1. The Tobacco Tax A WIN, WIN, WIN for KENTUCKY Political Win Fiscal Win Health Win

2. Tobacco’s Toll in Kentucky 7,700 tobacco-related deaths annually 23,800 kids try first cigarette each year 6,800 additional kids become regular daily smokers every year 107,000 kids alive today will die from tobacco use 24.5% of Kentucky high school students are current smokers 23.1% of high school males are current spit tobacco users

3. Tobacco’s Economic Toll in Kentucky $1.5 billion in annual health care costs related to tobacco use $487 million in Medicaid costs alone Kentucky taxpayers pay $602 per household to treat tobacco-related disease

4. TOBACCO EXCISE TAXES A win for public health A win for state budgets A win among voters

5. “The single most direct and reliable method for reducing consumption is to increase the price of tobacco products, thus encouraging the cessation and reducing the level of initiation of tobacco use” National Academy of Sciences Institute of Medicine 1998

6. “It is clear that price has a pronounced effect on the smoking prevalence of teenagers and that the goals of reducing teenage smoking and balancing the budget would both be served by increasing the Federal excise tax on cigarettes.” Myron Johnson Philip Morris Research Executive 1981

8. Effects of a 10% Increase in the Price of Tobacco Nearly 7% decline in youth prevalence A 2% decline in adult prevalence A 4% decline in overall consumption

9. TOBACCO TAXES ARE MOST EFFECTIVE WITH: Kids Lower Income Populations Ethnic Minorities Pregnant Women

10. Tobacco Taxes & State Revenues Despite inevitable declines in cigarette consumption … Increasing tobacco taxes ALWAYS increases state revenues

11. Tobacco Taxes, Packs Sold, and State Revenues

12. The Kentucky Tax Experience From.03 to.30 on 6/1/05 Revenue - 15.6% Packs Sold +675% Tax Burden 2006Calculated from the last full FY before the tax increase to the first full FY after it

13. Cigarette Tax Revenues in Kentucky, 1990-2006 Kentucky raised its cigarette tax by 27 cents to 30 cents per pack on June 1, 2005

14. The Ohio Tax Experience From $0.55 to $1.25 on 7/1/05 -20.6% Packs SoldRevenues Collected +78.9% Data from Tax Burden, 2006 1.01 billion 808.4 million $554.6 million $992.2 million

15. Benefits of a 75-Cent Tax Increase in Kentucky 46,800 fewer youth smokers Saving 14,900 kids a premature death from tobacco 29,500 fewer adult smokers Saving 7,800 adults from a smoking- caused death

16. Benefits of a 75-Cent Tax Increase in Kentucky $307.6 million in new tobacco tax revenues $17.6 million in 5-year savings from reducing smoking during pregnancy $19.7 million in 5-year savings from reduced heart attacks and strokes More than $1.0 billion in long-term healthcare savings from smokers averted

17. Total Favor: 60% Total Oppose: 33% Would you favor or oppose a 75 cent per pack increase in the state cigarette tax, with part of the revenue dedicated to a program to reduce tobacco use, particularly among kids, and the rest of the revenue dedicated to funding education, Medicaid and other health care needs? Kentucky Voters Favor A 75-cent Increase in the Cigarette Tax Darker shading equals stronger intensity Total numbers are rounded Kentucky Statewide survey of registered voters – September 2007

18. Tobacco Taxes & Revenues Stable; smoking declines are gradual Predictable; much easier to estimate than personal or corporate income tax revenues Adjustable; any declines can be offset by additional increases Produce health cost savings; declines in consumption offset by savings in health costs

19. Reliability of Cigarette Tax Revenue Following a Significant Increase Revenue data collected from CA Board of Equalization Annual Report, 2004-2005. http://www.boe.ca.gov/annual/statindex0405.htm#cigs Cigarette tax increased by 50 cents to $0.87 per pack in the middle of FY 1999.

20. Importance of Funding Tobacco Prevention With Part of Tax Combination of tax increase and prevention program will be most effective in reducing smoking. Industry price cuts and promotions (i.e., 2- for-1 offers, etc.) can undercut tax impact, so program is essential to success.

21. Kentucky: Tobacco Money for Tobacco Prevention $25.1 Million $2.4 Million $ 288.2 Million $185.4 Million Tobacco Tax Revenues $102.8 Million Tobacco Settlement Revenues

22. Tobacco Tax Messaging: How Do We Talk About It?

23. Lessons Learned From Other States A WIN for public health and kids (prevents and reduces youth and adult smoking) A WIN for the state budget (reliable, predictable source of much-needed revenue) A WIN for politicians (or a win among voters) The Core Message In Legislative Campaigns

24. Focus On Reducing Youth Smoking First and foremost, it is the reason why the public health community supports increasing tobacco taxes Voters find reducing youth smoking to be the most compelling reason to increase tobacco taxes Even voters who are reluctant to believe taxes will reduce smoking rates believe that increasing the tax is worth it if it saves just a few kids from becoming smokers Thus, political leaders realize the importance of framing the issue around reducing youth smoking

25. Focus On Reducing Youth Smoking Governor Schweiker (R-PA): "As a Republican leader who's worked hard to cut taxes, standing in front of 12 million Pennsylvanians and proposing a tax increase is new for me," Schweiker said. "But this increase will not only keep cigarettes out of the hands of children and save lives, it will go a long, long way toward helping us deal with the most significant fiscal dilemma this state has faced in years." [Associated Press June 6, 2002] Governor Pataki (R-NY): This new cigarette tax increase will "fight the scourge of teen tobacco use by increasing the price on cigarettes, making them less affordable for price- sensitive youngsters." [Press Release upon signing new tax increase into law, January 25, 2002] Governor Graves (R-KS): "This is more than a fiscal issue," said Graves,... "This is driven in large part by health benefits that we know will be derived from reducing smoking, especially among young Kansans." [Associated Press, February 6, 2002]

26. Conclusions WIN, WIN, WIN Kids, Kids, Kids Money, Money, Money Politically Safe