Tobacco Funds: Kids Get Stale Butt: Smoke Trail

Patrick Boyle
July 1, 1999

Following are some other proposals from governors, legislators, and other lobbyist for spending the tobacco settlement money. Most states have only discussed the first payments, which will probably come next June.

State Total 1st Payment Proposed Uses
Alabama $3.17 billion $38.8 million Children First program, Medicaid, economic development (including tax breaks for new Honda plant), elderly trust fund (meals, transportation, etc).
Alaska $668.9 million $8.2 million $1.4 million for tobacco control programs directed by the American Lung Association of Alaska, Medicaid.
Arizona $2.9 billion $35.4 million Tobacco cessation programs, elderly services, new state mental hospital, child abuse prevention; 13 counties legally challenging for share of the funds.
Arkansas $1.6 billion $19.9 million Special legislative session to be called for spending money on health care.
California $25 billion $306.3 million State general fund, curb cuts in city sidewalks, juvenile detention facility, tobacco prevention, new cancer institute, new library.
Colorado $2.7 billion $32.9 million Education programs, school construction, “urgently needed” state programs, tobacco prevention; Medicaid recipients challenging for a share.
Connecticut $3.6 billion $44.6 million $500,000 for tobacco education, smoking law enforcement, veterans’ smoking cessation; rest for tax reductions, education, public health, rainy day fund.
Delaware $774.8 million $9.5 million New Health Fund to expand health insurance, enhance state health care facilities, fight tobacco, alcohol and drug use.
District of Columbia $1.2 billion $14.5 million Anti-smoking programs, health care, public schools.
Florida Over $13 billion $770 million Anti-tobacco program, in-home elderly service; $1.7 billion for Lawton Chiles Endowment for Children and Elders, including bio-medical research. *via state settlement
Georgia $4.8 billion $58.9 million Creation of Dept. of Community Health or Tobacco Community Development Board to oversee funds.
Hawaii $1.2 billion $14.4 million 40% for rainy day fund, 35% for health-related programs, 25% for anti-smoking programs.
Idaho $711.7 million $8.7 million Budget stabilization, i.e., rainy day fund.*
Illinois $9.1 billion $111.7 million Road construction, uninsured children, anti-smoking programs. Counties considering lawsuits for a share.
Indiana $4 billion $49 million Children’s Health Insurance Program, public health (including tobacco prevention and cessation), aid to tobacco farmers, aid to low-income families.
Iowa $1.7 billion $20.9 million Health and human services, anti-smoking programs, Medicaid.
Kansas $1.6 billion $20 million Funds deposited into Children’s Trust Fund; governor and legislators can decide each year what expenditures fit.*
Kentucky $3.5 billion $42.3 million Youth-focused tobacco prevention and cessation, aid for tobacco and other farmers, early-childhood development, health insurance.
Louisiana $4.4 billion $54.1 million College scholarships, budget balancing, smoking prevention, child-related programs, public schools, health care facilities. *via state settlement
Maine $1.5 billion $18.5 million Health care, anti-smoking programs, prescription drug programs for the elderly.
Maryland $4.4 billion $54.3 million $21 million annually for tobacco prevention and cessation programs; at least 50% of funds must go for tobacco control, rural health care, uncompensated health care and cancer research.*
Massachusetts $7.9 billion $96.9 million Tobacco prevention, Medicaid, health care for children, the elderly, disabled people and people with AIDS.
Michigan $8.5 billion $104.4 million 75% for merit college scholarships; rest for tax cut, prescription drugs for the elderly, long-term care.
Minnesota $6.1 billion $582.8 million $590 million endowment for tobacco prevention and public health, $378 million endowment for medical education.* Rest to be determined. via state settlement
Mississippi $4.1 billion Not available Trust fund for health care. Expected to include child health insurance, trauma care and eyeglasses for Medicaid recipients.*
Missouri $4.5 billion $54.6 million Tax refunds, youth anti-tobacco initiatives, education.
Montana $832.2 million $10.2 million Children’s Health Insurance Program, tobacco prevention and cessation, boot camp for high school dropouts, general fund.
Nebraska $1.2 billion $14.3 million Created Health Care Trust Fund for tobacco funds; proposed use for respite care for the elderly and disabled.
Nevada $1.2 billion $14.6 million 40% for scholarships, 30% for senior citizen services, 10% for anti-smoking programs, 10% for child services and 10% for a health care trust fund.*
New Hampshire $1.3 billion $16 million Tobacco prevention and cessation, schools.
New Jersey $7.6 billion $92.8 million Hospitals, elderly health care (including prescription drugs), anti-smoking initiatives, schools.
New Mexico $1.2 billion $14.3 million Created Tobacco Settlement Committee to make recommendations;* proposals include tobacco cessation and prevention, chronic disease prevention, elderly services.
New York $25 billion $306.3 million 51% to the state, 27% to New York City, 22% to counties; city appealing for larger share; proposals include debt reduction, school construction, health care.
North Carolina $4.6 billion $56 million Aid to tobacco farmers and communities, tobacco prevention programs
North Dakota $717.1 million $8.8 million 45% for water projects, 45% for schools, 10% for health programs, including tobacco prevention and cessation.
Ohio $9.9 billion $120.9 million Tobacco prevention, prescription drugs for the elderly, cancer research, health care for the poor, technology for universities.
Oklahoma $2 billion $24.9 million Long-term care programs for senior citizens suffering from tobacco-related diseases, maternal and child preventive health and substance abuse services, youth substance abuse, tobacco use reduction.
Oregon $2.2 billion $27.5 million Increased school spending, budget balancing, anti-smoking programs.
Pennsylvania $11.3 billion $137.9 million Tobacco control and education, long-term care for elderly, a fund to improve the health of Pennsylvanians.
Rhode Island $1.4 billion $17.3 million Budget balancing, health care (anti-smoking, lead poison reduction), new state jobs, cutting income and car taxes.
South Carolina $2.3 billion $28.2 million All money to general fund; no plans implemented yet for spending.*
South Dakota $683.7 million $8.4 million Medicaid, medical care for prisoners and patients at state hospitals, state employee pay raises.
Tennessee $4.8 billion $58.6 million 50% for aid to tobacco growers and tobacco communities, home health care for elderly and disabled, Medicaid.
Texas $15.3 billion, $278 million Highway construction, lower infrastructure debt, tobacco prevention programs, schools and hospitals via state settlement in 1997, $1 billion in 1998
Utah $871.6 million $10.7 million Replace the hospital bed tax, tobacco prevention.
Vermont $805.6 million $9.9 million Tobacco prevention and tobacco law enforcement, tax cuts, prescription drug program for elderly.
Virginia $4 billion $49.1 million 50% in aid to tobacco farmers and tobacco-dependent communities, 10% to prevent youth tobacco use, 40% reserved for next legislative session.
Washington $4 billion $49.3 million $100 million of first $323 million for tobacco prevention and cessation programs; funds also for state’s basic health plan and children’s health programs.*
West Virginia $1.7 billion $21.3 million 50% for endowment fund for Public Employees Insurance Account, state Medicaid and Medicare, and capital construction projects.*
Wisconsin $4.1 billion $49.7 million Low-income health insurance, tobacco prevention, long-term elderly care, income tax cuts.
Wyoming $486 million $6 million Portion of funds set aside to deter tobacco use, particularly among youth.*

Compiled by Alana Keynes and Tara J. Sullivan

Sources: Center for Social Gerontology, Inc., National Campaign for Tobacco-Free Kids.


Boyle, Patrick. "Tobacco Funds: Kids Get Stale Butt: Smoke Trail." Youth Today, July/August 1999, p. 15.

©2000 Youth Today. Reprinted with permission from Youth Today. All rights reserved.

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