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4/28 chaft draft THE AFTERMATH OF THE STATES TOBACCO SETTLEMENT: A MID-TERM REPORT CARD A RECORD OF PROMISES BROKEN AND AN OPPORTUNITY LOST Last November, 46 states settled the cases they had filed against the tobacco companies. When the states first filed suit against the tobacco companies, elected officials from each of the states said that they were doing so to prevent another generation of children from becoming addicted to tobacco and to reduce the amount of money their citizens were spending to treat tobacco-caused disease. When the states settled their cases, they promised that the settlement was just the first step in their effort to reduce tobacco use, particularly among children. Through their Attorneys General, the states pledged that the funds from the settlement created an historic opportunity to use the tobacco companies' own money to reduce tobacco use, even though the agreement they had just signed did not dictate how to spend the money. The debate over how to spend the settlement money then moved to the states. Critically, this debate is taking place at a time when the need for the states to take strong action to prevent tobacco use among our children is even greater than when the states first began filing these lawsuits in 1994. Tobacco use among teenagers is higher today than it was five years ago. The debate also comes at a time when the evidence that comprehensive tobacco prevention programs do work has become incontrovertible. In the last three months, studies from Florida and Oregon have been added to earlier research from Massachusetts and California that demonstrates that these programs can significantly reduce tobacco use among both children and adults. The lesson from these studies is that money spent on comprehensive tobacco prevention programs is money well spent. While many state legislatures are still in session and others have deferred action on how to spend the settlement money until next year, it is not too early to draw some preliminary conclusions. If current trends continue, the vast majority of the states will spend little or none of the tobacco settlement money on programs intended to prevent children from starting to smoke or on helping current tobacco users to quit. Without the extraordinary efforts of tobacco control advocates and key public officials, the results would be even worse. Thus, this report documents a trail of broken promises and a public health