support at 1-866-863-3904. All participants are muted. Type a question into the Q & A panel for our panelists to answer. Send your questions in at any time. This webinar is being recorded. If you arrive late, miss details or would like to share it, we will send you a link to this recording after the session has ended.

In Brief: Public Health Rationale Voting for Tobacco Control Ballot Measures &Tobacco Control Overview Julie Ralston Aoki Allocation of Tobacco Settlement Funds (Case Study) Kerry Cork Tobacco Tax Increases Pete Fisher Smoke-free Laws Cathy Callaway Q & A 9/2012

BALLOT MEASURES & TOBACCO CONTROL An Overview Julie Ralston Aoki, Staff Attorney The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

For more information:

Two Main Types of Ballot Measures Initiative Law Referendum

Initiatives Direct Indirect

Referenda Popular referenda Referred/Legislative

Ballot Measures at the State Level Information courtesy of Initiative & Referendum Institute (www.iandrinstitute.org) Sept. 2012

Requirements for Ballot Measures Vary: Jurisdiction Type of process that must be followed What issues can be decided by ballot measure

Pre-planning for potential ballot measures What s permitted? What s the legal effect? Limitations?

Ballot Measures 2012 November 7, 2006: 204 ballot measures before voters in more than 37 states

Tobacco Control Ballot Measures Tobacco tax increases Smoke free laws Allocating MSA funds

Statewide Tobacco-related Initiatives and Referenda, 1988-2011 Issue Initiative Referendum Total Passed? Yes No Smoke-free laws 7 1 8 5 3 Excise tax increase 19 6 25 17 8 Allocation of tobacco settlement funds 7 7 14 10 4 Other law to preempt local clean indoor air 1 0 1 0 1 regulations Totals 34 14 48 32 16

Where can I find data about tobacco control ballot campaigns? The American Nonsmokers Rights Foundation Campaign for Tobacco-Free Kids National Conference of State Legislatures Ballot Measures database Ballotpedia.com

Ballot Measures: Not the Norm for Tobacco Control 2008 About 130 state laws passed Only ONE by ballot measure 2009 About 150 state laws passed ZERO by ballot measure

A useful tool: To get around legislative obstacles When things have broken down But...

A Double-Edged Sword Have been used to repeal, weaken, or delay tobacco control laws Let legislators off the hook Competing initiatives

Other Considerations Initiatives can t be vetoed Legislature may be able to repeal or amend

Legal Challenges to Ballot Measures Procedural requirements Subject matter requirements Would violate the law if passed

Thank you! Julie Ralston Aoki, J.D. Tobacco Control Legal Consortium Public Health Law Center julie.ralstonaoki@wmitchell.edu (651) 290-7532

Using the Ballot for Tobacco Control Funding North Dakota s Measure 3 (2008) Kerry Cork, Staff Attorney The legal information and assistance provided in this webinar does not constitute legal advice or legal representation.

Total State Tobacco-related Revenues and State and Federal Tobacco Control Appropriations Compared with CDC Recommendations for Tobacco Control funding U.S., 1998 2010 Centers for Disease Control & Prevention, 61 MMWR 20, 370 74 (2012)

North Dakota s Tobacco Control Funding - 2007 $247 million in annual health care expenditures in the State directly caused by tobacco use 900 adults died each year from tobacco-related illness (641,421 total population) North Dakota spent $3.1 million annually on tobacco prevention CDC recommendation? $9.3 million annually

North Dakota Petition Campaign

North Dakota Petition Campaign On Nov. 8, 2008, Measure 3 passed with 54% of the vote. Result: ND s tobacco settlement funding used to establish a comprehensive tobacco control & prevention program that met CDC s recommended level of funding the FIRST STATE in the nation to do so

It s Not Over Yet.... Ongoing legislative attempts to appropriate money, despite ballot initiative results 2009 2011 Expected legislative opposition each session (every 2 years)

On the One Hand... ND Measure 3 to allocate tobacco settlement funding was a remarkable accomplishment Showed that in certain circumstances ballot measures can be an option to effect historic tobacco control legislation

On the Other Hand... No organized tobacco industry opposition (due to MSA provision) North Dakota s robust economy made state less likely to view MSA funding as fiscal lifeline Broad public support for the measure Seasoned & committed core group of supporters

Thank you! Kerry Cork, J.D. Tobacco Control Legal Consortium Public Health Law Center kerry.cork@wmitchell.edu (651) 290-7509

Tobacco Tax Ballot Measures Pete Fisher Vice President, State Issues Campaign for Tobacco-Free Kids

History of Tobacco Tax Ballot Measures 21 tobacco tax campaigns in 10 different states (1988-2012); Nebraska/Arkansas Overall: 13 wins and 7 losses Since 2006: 2 wins and 4 losses Missouri will vote in November 2012

35 History of Tobacco Tax Ballot Measures State Win Loss Arizona 1994; 2002; 2006 California 1988;1998 2006; 2012 Colorado 2004 1994 Massachusetts 1992 Missouri 2002; 2006 Montana 2004 1990 Oklahoma 2004 Oregon 1996; 2002 2007 South Dakota 2006 Washington 2001

The Tobacco Companies Recognize Tobacco Taxes as a Threat to their Business

Tobacco Industry Opposition The amount of money spent by the tobacco industry is a key indicator of success or failure When tobacco companies spend millions, they have prevailed even when the initiative started with a relatively large lead

CA Proposition 29 (2012): $ Raised By Each Side $46.8 M total $1.1 M $14 M $12.3 M total $31.3 M $1.5 M $8.6 M Source: Maplight.org; Filings with the CA Secretary of State

Considerations When Selecting Partners For A Tax Ballot Does the measure allocate enough money for tobacco prevention? What does the public think? Polling on language Which programs will they support receiving $ from the tax? Who has $ to contribute to the effort? Will they support our goals, particularly funding for tobacco prevention? Will they follow through on their commitments? What will the tobacco companies do? Do our partners offer opponents an easy and compelling attack? Will a group or interest run its own campaign to increase the tobacco tax?

CA Prop. 29 Polling and Election Results (2012) The large drop in support for Proposition 29 speaks loudly about how a well-funded opposition is able to raise voters doubts and distrust in state government, even when a tax increase is viewed favorably, says Mark Baldassare, PPIC president and CEO. PPIC PPIC Field Poll

Tobacco Companies Spend More Than $12 Million To Defeat Oregon s Measure 50 Philip Morris Sues to Stop Measure 50 August 29, 2007 Oregon Daily Emerald R.J. Reynolds spends $4.5 million on anti- Measure 50 advertisements September 28, 2007 Philip Morris adds $2.5 million against cigarette tax October 08, 2007 Tobacco puffs $900,000 more into M 50 fight October 12, 2007 In Final Days, Tobacco Companies Up Spending in Oregon Tax Fight October 31, 2007 Cigarette maker adds $304,000 to tax fight October 24, 2007 PORTLAND, Ore. Big tobacco has dumped another $1.2 million into its campaign against a proposed cigarette tax increase, with just six days left until the election. Spending on the measure has shattered state records. Richmond, Virginia-based Philip Morris has put about $7 million into its campaign committee, Stop the Measure 50 Tax Hike, including a donation this week of $1.1 million. Winston-Salem, North Carolina-based R.J. Reynolds is the other big player. That company has contributed $4.9 million to its separate campaign, Oregonians Against the Blank Check, including $150,000 reported this week. Altogether, that's nearly $12 million, almost four times the $3.2 million that proponents of the plan to raise the cigarette tax to pay for an expansion of children's health insurance have spent. Per capita, that's about $3.33 for every Oregonian.

Oregon Measure 50 Polling and Election Results (2007) Including leaners Including leaners

California Prop. 86 Polling and Election Results (2006) Tobacco companies and allies spent $66.6 Million to defeat Prop. 86 (outspending the proponents 4-to-1). Field Poll Field Poll Field Poll

Missouri Polling and Election Results (2006)

Tobacco Industry Opposition Tobacco Company Ads Exploit weaknesses (or perceived weaknesses) in the initiative Use other groups as messengers

Mail Opposing the California Tax Initiative (2012)

Ad Opposing the California Tax Initiative (2012)

Ads Opposing the Oregon Tax Initiative (2007)

Importance of Arguments Against Measure 50 (Asked of opponents) Here are a few reasons that some other people gave for voting against Measure 50. After each, please tell me whether that reason was very important, somewhat important, not too important, or not important at all in your decision to vote against measure 50. The measure did not belong in the Oregon Constitution 73 15 89% The money would not have gone to health care and tobacco prevention like the proponents claimed it would 44% 24 68% The measure would have raised the tobacco tax by 85-cents per pack 26% 19 45% 0 25 50 75 100 Total numbers are rounded Very important Somewhat important Statewide survey of Oregon voters Davis, Hibbitts & Midghall, Inc.; December 2007

Website Opposing the California Tax Initiative (2006)

Ad Opposing the California Tax Initiative (2006)

Ballot Measures Are Different Ballot measures should be the last resort in policy campaigns Some traditional partners (such as state programs) cannot get involved Require significant fundraising/spending Upside: Opportunity to bypass legislature (But even that is not a guarantee)

Thank you! Pete Fisher Campaign for Tobacco-Free Kids http://www.tobaccofreekids.org/

Using Ballot Measures in Smoke-free Campaigns Cathy Callaway Associate Director State & Local Campaigns

Local Smoke-free Ordinances at the Ballot Box Enacted by Year

Ballot Fights Not the Norm Out of 7,027 municipalities with smoke-free laws, only 91 were passed by voters Out of 36 states with smoke-free laws, only 6 were passed by voters Public Vote 1.3%

We Usually Win but not without great expense and effort

Weighing the Pros and Cons

Pros YOU select specific policy language Opportunity to build/strengthen coalition Expand your organizing/power base Opportunity to put new sneakers to use!

Cons Sends Wrong Message: Role of elected officials Expense: 10-15 times more $ than council or legislature campaign Risk: Losing is NOT an option Impact on: Local and state campaigns Campaign Challenges: Physical and mental exhaustion, recruiting volunteers, fundraising, etc. Big Tobacco Advantage: Money & experience

Recent Opposition Tactics Repeal attempts by opposition Threats to recall Council members Competing Initiatives/Confusing the Voter Strong ordinance on ballot Opposition puts weak version on same ballot Put self-serving language on ballot

Casino Industry Opposition

ARE WE READY?

Have we Fully exhausted city council or legislative action? Built strong public support of likely voters for the election you are in (poll)? Recruited lots of committed campaign volunteers? Developed a solid, detailed campaign plan? Established a solid understanding of consequences/scenarios? Hired an experienced campaign organizer?

Have we Secured legal support? Drafted model language? Secured MONEY $$$$? Prepared for the opposition? Are we willing to dedicate ourselves 24/7? Are we ready for the long-term?

Traps to Avoid Assuming a win based on public support. Not staying on message. Not following campaign plan. Not raising enough funds. Assuming contacting a voter once is enough. Assuming money will come.

Keys to Winning at the Ballot Box Control the language that will be on the ballot. Understand the ballot you are on. Poll to define message, identify swing voters. Identify supporters and get them out to vote. Know how many votes you need to win.

Keys to Winning at the Ballot Box Have realistic campaign plan and budget. Manage voter file well. Do opposition research, be prepared! (Consider an offense team and a separate defense team). Spend time and money efficiently. Build power for the long term not just this vote.

Thank you! Cathy Callaway American Cancer Society Cancer Action Network Cathy.callaway@cancer.org 202-607-8502

Questions? Contact us: publichealthlaw@wmitchell.edu

Next Webinar in the Series Rising to the Challenge Why and How Health Care Facilities are Implementing Nutrition Strategies on their Campuses to Prevent and Reduce Obesity September 18, 2012 Visit www.publichealthlawcenter.org for more information