03/02/2005
.
New Hanover County Health Department
Revenue and Expenditure Summaries for Janaury 2005
Cumulative: 58.33% Month 7 of 12
Revenues
Type of
Revenue
Budgeted
Amount
Current Year
Revenue Balance
Earned Remalnln
%
Prior Vear
Budgeted Revenue Balance %
Amount Earned Remalnln
$1.951,958 $1,158,409 $ 795,549 59.24%
$ 570,161 $ 369,154 $ 201,007 64.75%
$1,046,080 $ 291,319 $ 754,761 27.85%
$ 273,333 $
$ 300.212 $ 118,027 182,185
$ 111.850 $ 133,664
$2,485,571 $ 1,476.534
Federal & State
CFees
Medicaid
Medicaid Max
EHFees
Health Fees
Other
$ 876,258
$ 218,725
$ 606,308
141,926 158,286
Expenditures
Current Year
.
Type of
Ex ndlture
Budgeted
Amount
Expended
Amount
Balance
Remalnln
%
Budgeted
Amount
Prior Year
Expended Balance
Amount Remalnln
%
$4,858,279
Summary
Budgeted Actual %
FY 04.{)S FY 04.{)S
Expenditures:
Salaries & Fringe $10.410,730 $5,376,377
Operating Expenses $1,670,717 $861,414
Capital Outlay $198,084 $19,000
Total Expenditures $12,279,531 $6,256,791 50.95%
Revenue: $6,698,156 $3,540,784 52.86%
Net County $$ $5,581,375 $2,716,007 49.00%
-.
Revenue and Expenditure Summary
For tbe Montb of January 2005
7
.
.
.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05
Date (BOH) Grant Requested Pendlno Received Denied
1/5/2005 No activity for Januarv 2005.
Champion McDowell Davis Charitable
1/512005 Foundation - Good Shepherd Clinic $ 56,400 $ 56,400
12/1/2004 No activity for December 2004.
March of Dimes- Maternity Care Coordination
Program educational supplies and incentives
11n12004 for pregnant women. $ 3,000 $ 3,000 $ .
10/6/2004 No activity to report for October 2004.
9/112004 No activity to report for Septamber 2004.
10000ce Of the stata Fire Marshal- NC
Department of Insurance- Risk Watch
8/412004 continuation funding (3years) $ 25,000 $ 25,000
NC Physical Activity and Nutrition Branch-
Eat Smart Move More North Carolina $ 20,000 $ 20,000
INt; Marcn or u,mes t;ommun,ty urant
Program- Smoking Cessation- Program did
m12004 not applv for arant. $ - $ - $ -
Wolfe-NCPHA Prenatal Grant- Diabetic
Supplies for Prenatal Patients $ 5,000 $ 5,000
6/2/2004 No activity to report for June 2004.
Kata B. Reynolda Foundatlon-
5/5/2004 Transportable Dental Unit Grant $375,000 $ 311,000 $84,000
Cape Fear Memorial Foundatlon- Dental
Grant $185,000 $175,000 $10,000
Cape Fear Memorial Foundation- School
4n12004 Health Emergency Dental Services Grant $ 15,000 $ 15,000
Safe Klda Coalltlon- Governo~s Highway
Safety Prooram- (Coalition Vehicle Request) $ 16,000 $ 16,000
Safe Kids Coalltlon- Safe Kids Buckle Up
3/312004 Program- Child Safety Seat Grant $3,500 $3,500
2/412004 No activity to reoort for February 2004.
Cape Fear Memorial Foundation- Funds
needed to enhance health education in 4
areas other than Diabetes (an enhancement
1n12004 to Diabetes Today Grant). (Living Well) $20,000 $18,500 $1,500
12/312003 No activity to report for December 2003.
Cape Fear Memorial Foundation- Funds
needed to cover dental services for needy
children as identified by School Health
11/5/2003 Nurses. $3,000 $3,000
NC Medical Foundation - Through the Good
Shephard Ministries for nursing services to the
IpoPulation freauentine the shelter. $25,000 $25,000
Duke University- To provide 10 hours of
nursine services for TB Outreach. $10,388 $10,700 -$312
NC Tobacco and Control Branch, DHHS-
Continuation of Tobacco Prevention Program. $100,000 $64,093 $35,907
10/1/2003 No activity to report for October 2003.
29
As of 2/1412005
. NOTE. Notification received since last report.
NHCHD BOARD OF HEALTH APPROVED GRANT APPLICATION STATUS FY 04-05
Date IBOHI Grant Reouested Pendlno Received Denied
New Hanover County Safe Schools- Uniting
for Youth "U4Youth"(funding will be received
9/3/2003 over a 3 year ~rant period) $49,000 $ 12,702 $36,298
Safe Kids Coalltlon- Fire Prevention (Please
note this grant was pulled- coalition not able to
meet deadline for request) $2,500 $2,500
8/6/2003 NC DHHS- OPH Preparedness and Response $82.350 $31,950 $50,400
Smart Start. Partnership for Children
7/3/2003 Grant Increase for Part Time Nurse Position) $5,523 $5,523
Cape Fear Memorial Foundation - Diabetes
Today (two-year request; $42,740 annually)
Received $25,00 year 1 and $20,000 year 2) $85,480 $45,000 $40,480
Duke University Nicholas Scnool or the
Envlronment-Geographic Information
Svstems Grant IEnv Health) $10,000 $10,000
Safe Kids Coalition- Safe Kids Mobile Car
Seat Check UP Van $50,000 $50,000
Totals $1,197.141 $0 $809 845 $337 296
0.00%
Pendin~ Grants 0 0%
Funded Total Reouest 9 41%
Partially Funded 7 32%
Denied Total Request 6 27%
Numbers of Grants Applied For 22 100%
As of 2/1412005
. NOTE. Notification received since last report.
67.65%
28.18%
.
.
.
30
..
.
.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: 0 Consent Meeting Date: 03/21/05
A2:enda: 1ZJ
Department: Health Presenter Cindy Hewett, Business
Manager
Contact: Cindv Hewett, Business Manager, ext 6680
Subject: Budget Amendment in the amount of $6,717 for the Women's Preventive
Health Pro2:fam
Brief Summary' The New Hanover County Health Department has received notification
from the Division of Public Health that an additional $6,717 has been awarded to be used
to support the Family Planning Program for FY 04-05. The funds are to be used for any
approved Family Planning expense, including higher than anticipated cost of
contraceotives.
Recommended Motion and Requested Actions: To accept and approve the $6,717
additional State Grant funds to be used to support the New Hanover County Health
De artment Famil Planning Pro am, and the associated bud et amendment.
Funding Source: NC Department of Health and Human Services, Division of Public
Health, Women's and Children's Health Section, Women's Health Branch.
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
[8JNo Chan e in Position s
Ex lanation: No count match is re uired for these funds.
I Attachments: Budget amendment and supporting documentation,
31
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NORTH CAROLINA
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DIVISION OF PUBLIC HEALTH
FUNDING
AUlHORIZA liON
ISSUED TO: NEW HANOVER COUNTY
STATE FISCAL YEAR
Public Health Department/District
FROM: July I, 2004 through June 30, 2005
ACTIVITY: 151
EFFECTIVE
DATE
07/01/04
NAME OF PROGRAM: Family Planning
INITIAL ALLOCATION
$67,291.00
PRIOR ADJUSTMENTS YEAR TO DATE. . . INCREASE (DECREASE)
INCREASE (DECREASE) THIS AUTHORIZATION
$123,701.00
$6,717.00
NET ANNUAL ALLOCATION
$197,709.00
GRANT INFORMATION
e of Fund Service Months Pavment Months Codes
ederal June July 1511 6014 FP*
Federal July-May Aug-June 1511 6015 FP *
Federal June July 1511 6014 FP**
Federal July-May Aug-June 1511 6015 FP**
State June-May July-June 1511 6015 FR
Federal July-May Aug-June 1511 5151 T2
Federal June-May July-June 150S 5735 AP
Federal June-May July-June ~6075 FP
Total ( I
-----
Amount
$4,746.00
$70,046.00
$861.00
$9,473.00
$9,353.00
$17,827.00
$82,703.00
52,700.00
$197,709.00
* Title X Regular
** Title X Special
Received and ~o ;/ch tJ5
Ln~lJ.Q~t~~ 2k~y
Local Finance Officer
~J/. jj~
UTIIORlZED SIGNATURE
DATE: 01/26/05
DHHS-CO
7-04
AUTII#
7
Revisions
1 throu h 9
CFDA#
93.217
93.217
93.217
93.217
N/A
93.588
93.994
93.217
34
DIVISION OF PUBLIC HEALTH
AGREEMENT ADDENDA
New Hanover County Health Department
Contractor Name
Women's and Children's Health
Section
.'
Women's Health
Branch
151 - Family Planning
Activity Number and Title
Family Plauniug and Reproductive Health
Unit
July I, 2004 - June 30, 2005
Effective Period (Beginning and Ending Date)
10
Revision #
1-27-2005
Date
This revision increases funds by amounts in the table below Funds are to be used for any Family Planning approved expense,
including higher than anticipated costs of contraceptives and cervical cancer screening supplies, sterilizations, and/or equipment
that will be used to serve the family planning population, or the pro-rata share of equipment to be used by multiple programs.
Every effort needs to be made to expend these funds by May, reporting the expenditure in June.
COUNTY/DISTRICT AMOUNT COUNTY/DISTRICT AMOUNT COUNTY/DISTRICT AMOUNT
01 ALAMANCE $10,391.00 35 FRANKLIN $4,474.00 65 NEW HANOVER $6,717.00
202 ALBEMARLE REG $14,566.00 36 GASTON $47,496.00 66 NORTHAMPTON $1,000.00
02 ALEXANDER $1,452.00 37 GATES $3,072.00 67 ONSLOW $1,000.00
04 ANSON $2,159.00 38 GRAHAM $1,000.00 68 ORANGE $2,218.00
201 APPALACHIAN $9,640.00 203 GRAN-VANCE $2,059.00 69 PAMLlCO $2,257.00
07 BEAUFORT $9,192.00 40 GREENE $1,550.00 71 PENDER $6,855.00
09 BLADEN $1,236.00 41 GUILFORD $1,000.00 73 PERSON $1,000.0
10 BRUNSWICK $1,000.00 42 HALIFAX $1,000.00 74 PITT $7,758.00
11 BUNCOMBE $23,141.00 43 HARNETT $6,344.00 76 RANDOLPH $1,000.00
12 BURKE $3,457.00 44 HAYWOOD $11,589.00 77 RICHMOND $1,000.00
13 CABARRUS $2,984.00 45 HENDERSON $3,358.00 78 ROBESON $1,000.00
14 CALDWELL $9,487.00 46 HERTFORD $3,437.00 79 ROCKINGHAM $1,688.00
16 CARTERET $1,000.00 209 HERT-GATES $0.00 80 ROWAN $1,000.00
17 CASWELL $2,572.00 47 HOKE $1,000.00 207 R-P-M $3,000.00
18 CATAWBA $15,224.00 48 HYDE $1,000.00 82 SAMPSON $3,200.00
19 CHATHAM $28,709.00 49 IREDELL $1,000.00 83 SCOTLAND $1,589.00
20 CHEROKEE $1,000.00 50 JACKSON $1,236.00 84 STANLY $3,770.00
22 CLAY $1,000.00 51 JOHNSTON $1,000.00 85 STOKES $4,098.00
23 CLEVELAND $5,086.00 52 JONES $2,081.00 86 SURRY $3,711.00
24 COLUMBUS $9,801.00 53 LEE $6,167.00 87 SWAIN $1,196.00
25 CRAVEN $2,847.00 54 LENOIR $1,000.00 206 TOE RIVER $4,945.00
26 CUMBERLAND $14,615.00 55 LINCOLN $1,255.00 88 TRANSYLVANIA $7,935.00
28 DARE $1,000.00 56 MACON $3,063.00 90 UNION $6,344.00
29 DAVIDSON $1,255.00 57 MADISON $3,829.00 92 WAKE $0.00
30 DAVIE $1,000.00 205 MAR-TYR-WASH $4,572.00 93 WARREN $1,255.00
31 DUPLIN $1,000.00 60 MECKLENBURG $25,990.00 96 WAYNE $2,591.00
32 DURHAM $87,315.00 62 MONTGOMERY $2,748.00 97 WILKES $1,000.00
33 EDGECOMBE $1,000.00 63 MOORE $1,904.00 98 WILSON $1,472.00
34 FORSYTH $2,159.00 64 NASH $5,185.00 99 YADKIN $1,0009
/7 TOTAL $496,296.
Page I ofl ~~)
1-2005
Loba1 Aea1th Director Si nature and Date
g
35
.e
.
.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agendau Consent Meeting Date: 03/21/05
Agenda: [8]
Department: Health Presenter Cindy Hewett, Business
Manager
Contact: Cindy Hewett, Business Manager, ext 6680
Subject: Budget Amendment in the amount of $3,000 for the Environmental Health
Pro am to be s ecificall used for the Childhood Lead Poisonin Prevention Pro am.
Brief Summary: The New Hanover County Health Department (NHCHD) has received
notification from the NC Department of Environment and Natural Resources that
NHCHD will receive an additional funding in the amount of $3,000 to support the
Childhood Lead Poisonin Prevention Pro am.
Recommended Motion and Requested Actions: To accept and approve the $3,000
additional State Grant funds to be used to support the New Hanover County Health
De artment Environmental Health Childhood Lead Poisonin Prevention Pro ram.
Funding Source: NC Department of Environment and Natural Resources, Division of
Environmental Health
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
[8]No Chan e in Position(s
Ex lanation: No coun match is re uired for these funds.
I Attachments: Budget amendment and supporting documentation.
36
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38
I Special Funds 'I
N.C. Deparbnent of Enviromnent and NatUIal Resources .
LOCAL HEALTH DEPARTMENT BUDGET
.L 05
Revision Nmnber~-.!.
Division of Environmental Health
P.O. Nmnber
07/04 06 /05
054760Q~i
Effective Date Termination Date
Contract Nmnber
Contractor: New Hanover County Health Deoartment Activity: Childhood Lead Poisonina Prevention
ProjeclDirector: David E. Rice. Health Director TotalBudget:s3.000
EXPENDITURES AMOUNT
STATE $ 3,000
LOCAL $
TOTAL - equa1 In Total Receipts $ 3.000
RECEIPTS AMOUNT
LOCAL FUNDS: $
Appropriations APPROP 102
TXlX
TXlX 103 $
Other Receipts
OTHER REC 103 $
Sublntal Loca1 Funds $ -0-
STATE/FEDERAUSPEC1AL FUNDS:
DENR , 3.000
Subtotal StatelFedera1ISpecial $ 3 .000
In Total Expenditures $ 3 .000
J~
Date Branch Head
Division/Section Signature
Date
Local Authorized Official Signature
. .J~IJ. /J1erh,,,
,415i: Finance Officer Signature
J.11.Jm
Date Accountant
Initials
Date
Division Budget Officer Signature
DENR 2948 (Revised 2102)
39
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lUc.d' "'111/05
&:#A
- -=-,,~.. jffi)tb
NCDEN~
February 1, 2005 ^N~
MEMORANDUM ~
To: David E. Rice, MPH, MA, Health Director, New Hanover County Health Department ~~
From: Bart Campbell, Section Chief
Ed Norman, Program Manager
Environmental Health Services Section
NORTH CAROUNA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DMSION OF ENVIRONMENTAL HEALTH
MICHAEL F. EAsLEY, GOVERNOR
W'L.I..IAM G. Ross JR., SECRETARY
TERRY L PIERCE, DIRECTOR
BART CAMPIIELL. SEC'110N CHIEF
Subject: Additional Funds for Childhood Lead Poisoning Prevention
Your county is one of seven counties chosen to participate as part of the Children's
Environmental Health Branch proposal to the EPA for funds to Reduce Childhood Lead
Poisoning in targeted North Carolina counties.
As a part of this grant proposal, your health department will assist the Children's Environmental
Health Branch in its initiative to leverage theJederaIJead.based paint.disclosure law. .his
project will entail informing landlords about their responsibilities and tenants about their rights
under the federal disclosure law and educating landlords and tenants on ways to safely reduce
lead hazards in older housing.
For your assistance with this project, your county will receive an additional lump sum of $3,000
in Childhood Lead Poisoning Prevention aid-to-county funds this year. An amended
consolidated contract page is attached. Please provide all requested signatures and retum this
contract page to the address listed below no later than February 21. 2005. As with all
Environmental Health Services Aid-to-County funds, you must report any expenditure of these
funds on an Expenditure Report before a check can be sent to you. Please help us to identify
the reporting of these special funds by placing SP preceding the amount on the Expenditure
Report.
If you have questions conceming this matter, please contact Nicole Horstmann at 919-715-5237
or Nicole.Horstmann@ncmail.net
When retuming the forms listed above please use this address:
EHSS- Consolidated Contracts
Attn: Nicole Horstmann
1632 Mall Service Center
Raleigh, NC 27699-1632
CourIer #52-00-01
ENviRONMENTAL HEALTH SERVICES SECT10N - CHILDREN'S ENvIRONMENTAL HEALTH BRANCH
1632 MAIL SERYICECEN'TER. RA1.EIGH, NOR'THCARouNA27fi99.1632 TELEPHoNE 919-7153293 FAX 919-71&4'739
AN EQUAL OPPORTUNITY / AFFIRMATIVE AcnON EMPLOYER
40
,
..
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.
,,~~.~.\rJt"lI:
~~-r~b
~' -- q.....'
.......:.~~!...,:
.~~;Ji#'.,~'
;(~'II;fl'\~'.'
NEW HANOVER COUNTY
HEALTH DEPARTMENT
Eovlroomeotal Health Servi~es
Market Plaee Mall
230 Market Plaee Dr., Suite 140
Wilmington, NC 28403
TELEPHONE (910) 798-6667 FAX (910) 798-7269
February 8. 2005
Edward H. Norman, MPH
NC Department of Environment and Natural Resources
Division of Environmental Health
Children's Environmental Health Branch
1632 Mall Service Center
Raleigh, NC 27699-1632
Dear Mr. Norman:
New Hanover County Health Department enthusiastically supports the NC DENR
Children's Environmental Health Branch (CEHB) proposal to the EPA for funds to
Reduce Childhood Lead Poisoning In targeted North Carolina counties. As a part of this
grant proposal, our Health Department is committed to assisting the Children's
Environmental Health Branch In its Initiative to leverage the federal lead-based paint
disclosure law. This project will entail informing landlords about their responsibilities and
tenants about their rights under the federal disclosure law, and educating landlords and
tenants on ways to safely reduce lead hazards in older housing.
Grant activities will include collaboration between our agency and the Children's
Environmental Health Branch to target landlords and tenants of older rental housing
where environmental investigations for lead-poisoned children have been conducted
since 1994. More specifically, we pledge 10 assist you by reviewing files of those
investigations, ensuring that information in them is accurate, and assisting CEHB staff in
extracting landlord and tenant information from these records. The Health Department
will also serve as a local resource to identify outreach opportunities among local
housing, landlord and tenant organizalions affected by this project.
The success of this project will ensure that young children in older rental housing
In New Hanover County are safe from lead hazards. New Hanover County Health
Department is committed to this initiative of leveraging the federal lead-based paint
disclosure law among landlords and tenants, and looks forward to worKing on this projecl
with the Children's Environmental Health Branch.
~
David E. Rice, MPH. MA
Health Director
41
d
"Healthy People, Healthy Environment, Healthy Community"
69lL86L016 'ON XVrl lVJN~WNOaIAN~ JHN Wd OO:ll ~nJ SO-8 -a~rl
'.
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:D Consent Meeting Date:
Agenda: i:8J
Deoartment: Health Presenler: David Rice
Contact: Janet McCumbee
Sub'ect: Child Care Nursin Smart Start Grant- $239,000
Brief Summary: The Child Care Nursing Program has been funded by our local Smart
Start for 8 years. We are submitting an application for continued funding for FY 05/06
and 06-07. The goal of the Child Care Nursing Program is to provide preventative
services to children, parents and child care providers in local Child Care facilities. THis
includes immunization follow up, health care plans, health and safety education and
technical assistance for policies. Communicable disease issues are addressed and children
are screened developmenlally with parenl permission. Two specially trained Child Care
Nurses rovide the services to a roximatel 74 centers and 99 famil chlid care homes.
Recommended Motion and Requested Aclions: To approve the submission of the Child
Care Nursing Smart Start grant and any budget amendment related to the receipt of the
granl funds, if there is a difference in what is already budgeted in the health dept. 05-06
count bud et for this existin ro am.
Funding Source: NHC Partnership for Children/Smart Slart. Inkind cash not required,
inkind is administration and su ervision of staff in ant ro am.
Will above action result in:
i:8JNew Position 1 - Number of Position(s)
DPosition(s) Modification or change
DNo Chan e in Position s
Explanation: The grant covers the current 2 nurses and one administrative support tech,
alread in lace. We are re uestin additional funds for a third nurse this ear.
I Attachments: Smart Start Application Cover sheet, Proposal Abstract, Smart Start budget
42
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e
Application Cover Sheet
.____n___._.__.__._...'_..______~ ____... "____.___.____ ~
,l'~~iec~'!!!!~~ Chi~c! Care Nursing Program ______________.__ j
~AJ:.~!Icy J,..~gal~am~~i'l.e~.!Ia!!~~ountr!f~l!I~!!_!le..P.lI!fm<<:I!L_.__ __ _______ ________.
Mailing A.~_~_~~_~ 2029 S_?ut~]_?, Street ~
----.--... - -fh--"-- ... -.-..........----..- ~ ....---...-------.-----.-.--.-.------.-.-----.---,
Street Address: 2029 Soutb 17' Street ,
:_~I~i5~'!~~!D.!l~OD~__- .- '!'lewH~~ov~~.~-~~_~NC--- '-...I~li~ _~~~(==_.-:..-_:~J
. Pbone: 9]0-343-6500 Fax: 910-343-67Q3__________m___ !
E~aif p~~_Dn@~!J~gov.com Websit_e: _w\V\V~nhl:.g~!~~OID_______ _ .___ _-:~::::-==-~:._~
_Pr.o8!!l..mConta~ ~~!so,!__._ __ ___________m__ __ __________________ __________~
Name: Page B. Dunn, ~_ Title: Communi~rvices Supervisor !
Pbl!I!~_U)]()::~}:!i!i411__ __. __ _Email: ~c!unn@!1b~ov.co~_________m.._________:
> fi~~~_fo-"tl!.ct:_~I1!I!~lI.l!~t\~cC!t1ntlll!t;. 3~3-6.s2~; kroall.tl@II!!~.!~~I!~_____ _______J
I
__ .___~~=~~=~~=~- -- __n -- ..=J
Perso_nAutht!.':!l,~t!._~l! Sign Contract
~ame:J?avld E. Rice
Pbone: 9] 0-343-6591
-
Title: Healtb Director
_,_~__",. .~_..____.___ __'_._n.__.___
Emal1: drice@nbcgov.com
,
-.-.---1
f--
...._ ___.m_n_ _.. ____._ __._. _ou, .__ - ._. _...... ____._..__.____._______________ _~..... .__,
. Tl!x_Sla!lI,s: J)FCJ.r:pr(}lJt (X)pub!ic ()Tax-Exempt Organization ___.____n__________j
Federal Tax ID Number: 56-6000324 i
.------. ----.-.---------- ---~-_. --~
[:I.ot~l ProJ~CtBUdiet:$54-i~700-:-:--
~Q!b_~!:_ f1!!I,c1I_n~C!.\I!ce__s.:_ ~~4! 71)0 __
i
i
] '
,
:
i
__._.___.._._n_____.____.no .. .._.'._..._ .,." ._.uo..
J'!"-t!.iEglJ.~q!'!ste..d1r()'!':.1Y.!!.q>1!.t; .
Year 1 (2005-2006) $239,000
_____________ ____on__ _m________ _______________...1_________.
Year 2 (2006-2007) . $248,000
-.._--l
!
I
I
!
.------.--..--.-.---..-..j ,...........-....- ----...
Total Request ,$487,000
,
----------.----------------j
__ Si~l~~~ i _ ica!es cO~~~~....BIl~ .~cul1lC)l_of."ropo~".cket.
---I
...-.---.---.-- !
:
---,.---- O1--;;-le~OS-----------,.--j
- . ...-.---.--.-.-........
I
Date
--- ---/8~~--.----i
--..---------1
Date
43
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Child Care Nursing Program
NHCPFC Grant Proposal
2005-2007
.
I. Project Title: Cbild Care Nursing Program
II. Years Funded by Smart Start: ] 997-present (8)
III. Performances Based Incentive System Standards Addressed:
Early Care and Education - Quality Placements: Child placements in regulated child
care programs (Mandatory) (PLA 40)
Data Source: DCD Regulatory Database, Smart Start Secondary Reporting System, More at
Four, Head Start, NC Department of Public Instruction, Local Educational Agency-More at
Four
Healtb: Early intervention for children with or at risk for special needs/disabilities
(Mandatory) (HlO)
Data Source: NC Department of Health and Human Services, Division of Women's and
Children Health, NC Department of Public Instruction
Healtb: Infant Mortality (H50)
Data Source: State Center for Health Statistics
IV.
Summary Description of Project/Abstract
.
The American Public Health Association and the American Academy for Pediatrics
recommend that all child care facilities have access and utilize the services of a child care health
consultant to provide ongoing assistance in the areas of health. The Child Care Nursing Program will
provide free public health nursing services to all child care facilities (homes and centers) in New
Hanover County (NHC). Child Care Nurses, (Qualified Child Care Health Consultants) will provide
preventive health services through health and safety education to child care providers, parents, and
children; immunization record reviews; and technical assistance and consultation. Nurses will assist in
the development and implementation of health and safety policies and medical action plans.
Developmental monitoring and referral follow-up will also be provided. All services of the Child Care
Nursing Program will improve the overall quality of child care, enhance special needs early
intervention, and decrease infant mortality. Services will be offered Monday thru Friday, 7:30am to
.
5:00pm, and in the evenings to accommodate working providers and parents. No other agency or
program provides the outlined preventive health services to child care facilities in NHC.
44
New Hanover County Partnership for Children Activity Budget
Attachmenl2a
Ir~hIP' N_ "",_ Fiscal Year: 2005-2006
'ect Tille: Child Care Nurslna Smart In.Klnd Other Total
anizalion: New Hanover Co. Heallh Depl Start Funds Funding Funds
Funds Amount Sources Amount
51XX 111 Personnel 5225.170.00 516,000.00 5241,170.00
52XX 12) Contracted Services $0.00
13) Tolal PersonneUConlracled Services 5225,170.00 516,000.00 $0.00 $241,170.00
531X 14) Office Supplies & Malerials $1,250.00 $1,250.00
538X 15) Service Relaled Suoolies $1,750.00 $1,750.00
161 Tolal Suoolleo & Malerials $3,000.00 SO.OO SO.OO S3,OOO.00
541X 17lTravel 53.400.00 53,400.00
542X 18) Communicallons & Postage 5480.00 51,800.00 52,280.00
5430 19) Utilities 51,200.00 51,200.00
5440 20) Printinc & Blndinc 5500.00 51,500.00 $2,000.00
5450 21) Repair and Maintenance 5200.00 $200.00
546X 22) Meetinc/Conference Exoense 5500.00 $500.00
5470 23) Employee Training (no travell $1,500.00 $1,500.00
5480 241 Classified Advertisinc $0.00
549X 25) In-Stale Board Mealing Exoense N1A $0.00
26) Tolsl Non-Fixed Ooerallnc Exoenoes S6,580.00 $4,500.00 50.00 $11,080.00
I 27) Office Rent (Land, Buildincs, etc. I 56,000.00 56,000.00
20 281 Furniture Rental $0.00
0 29) EQuiomenl Rental (Phones, Computer, elc.) $0.00
0 301 Vehicle Rental N1A $0.00
5550 31) Dues & Subscriotions 5350.00 $350.00
5560 321 Insurance & Bondinc $0.00
5570 33) BookslLibrary Reference Malerials $0.00
5580 34) Mortoaoe Inleresl and Bank Fees N1A $0.00
5590 351 Other Exoenses N1A $1,000.00
361 Tolal Fixed CharDes 5350.00 56,000.00 50.00 $6,350.00
5610 37) Buildings & Improvements N1A 50.00
5620 381 Leasehold Improvements $0.00
5630 39) FumJlurelNon-Compu1e. Eqpt, $500+ oe. item 5900.00 5900.00
5640 40) CofTlllUl.. Equ!pmenVPrIn_, $500+ oe. item 52,300.00 $2,300.00
5650 41) Furniture/Eoot.. under $500 per item $700.00 $700.00
421 Tolal PropertY & EQulDmenl Oullav 53,900.00 50.00 SO.OO $3 900.00
61XX 431 Purchase of Services $0.00
62XX 44) Conlracts With Service Providers $0.00
66XX 45) SlioendslScholarshiPSlBonuses $0.00
67XX 46) Grants/Cash Awards $0.00
69XX 47) GrantsINon-Cash Awards $0.00
48) Tolal Services/Contracts/Grants 50.00 $0.00 $0.00 $0.00
r: ""~"""'~. ."","" ,,~~. . $0.00
50) Total Budgeted Expenditures $239,000.00 $26,500.00 $0.00 $265,500.00
45
2/17/2005
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NEW HANOVER COUNTY BOARD OF COMMISSIONERS
'Request for Board Action
Agenda:D Consent Meeting Date:
Al!:enda: [gJ
Department: Health Presenter: David Rice
Contact: Janet McCumbee
Sub'ect: Health Check/Smart Start Grant Re uest- $43,800
Brief Summary: The Health Check Coordination Program has been funded by our local
Smart Start for 8 years, We are submitting an application for continued funding for FY
05/06 and 06-07. The goal of the Health Check Program is to ensure that Medicaid
eligible children and Health Choice insured children receive comprehensive health and
dental care. The Health Check Coordinator also does outreach in the community to find
uninsured children and assist their families with applications for Medicaid and Health
Choice. Health Check is governed by state guidelines, and Medicaid well child check ups
have increased in NHC b 23% since the ant be an in 1997.
Recommended Motion and Requested Actions: To approve the submission of the Health
Check Smart Start grant and any budget amendment related to the receipt of the grant
funds, if there is a difference in what is already budgeted in the health dept. 05-06 county
budl!:et for 5160,
Funding Source: NHC Partnership for Children/Smart Start. Inkind cash not required,
inkind is administration and su ervision of one staff in ant ro ram.
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
[gJNo Chan e in Position s
Explanation: The grant covers the current Health Check Coordinator (Program
Assistant , alread in lace,
I Attachments: Smart Start Application Cover sheet, Proposal Abstract, Smart Start budget
46
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Application Cover Sheet
jr_oj~ct 'f~t~-=d }Jealth Cbeck f~()!:~in.lI~~!1_. . ,.. ...
Agency Leglll)'l.ame:., New Hanover County Health Department
'MaUing-Address: 202!fSoutbii'h Street ,.-.- U u ---------. HHd._U_
street Aiidress:- 2029 South 17ihStreet
-~~t!:=\VijJiti~~~OnNew ii-an over ~o'.J~c-.mu~~lzip:u2_8.4~~=.m ....-,
Phone: 910-~~3-6500 Fax: 910-341-4146
Ema11:~p~~n.!l@nhcgov.comWebsite:w......~~.cgov.com ___~ d
!,rogr.(lI~J:olltact Per~on _H..________.
.l'lame:.uPagelJ~!>unn,.I!N. _ _ !itl~~_S~mmunity Services Supervisor
J.'!J.one:'-!!Q:~~3-6~1.~., ,__ ".. __._Ii:!DailE.p_d.u.!ln~gov .com ___. .,-------.-.1
!}s~al (ollta~~=_!Q.II1.!!.l!all.e~~"c.!'III1!1I!1.t_}'!3=(i~22i~!llanl!.@nhcgov.com.__.__ __..__,
!
Pers..t!'!A utftl!r~z!!~_~t!Sig" Contract
Name: David E. RIce
"PhOne:--iifO:343:6591-- ,.,
~ ._. _.....~ _____ _._n_._______ .______......". .____
Title: Health Director
._.. n._ ____n_ _. __ ._____'____.n.___.__.___~_.____.___.__... ___.._._..___.
Email: drice@nhcgov.com
__._ __.__._n _._ __ __~~._~____________--l
!
.. - - -. -
J:a~ S"!Itl1~: ()F()! 'profit.. (X)Public ()Tax-Exem~t Organizath!n
Federal Tax ID Number: 56-6000324
n___......... --- .-------.--."'. -.---- --'-I
Ct~jfpioIectBud'g~!iji:ij;.~~~... ..__
. Oth~r.~ndlng~()I1.rce.s: $~1~00 ...
-- ---_._.-,._----_..~..---_..:.._..~-<
,
"'-'-1
,.....---..-. _....--~_----n_.i
,-_.__...._._-_._..~------,,----_.!
,
F,! ,!~in.B_llJ!fJ'!:!!..s.ted Kt!n1JVI! c..fFC
Year 1 (2005-2006) .
$43,800
Year 2 (2006-2007) $46,400
Total Request $90,200
_n _ n. _ ~~. ___._.__.___...._ .-
1
I
~
,
i
_~~~ll!res indicates cc~'!'EIelen~~s.and.CCc!,racy ofJ',opo""l. J'.,c.k~.
~ ta tA~
!'.o~~ntfftt Person
Person A'!.!!J...~rize.d.t~~i~ Con!ra_~ts.
.__u_ n_.__
..-.--.----!
-- . c;J:~Ii'-:.:o-S
Date
..-/~Q-cYrn---.
---. --- .--
..,j
Date
__ ~n_.____' .__.__~,___________.____~_n_......
47
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NHC HEALTH CHECK COORDINATION
SMART START GRANT PROPOSAL
2005-2007
..
.
I. Project Title: Health Check Coordination
II. Years Funded by Smart Start: Eight
III. Performance Based Incentive System Standards Addressed:
Health: (H20) Medicaid-eligible children are enrolled in Health Check and have accessed
well child care. (Mandatory)
State level data source: Health Check Participation Report, Division of Medical
Assistance
IV. Summary Description of Project/Abstract:
The goal of the Health Check Program is to ensure that Medicaid-eligible children receive
comprehensive health, dental, and the recommended follow-up care from public and
.
private health care providers. The Health Check Coordinator wil\ promote North Carolina
Health Choice insurance to uninsured children in New Hanover County (NHC). The
Coordinator wil\ reach out to the community to educate families, consumers, and health
care providers about Health Check and NC Health Choice. In addition, assistance wil\ be
provided throughout the enrollment process. The Health Check Coordinator wil\ network
with other child-focused agencies and organizations within NHC to ensure coordination of
care and make appropriate referrals. The Health Check Coordinator wil\ utilize the
Division of Medical Assistance (DMA) computer database to verify that children receiving
Medicaid in NHC are receiving comprehensive health care including well check-ups,
immunizations, and the recommended follow-ups. All activities of the Health Check
Program will improve the Partnership for Children's Performance Based Incentive System
-
Standard: (H20) Medicaid-eligible children are enrolled in Health Check and have
accessed well child care.
48
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New Hanover County Partnership for Children Activity Budget
Attachment 2a
,rBhl" Now H.,,_. Fiscal Year: 2005.2006
'ect Title: Health Check Smart In.Klnd Other Total
anization: New Hanover County Health Dept Start Funds Funding Funds
Funds Amount Sources Amount
51XX 11) Personnel $38.700.00 $13.000.00 $51.700.00
52XX 121 Contracted Services $0.00
13) Total PersonneUContracted Services $38,700.00 $13,000.00 $0.00 $51,700.00
531X 141 Office Suoolies & Materials $600.00 $600.00
538X 151 Service Related Supplies $1,800.00 $1,800.00
16) Total Suoolies & Materials $2,400.00 $0.00 $0.00 $2,400.00
541X 17) Travel $1.860.00 $1,860.00
542X 181 Communications & Postaoe $240.00 $1,200.00 $1,440.00
5430 191 Utilities $160.00 $160.00
5440 20) Printing & Bindino $200.00 $300.00 $500.00
5450 21) Reoair and Maintenance $0.00
546X 22) Meeting/Conference Exoense $100.00 $100.00
5470 23) EmDlovee Trainina fno travel) $300.00 $300.00
5480 241 Classified Advertisino $0.00
549X 25) In-State Board Meetinc Expense NJA $0.00
261 Total Non-Fixed Operatinc EXDensas $2,700.00 $1,660.00 $0.00 $4,360.00
5510 271 Office Rent (Land, Buildinas. etc. 1 $640.00 $640.00
20 28) Furniture Rental $0.00
0 291 Eouioment Rental (Phones, Comouter, etc. 1 $0.00
0 30) Vehicle Rental NJA $0.00
5550 311 Dues & Subscriotions $0.00
5560 321 Insurance & Bonding $0.00
5570 33) Books/Llbrary Reference Materials $0.00
5580 341 Mortoace Interest and Bank Fees NJA $0.00
5590 35) Other Expenses NJA $100.00 $100.00
38) Total Fixed Charaes $0.00 $740.00 $0.00 $740.00
5610 37) Buildlnos & ImDrovements NJA $0.00
5620 381 Leasehold Improvements $0.00
5630 39) Fumilur r Eool.. $500+ D'" IIem $0.00
5640 401 CDmOut.r EQuipmenllPrinte... S500+ per Item $0.00
5650 41) FumlturelEoot., under $500 oar Item $0.00
42) Total Property & EaulDment Outlav $0.00 $0.00 $0.00 $0.00
61XX 431 Purchase of Services $0.00
62XX 44) Contracts With Service Providers $0.00
66XX 45) StioandslScholarshioslBonuses $0.00
67XX 461 Grants/cash Awardls $0.00
69XX 47) GrantslNon-cash Awardls $0.00
48) Total Services/Contracts/Grants $0.00 $0.00 $0.00 $0.00
f. ." ,~, ',"'",0'. ,.,"'~ ~-, $0.00
501 Total Budgeted Expenditures $43,800.00 $15,400.00 $0.00 $59,200.00
49
2/1712005
.
.
.
..
",)
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda:O Consent Meeting Date:
Agenda: I:8J
Deoartment: Health Presenter: David Rice
Contact: Janet McCumbee
Sub'ect: NAVIGATOR Pro am Smart Start Grant Re uest-$155,000
Brief Summary: The NAVIGATOR Program has been funded by Cape Fear Memorial
Foundation for 4 years, which ends June 05. We are submitting an application for Smart
Start funding for FY 05/06 and 06-07, to continue the existing program. The first goal of
the NA VIGA TOR Program is to provide intensive home visiting services to first time
parents (under 100% poverty), with the emphasis on teen moms, during the prenatal
period and until the child is 3 years old.. Services include parent education, case
management, and provision of follow up for health and developmental well being of the
child. The second goal is Family Assessment for all prenatals and postpartum moms.
Surveys (universal screening) are used at OB offices and at the birthplace at NHHN to
determine arent needs for resources. Referrals are made, with follow u .
Recommended Motion and Requested Actions: To approve the submission of the
NA VIGA TOR Smart Start grant and any budget amendment related to the receipt of the
grant funds, if there is a difference in what is already budgeted in the health dept. 05-06
county budget.
Funding Source: NHC Partnership for Children/Smart Start. Inkind cash not required,
inkind is administration and su ervision of staff in ant ro am.
Will above action result in:
DNew Position Number of Position(s)
Dposition(s) Modification or change
I:8JNo Chan e in Position s
Explanation: The grant covers the current positions, already in place. This includes 1
nurse, 1 social worker, and a 75% AST for clerical su ort.
I Attachments: Smart Start Application Cover sheet, Proposal Abstract, Smart Start budget
50
.
I,
.
,
1
Application Cover Sheet
Project !We:..Na."igl!!()~~__._ _. .___.__._____... _....__. __.__.... ___m
Agency Legal Name:. .NelV_.IJ ano.,,~r~o\llJt_y_.lJ~!l}!~ _I>eJlllEtlJl_ent
Mailing Address: 2029 S.171b Street Wilmington, NC 28401
--.-- ---Ib----'--"" -..-...--.-..--..-..
Street Address:2029 S. 17 Street
City: Wilmington New Hanover Co. [Nt Zip: 28401
'u''''_ _..___ _n. ~_ ____.._.____..___________.__ ____.__ ___~___'.____ ____.__'. _....."_ ______._.
Phone: 343-6500 Fax: 341-4146
.-_ .. n. ... ,._.... "m _.___. ...__..___._.._..__.____._......._._... _'n...., _...___.__ '"._...._.___ _....___."...._...... .. ._._..._....__.. . _..
Email:. __. .___. .~~.b.~!t~;..lVw\\'~.llh~g()"~l:_"IJI__.,____.__
J>rogram c,CllIlllc.t Pet:!C1!1__..~____._.___.___.__...._____..._.__ __.._m______..._ ._.. .. ...........~
Na.me.:)Ill!ni!a SlJe"!le!l.____.__~ ._..~ Ti!~e: ~'!~ll~_.lJealth .~'!r.!~~IlP__"!'Visor__..._._ ._~
Pl1on~:. 34~~~566.__ ___. _____ .___.__ Email:jsneeden@nhcg()-,,-.~~m _._.____...._._._.___.i
Fiscal contact: Kim Roane, Accountant; 343-6522 kroane@nhcgov.com !
. i
I
;
Person A EtlJo~e.d .tQSi8!! C01l.~~ct. ~___..__.....-'-- _____._._..___..~_._..._ ____ .___ ___.___...'
Name: DlIvid E. Ri.c:e___.._......Ii!l_e.:Jte!'!t!t_!!i~~!:!()!.._..._...._. ___.._ .......__........
Phone: (910) 343-6591 Email: drice@nhcgov.com
-... '__'_h_u.._. ___ -___n__.....__.___.__.__.___..__.___.__._______m.. .. __..__.._ __...n.__. ...... _._ __............._._. ~'_""
Tax Statll_s: ( )F~l'J.:oll"'j" )Pubnl:...oTlI,,~_~,,~_!!!PtQ.~II"li!-.!I.tiol!_~
Federal Tax ID Number: 56-60000324
... --.__....__ _._h.__________._____
Total Project Budget: $ 176,600 year one ..-----....-.- ..-
Other FIl.Ilc:Jllli S(I,!rc~s: $ 21,600 (ll!.-kind>...__. _.._....___..___._. ....__.
. _ ,.n -..,--..--.... -,..., ...___.._____.."_..._.____.....,._._.._.__.._...".. _....,_____.._".....__ __ _'.'.._n_..__.__... .. ,...,.__..._ _u_.,. _.',,, _._,.. ".. ._............
Fundillg.liefJu.e!~e4/!om /l/HCf..FC _ ___,.___.__.______ --_..._...___..._.n.u. ___.:
Year 1 (2005-2006) i $155,000 :
--.. -- -..,- ._.n_ _..n_"___."_u. ___.___.__J._..____._,....."...__.__.___....-._...___".___ _,__.__..._. _ .._.._._..... __...._......._____..__u______ .__..1
Year 2 (2006-2007) i $163,000 .
I
.-.------TotaIRequest ~; $318~OOO.....----.------.--------------._.~
!
---- .__._.._-~._~--~-
'-~"--------_. ~~------_._------_._---.-
Signal~re~ jndj~!~_~ ~mple~~~~~s_~~_~~_r~~ .Q.fp!'C!P05:!l1P-~~~!~._.__
~ f2, 4- # ..rbh- eN (~)
- Pro~ "'''''. "" "
Person Au!~orized to Sion Contracts
---- .-.--..-......". ~~._._."_.____ __ _n.
.,
f):."'Ig~05
Date
. ~/~~
Date
51
( .
NAVIGATOR Smart Start Grant Proposal. 2005-2007
e
I. Project Title: NAVIGATOR Program
.,
II. Years Funded by Smart Start: None; program has been funded by Cape Fear
Memorial Foundation FY 01.02 through FY 04-05
III. Performance Based Incentive System Standards Addressed
Family Support: (FSI0) Data Source - Smart Start Support Survey
Health: (HID) Data Source - Early Intervention Data from NC Dept. Health and
Human Services; Preschool data from NC Dept. of Public Instruction; (HSO) Data
Source - Infant Mortality Rates/ State Cenier for Health Statistics
IV. Summary Description of Project/Abstract
The NA VIGA TOR Program at the New Hanover County Health Department will
consist of two services, Intensive Home Visiting and Family Assessment. Intensive Home
.
Visiting will be provided to at least 60 families (first time moms under 100% poverty.
level). Home visits by nurses and social workers will provide teaching, mentoring, and
coordination of services to assist these parents with health, developmental, and social
needs of the family. The North Carolina Maternity Care and Child Service Coordination
Program guidelines will be followed, along with additional well-researched curricula to
help clients become better parents and to strengthen families. Moms will enroll during
pregnancy and can participate until the child becomes 3 years old.
The Family Assessment Coordinator will use a universal screening tool to survey
pregnant women at obstetricians' offices and after delivery in the New Hanover Health
Network birthplace. An attempt will be made to survey all parents at birth, in person, to
answer questions about everything from infant care to financial resources. Individual
.
survey results will be entered into a database to locate appropriate resource information _
send the family, with follow up at a later date, and appropriate referrals for services.
52
<
,
New Hanover County Partnership for Childran Activity Budget
Attachment 2a
Partnership: New Hanover
. ect Title: Navigator
,Fiscal Year: 2005-2006
Smart In-Kind
nization: New Hanover Co. Health De t.
Start
"--------
Funds
Funds
...,.__.___ _.._u..._...
Amount
Other
__._______._u_.
F~n_d!n9__ _
Sources
Total
Funds
Amount
51XX
52XX
11) Personnel ___ h_ _ __ _Jl~511QQ,Q.0. u_____$lg,QOQ-O_O ___ _ ___u_ _h
12) Contracted Services ______ ___ _____________ _____ ____ __________ ______
13) Total Personnel/Cc>ntracted_ Servic.e~_ _____ ___ _u__~_1_45,OQO.00 ________~1!lLOOO~00 ______~l!,oo
~_1!i5,Q()().()()_
____..._~O_.~
_ ___.!!Ji~,llflO_,~_
531X
538X
14) Office Supplies & Malerials
15) Service Related Supplias
16) Total Supplies & Materials
_ __________~OO.o.O__...________
_ ~!_.~Q.():Q.O __u__ _______
__ _ $l,9QP_:Q.O_________ $O.()!l
__n_____~l~,~
__ ___u~!i()Q:90
__u_ ___ _~1 ''IQO:o.o._
J1,90.o.().Q..
541X 17) Travel__ ___.________ __J~3gQ,Oo._ __________________ __________._______l!i.:lgo-'-o.ll_
542X 18) Communicalions & Postage _____ ___ __ __ ____ _$480-0.0 ____._~'I_QQ.OO ____.___ _______~_l_.~Q,OO
5430 19) Utililies ____ .___h_______ ____ _.!!,600.00 __ _ ~!,Iil1Q_,09
5440 20) Prinling & Binding _______________$250,Q(l ___..!!,600-00 ________._ _.________1!.~~,<1Q.
5450 21) Repair and Maintenance_ ______ __ _ __.___ _ __~_3..QllcllQ ______________ ____u_ ___________11,300-'-C!ll..
546X 22) Meeting/Confere_nce E;><pa.ns" _ u______$350.00 __________ u__._____ _________~:l.~Q.QQ_
5470 23) Employee Trainingjno tr~val)____ __$40~0.Q ___ ______ ________ ______________ _ _____ ___ _ ~o.ll'OO_
5480 24) Classified Advertislng__ __________ ________________________ __ ________ ________u___ _ ___ $0.0<1_
549X 25) In.Stale BoardMee~ing Expense ___ _______ __m_ iII{~____ __ u____u__________ _ __ _m__ _ $Q,C!ll_
26) Total Non-Fixed Clperstlng Expen~8!__ ___ ____ ._ __.~1.o.o~Clll. ___~~"OO __ .__~_O~()!l.. .1~,71lO,ClO
27) Offica Rent (Lan!l. Buildl~gs, e~c.)________ __h. ___ ____._ E,OO..Q,OO E,OO(),OO_
28) Furnilure Rental _____________ um.____________ ___u __________________ __ __ .__. SO.O<1
29) Equipment Rental (PhOnes,_Computl!r, e!c.L_. _u___________________.____ ____________._ __uu___~Q.O.Q_
30)Vehicla Rents'_ __m_ _____.__n--'~l~__.____.__ _________ ________._u___ __ _______ ~QcOQ.
31) Dues & Subscriptions_ .__________ ____mn_ ___ ______. _________.__ __________________ __~.OO
32) Insurance & Bondi'lg _ ___ ___ _u ___ _ ________ ____ ____ __ __ ________ __~.OO
33) Books/Ubrary Refer"nce tilaterials _ ___.__________ ____u.____ __ __________$Q.:oo
34) Mortgage Interest and Bank Fees_u ________ __ ______ _____~L___ ___.__________.u_.___ _______ ____________~.OO
35) Other Expenses __.__ __ ___________f:oI.I~____ ____._.___.__~1100.oo ________ ____u_______n_
36) Total Fixed Chsrgllll_ __ _________ ____ __ _ ______ SO.oo _______ $7,000.00 ___ SO.~ ___.______~J~~..:()!l.
5610 37) Buildings & Improvements. c__ _ __._______ ____u __ f'j/e.___.____________ _______
5620 38) Leasehold Improvements_ ____ n.__ ._____ _________ __h._________ ______
5630 39) Fu,"iture(Non-Co~e' ~qpt., ~!J~~! ~~ ___._ ___..-_______.__ _._..___.
5640 40) Computer EQuiJ)m~~ri~t.ers, ~+ ~~ ~!!!____._._ ___.____.__.._>___ ___.____
5650 41) Furnilure/Eqpt.. under .500_eer_i1e_m__________. _____ __ ______________ ________
42) Totsl Property & EqulplTl"n~Outl!X._________ _______ ____SQ_:llCl ____________SO.oo
________SO.OQ
___~.OO
_____ ____u_ _JO.09
_____ ______ SO.OO_
---- -- - - $Q,ClQ-
____._u___~ll..OO_
____~,.!!O
61XX 43) Purchase of Servicss _______m__ _ ________ __________n___________ __.._______ _ ______ _.._.____._.!Q:_llQ_
62XX 44) Conlracts Wilh Servic" Provide~_ _._. _____ _____u____.__.__ _ __u____u____ ____u_ ________ __ sQ,o.l!_
66XX 45) Stipends/Scholarships/Bo_n!-'8es __ uoo _ _.__. _u____n_________ ______u_______ _________ _._ SO:09
67XX 46) Grants/Cash Awards _ _ ___.________________ __ _________ __ _____________.h $O,OQ__
69XX 47) Grants/Non.Cash Aw"rds ______ _.__ ___ ___ __ _________ __ __.___________ _______ __u_ ___ _____.O}lQ_
49) Tolsl Services/Contr"cts/G!sn_ts.______ ____ u _ _________.___~()"O_O ______.__..____J().oo __. ._.__._~~.00_$Q,04!__
7XXX 49) Totsl Partlclpsnt Trslnlng_Expe~..,,____.__
J9,oo
$155,000.00
$21,600.00
$0.00
$176,600.00
53
2/16/2005
.'
.
.
NEW HANOVER COUNTY BOARD OF COMMISSIONERS
Request for Board Action
Agenda: Consent Meeting Date:
A enda: D
Department: Health; Health Promotion Presenter: Elisabeth Constandy, Health Ed
Su ervisor; Renae Lo ez, Health Educator
Contact:Renae Lo z, 343-6636; Elisabeth Constand 343-6658
Subiect: Aoolication for Mobile Car Seat Van
Brief Summary: National SAFE KIDS (Washington DC) has again partnered with
General Motors to make 25 vans available to local SAFE KIDS Coalitions to promote
child passenger safety events. Local Coalitions are asked to submit their names for
consideration to receive a van, which comes stocked with all materials needed for events.
Van will be used regionally for seat check events, Risk Watch events, public campaigns,
and consumer and provider car seat classes (ex: parent classes, technician training, and
technician refresher courses). NHC is the only certified county eligible to receive this
van in the SE region of NC.
Recommended Motion and Requested Actions: Approve application for receipt of
. mobile car seat van and associated materials.
I Funding Source: National SAFE KIDS, partnering with General Motors.
Will above action result in:
DNew Position Number ofPosition(s)
Dposition(s) Modification or change
C8]No Change in Position(s)
I Explanation:
I Attachments:
.
54
Nalional
-SAFE
KIDS
.~.
By completing this agreement, the SAFE KIDS coalition and its lead organization are stating their desire to join
the Mobile Car Seat Check Up Van program. Both parties must review and discuss the drtift contract and the
resource survey, then complete and return this agreement by Monday, February 28. Ensure that the coalition is
in good standing with the Campaign prior to submission, and remains in good standing throughout the selection
process and for the duration of the program. Contact your field team representative to verify standing.
Outstanding evaluations, reports and other deliverables will disqualify coalitions from participating in the
selection process. S~ Kl b.s /
J~~w \-taI'\DVU &\A,Y\1 ~-H, ~ _Re.X1Cle. LD~e.- L
Coilition ~ CoordWaror
<j~~n.3'1~ (ofn3& -i-~() 3"t\ ifll-f6 i~~e.-z..(a) rd/,c...(tov. u..~
NeJ.0 tl-rlA\OIf'e.r e..tnu'lL.... 'u'aJ..+L. ~t E(l~C\..be..~ Con.sf"RnrL"
Lead Agency ~ Lead Agency Representative I
3.-'0 3\..1"3 0~S~ ClIO '341 'f\J../~ e.c.on.s-tn()t"L" (C) ^V1C.~OV. CA.tVYt..J
Phone Fax E-mail =-=-{
Mobile Car Seat Check Up Van
Selection Process Agreement
.--.------.----...---------------------------------------------------------------------------------------------------------------------.
.
SAFE KIDS We..t.0 .t-h.nc\.K.( CoL.J.l1~
Coalition
and
~Q.W \i-a.V\O~ c.ol..L{\~ Hea.J.-/l.. ""',.,-t
Lead Agency . ~
have read, understand and will adhere to all rules and requirements concerning the Mobile Car Seat Check Up Van
program as stated in the contract. By signing this agreement, both coalition and lead agency agree to adhere to the
selection process, respond to inquires and requests within establish deadlines, and cooperate with the selection team.
Not following procedures and protocol during selection process will result in disqualification.
:ti~ ';/:>./Of>-
This form must be received on or before Monday, February 28, 2005. Fax to 202/393-6004 or mail to:
Mobile Car Seat Check Up Van
National SAFE KIDS Campaign
Suite 1000
1301 Pennsylvania Avenue, NW
Washington, DC 20004
Questions contact: Rhonda West at 202/662-0617 or rwest@safekids.org
For om" Use 0.1v
.
Date Received
Fidd Representative
DYes DNo
Forward for Sdection Initials and Date
State Notified DYes D No
55
National
SAFE
KIDS
. . . . .
~~~~~
Campaign@
130] Pennsylvanja Avenue, N.W.
Suite ) 000
Washington, D.C. 20004-1707
(202) 662.0600
(202) 393-2072 Fax
www.safeklds.org
Martin R. Ekbelberger. M.D.
Presidenl and CEO
.
A Member of
.-'.>t.....
' 'jf;;.\
\~ ..'.
KiDs
Worldwide,
www.safekldsworldwlde.org
Founded By
till ~0IikJrm!;
..,.. Nt/lOIdMtduiClollr.
Founding Sponsor
l/of>>mm~
National SAFE KIDS Campaign@
SAFE KIDS BUCKLE UP@ Program
2005 Mobile Car Seat Check Up Van Contract
I. Awardee Information
Coalition Name S
Coordinator
Address
Address A_
City State ZIP Code
Phone l\If
E-mail
Lead Agency p
Representative
Address Li
Address
City E=- State - ZIP Code
Phone
E-mail .~ ~ax
II. National SAFE KIDS Campaign Responsibilities
a. The National SAFE KIDS Campaign (hereinafter referred to as the "Campaign")
agrees to award the coalition one Chevrolet Express Mobile Car Seat Check Up Van
(estimated value $30,000) at no up-front cost to the coalition. (See section III (I) for
future cost obligations. The Campaign also agrees to provide the vehicle with title,
registration and proof of tax payment provided the requirements of Section III (b)
are met in a timely manner.
b. The Campaign agrees to provide this vehicle with an external graphic design to help
promote child passenger safety initiatives. The Campaign also agrees to provide a
space on the exterior of the vehicle for coalition and lead agency logos.
c. The Campaign agrees to outfit this vehicle with tools and materials necessary to
conduct a typical car seat checkup event. These materials include, but are not limited
to: tents, cones, signage and administrative materials with an estimated value of
$20,000.
d. The Campaign agrees to make arrangements at its cost for delivery of the van to a
Chevrolet dealership of the coalition's choice. The Campaign also agrees to provide
ongoing assistance with van logistics and the coalition relationship with Chevy
dealers.
56
e. The Campaign agrees to organize and provide a two-day mandatory comprehensive training
session! conference for proper use and care of the Mobile Car Seat Check Up Van and .
implementing SAFE KIDS BUCKLE UP@ events to the coalition coordinator and van
representative designee. This training will include, but is not limited to, the following information:
program protocol, operating tips, care and maintenance of the vehicle, and proper use and
maintenance of the checkup equipment. The Campaign will pay for both of the coalition
coordinator's and the van manager designee's conference, hotel and travel expenses.
f. The Campaign agrees to provide media assistance relating to the award and delivery of the Mobile
Car Seat Check Up Van [See 1II(i)]
III. SAFE KIDS Coalition and Lead Agency Responsibilities
a. The SAFE KIDS coalition and the lead agency agree that execution of this contract expresses the
lead agency's support of ownership of the vehicle and the responsibilities that run with it as outlined
in this contract.
(9
4
The SAFE KIDS coalition and the lead agency agree to assist the Campaign or its designated
representative in titling and registering the Mobile Car Seat Check Up Van in the state. The SAFE
KIDS coalition and lead agency agrees to provide information requested by the Campaign to
expedite the titling and registration process and understands that the costs may be incurred by the
SAFE KIDS coalition and leady agency if requested information is not provided by March 18,2005.
c. The SAFE KIDS coalition and the lead agency agree to identify a local Chevy Dealer to accept
delivery of the Mobile Car Seat Check Up Van. (See GM Dealership Acceptance!Delivery Form.)
d. The SAFE KIDS coalition and the lead agency agree to keep the Mobile Car Seat Check Up Van
and contents in good working order, including all maintenance requirements and repairs
recommended in the vehicle owner's manual. Maintenance requirements include, but are not limited
to: regularly scheduled maintenance, providing a safe and secure environment for the housing of the
vehicle, proper care and repair of all checkup equipment (e.g., tents and signs) and the proper
replenishment of checkup equipment and materials.
e. The SAFE KIDS coalition and the lead agency agree to maintain the vehicle in a clean and
presentable condition at all times.
f. The SAFE KIDS coalition and the lead agency agree not to alter the graphic design on the van in
any manner other than adding the coalition's and the lead agency's logos or names to the exterior of
the van using the placement guidelines provided by the Campaign (unless otherwise approved by the
Campaign). The coalition and lead agency also agree to obtain express written consent from the
Campaign to add other logos or names to the exterior of the van. In the event the Campaign needs
to alter the van wrap in any fashion, the SAFE KIDS coalition and the lead agency agree to make
the alterations or additions within 30 days of the request or receipt of the additional wrap
component.
g. The SAFE KIDS coalition and the lead agency agree to have the Mobile Car Seat Check Up Van
used at a minimum of 52 events each year. The 52 requirement is on the van not the coalition.
Sharing the van is encouraged to meet and go beyond the 52 requirement. Examples of events can
be but not limited to the following: checkups, workshops, trainings, parades, health and safety fairs,
press events and any other injury prevention events). However, a majority of the 52 event
requirement must be SAFE KIDS events, with an emphasis on child passenger safety When
choosing between conflicting scheduled events and requests, priority must be given to child
.1
.
57
.
.
.
,
.
SAMPLE
passenger safety events. Additionally, the SAFE KIDS coalition and the lead agency agree to use
appropriate and provided signage at every SAFE KIDS BUCKLE UP event.
h. The SAFE KIDS coalition and the lead agency ag1'ee to conduct at least one of the 52 required
annual events as a press conference during Child Passenger Safety Week (usually held in February).
The SAFE KIDS coalition and the lead agency also ag1'ee to organize, participate or assist in
occasional "special events" at the request of the Campaign. Participation in a "special event" (to
include but not be limited to auto shows, motor sports events and state and national conferences)
will count towards the annual requirement. Additional compensation may be provided by the
Campaign to cover part of the expenses associated with "special events."
1. The SAFE KIDS coalition and the lead agency ag1'ee to issue a press release and make a good-faith
effort to obtain media coverage relating to the award and delivery of the Mobile Car Seat Check Up
Van, using the press release template provided by the Campaign.
J. The SAFE KIDS coalition and the lead agency agree to submit monthly van logs (tracking event
date, event type, numbers of seats checked and attendees, media coverage, digital photos taken and
other event highlights). Van logs should be submitted online via the coalition Extranet or by fax
using Campaign-provided forms. Van logs for the month are due by the first Friday of the following
month. Failure to comply with monthly van log requirements will result in a loss of SAFE KIDS
grant funding and a return of the van to the Campaign. [See Section II1(n)J
k. The SAFE KIDS coalition and the lead agency ag1'ee to share the van with other coalitions and the
Campaign when not in use and when requested in advance, so as to maximize use and exposure for
national and regional events and conferences. The SAFE KIDS coalition and lead agency agree to
submit photos and an event summary of the delivery/launch event and at least one other event per
month.
I.
The SAFE KIDS coalition and the lead agency agree to provide its own commercial automobile
insurance. We understand that:
1. The coalition/lead agency will be required to show proof of commercial automobile insurance
by delivering to the Campaign a Certificate of Insurance showing a combined single limit 'of
$1,000,000 and proof of physical damage/ comprehensive/ collision coverage.
2. The Certificate of Insurance must list "National SAFE KIDS Campaign, 1301 Pennsylvania
Avenue, N.W., Suite 1000, Washington D.C., 20004" as a Certificate Holder and as an additional
insured. The Certificate of Insurance must be provided to the Campaign within 30 days of
possession of the van.
3. These requirements will apply for each year as long as you own the van.
4
m. The SAFE KIDS coalition and the lead agency understand that the vehicle may not be used for
personal use.
n. The SAFE KIDS coalition and the lead agency understand that for any non-compliance with the
above-referenced requirements, or if the coalition or lead agency ceases to exist for any reason, the
coalition and the lead agency will be required to relinquish ownership of the van to the Campaign
and comply with vehicle storage or delivery terms provided by the Campaign. Non-compliance with
the above-referenced requirements will also result in the termination of g1'ant eligibility, including
grants that are unrelated to the SAFE KIDS BUCKLE UP@ prog1'am.
58
.
.
SAMPLE
IV. Agreement
On behalf of the SAFE KIDS
coalition and the lead agency,
.
, we understand this document may set forth the terms of a contract
between the parties if our coalition and the lead agency are awarded a Mobile Car Seat Check Up Van. We
agree to abide by the requitements of this contract.
x
Signature
Print Name
Title
Coalition
x
Signature
Print Name
.
Title
Lead Agency
x
Signature
Print Name
Title
National SAFE KIDS Campaign
.
59
. .
'.
e
e
.,
NEW HANOVER COUNTY BOARD OF HEALTH
Request for Board Action
Agenda:
Consent Meeting Date: March 2,
enda: 0 2005
Presenter: David Rice
D artrnent: Health
Contact: David Rice
SUBJECT: RESOLUTION TO SUPPORT CONTINUED FULL FUNDING OF THE PREVENTIVE
HEALTH AND HEALTH SERVICES BLOCK GRANT IN THE FFY 2005-% BUDGET
Brief Sununary' The Preventive Health and Health Services Block Grant supports core public health
services in New Hanover County that address the major causes of death and disability for North
Carolinians. This small but critical amount of funding cannot be replaced through any existing categorical
grnnts. Loss of these funds will have a devastating effect on our capacity to address the major causes of
chronic diseases and obesity and provide public health services in this county
Without PHHS funds, our health departmeut will lose the capacity to continue to develop and implemeut
important community programs. Even when available, categorical funding and grants do not provide us the
fiscal stability to establish and maintain programs and leverage additional local and grnnt funding to
support community health promotion interventions.
We rely on the support in Congress to have this critically needed public health graot fully funded in the
FFY 2005-% Budget.
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I Recommended Motion and Requested Actions: Approve Resolution.
I Funding Source:
Will above action resuh in:
ONew Position Number ofPosition(s)
OPosition(s) Modification or change
IZINo Change in Position(s)
I Explanation:
I Attachments: Draft Resolution and Impact Statemeut
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RESOLUTION TO SUPPORT CONTINUED FULL FUNDING OF THE
PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT IN THE
FFY 2005-06 BUDGET
WHEREAS, public health programs are essential to protect the health of all North
Carolina individuals and communities; and
WHEREAS, chronic diseases and obesity are now the major causes of
preventable death and disability in North Carolina and account for 75% of all
preventable health care costs in the state; and
WHEREAS, public health programs in all North Carolina counties support
individual responsibility in reducing unhealthy behaviors that are the major risk
factors for chronic diseases and promote policy and environmental changes that
support healthy behaviors in North Carolina communities; and
WHEREAS, it is well established that preventive health strategies and
interventions contain costs to Medicaid and other insurers; and
WHEREAS, the Preventive Health and Health Services Block Grant provides
essential support for preventing chronic diseases and obesity in all North
Carolina counties; and
WHEREAS, there are no categorical or grant funds to sustain essential health
promotion capacity at the community level; and
WHEREAS, loss of $3.7 million PHHS Block Grant funds will devastate North
Carolina's capacity to deliver core public health services and provide essential
preventive health programs through local health departments; and
WHEREAS, loss of the Block Grant funds will also eliminate other critical
statewide public health programs such as rape crisis services, preventive dental
services for low-income children, and education to providers and the public about
the prevention, diagnosis, and treatment of osteoporosis, and
NOW, THEREFORE, the New Hanover County Board of Health asks the North
Carolina Congressional Delegation and Congress to support continued full
funding of the Preventive Health and Health Services Block Grant in the FFY
2005-06 Budget.
Donald P Blake, Chairman
Adopted by the New Hanover County Board of Health
March 2, 2005
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I Preventive Health and Health Services Block Grant
. Losing $3.7 million federal PHHS Block Grant funds will severely limit North Carolina's
capacity to deliver core public health services and provide essential preventive health
programs.
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. Preventive health strategies and interventions contain costs to Medicaid and other
insurers. Preventable chronic disease conditions account for 75% of all health care
costs.
. 74% of PHHS Block Grant funds ($2,772,294) in the current fiscal year goes directly to
NC local health departments to address the state's major chronic disease epidemics of
obesity, stroke, heart disease and diabetes.
. Essential local public health professional staff and capacity will be lost in 84 of 85 NC
counties/districts without continued support from the Block Grant.
The PHHS Block Grant helps reduce childhood obesity and address other risk
factors for chronic diseases.
~ 48 NC health departments have used Block Grant funds to generate more than $5 million in
grant and in-kind resources.
~ 5,113 North Carolinians were provided clinical services last year to screen for chronic &
diseases and provide appropriate care and counseling. .,
~ 40 NC school districts have established 100% smoke free campuses.
~ 41 NC county school systems have used block grant funds to support healthy meal and snack
options for school children and 14 NC counties have increased walking and bike riding trails
by over 41 miles in their communities.
~ 36 NC counties have work sites to support policies and facilities that help employees to
increase their physical activity and change their eating habits.
.PHHS Block Grant award supports additional essential public health programs that
cannot be funded throuah existina cateaorical arants.
~ Rape crisis and victim services to 10,000 individuals through community rape crisis centers.
~ Oral health initiatives screened 158,244 elementary school age children for dental care;
increased the number of NC communities with fluoridated water supplies and monitored
fluoride levels.
~ Osteoporosis and arthritis programs educated more than 11,000 professionals and the
public about their prevention, diagnosis, and treatment of these diseases.
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New Hanover County Health Department
Environmental Health Services
Food and Lodging Fact Sheet
Draft
.:. Environmental Health Specialists employed by county and district health departments
serve as regulatory agents for the state of North Carolina to assure compliance with
established environmental/public health standards.
.:. Through permitting and inspections protocol, they evaluate food service and lodging
facilities to identify risks in operations or practices that may jeopardize the public's
health and safety
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.:. North Carolina general statutes mandate at least quarterly inspections of all
restaurants and other similar types of food service establishments induding meat
markets. If an establishment scores less than 90% compliance with applicable laws
and administrative code, the manager or permit holder may request a re-inspection
that the Environmental Health Specialist must conduct unannounced within a 15 day
span of time.
.:. Averaging 2.79% of the total number of facilities operating in the state, and completing
89% of the required number of inspections during Fiscal Year 2002-2003, New
Hanover County received $19,111 as its portion of this distribution during Fiscal Year
2003-2004. The costs to New Hanover County for providing these services during
Fiscal Year 2003-2004 was more than $540,000 with the primary source of revenue
being property taxes. These costs are consistent with other North Carolina county and
district health departments.
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.:. The average cost for a single food and lodging inspection in New Hanover County is
about $200, The money we receive from the state for one of these inspections is
approximately $8, or 4% of the total cost.
.:. Local health departments are allowed to charge a fee to support the on-site sewage
program (septic tank permitting) in their counties. This fee is set by the Board of Health
and varies by health department. However, it is the local option to determine how
much fee base they choose to have and how much local appropriations they use to
support this activity In contrast, local public health agencies are currently prohibited
by state statute to charge a fee to support the Food and Lodging Program. Each food
establishment is charged a $50 annual state fee. Those funds are collected by the
state and are redistributed to locals according to a base of $5,500 with an additional
amount provided if 100% of the county's restaurants are inspected the appropriate
number of times. The total amount any local health department receives is significantly
below the cost of the program.
.:. The practice of local food and lodging fees is currently utilized in other states.
.:. At the public hearings of the Public Health Task Force 2004, the North Carolina
Restaurant Association spoke against increasing fees at every hearing. No other
public comments were made in the negative and most Boards of Health and local
public health staff voiced strong support.
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.:. Legislative action is required to allow local health departments to charge fees for food
and lodging activity State fees could be eliminated if local fee options were
implemented, but additional state appropriations would be needed to replace the
funding the NC Department of Environment and Natural Resources, Division of
Environmental Health retains for state activity.
.:+ 130A-39 (g) A local board of health may impose a fee for services to be rendered by a
local health department, except where the imposition of a fee is prohibited by statute
or where an employee of the local health department is performing the services as an
agent of the State. Notwithstanding any other provisions of law, a local board of health
may impose cost-related fees for services performed pursuant to Artide 11 of this
Chapter, 'Wastewater Systems," for services performed pursuant to Part 10, Artide 8
of this Chapter, "Public Swimming Pools", and for services performed pursuant to Part
11, Artide 8 of this Chapter, "Tattooing" Fees shall be based upon a plan
recommended by the local health director and approved by the local board of health
and the appropriate county board or boards of commissioners. The fees collected
under the authority of this subsection are to be deposited to the account of the local
health department so that they may be expended for public health purposes in
accordance with the provisions of the Local Government Budget and Fiscal Control
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.:. 130A-39 (g) needs to be expanded to ind.ude food and lodging fees.
.:. Significant and ongoing growth in the local food service, hospitality and tourist
industries require additional environmental health specialists to assure food safety and
protection of the public's health. The North Carolina Department of Environment and
Natural Resources, Environmental Health Services Division conducted an evaluation
the New Hanover County Health Department and determined it would require 5.28
additional positions to adequately provide essential services.
.:. The New Hanover County Board of Health at their May 5, 2004 meeting approved a
request for five (5) additional environmental health specialist positions ($244,900). The
New Hanover County Board of Commissioners approved Three (3) positions.
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Agenda
North Carolina Legislators Call for Cigarette Tax Increase by 75 Cents
HB 286
Thursday, February 17, 2005
General Assembly Press Room
11 a.m.
Welcome
Peg O'Connell, Alliance Cigarette Tax Chairman
Statements from Bill Sponsors and other legislative Supporters to discuss
HB 286:
Rep. Jennifer Weiss (D- Wake)
Rep. Carolyn H. Justice (R-Pender)
Rep. Larry Womble (D -Forsyth)
Sen. Martin Nesbitt (D - Buncombe)
Sen. Eleanor Kinnaird (D- Orange)
Question and Answer Period
Frequently Asked Questions Concerning
An Increase in NC's Cigarette Tax by 75-cents
February, 1005
Several elected official. and the tohacco indu.." have indicated .UDuort for rai.in!! NC'. cil!lll'ette tax hY 25-cents
(or lei.). WhY .hould the tax he railed hy more thAn 1S-c:ent1?
North Carolina's cigarette tax must be raised by men: than 25-ceots to achieve a meaningful health beoefit. According to the
Centers for Disease Control (CDC) and Prevention, the most effective way to reduce youth smoking is by substantially
raising the price of a pack of cigarettel. Numerous studie. have shown that for every ) 0 percent increase in the price of a
pack of cigarettes, there is a 3.5 percent decrease in cigarette coosumption overall and a 7 percent decrease in youth
smoking. Increasing the cigarette tax by 75 cents will reduce youth smoking in North Carolina, saving )) 0,000 children
alive today from ber.nming regular smokers.
North Carolina's cigarette tax is currently 5 cents, the second lowest in the nation. The average cigarette tax across the
country is now 84 cents. Adding 75 cents to our state's cigarette tax would place North Carolina's tax at just below the
oational average. Any cigarette tax increase that does not have a meaningful health impact is simply a tax increase.
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Will a substantial increue in North Carolina'. cil!8l'ette tax hurt the Door?
Because smoking levels are highest among people with low incomes, cigarette companies argue that cigarette tax increases
fall disproportionate1y hard on lower-income persoos. However, the companies' arguments fail to account for the following
facts:
Low-bIcome smokers /I1'e much more likeN to flub bemuse oftolJacco..tJlx ;",.,.,0_ tha hillher-income
smokers. Smokers with family incomes at or below lhe national median are four times as likely to quit because
cigarette price increases as those with higher incomes.' Accordingly, low-income families that currently suffer from
direct and secondhand smoking-caused health risks, disease, and related costs are much men: likely to have those
harms and costs reduced by a cigarette tax increase than similar f~milies with higher-inenDJes.
Tobacco-tllx increllSel/ shift the overaU tobo<xo-tnx burden more toward hillher-income smokers. Because men:
lower-income smokers than higher-income smokers will quit or cutback becsuse of cigarette tax increases, states
that significantly increase their cigarette tax rate will also end up increasing the portion of the state's tota1 cig&re!le
tax revenues that are paid for by higher-income smokers and reduce the portion paid by lower-income smokers. U
Stot.. tobacco-tllx increases imDrove the healtJt of 1ow-income smokers ad their families ami sismirlCtllJtlp reduce
their related costs. .
Those who stop smoking in respoose to cigarette tax increases will greatly improve their own health, which could
significantly reduce their health costs. Because of their higher rate of illness and disability, amokers have, on
average, substaDtialJy higher annual and lifetime health care costs than noosmokers or former smokers, despite
living shorter lives. W Smokers who quit or cutback will also help reduce the amount of secondhRnd smoke their
family members, friends, and coworkers are exposed to. - thereby producing additional health improvements and
re1ated cost savings for their families and communities.'"
Will a .ubstantial increue in North Carolina'. ci!!arette tax hurt farm..n?
An increase in NC's cigarette tax would not affect NC fanners, as their market is nationwide and worldwide. Smoking in
North Carolina is responsible for only a tiny fraction of the overall demand for the burlay and flue-cured cigarette tobacco
grown in North Carolina or elsewhere in the United States. Even if all cigarette sales in the State were ll!tA!h elimin8led
that would reduce the total annual sales of American-grown burley and tlue-cured leafby less than two percent. By
reducing cigarette coosumption in North Carolina by about .) 0.8%, a state cigarette tax increase of 75 cents per pack would
reduce the overall demand for American-grown burley and flue-cured leafby only a bit men: than one-tenth of one percent.
In addition, the economic crisis facing tobacco farmers has recently been addressed by Congress with the passage of tobacco
buyout legislation. (National Center for Tobacco-Free Kids; www.tobaccofreekids.org)
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For more information, contact NC Alliance for Health
www.ncallianceforhealth.ora n~~l1ianceliiTheart.orl! 919-463-8328
*1bis document may be found on tbe Alliance web.ile*
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I COC, MMWR 47(29): 805-609 (July 31, 1998), hllo:/Iwww.cdc.oov/mmwr/orevlew/mmwrhtml/00054047.htm or
fto:/lfto.cdc. oov/oub/Publicationsimmwrlwklmm4 729. odt. I
II Using COC data, If lower-Income smokers account for 80% of a state's cigarette tax revenues with 40% from higher income .
smokers, a tax increaae that raises the price of a pack by 25% will reduce the number of packs smoked by lower-income persons
about 7.25% and reduce the number of packs smoked by hlgher-income smokars by 4.25%. After those reductions, lower-income
smokers will be paying 59% of all state cigarette tax revenues and higher-income smokers will be paying 41%. Larger cigarette tax
Increases would have more pronouncad effects. COC, MMWR 47(29): 805-809 (July 31, 1998),
hllo:/I'N11ffl. cdc. oov/mmwr/oreview/mmwrhtmV0005404 7. hIm or fto:/Ifto. cdc.oov/oub/Publicationsimmwrlwklmm4 729. odt.
III See, e.g., Hodgsen, T., "Cigarette Smoking and Ufelime Medical Expend~ures," The Mmbank Querferly (1992); Nusselder, W.J.,
at al., "Smoking and the Compression of Morbidity," Epidemiology and Community Health (2000).
Iv See, e.g., CFTFK faclsheats, Secondhand Smoke, and Harm to Kids from Secondhand Smoke,
'NIIffl.lobaccotreekids. oro/researchlfaclsheetsfl ndex19. shtml.
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CAMPArGN ro~"TDBACco-fRff jcA('
STATE CIGARETTE EXCISE TAX RATES & RANKINGS
Overall All States' Average: 84.0 cents per peck
Major Tobacco States' Average: 15.3 cents per peck
Other States' Average: 93.1 cants per pack
State Tax Rank
Alabama 42.6 39th
Alaska' 160 6th
Arizona 118 13th
Arkansas 69 29th
Califomia 87 21st
Colorado 84 22nd
Connecticut 161 6th
Delaware 66 32nd
DC 100 16th
Florida 33.9 44th
Geo"'la 37 41st
HawaII 140 10th
Idaho 67 30th
illinois 98 19th
Indiana 65.5 31st
Iowa 36 42nd
Kansas 79 24th
Kentuckv 3 51st
State Tax Rank
Louisiana 36 42nd
Maine 100 16th
Marvland 100 16th
Massachusetts 151 6th
Michigan 200 3rd
Minnesota 48 37th
Mississiooi 18 47th
Missouri 17 48th
Montana' 170 4th
Nebraska 64 27th
Nevada 80 23rd
New Hampshire 52 36th
New Jersev 240 2nd
New Mexico 91 20th
New York 160 8th
North Carolina 5 50th
North Dakota 44 38th
Ohio 55 32nd
'Effective 1/1105.
State Tax Rank
Oklahoma 103 15th
Orenon'" 118 13th
Pennsvlvanla 135 11th
Rhode laland 246 1st
South Carolina 7 49th
South Dakota 53 35th
Tennesaee 20 45th
Texas 41 40th
utah 69.5 26th
Vermont 119 12th
VI"'lnla' 20 45th
Washlnamn 142.6 9th
Weat IiiMlnla 65 32nd
Wisconsin 77 25th
IwVomlnn 60 28th
Puerto Rico 103 16th
Guam 118 13th
Northern Marianas 136 11th
, Etledlvell1105.
I E_o 1/1105.
'Sdlodulod to rovertto $1.00 on 7/1105.
. Sdlodulod to rovertto 28; on 7/1105.
The states and U.S. territories that have implemented or passed new cigarelle tax increeses since January 2002 are
in bold type. Tobacco States are KY, VA, NC, SC, GA, TN. States' average includes DC, but not Puerto Rico Dr
other U.S. territories. Local cigarette taxes not included. Including Puerto Rico (which has a larger U.S. population
than more than 20 states and DC) raises the state average to 84.7~ per pack and the non-tobacco state average to
93.8~. The median tax rate is now 69.5~ per pack. MI, MN, and UT also have special35~ per pack taxes or fees on
brands of manufacturers not participating in the state tobacco lawsuit settlements.
New York City increased ~ local cigarette tax from eight cents to $1.50 per pack, effective 7/1/02. Cook County, IL,
which includes Chicego, increased ~ cigarelle tax from 18 cents to $1.00 per pack, effective 4/1/04. Many localities
in VA and other states have increased their cigarette tax rates, as well.
Federal cigarelle tax is 39~ per pack. From the beginning of 1998 through 2002, the major cigarette companies
increased the prices they charge by more than $1.25 per pack (but also instituted aggressive retail-level discounting
for competitive purposes and to reduce related consumption declines). In January 2003, Philip Morris instituted a 6S-
cent per pack price cut for four of ~ major brands, to replace ~ retail-level discounting and fight sales losses to
discount brands, and RJ Reynolds followed suit. The U.S. Centera for Disease Control & Preventlon estlmates
that smoklng-caused health coste total $7.18 per pack sold In the United States.
The averaoe price for a pack of cigarelles nationwide is roughly $3.90 (including statewide sales taxes but not local
cigarette or sales taxes, other than NYC's $1.50 per pack cigarette tax), with considerable state-to-state differences
beceuse of different state tax rates, and different manufacturer, wholesaler, and retailer pricing and discounting
practices. AI<, DE, MT, NH & OR have no state sales tax at all; CO and OK each have a state sales tax but ~ does
not apply to cigarettes; and AL, GA & MO (unlike the rest of the states) do not apply their state sales tax to that
portion of retail cigarette prices that represents the state's cigarette excise tax.
National Center for Tobacco-Free KJrJs, November 3. 201U I KaIIe McMahon
For addltlonallnformatlon see the Campaign's webalte at http://tobaccofreeklds.ora/reDorte/Drlces.
Sources: Orzechowski & Walker, Tax Butrlen on Tobaccc, 2003; media reports; Economic Reoearch SalVI"', U.S. Depar1ment of
Agriculture, Tobacco Briefing Room Webslte, httD:/fwv.Jw.ers.usda.oov/Briefinaltobacco.
'EtIectIvol/1105.
'Temporary 10; I....... """ired 1/1104.
'Effective 9/1104, with 10; Increase 1117/1105.
1400 I Street NW - Suite 1200 - Washington, DC 20005
Phone (202) 296-5489 Fax (202) 296-5427 www.tobaccofreekids.oro
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CAMPArGN ray TOBACco-fRff i~l
THE TOLL OF TOBACCO IN NORTH CAROLINA
Tobacco Use in North Carolina
. High school students who smoke: 24.8% [Girls: 23.3% Boys: 26.3%]
. High school males who use smokeless tobacco: 15.2%
. Kids (under 18) who try cigarettes for the first time each year: 52,700
. Additional Kids (under 18) who become new regular, dally smokers each year: 24,000
. Packs of cigarettes bought or smoked by kids In North Carolina each year: 27.5 million
. Kids exposed to second hand smoke at home: 416,000
. Percentage of workplaces that have smoke-free policies: 60.7%
. Adults in North Carolina who smoke: 24.8% [Men: 28.0% Women: 21.9% Pregnant Females: 13.2%]
Nationwide, youth smoking has declined since 1997, but remains at high levels. The 2002 National Youth Tobacco Survey
(YTS) found that 22.9% of U.S. high school kids smoke and 10.8% of high school males use spit tobacco. U.S. adult smoking
has decreased gradually since the 1980s, and 22.5% of U,S. adults (about 45 million) currenUy smoke.
Deaths in North Carolina From Smoklna
. Adults who die each year In North Carolina from their own smoking: 11,500
. Annual deaths In state from others' smoking (secondhand smoke & pregnancy smoking): 1,240 to 2,210
. North Carolina kids who have lost at least one parent to a smoking-caused death: 9,000
. Kids alive in today who will ultimately die from smoking: 207,000 (given cunrent smoking levels)
Smoking kills more people each year than alcohol, AIDS, car crashes, illegal drugs, murders, and suicides combined _ and
thousands more die from spit-tobacco use and other tobacco-related causes (but there currenUy are no good state-specific
estimates of tihese other tobacco deaths). For every person in North Carolina who dies from smoking approximately 20 more
state residents are suffering from serious smoking-caused disease and disability, or other smoking-caused health problems.
Tobacco-Related Monetary Costs in North Carolina
· Annual health care expenditures In the North Carolina directly caused by tobacco use: $1.92 billion
· Total North Carolina Medicaid program payments caused by tobacco use: $600 million
. Citizens' state/federal taxes to cover smoklng-caused gov't costs: $1.59 billion ($488 per household)
. Smoking-caused productivity losses in North Carolina: $2.82 billion
. Smoking-caused health costs and productivity losses per pack sold In North Carolina: $6.59
Other non-health costs caused by tobacco use include direct residential and commercial properly losses from smoking-caused
fires (more than $500 million nationwide); the costs of the extra cleaning and maintenance made necessary by tobacco smoke
and tobacco-related litter (about $4+ billion per year for commercial establishments alone); and additional work productivity
losses from smoking-caused work absences, on-the~ob perfonnance declines, and disability during otherwise productive work
lives (In the tens of billions nationwide) [productivity loss amount above Is from smoking-death-shortened work lives, alone].
Tobacco Industry Advertlsina and Other Product Promotion
. Annual tobacco Industry marketing expenditures nationwide: $12.7 billion ($34+ million per day)
· Estimated portion spent in North Carolina each year: $488.0 million
Published research studies have found that kids are three times more sensitive to tobacco advertising than adults and are
more likely to be influenced to smoke by cigarette marketing than by pear pressure, and that one-third of underage
experimentation wtth smoking is attributable to tobacco company marketing.
North Carolina Government Policies Affectlnll The Toll of Tobacco In North Carolina
· North Carolina 2004105 tobacco prevention spending from state tobacco settlement and tobacco tax
revenues: $15.0 million (National rank: 21)
. North Carolina cigarette tax per pack: ~ (National rank: 50th) [States' average Is 84.0~ per pack]
Sources
Youth smoldng. 2003 Youth Risk Behavior Surveillance (YRBS). A 2002 Youth Tobacco Survey (YTS) found that 27.8% of high school students smoked,
but the YTS and YRBS cannot be compared to show trends because of different methodologies. Current smoking = smoked in pSst month. The 2002
National Youth Tobacco Survey htto:!iwww.cdc.aov/mmwrIPDF/wklmm5245odl. The 2001 Youth Risk Behavior Survey (YRBSf, with a different
methodology than the YTS, found that 28.5% of U.S. high school kids smoke and 14.8% of high school males use spit tobacco. Male Youth smokeless. .
2001 YTS. Female smokeless use is much lower. New,youth smokers. Estimate based on U.S. Dept of Health & Human Services (HHS), "Summary
Findings lrom the 2000 National Household SurVey on Drug Abuse'(2oo1), hlto:liwww.samhsa.aov!oas!nhsda.hlm, with the state share of the national
number allocated through the formula in COC, 'Projected Smoking-Related Deaths Among Youth.. United States," Morbidity and Mortality Weekiy Report
(MMWR) 45(44): 971-74 (November 8, 1996) [based on state young adult smoking rates, and as updated in COC, State Highlights 2004: Sustaining State
Programs for Tobacco Control, 2004, htto:liwww.cdc.aovilobacco/dalahiahliohtsilndex.hlm1. Smokefree worltplaces. Shopland, D., et aI., 'State-Specific
Trends in Smoke-Free Workplace Policy Coverage: The Current Population Survey Tobacco Use Supplement, 1993 to 1999," JoumaJ 01 Occupational &
Environmental Medicine 43(8): 680-86 (August 2001). Kids exposed to secondhand smoke. CDC, "State-Specific Prevaience of Cigarette Smoking
Among Adults, and Children's and Adolescents' Exposure to Environmental Tobacco Smoke - United States, 1996," MMWR 46(44): tll38-43 (November
7, 1997). Packs ronsumed by kids. Estimated from OiFranza, J. & J. Ubrett, "State and Federal Revenues from Tobacco Consumed by Minors,"
American Joumal of Public Health (AJPH) 89(7): 1106-08 (July 1999) & Cummings, et aI., 'The Illegal Sale of Cigarettes to US Minors: Estimates by
State," AJPH 84(2): 300-302 (February 1994), and North Carolina's youth population & smoking rates. Adult smoldng. In state, 2003 Behavioml Risk
Factor Surveillance System (BRFSS) htto:l/www.cdc.aovlmmwrIPDFlwkimm5344.odl National rate, 2002 National Health fnterview Survey (NHIS)
htto:llwww.cdc.aov/mmwr/PDF/wklmm5240.odl Pregnant Females. 'Smoking During Pregnancy - United States, 1990-2002, Morbidity and Mortality
Weekly Report (MMWR) 53(39): 911-15 (Octoberr 8,2004) hlto:l/www.cdc.aov/mmwr/PDF/wklmm5339odl
Adult deaths from smoldng. COC, State Highlights 2002: Impact and Opportunity, Apri12OO2, htto:liwwwcdc.aovitobaccoISlaleHlahliahls.htm. COC,
'Annuai Smoking-Attributabie Mortality, Years of Potential Life Lost, and Economic Costs - United States 1995-1999," MMWR, April 11 , 2002,
htto:llwww.cdc.aov/mmwrloreviewlmmwrhtml/mm51t4a2.htm. See, also, U.S. General Accounting Office (GAO), 'COC's April 2002 Report on Smoking:
Estimates of Selected Heallh Consequences of Cigarette Smoking Were Reasonable," letter to U.S. Rep. Richard Burr, July 16, 2003,
hlto:ilwww.aao.aov/new.items/d03942r.odl. Lost Parents. Leistikow, B., et aI., "Estimates of Smoking.Attributable Oeaths at Ages 15-54, Motheriess or
Fatheriess Youths, and Resulling Sociai Security Costs in the United States in 1994," Preventive Medicine 30(5): 353-360, May 2000, and state-specific
data from author. Projected youth smoking deaths. COC, State Highlights 2004,2004. See, aiso, COC, 'Projected Smoking-Related Deaths Among
Youth.. United States," MMWR 45(44): 971-974, November 11, 1996, www.cdc.aovlmmwrlmmwr wk.hlml. Sacondhand smoke deaths. National
Cancer InstiMe, Health effects 01 exposure to environmental tobacco smoke: the report 01 the Califomia Environmental Protection Agency, Smoking and
Tobacco Control Monograph no. 10, NIH publication no. 99-4845 (1999) [see, also, COC, MMWR, April 11 ,2002; CEPA,
htlo:llwww.oehha.ora/alflenvlfonmenlal lobacco. Other. Hall, JR, Jr., Nat'l Fire Protection Assoc., The U.S. Smoking.Material Fire Problem, April 2001.
Health and productivity rosfs caused by tobacco usa. CDC, State Highlights 2002: Impact and Opportunity, April2002,
hlto:/lwww.cdc.oovllobaccoISlaleHiahliahts.htm and CDC, State Highlights 2004,2004, hlto:llwww.cdc.aovltobacco. COC, MMWR, April 11 , 2002,
htto:l/www.cdc.aovlmmwr/oreviewlmmwrhtml/mm5114a2.htm. See, also, GAO, 'COC's April 2002 Report on Smoking: Estimates of Selected Health .
Consequences of Cigarette Smoking Were Reasonable," July 16, 2003, htto:llwww.aao.aovlnew.itemsid03942r.odf. North Carollnlt-federa/tobacco-
health tax burden. The North Carolina taxpayers' pro.rata share, based on adult population, of all federal and state government tobacco-eaused costs.
See above sources and Zhang, X et aI., "Cost of Smoking to the Medicare Program, 1993," Health Care Rnancing Review 20(4): 1-19, Summer 1999;
Office of Management and Budget, The Budget for the United States Govemment - Fiscal Year 2000, Table S-8, t999; Leistikow, B., at aI., 'Estimates of
Smoking-Attributable Deaths at Ages 15-54, Motheriess or Fatheness Youths, and Resulling Social Security Costs in the Unlled States in 1994,"
Preventive Medicine 30(5): 353-360, May 2000 - with non-Medicaid North Carolina.paid tobacco-health costs taken to equal 3% of all tobacco-health
costs in North Carolina. COC, 'Medical Care Expenditures Attributable to Smoking.. Un.ed States, 1993," MMWR 43(26): 1-4, July 8, 1994. .
Other non-health tobacco-refatad costs. U.S. Department of the Treasury, The Economic Costs 01 Smoking in the U.S. and the Benefits 01
Comprehansive Tobacco Legislation (1998); Chaloupka, F.J. & K.E. Wamer, 'The Economics of Smoking," in Culyer, A. & J. Newhouse (ads), The
Handbook 01 Health Economics (2000); COC, MMWR 46(44) (November 7, 1997); COC, Makin9 Your Workplaca Smokelrae: A Decision Maker's Guide
(1996); Mudsrn, 0., The Costs and Benefits 01 Smoking Restrictions: An Assessment 01 the Smoke-Free Environment Act 01 1993 (H,R. 3434), U.S.
Environmental Protection Agency report submitted to the Subcommittee on Health and the Environment, Committee on Energy and Commerce, U.S.
House of Representatives (April 1994); Brigham, P & A. McGuire, 'progress Toward a Fire.Safe Cigarette,' .Joumal of Public Health Policy 16(4): 433-
439 (1995); Hall, J.R., Jr., op. cit.; Leisticow, B.N., et al., "Estimates of Smoking-Attributabie Deaths at Ages 15.54, Motherless or Fatherless Youths, and
Resulting Social Security Costs in the United States in 1994,' Preventive Medicina 30: 353-60 (2000).
Tobacco Industry marltellng. U.S. Federal Trade Commission (FTC), Cigarette Report for 2002, October 22, 2004 [data for top six manufacturers only],
htlo:llwww.ltc.aov/reoortslcioaretteI041022cioaretterot.odl; FTC, Fedeml Tmde Commission Smokeless Tobacco Report lor the YealS 2000 and 2001,
August 2003 htto:l/www.ftc.aovlos/2003l0B/2k2klsmokeless.odl. [top five manufacturers). State total a prorated estimate based on cigarette pack sales in
the state. See, also Campaign fact sheet, Increased Cigarette Company Marketing Since the Muftistate Settlement Agreement Want into Effset,
htto:l/tobaccolreekids.oralresearch/factsheets. Tobacco marltellng Influance on youth. Pollay, R., et aI., "The Last Straw? Cigarelte Advertising and
Realized Mar1<at Shares Among Youths and Adults," Joumal 01 Marketing 60(2):1-16 (April 1996); Evans, N., et aI., 'Influence of Tobacco Mar1<eting and
Exposure to Smokers on Adolescent Susceptibility to Smoking," Joumal of the National Cancer InstiMe 87(20): 1538-45 (October 1995). See also,
Pierce, J.P., et aI., "Tobacco Industry Promotion of Cigarettes and Adolescent Smoking,' Joumal 01 the American Medical Association (JAMA) 279(7):
511.505 (February 1998) [with erratum in JAMA 280(5): 422 (August 1998)]. See, also, Campaign fact sheet, Tobacco Marketing to Kids (2001).
North CarolIna spending to reduce tobacco usa and rankIng. Campaign for Tobacco-Free Kids, et aI., A Broken Promise To Our Children: The 1998
State Tobacco Settlement Six YealS Later (December 2, 2004), htto:lllobaccofreekids.oralreoorts/settlemenls. North Carolina cigarette tax: and rank.
Orzechowski & Walker, The Tax Burden on Tobacco (2003) pndustry.funded annual report], with updates from state agencies and media reports.
Other major source 01 State tobacco-related dlll8: COC, a18t.speclflc tobacco Intormation, htto://www.cdc.oovllobacco/statehiistatehi.htm. .
AfI COC MIIIWRs avaltable at htto:llwww.cdc.aov/mmwr. Abstracts 01 many ot the cited articles at PUbMed, htto://www.ncbi.nlm.nih.aov/entrez.
Related Campaign lor Tobacco-Frae Kids Fact Shaets, avaIlable at hlto:iiwww.lobaccolreekids.ora or hlto:litobaccofreekids.orolfesearch/factsheets:
- Toll 01 Tobacco in the USA
- Comprehensive State TobacctJ Prevention Programs Effsetively Reduce Tobacco Use; and State Tobacco Prevention Programs Seve Money
- Raising State Tobacco Taxes Always Increases State Revenues and Reduces Tobacco Use
NaUonal Center for Tobacc:o-Free Kids. 1.7.05, www.tobaccofreekids.ora/ Eric Undblom I January 7, 2005
Resolution in Support of an Increase in NC's
Cigarette Tax of at least 75 Cents
Februarv 2005
WHEREAS, the use of tobacco products is the leading cause of preventable death and disability in North
Carolina'. and
,
WHEREAS, 24,000 NC children become new daily smokers each year (66 a day)2; and
WHEREAS, the best way to prevent and reduce tobacco use by children is to substantially increase the cost of
cigarettes3; and
WHEREAS, a cigarette tax increase of75 cents would result in a 15.7% decrease in youth smoking rates,
preventing 101,000 NC children from starting to smoke and saving 36,100 from premature smoking-related
deaths4. and
,
WHEREAS, NC's cigarette tax is currently 5-cents, the 2nd lowest in the nation; and
WHEREAS, the use of tobacco products costs the State $4 75 billion in medical costs and lost productivity
annually5; and
WHEREAS, North Carolina expects to suffer a deficit in fiscal year 2005 (in the $1 bi\. - $1.5 bi\. range); and
~EREAS, this is the 5th year in succession that the State has suffered deficits; and
WHEREAS, these deficits have caused cuts to important programs affecting the health and wellbeing of North
Carolinians and more reductions may be threatened; and
WHEREAS, an increase in the cigarette tax of 75-cents would generate an estimated $380 million in new
revenue6.
NOW THEREFORE BE IT RESOLVED that the cigarette tax in North Carolina be increased by at least 75-
cents a pack. Approved by the Allianee 1103; Revised 2/04
Signed
Name of Individual or Organization
Date
Address:
Phone:
City:
State:
Zip Code:
E-mail:
.
Any questions, please contact ncallianceCwheal1.org
NC Alliance for Health
3131 RDU Center, Suite 100
Morrisville, NC 27560
Telephone: 919-463-8328; Fax: 919-463-8392
I Slatt Cemer for HeaI1b Slalisticll. NC DHHS W\\w.lII:hs.statC.nc,llSIsch$l
1 The Toll of Tobacco in Your SUlle: "/\l;w.tobaccolKdtids.org
1 0 Hopkin5 &: J Fielding: The Guide 10 Community Preventive Servic:o:s: Tobacco UK Prevention &: Control. Am. Journal ofPrl:vcnlivc Medicine: 20:25
~('ampllisnfurTobDcco-Fro:Kid5
~ Smokina Attributable Morbidil}', Mortality &: &:onomic COStll. Offi\:e ufSmoking & Health. COCo 2002
"NC Fiscal ANllysis Memorandum il' 12103)
.
.
.
:'uAMPAIGN {6vTOf>ACGo;~fR[[ ;&0
NORTH CAROLINA MEDICAID PROGRAM SAVINGS FROM RAISING ITS CIGARETTE TAX
Current state cigarette tax: $0.05 per pack (50th among all states)
Smoking-caused costs in state per taxed pack sold: $6.59
Each year North Carolina's Medicaid program spends more than $600 million to pay for smoking-
caused healthcare costs. Studies from previous years have found that 13.3% of the state Medicaid
program's expenditures go toward smoking-caused costs - and that the state Medicaid program
pays for 12.3% of all smoking-caused health care expenditures in North Carolina. By significantly
raising its cigarette tax rate, North Carolina could quickly reduce state smoking levels, which would
quickly begin to reduce the smoking-caused costs paid for by the state Medicaid program.
Improved Health From Increasina the State Ciaarette Tax Bv 75 Cents Per Pack
. Number of smoking-affected births avoided over next five years: 13,100
. Number of adult smokers in the state who would quit: 70,000
. Number of current adult smokers saved from smoking-caused death: 15,400
. Reduction in number of current youth smokers: 17,000
. Total number of kids alive today prevented from becoming smokers: 101,000
. Number of kids alive today saved from premature smoking-caused death: 32,300
Related New State Revenues and Medicaid Proaram Savinas
. Increased annual state cigarette tax revenues: $346.5 million
. 5-Year Medicaid savings from fewer smoking-affected pregnancies & births: $7.5 million
. 5-Yr Medicaid savings from fewer smoking-caused heart attacks & strokes: $3.9 million
. Long-term Medicaid savings from adult smoking declines: $71.1 million
. Long-term Medicaid savings from youth smoking declines: $149.3 million
The tax increase will both reduce smoking and increase state revenues because the higher tax per pack b1ings in more
new revenue than is lost from the drop In the number of packs sold. These projected savings are very conservative
because they do not account for the fact that smoking rates are much higher among the Medicaid population than among
the general population and that lower-income smokers are much more likely to qu~ in response to cigarette tax increases
than higher income smokers. With adjustments to account for tax evasion effects, the projections reflect research
findings that a 10% cigarette price increase reduces overall youth smoking rates by 6.5%. overall adutt rates by 2%, and
total consumption by 4%. Long-term savings accrue over lifetimes of adults and youth who stop smoking or never start
because of the tax increase. Heart attack and stroke savings start out small and increase sharply each year until peaking
in 8 or 10 years and then staying at that high rate thereafter. Savings from reduced cancer begin to accrue in 5 to 10
years and then rise sharply. Medicaid savings are just the tip of the iceberg. Smoking reductions also reduce other state
government smoking-caused expenditures and also reduce other public, private, and individual smoklng-caused harms
and costs. For more on smoking-decline savings see htto:/Ilobaccofreekids.oro/research/faclsheets/odfl0168.odf and
htto:/llobaccofreekids.ora/research/faclsheets/odf/0148. odf.
Key Sources. Chaloupka, F, "Macro-Social Influences: Effects of Prices and Tobacco Control Policies on the Demand
for Tobacco Products," Nicotine & Tobacco Research, 1999, and other price studies at htto:/IliQaer.uic.edul-fic and
www.uic.edu/oras/imoacleen. CDC, "Annual Smoking-Attributable Mortality, Years of Potential Life Lost, and Economic
Costs - United States 1995-1999," MMWR, April 11, 2002. Miller, P., et aI., "Birth and First-Year Costs for Mothers and
Infants Attributable to Maternal Smoking," Nicotine & Tobacco Research 3(1): 25-35, February 2001. Lightwood, J. & S.
Glantz, "Short-Term Economic and Health Benefits of Smoking Cessation - Myocardial Infarction and Stroke," Circulation
96(4): 1089-1096, August 19, 1997. Hodgsen, T., "Cigarette Smoking and Lifetime Medical Expend~ures," The Mil/bank
Quarterly 70(1),1992. Miller, L. et aI., "State Estimates of Medicaid Expend~ures Attributable to Cigarette Smoking,
Fiscal Year 1993," Public Heelth Reports 113: 140-151. MarchiApril1998. For more on state tobacco tax Increases see
htto://tobaccafreekids.ora/research/faclsheets/index. oho?CaleaorvID= 18.
Campaign for Tobacco-Free Kids 1.7.05/ Eric Lindblom, January 13, 2005
1400 I Street NW - Suite 1200 - Washington, DC 20005
Phone (202) 296-5469 Fax (202) 296-5427 www.lobaccofreekids.ora
.
CAMPAIGN {oy TOBACco-fREE iw
BENEFITS FROM A CIGARETTE TAX INCREASE IN NORTH CAROLINA
.
Current State Cigarette Tax: 5 Cents Per Pack (50th among all states)
Smoking-caused costs in state per taxed pack sold: $6.59
Average retail price per pack: $3.33 (state share from excise and sales taxes: $0.27)
Total state Medicaid program smoking costs each year: $600 million
State cigarette tax revenue each year: $38.8 million (2003)
Last North Carolina Cigarette Tax Increase: 08/01/91
Prolected Benefits From Increaslna the State Ciaarette Tax Bv 75 Cents Per Pack
. New state cigarette tax revenues each year: $346.5 million
. Pack sales decline In state: -316.5 million
. Percent decrease in youth smoking: 15.7%
. Increase In total number of kids alive today who will not become smokers: 101,000
. Number of current adult smokers In the state who would quit: 70,000
. Number of smoking-affected births avoided over next five years: 13,100
. Number of current adult smokers saved from smoklng-caused death: 15,400
. Number of kids alive today saved from premature smoklng-caused death: 32,300
. 5-Year healthcare savings from fewer smoking-affected pregnancies & births: $15.0 million
. 5-year healthcare savings from fewer smoking-caused heart attacks & strokes: $31.7 million
. Long-term healthcare savings In state from adult & youth smoking declines: $1.79 billion
.
These projections are fiscally conservative because they include a generous adjustment for lost state pack sales (and tax
revenues) from new tax avoidance efforts after the tax increase by continuing in-state smokers, fewer sales to smokers
from other states, and fewer sales to supply informal smugglers, criminal smuggling organizations, or multistate Internet
sellers. The projections are based on research findings that a 10% cigarette price increase reduces youth smoking,rates
by 6.5%, adutt rates by 2%, and total consumption by 4% (but adjusted down to account for tax evasion effects), and
assume that the state tax will keep up with inflation. Nevertheless, the tax increase will both reduce smoking levels and
increase state revenues because the higher tax per pack brings in more new revenue than is lost from the drop in the
number of packs sold. Sales tax is 7.0%. Because of the generous assumptions re lost state pack sales to smugglers
and tax avoiders, cigarette-related sales tax revenues are projected to decline despite the fact that the cigarette tax
increase will increase state sales tax revenue per pack sold (the state sales tax percentage applies to the total retail price
of a ci9arette pack, includin9 the cigarette-tax portion ofthe price). Kids stopped from smoking and dyin9 are from all
kids alive today Long-term savings accrue over lifetimes of persons who stop smoking or never start because of tax
Increase.
Sources. Chaloupka, F, "Macro-Social Influences: Effects of Prices and Tobacco Control Policies on the Demand for
Tobacco Products," Nicotine & Tobacco Research, 1999, and other price studies at htto:/ItiaQer.uic.eduHic and
www.uic.edu/oras/imoacleen. Orzechowski & Walker, Tax Burden on Tobacco, 2003. USDA Economic Research
Service, www.ers.usda.Qov/BriefinQ/labacco. State tax offices. Farrelly, M. et aI., "Cigarette Smuggling Revis~ed," U.S.
Centers for Disease Control & Prevention (CDC), in press. CDC, State Highlights 2004: Sustaining State Programs for
Tobacco Control, 2004, htto:/Iwww.cdc.aov/lobacco/dalahiahIiQhISlindex.htm. Miller, P., et al., "Birth and First-Year
Costs for Mothers and Infants Attributable to Maternal Smoking," Nicotine & Tobacco Research 3(1): 25-35, February
2001 Lightwood, J. & S. Glantz, "Short-Term Economic and Heatth Benefits of Smoking Cessation - Myocardial
Infarction and Stroke," Circulation 96(4): 1089-1096, August 19,1997,
htto:/Icirc.ahaiournals.ara/cai/conlenVluIi/96/4/1 089. Hodgsen, T., "Cigarette Smoking and Lifetime Medical
Expend~ures," The Mil/bank Quarterty 70(1), 1992. U.S. Census. Nat'l Center for Heatth Statistics.
For more informatian, see the Campaign fact sheets - including Raising State Tobacco Taxes Always Reduces Tobacco
Use (& Always Increases State Revenues) - at htto://tabaccofreekids.orQ/research/lactsheels/index.oho?CaleaorvlD=18
and htto:/ltobaccolreekids.ora/reoorts/orices.
Campaign for Tobacco-Free Kids 1.7.05/ Eric Undblom, January 13. 2005
1400 I Street NW - Su~e 1200 - Washington, DC 20005
Phone (202) 296-5469 Fax (202) 296-5427 www.tobaccofreekids.arQ
.
l
.
.
.
~ North Carolina
Alliance
tm:Health
Organizations Supporting a
Significant Increase in
North Carolina's Ciearette Excise Tax
As of February 2005
Major Daily Newspapers Endorsing Significant Increase in NC Cigarette Tax:
Asheville Citizen Times
Charlotte Observer
Durham Herald Sun
Fayetteville Observer
Greensboro News-Record
Greenville Reflector
Raleigh News and Observer
The Robesonian
Wilmington Star
Organizations Supporting a Significant Increase in NC's Cigarette Tax:
A Safer Place Youth Network
Access Care
Adolescent Pregnancy Prevention Coalition ofNC
Alamance County Medical Society
Albemarle District Board of Health (Bertie, Currituck, Camden, Chowan, Pasquotank and
Perquimans)
American Cancer Society, Southeast Division, Inc
American Heart Association
American Lung Association
Anchor Club/T A TV of South Brunswick High School
Anson County Board of Health
Appalachian Board of Health
Appalachian District Board of Health (Alleghany, Ashe and Watauga Counties)
Ashe County Health Council, A Healthy Carolinians Task Force
Association of North Carolina Boards of Health
Asthma Alliance
Brunswick County Board of Health
Buncombe County Board of Health
Buncombe County Project ASSIST Coalition
Caldwell Council on Adolescent Health
Campaign for Tobacco Free Kids
Capitol Pediatrics
Catawba County Board of Health (included on Brd of Commissioner's legislative agenda)
Chatham County Board of Health
Chatham County Breathe Easy Coalition
Chowan Regional Health Care Foundation
Christian Action League of North Carolina, Inc.
Clay County Health Department
Clay County Tobacco Awareness Group
Cleveland County Health Department
Common Cause ofNC
,
Council on Adolescents of Catawba County
Covenant with North Carolina's Children - supports to the national median
Craven County Board of Health
Craven-Pamlico-Jones Counties Medical Society
Dare County Board of Health
Democratic Precinct Swift Creek 04
Democratic Precinct Swift Creek 06
Durham County Board of Health
Durham County Commissioners
Durham Mental Health Board
Durham-Orange Medical Society
Eastern District NC Public Health Association
El Pueblo
Empowering Youth with Effective Strategies, EYES, Inc.
Forsyth County Board of Health
Gaston County Board of Health
Goldsboro Pediatrics, P A
Greater Greensboro Society of Medicine
Guilford County Board of Health
Guilford Pain Management
Halifax-Northampton County Medical Society
Harnett County Board of Health
Haywood County Medical Society
Health Action Council
Health Link Advisory Board of Rowan County
Healthy Alamance Substance Abuse Task (Force)
Healthy Caldwellians
Healthy Carolinians Council of Orange County
Henderson County Medical Society
High Point Medical Society
Immigrant Health ACCESS Project
Institute for Health, Science, and Society
Justus-Warren Heart Disease and Stroke Prevention Task Force
League of Women Voters of North Carolina
Lee County Board of Health
Legislative Study Commission on Children and Youth
Madison Community Health Organization
Madison County Healthy Carolinian Consortium
Management Concepts, Inc.
Mecklenburg Board of County Commissioners
Medical Review of North Carolina
Montgomery County Board of Health (not supported by the County Board of Commissioners)
National Association of Social Workers - NC Chapter
New Hanover County Board of Health
NC AARP
NC Academy of Family Physicians
NC Academy of Physician Assistants
NC Alliance for Health
NC Association of Educators (NCAE)
NC Association of Local Health Directors
NC Association of Student Assistance Professionals
NC Chapter of the Society for Public Health Education (SOPHE)
NC Child Care Coalition
.
.
.
.
"
.
.
.
NC Child Fatality Task Force
NC Co\1ege of Emergency Physicians
NC Commission of Indian Affairs
NC Consumers Council, Inc.
NC Council of Churches
NC Dental Hygiene Association
NC Dietetic Association
NC Health Access Coalition - supports to the national median
NC Minority Health Advisory Council
NC Pediatric Society
NC Prevention Partners
NC Public Health Association
NC School Board Association
Neuse Center
North Carolinians for Health Care
Northhampton County Board of Health
Olde Asheboro Street Neighborhood
Onslow County Board of Health
Orange County Board of Health
Planned Parenthood of Central North Carolina
Pilgrim United Church of Christ
Poe Center for Health Education
Question Why Central Region
Robeson County Community Child ProtectionlFatality Prevention Team
Robeson County Partnership for Children
Rowan County Board of Health
SAVE ofNC GASP
School Health Association of North Carolina
Scotland County Board of Health
State Employees Association of North Carolina (SEANC)
S.W.A.T
Triangle Older Women's League
Wake County Human Services Board
Wake County Medical Society Alliance
Watagua County Healthy Carolinians
Wilkes County Board of Health
Wilkes County Medical Society
Yancey and Mitche\1 County Medical Society
.
,
I
.
.
.
The Public Health Regional
Surveillance Team - Region Two
Department Focal for the
New Hanover County Health Department
Board of Health
..
iii'
'i....~ .'
. . . ;
- _._~..~~
Thomas Morris, MD, MPH
Wilmington, NC
2 March 2005
Team Two
I Dr. Dan Wilson,
.J Veterinar)' Epidemiologist
_--: ,_ Dr. Thomas Morris,
Epidemiologist & Team Leader
Administrative Assistant
Linda Taylor. RN. BSN, eEN
Nurse Epidemiologist
Allison Stockweather (Rogers),
Industrial H)'glenlst
WHAT is a PHRST?
The Public Health Regional Surveillance
Teams are:
- A State resource (NC Division of Public
Health), with regional coverage, hosted by
county health departmeuts, which can be
consulted or called out for public health
surveillance, planning, and response.
- The teams augment the counties' public
health response. They do *NOT* replace
the county health system.
- Developed as a response to bioterrorism
PUblic Health Regional Surveillance Tum ~ Region 2
PHRST-2
North Carolina Department of PUblic Health
f-""'-",-
,
).~.... r~-;;;\._~...~'IX"~~~o/
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Web SIll: _*.pl'o"ot2.0'1I
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PHRST 2 Roles
Partnership development
Surveillance
Education and training
Consultation
Preparedness
Response
Rapid Needs Assessment
~
......mber n, 2~1 ~l3'J;U0-U2
Rapid Community Health and Needs Assessments
After Hurricanes Isabel and Charley - North
Carolina, 2003-2004
NC Public Health Infrastructure:
Where does PHRST fit in?
I-EVENT- ]
~~Clinicl
~ ~ Office
.1..... ..........'.m.~mt....mi........
I.PHRSTI~B
~
community
Public
Health
eo.."ay:Dr.JKlrkpllrlck
Hurricane Charley
(5-5) Category 1
14 August 2004
.
.
.
.
2
,
.,
.
.
.
3
Smallpox Vaccinations Totals
. 2 Mar 2005
PH
71
14
Hosp Other
102 7
1 2
Re-vax Total Doses
8 188
2 19
Region 2
NHC
NC state
USA (31 Jan 05)
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~.::~~~ '_ ~:-'t>!~~jJ
1312
39,608
I Smallpox Refresher- Training -10 May 2005. Greensboro, NC
The New CDC 5 year
Cooperative Agreement
;.. State, PHRST, and some Local members met
witb CDC last week about new CA requirements
;.. CDC has yet to determine the new metrics,
finalize the budget for each state, the start date
(!), and/or whether NC can have carry-forward
;.. At present, it is not certain if A TC BT funds
will be level as once announced.
~':;':..~I.".:.o 1 ;."",~':l:l:'.~.J.
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"1 CDC ~.........,""
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VACCINE?
Questions?
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.
.
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4
r
PublishedJor Members oj Local Boards qf Health
First Quarter. 2005
Greetings fellow NALBOHians and friends of NALBOH as I bring you
my first presidential greetings via our ever expanding, ever
informative Newsbrief. Please allow me to introduce myself as your
President for 2005. I am very excited and proud to be the 12'"
president of NALBOH. Working for over 32 years professionally in
the field of public health, I have experienced all three aspects of
governmental public health: local, state, and federal. I have been
on NALBOH's Board of Directors since 2000. I am an appointed
member of the Rockdale County Georgia Board of Health since 1992.
My public health professional experience has been as a disease
controi program coordinator and as a senior emergency response
coordinator for the Centers for Disease Control and Prevention. I
must tell you that my activities with my local board of health as well
as with NALBOH have been some of my most rewarding.
NALBOH has come a very long way since its conceptional meeting held in Atlanta in 1991. There
were a handful of local board of health members representing state associations of local boards
of health that thought having a national voice would be important. You know the rest.
NALBOH was officially founded as an association in 1992 during the American Public Health
Association conference held in Washington DC. We are 13 years strong this year. It proposes to
be a very lucky 13'" year for us and our home office in Bowling Green, Ohio. We have a superb
staff that we could not do without, but NALBOH's real strength comes from our membership,
our committees and our board - in other words, YOU I
My hat goes off to our Past President Connie Tatton who has served dutifully for the past two
years. Connie's leadership was steadfast. I look forward to continuing in her footsteps as we
move our organization toward further strengthening and preparing America's local boards of
health as they can continue to improve the environment in their communities so that all can live,
work, play, learn, and worship safely and in good health.
During my term as your President, I shall try my best to focus on the following key actions as
they will serve to help move NALBOH forward in achieving our mission to strengthen and prepare
local boards of health, enabiing them to promote and to protect the health of their community
through education, technical assistance, and advocacy to our membership.
Strengthening membership:
. In one way or another, identify and touch every single local board of health and other
type of local public health agency governing body
. Continue to work hard to encourage and to assist in the development of more State
Associations of Local Boards of Health or SALBOHs
. Work with NACCHO and APHA to develop innovative strategies for increasing
membership both institutional and affiliate memberships ContinuedonPage2
National Association of Local Boards of Health
1840 East Gypsy Lane
Bowling Green, OH 43402
Phone: (419) 353-7714; Fax: (419) 352-6278
Email: <nalboh@nalboh.org>
Website: <www.nalboh.org>
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National Association of Local Boards of Health
Local Boards of Health:
Responding to Our Community's Needs
August 10-13, 2005
Hilton Suites
Nashville, Tennessee
For more information visit <www.nalboh.org> or call the NAlBOH office at (419) 353-7714.
/
/
/
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