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THE WHITE HOUSE WASHINGTON April 28, 1998 MEMORANDUM FOR THE CHIEF OF STAFF FROM: Bruce Reed SUBJECT: Meeting with ENACT Secretary Shalala will join you for your meeting with ENACT. This list of group participants will be: Matthew Myers, Vice President and General Counsel, Campaign for Tobacco-Free Kids Bill Novelli, President, Campaign for Tobacco-Free Kids Marilyn Hunn, Chairman of the Board, American Heart Association Dr. Joel Alpert, President-Elect, American Academy of Pediatrics Dr. John Seffrin, CEO, American Cancer Society Rich Deem, Vice President of Federal Affairs, American Medical Association Dr. D. Robert McCaffree, President, American College of Chest Physicians Dr. Jonathan Fielding, American College of Preventive Medicine Dr. Bob Graham, CEO, American Academy of Family Physicians Jud Richland, Executive Director, Partnership for Prevention Tom Milne, Executive Director, National Association of City and County Health Officials Diane Canova, Vice-President, American Heart Association; Chair, ENACT Coalition As you know, ENACT is a coalition of public health groups interested in the youth smoking issue. These groups are generally more moderate than Drs. Koop and Kessler; indeed, Campaign for Tobacco-Free Kids was intimately involved in the negotiations that led to the June 20th settlement. Like the Administration, ENACT is generally supportive of the McCain bill, but would like to see some improvements to it. In a recent Washington Post op-ed piece, Matt Myers called for: a price increase of $1.50 per pack, tougher lookback penalties, a stronger environmental tobacco smoke provision, and sufficient funding for public health purposes (cessation, prevention, counteradvertising, etc.). You should use the meeting to make three points: (1) that they must keep insisting on a comprehensive approach with the McCain bill as the vehicle, so that Speaker Gingrich and others know that a piecemeal or "skinny" bill will not fly; (2) that we have to set priorities, and be reasonable in our demands, so that we do not kill the chances for good legislation; and (3) that this is a make-or-break time, and we need them to pull out all the stops on the Hill and at the grass roots. You can say: You have played a tremendous role in keeping the pressure on Congress to pass comprehensive tobacco legislation designed to reduce youth smoking, and you should be