1. 1

2. Initiated Act 1 Fall 2000 2

3. Initiated Act Allocation of MSA Funds 3

4. A healthier and better- informed Arkansas. 4

6. Arkansas Aging Initiative The Arkansas Tobacco Settlement Commission

7. Arkansas Biosciences Institute Has provided information through the combined strength of major research institutions. 7 College of Public Health

8. Delta Area Health Education Center Increased access to: Health Care Health Education Clinical Services 8 Medicaid Expansion

9. TOBACCO PREVENTION AND CESSATION PROGRAM 9 Arkansas Minority Health Commission

10. State and Community Interventions Health Communications Interventions Cessation Interventions Administration and Management Surveillance and Evaluation 10

11. And the numbers are evidence of our success 11

12. Current Cigarette Smoking among High School Students* Arkansas 2000, 2005, & 2007 12

13. 21,500 Fewer High School Smokers

14. Percentage of adults who were current cigarette smokers, AR ATS 2002, 2004, 2006, & 2008 14

15. 92,400 Fewer Adult Smokers 15

16. Percentage of adult males who were current users of smokeless tobacco, by race/ethnicity AR ATS 2002, 2004, 2006, & 2008 16

17. Current Smokeless Tobacco Use among High School Boys* By Race/Ethnicity Arkansas 2000, 2005, & 2007 17

18. Percentage of adults who reported exposure to secondhand smoke in the home, AR ATS 2002, 2004, 2006, & 2008 18

19. Percentage of adults who reported exposure to secondhand smoke in the vehicle, AR ATS 2002, 2004, 2006, & 2008 19

20. Clean Indoor Air Act - 2006 Act 13 - 2006 Tobacco Excise Tax – 2003 and 2009 Arkansas Clean Air on Campus Act - 2009 RIP Cigarettes - 2009 20

21. The Numbers – Dollars and Sense 21

22. Arkansas Trends in Hospital Admissions for Selected Diseases for Patients 35 Years and Older, 2001-2008 Heart Disease 19.7% Decrease Stroke 32.3% Decrease Emphysema and 12.3% Decrease Chronic Bronchitis All Other Admissions2.2% Decrease (2001-2007 only) Excluding: Heart Disease, Stroke, Emphysema and Chronic Bronchitis 22

23. Major Questions What Does the Reduction in Hospital Admission Rates Mean in Terms of: Hospital-related Cost Savings? Value of Deaths Averted? 23

24. Hospital-Related Cost Savings Heart Disease Stroke Emphysema, Chronic Bronchitis Smoking Attributable Hospital Admissions Averted Hospital Costs and Hospital-related Professional Costs Totals All costs are adjusted for inflation to 2008 constant dollars 4,2492,3952,930 $119.4 M$33.8 M$28.3 M 9,574 $181.5 M 24

25. Value of Deaths Averted Heart Disease Stroke Emphysema, Chronic Bronchitis Smoking Attributable Deaths Averted Value of Smoking Attributable Deaths Averted* 95143 Totals 51 $103.9 M$159.8 M$52.2 M 289 $315.9 M *Dollar values were calculated using standard Health Economic methods of the value of a year-of-life saved. All costs are adjusted for inflation to 2008 constant dollars 25

26. 26 Arkansas Tobacco Quitline

27. Adult Tobacco Quitline Arkansas Tobacco Users By County 27

28. 28

29. Helping to save money. Helping to save lives. Helping to maintain a healthy Arkansas. MSA FUNDING 29