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Chapter 3, Page 2
care contributed to this slow^ down. In 1995, nearly
Progress towards other public goals, including a
75 percent of workers with employer-based insurance
reduction of secondhand smoke; promotion of
were enrolled in managed care, a 22-percent increase
cessation programs; public health research; the
since 1993. Nevertheless, the number of uninsured has
strengthening of international efforts to control
continued to rise. Thus, our work is not finished; we
tobacco; and other urgent priorities.
must guard against the return of rapidly growing health
care costs and work to reduce the number of uninsured,
Protection for tobacco farmers and their
while maintaining a high standard of quality.
communities.
With this budget, the Administration builds on the
bipatising
recent legislative achievements by committing to work
The final form of this legislation will involve
with Congress on bipartisan tobacco legislation;
extensive negotiation between the Administration
proposing to expand health care coverage for some of
and the Congress. This budget includes those
the most vulnerable Americans aged 55 to 65;
programs the President believes are necessary to
promoting the fiscal integrity of Medicare and
legislation that meets these objectives. ^ It includes^
Medicaid; launching an aggressive outreach campaign
the creation of a 21st Century Research Fund for
to enroll eligible children who are not enrolled in
America, much of which will finance research into
Medicaid; proposing an unprecedented investment in
tobacco-related and other diseases through the National
health research; expanding access to powerful AIDS
Institutes of Health; funding of a cancer clinical trials
therapies; increasing funds for substance abuse
demonstration for Medicare beneficiaries; smoking
treatment and prevention; and helping to reduce
prevention efforts by the Centers for Disease Control;
^ health-related disparities across racial and ethnic
^ enforcement programs by the Food & Drug
groups.
Administration; smoking cessation programs;
outreach efforts to ensure that children eligible for
Adopting Bipartisan Legislation on Tobacco
and
health care coverage are actually enrolled, smoking
other
cessation efforts; counter advertising;
protection
The Administration has focused on improving public
for tobacco farmers^: The budget also allocates some
instituties
health-particularly children's health-by pursuing
of the funds to child care and education initiatives that
efforts to curtail tobacco use. In 1998, the
help and protect children. It also proposes that the
Administration will work with Congress to enact
states receive a substantial portion of the net
comprehensive national tobacco legislation to reduce
receipts of such legislation, partly in the form of
smoking, especially by youth. The President has
block grants for child care and to reduce class size
outlined five key principles that must be at the heart of
in schools, and partly in unrestricted funds. The
any national tobacco legislation:
uses proposed by the President are summarized in
Table
A comprehensive plan to reduce youth smoking,
including: tough penalties on tobacco firms that
The Administration proposes that such legislation
continue to market to youths; price increases;
will provide for annual lump sum payments by
public education and counter advertising; and
tobacco manufacturers, with the amounts paid by
expanded efforts to restrict access and limit
each determined by formula. The budget assumes
net receipts from this legislation will be at least $10
appeal.
billion in FY99, rising each year thereafter for a
total of $65 billion over the five years FY 1999-FY
Full authority of the Food and Drug Ad-
2003. This amount can be enacted consistent with
ministration (FDA) to regulate tobacco products.
the President's call for an increase in per-pack
over
cigarette prices of up to $1.50 (in constant dollars)
10
Changes in how the tobacco industry does
as necessary to meet targets and reduce youth
years
business, including an end to marketing and
smoking.
promotion to children and broad document
disclosure.
>
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