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Increasing Local Funding Options for Disease Prevention Programs in Rural California Counties: Report and Advocacy Guide

2009 | Download

This report provides a national and statewide overview of the Master Settlement Agreement (MSA) fund allocation from tobacco industry settlements. The five-year study that culminated in this report analyzes collective lessons learned in the past decade that could inform future efforts to reclaim MSA funds for disease prevention.

The original intent of the Master Settlement Agreement (MSA), developed by national public health organizations and attorneys general of 46 states, was that state and local governments would use tobacco industry settlement payments to prevent future disease and deaths. This report provides a national and statewide overview of the MSA fund allocation context in which California counties defined their own local decision making processes about how to use the MSA funds. The five- year study that culminated in the writing of this report analyzes (a) collective lessons learned in the past decade that could inform future efforts to reclaim MSA funds for disease prevention, and (b) trends in securitization of MSA funds among California’s 62 urban and rural jurisdictions.

This is the first time that MSA payment analysis of trends between categories of California jurisdictions has been made available to local public health groups. The study used:

  1. data on projected and actual MSA payments to California counties and the largest 4 cities from the California Attorney General’s Office
  2. media and public records content analysis
  3. interviews with 31 state and local health advocates about California’s local decision-making processes used in the allocation of MSA funds.

Download the study now.