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The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the November 2000 election, invests Arkansas’ share of the tobacco Master Settlement Agreement funds in seven health-related programs. This report documents the initiation and first two years of activity by the seven funded programs. First, it gives a summary of the history and context of the funding in Arkansas. It then describes progress on key indicators from program inception in July 2001 to June 2003 is provided for each of the seven programs. The report also examines measures that were developed to monitor effects of the funded programs on smoking and other health-related outcomes and early results from those measures. Finally, it provides both program-specific and statewide recommendations for future program activities and funding.

Table of Contents

  • Chapter One


  • Chapter Two

    History and Policy Context

  • Chapter Three

    Tobacco Prevention and Cessation Program

  • Chapter Four

    Arkansas College of Public Health

  • Chapter Five

    Delta Area Health Education Center

  • Chapter Six

    Arkansas Aging Initiative

  • Chapter Seven

    Minority Health Initiative

  • Chapter Eight

    Arkansas Biosciences Institute

  • Chapter Nine

    Medicaid Expansion Programs

  • Chapter Ten

    Evaluation of Smoking-Related Outcomes

  • Chapter Eleven

    Evaluation of Non-Smoking Outcomes

  • Chapter Twelve

    Synthesis and Recommendations

  • Appendix A

    RAND Evaluation of the Arkansas Tobacco Settlement Program Evaluation Methods

  • Appendix B

    Initiated Act 1 of 2000 The Tobacco Settlement Proceeds Act

  • Appendix C

    Arkansas Department of Health Monitoring the Implementation of the CDC's Guidelines for School Health Programs to Prevent Tobacco Use and Addiction

  • Appendix D

    ADH Formation and Planning

  • Appendix E

    Council on Education for Public Health (CEPH) Review

  • Appendix F

    Measures and Markers Report: Start-December 31, 2003 College of Public Health

  • Appendix H

    Measures and Markers Report: Start-December 31, 2003 Arkansas Biosciences Institute

The research described in this report was sponsored by the Arkansas Tobacco Settlement Commission was conducted by RAND Health.

This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.

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