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Agenda

COPD Research and Public Policies Paul Billings Senior Vice President, Advocacy and Education American Lung Association April 9, 2013. Agenda. Congress Budgets & Appropriations Tobacco issues Healthy air issues Administration Call to action. Two Kinds of Advocacy.

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Agenda

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  1. COPD Research and Public PoliciesPaul BillingsSenior Vice President, Advocacy and EducationAmerican Lung AssociationApril 9, 2013

  2. Agenda • Congress • Budgets & Appropriations • Tobacco issues • Healthy air issues • Administration • Call to action

  3. Two Kinds of Advocacy Advocating for all Patients Advocating for a Patient

  4. The time is NOW to take action on COPD!

  5. Issues Federal funding for COPD research funding Federal COPD action plan Access to heath care Preventing tobacco use Tobacco cessation Healthy air

  6. Congress Budget & Appropriations

  7. Current Programs FY 2013 – Post sequestration • National Institutes of Health = $29.1 billion • (National Heart, Lung and Blood Institute = $2.926 billion) • COPD-related grants = $108 million (estimate) • Centers for Disease Control & Prevention = $6.524 billion • No specific COPD program

  8. Sequestration

  9. Beyond Sequestration Same number of people/programs competing for increasingly smaller budget

  10. Actions NHLBI has taken leadership role in increasing awareness of disease. Using NHLBI funding, CDC adding COPD tracking to BRFSS NHLBI to convene federal stakeholder group for COPD action plan.

  11. Congress Tobacco Control

  12. Before the Tobacco Control Act • No oversight • Candy flavors in cigarettes allowed • Joe Camel • Manipulation of ingredients • “Light” and “Low” cigarettes

  13. Passage of Tobacco Control Act 2009 Gave FDA immediate authority over cigarettes, smokeless and roll-your-own Gave FDA option to “deem” authority over other products

  14. Protect FDA’s authority over all tobacco products

  15. Tobacco Control Act: the Latest Challenge The cigar industry wants a “sweetheart” deal • Cigar bill in 112th Congress: • House - Posey Kastor: 220 cosponsors • Senate: Nelson Rubio Bill:14 cosponsors • Public health community pushed back on candy-flavored cigars • Wide-ranging definition of “premium” cigars • Ultimately no vote or movement on the bill

  16. Tobacco Control Act: the Latest Challenge • Cigar bill in the 113th Congress • HR 792 in the House: 41 cosponsors • Senate bill – Nelson Rubio Bill – expected any day • New, highly technical definition of “premium” cigars

  17. Tobacco Excise Taxes • Raising the price of tobacco products is one of the best ways to reduce consumption • Every 10% increase in the price of cigarettes reduces consumption by • 4% among adults • 7% among youths • Provides federal & state governments with needed revenue – should go to tobacco prevention and cessation efforts

  18. Federal Excise Tax • Currently $1.01 for a pack of cigarettes • Last increase was in 2009 • Sen. Durbin’s S.194: Tobacco Tax Parity Equity Act • New York Times: Obama’s budget will include an increase in tax on cigarettes & other tobacco products including possibly equalization. • To be released tomorrow

  19. State Excise Taxes Highest: New York, $4.35 Lowest: Missouri, 17 cents Current campaigns: Louisiana, Massachusetts, Minnesota, Ohio and West Virginia Average state cigarette excise tax: $1.49/pack

  20. Smokefree Air

  21. Tobacco Cessation • State Medicaid coverage • Only 2 states cover a comprehensive benefit • Removing barriers to treatment • Affordable Care Implementation • Tips from Former Smokers

  22. Congress Healthy Air

  23. COPD & the Air We Breathe • Breathing high levels of ozone or particle pollution can worsen COPD • COPD patients are advised to stay inside on bad air days • Clean Air Act prevents • 54,000 Chronic Bronchitis cases in 2010 • 75,000 Chronic Bronchitis cases in 2020 • 160,000 Premature Deaths in 2010 (all causes) • 230,000 Premature Deaths in 2020 (all causes)

  24. Defending the Clean Air Act Some in Congress want to weaken clean air health protections 112th Congress voted nearly 100 times to weaken or dismantle the law

  25. The Obama Administration

  26. Tobacco Regulations FDA deeming authority Menthol report/status

  27. Healthcare Access • Affordable Care Act Implementation • Essential Health Benefits • Exchanges • Medicaid expansion • Slow and confusing implementation • Not enough focus on protecting patients • Access to medicine

  28. Healthy Air Regulations • EPA has a mixed record • Ozone • Power Plants • Particulate Matter • Cars and gasoline

  29. Call to Action

  30. COPD needs to raise its visibility Be present Be active Be loud Be here

  31. Be a Storyteller: Stand with Dan! End-stage COPD Received double lung transplant Testified at EPA hearing on proposed Carbon standard

  32. Come together

  33. National COPD Call-In Day June 12, 2013 Call CDC to tell them we need them to do more for our nation’s #3 killer Sign up at www.lung.org/callinday for more information & to receive talking points

  34. We will breathe easier when the air in everyAmerican community is clean and healthy. We will breathe easier when people are free from the addictivegrip of cigarettes and the debilitating effects of lung disease. We will breathe easier when the air in our public spaces andworkplaces is clear of secondhand smoke.We will breathe easier when children no longerbattle airborne poisons or fear an asthma attack. Until then, we are fighting for air.

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