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PAG LIN 1 1 Section 1. NEW SECTION. 142A.1 TOBACCO USE PREVENTION 1 2 AND CONTROL PARTNERSHIP PURPOSE AND INTENT. 1 3 1. The purpose of this chapter is to establish a 1 4 comprehensive partnership among the general assembly, the 1 5 executive branch, communities, and the people of Iowa in 1 6 addressing the prevalence of tobacco use in the state. 1 7 2. It is the intent of the general assembly that the 1 8 comprehensive tobacco use prevention and control initiative 1 9 established in this chapter will specifically address 1 10 reduction of tobacco use by youth and pregnant women, 1 11 promotion of compliance by minors and retailers with tobacco 1 12 sales laws and ordinances, and enhancement of the capacity of 1 13 youth to make healthy choices, and provide for extensive 1 14 involvement of youth in attaining these results. 1 15 3. It is also the intent of the general assembly that the 1 16 comprehensive tobacco use prevention and control initiative 1 17 will evolve to create a social and legal climate in which 1 18 tobacco use becomes undesirable and unacceptable, in which 1 19 role models and those who influence youth promote healthy 1 20 social norms, and demonstrate behavior that counteracts the 1 21 glamorization of tobacco use, and in which tobacco becomes 1 22 less accessible. The evolution of the initiative shall be 1 23 accomplished by engaging all who are affected by the use of 1 24 tobacco in the state, including smokers and nonsmokers, youth, 1 25 and adults. 1 26 Sec. 2. NEW SECTION. 142A.2 DEFINITIONS. 1 27 As used in this chapter, unless the context otherwise 1 28 requires: 1 29 1. "Administrator" means the administrator of the division 1 30 of tobacco use prevention and control. 1 31 2. "Alcoholic beverage" means alcoholic beverage as 1 32 defined in section 123.3. 1 33 3. "Commission" means the commission on tobacco use 1 34 prevention and control established in this chapter. 1 35 4. "Community partnership" means a public agency or 2 1 nonprofit organization implementing the tobacco use prevention 2 2 and control initiative in a local area in accordance with this 2 3 chapter. 2 4 5. "Department" means the Iowa department of public 2 5 health. 2 6 6. "Director" means the director of public health. 2 7 7. "Distributor" means distributor as defined in section 2 8 453A.1. 2 9 8. "Division" means the division of tobacco use prevention 2 10 and control of the Iowa department of public health, 2 11 established pursuant to this chapter. 2 12 9. "Importer" means importer as defined in section 123.3. 2 13 10. "Initiative" means the comprehensive tobacco use 2 14 prevention and control initiative established in this chapter. 2 15 11. "Manufacture" with regard to alcoholic beverages, 2 16 means manufacture as defined in section 123.3. 2 17 12. "Manufacturer" means manufacturer as defined in 2 18 section 453A.1. 2 19 13. "Pregnant woman" means a female of any age who is 2 20 pregnant. 2 21 14. "Retailer" means retailer as defined in section 2 22 453A.1. 2 23 15. "School-age youth" means a person attending school in 2 24 kindergarten through grade twelve. 2 25 16. "Tobacco" means both cigarettes and tobacco products 2 26 as defined in section 453A.1. 2 27 17. "Youth" means a person who is five through twenty-four 2 28 years of age. 2 29 Sec. 3. NEW SECTION. 142A.3 TOBACCO USE PREVENTION AND 2 30 CONTROL DIVISION COMMISSION CREATED. 2 31 1. The department shall establish, as a separate and 2 32 distinct division within the department, a division of tobacco 2 33 use prevention and control. The division shall develop, 2 34 implement, and administer the initiative established in this 2 35 chapter and shall perform other duties as directed by this 3 1 chapter or as assigned by the director of public health. 3 2 2. A commission on tobacco use prevention and control is 3 3 established to develop policy, provide direction for the 3 4 initiative, and perform all other duties as directed by this 3 5 chapter or referred to the commission by the director of 3 6 public health. 3 7 3. The commission shall consist of the following voting 3 8 members who shall serve three-year, staggered terms: 3 9 a. Three members who are active with nonprofit health 3 10 organizations, at the local level, that emphasize tobacco use 3 11 prevention. 3 12 b. Two members who are active as health services providers 3 13 at the local level. 3 14 c. Two members who are retailers. 3 15 d. Three members who are active with health promotion 3 16 activities at the local level in youth education, law 3 17 enforcement, nonprofit services, or other activities relating 3 18 to tobacco use prevention and control. 3 19 Following initial appointments to the commission, the 3 20 members appointed under this subsection shall be appointed by 3 21 the governor, subject to confirmation by the senate, pursuant 3 22 to section 2.32 and 69.19. 3 23 4. In addition to the members described in subsection 3, 3 24 the membership of the commission shall include five voting 3 25 members who are selected by the participants in the annual 3 26 statewide youth summit of the initiative's youth program. The 3 27 selection process shall provide that each of the state's 3 28 congressional districts is represented. These members shall 3 29 also serve three-year staggered terms. 3 30 5. The commission shall also include the following ex 3 31 officio, nonvoting members: 3 32 a. Four members of the general assembly, with not more 3 33 than one member from each chamber being from the same 3 34 political party. The two senators shall be appointed by the 3 35 majority leader of the senate following consultation with the 4 1 president of the senate and the minority leader of the senate. 4 2 The two representatives shall be appointed by the speaker of 4 3 the house of representatives after consultation with the 4 4 majority and minority leaders of the house of representatives. 4 5 b. The presiding officer of the statewide youth executive 4 6 body, selected by the delegates to the statewide youth summit. 4 7 6. In addition to the members of the council, the 4 8 following agencies, organizations, and persons shall each 4 9 assign a single liaison to the commission to provide 4 10 assistance to the commission in the discharge of the 4 11 commission's duties: 4 12 a. The department of education. 4 13 b. The drug policy coordinator. 4 14 c. The department of justice, office of the attorney 4 15 general. 4 16 d. The department of human services. 4 17 7. Citizen members shall be reimbursed for actual and 4 18 necessary expenses incurred in performance of their duties. 4 19 Citizen members shall be paid a per diem as specified in 4 20 section 7E.6. Legislative members are eligible for per diem 4 21 and expenses as provided in section 2.10. 4 22 8. A member of the commission who is convicted of a crime 4 23 relating to tobacco, alcohol, or controlled substances is 4 24 subject to removal from the commission. 4 25 9. The commission shall designate an advisory council. 4 26 The commission shall determine the membership and 4 27 representation of the advisory council and members of the 4 28 council shall serve at the pleasure of the commission. The 4 29 advisory council may include representatives of health care 4 30 provider groups, parent groups, antitobacco advocacy programs 4 31 and organizations, tobacco retailers, research and evaluation 4 32 experts, and youth organizers. 4 33 10. A vacancy on the commission other than for the youth 4 34 members shall be filled in the same manner as the original 4 35 appointment for the balance of the unexpired term. A youth 5 1 member vacancy shall be filled by the presiding officer of the 5 2 statewide executive body as selected by the delegates to the 5 3 statewide youth summit. The commission shall elect a 5 4 chairperson from among its voting members and may select other 5 5 officers from among its voting members, as determined 5 6 necessary by the commission. The commission shall meet 5 7 regularly as determined by the commission, upon the call of 5 8 the chairperson, or upon the call of a majority of the voting 5 9 members. 5 10 Sec. 4. NEW SECTION. 142A.4 COMMISSION DUTIES. 5 11 The commission shall do all of the following: 5 12 1. Develop and implement the comprehensive tobacco use 5 13 prevention and control initiative as provided in this chapter. 5 14 2. Provide a forum for the discussion, development, and 5 15 recommendation of public policy alternatives in the field of 5 16 tobacco use prevention and control. 5 17 3. Develop an educational component of the initiative. 5 18 Educational efforts provided through the school system shall 5 19 be developed in conjunction with the department of education. 5 20 4. Develop a plan for evolution of the initiative in 5 21 accordance with the purpose and intent specified in section 5 22 142A.1. 5 23 5. Provide technical assistance, training, and other 5 24 support under the initiative. 5 25 6. Take actions to develop and implement a statewide 5 26 system for the initiative programs that are delivered through 5 27 community partnerships. 5 28 7. Manage and coordinate the provision of funding and 5 29 other moneys available to the initiative by combining all or 5 30 portions of appropriations or other revenues as authorized by 5 31 law. 5 32 8. Assist with the linkage of the initiative with child 5 33 welfare and juvenile justice decategorization projects, 5 34 education programming, community empowerment areas, and other 5 35 programs and services directed to youth at the state and 6 1 community level. 6 2 9. Coordinate and respond to any requests from a community 6 3 partnership relating to any of the following: 6 4 a. Removal of barriers to community partnership efforts. 6 5 b. Pooling and redirecting of existing federal, state, or 6 6 other public or private funds available for purposes that are 6 7 consistent with the initiative. 6 8 c. Seeking of federal waivers to assist community 6 9 partnership efforts. 6 10 In coordinating and responding to the requests, the 6 11 commission shall work with state agencies, the governor, and 6 12 the general assembly as necessary to address requests deemed 6 13 appropriate by the commission. 6 14 10. Adopt rules pursuant to chapter 17A as necessary for 6 15 the designation, governance, and oversight of the initiative 6 16 and the implementation of this chapter. The commission shall 6 17 provide for community partnership and youth program input in 6 18 the rules adoption process. The rules shall include but are 6 19 not limited to all of the following: 6 20 a. Performance indicators for initiative programs, 6 21 community partnerships, and the services provided under the 6 22 auspices of community partnerships. The performance 6 23 indicators shall be developed with input from communities. 6 24 b. Minimum standards to further the provision of equal 6 25 access to services. 6 26 11. Monitor and evaluate the effectiveness of performance 6 27 measures utilized under the initiative. 6 28 12. Submit a report to the governor and the general 6 29 assembly on a periodic basis, during the initial year of 6 30 operation, and on an annual basis thereafter, regarding the 6 31 initiative, including demonstrated progress based on 6 32 performance indicators. The commission shall report more 6 33 frequently if requested by the joint appropriations 6 34 subcommittee that makes recommendations concerning the 6 35 commission's budget. 7 1 13. Approve contracts entered into with the alcoholic 7 2 beverages division of the department of commerce, to provide 7 3 for enforcement of tobacco laws and regulations. 7 4 14. Advise the director in evaluating potential candidates 7 5 for the position of administrator, consult with the director 7 6 in the hiring of the administrator, and review and advise the 7 7 director on the performance of the administrator in the 7 8 discharge of the administrator's duties. 7 9 15. Prioritize funding needs and the allocation of moneys 7 10 appropriated and other resources available for the programs 7 11 and activities of the initiative. 7 12 16. Ensure that sufficient resources are available to 7 13 promote and ensure retailer compliance with tobacco laws and 7 14 ordinances relating to minors and ensure that compliance with 7 15 42 U.S.C. } 300X-26 is prioritized when allocating funds under 7 16 this chapter. 7 17 17. Review fiscal needs of the initiative and make 7 18 recommendations to the director in the development of budget 7 19 requests. 7 20 18. Solicit and accept any gift of money or property, 7 21 including any grant of money, services, or property from the 7 22 federal government, the state, a political subdivision, or a 7 23 private source that is consistent with the goals of the 7 24 initiative. Such gifts shall not be accepted from 7 25 manufactures or distributors of tobacco products or from 7 26 importers of or persons who manufacture alcoholic beverages. 7 27 19. Advise and make recommendations to the governor, the 7 28 general assembly, the director, and the administrator, 7 29 relative to tobacco use, treatment, intervention, prevention, 7 30 control, and education programs in the state. 7 31 20. Evaluate the work of the division and the department 7 32 relating to the initiative. For this purpose, the commission 7 33 shall have access to any relevant department records and 7 34 documents, and other information reasonably obtainable by the 7 35 department. 8 1 21. Develop the structure for the statewide youth summit 8 2 to be held annually. 8 3 Sec. 5. NEW SECTION. 142A.5 DIRECTOR AND ADMINISTRATOR 8 4 DUTIES. 8 5 1. The director shall do all of the following: 8 6 a. Establish and maintain the division of tobacco use 8 7 prevention and control. 8 8 b. Employ a division administrator who shall be 8 9 responsible for the administration and oversight of the 8 10 division. The administrator shall be exempt from the merit 8 11 system provisions of chapter 19A. 8 12 c. Coordinate all tobacco use prevention and enforcement 8 13 programs and activities under the purview of the department. 8 14 d. Receive and review budget recommendations from the 8 15 commission. The director shall consider these recommendations 8 16 in developing the budget request for the department. 8 17 e. Enter into contracts with the alcoholic beverages 8 18 division of the department of commerce, to provide enforcement 8 19 of tobacco laws and regulations. Such contracts shall provide 8 20 that enforcement efforts shall include training of local 8 21 authorities that issue retailer permits in the procedure for 8 22 suspension or revocation of a permit. 8 23 2. The administrator shall do all of the following: 8 24 a. Implement the initiative, coordinate the activities of 8 25 the commission and the initiative, and coordinate other 8 26 tobacco prevention and control activities as assigned by the 8 27 director. 8 28 b. Monitor and evaluate the effectiveness of performance 8 29 measures. 8 30 c. Provide staff and administrative support to the 8 31 commission. 8 32 d. Administer contracts entered into under this chapter. 8 33 e. Coordinate and cooperate with other tobacco use 8 34 prevention and enforcement programs within and outside of the 8 35 state. 9 1 f. Coordinate the efforts of the division with tobacco law 9 2 enforcement programs funded through the commission. 9 3 Sec. 6. NEW SECTION. 142A.6 COMPREHENSIVE TOBACCO USE 9 4 PREVENTION AND CONTROL INITIATIVE ESTABLISHED PURPOSE 9 5 RESULTS. 9 6 1. A comprehensive tobacco use prevention and control 9 7 initiative is established. The division shall implement the 9 8 initiative as provided in this chapter. 9 9 2. The purpose of the initiative is to attain the 9 10 following results: 9 11 a. Reduction of tobacco use by youth. 9 12 b. Strong, active youth involvement in activities to 9 13 prevent youth tobacco use and to promote cessation of youth 9 14 tobacco use. 9 15 c. Enhanced capacity of youth to make healthy choices. 9 16 d. Reduction of tobacco use by pregnant women who 9 17 currently use tobacco but desire to terminate tobacco use and 9 18 participate in cessation efforts. 9 19 e. Increased compliance by minors and retailers with 9 20 tobacco sales laws and ordinances. 9 21 3. Success in achieving the initiative's desired results 9 22 may be demonstrated by a minimum of the following: 9 23 a. Data demonstrating consistent progress in reducing the 9 24 prevalence of tobacco use among youth and adults. 9 25 b. Survey results indicating widespread support among 9 26 youth for the initiative's tobacco use prevention and control 9 27 activities, for programs that enhance the ability of youth to 9 28 make healthy choices including those related to use of 9 29 tobacco, alcohol, and other substances, and for the media, 9 30 marketing, and communications efforts supporting the 9 31 initiative's desired results. Any survey conducted shall also 9 32 include an assessment of the effectiveness of tobacco use 9 33 prevention and control activities in affecting other unhealthy 9 34 behaviors including sexual activity and violent behavior. 9 35 c. Data demonstrating increased compliance by minors and 10 1 retailers with tobacco sales laws and ordinances. 10 2 4. The division shall implement the initiative in a manner 10 3 that ensures that youth are extensively involved in the 10 4 decision making for the programs implemented under the 10 5 initiative. The initiative shall also involve parents, 10 6 schools, and community members in activities to achieve the 10 7 results desired for the initiative. The division shall 10 8 encourage collaboration at the state and local levels to 10 9 maximize available resources and to provide flexibility to 10 10 support community efforts. 10 11 5. Notwithstanding chapter 18 or any other provision of 10 12 law to the contrary, goods and services necessary to implement 10 13 the initiative may be procured without competitive bidding, 10 14 subject to approval of the commission. 10 15 Sec. 7. NEW SECTION. 142A.7 INITIATIVE COMPONENTS. 10 16 1. The initiative shall include but is not limited to all 10 17 of the following: 10 18 a. Youth programs, designed to achieve the initiative's 10 19 desired results, that are directed by youth participants for 10 20 youth. 10 21 b. A media, marketing, and communications program to 10 22 achieve the initiative's desired results. Advertising shall 10 23 not include the name, voice, or likeness of any elected or 10 24 appointed public official or of any candidate for elective 10 25 office. 10 26 c. Independent evaluation of each component of the 10 27 initiative. 10 28 d. Ongoing assessment of data, review of indicators used 10 29 in assessing the effectiveness of the initiative, and 10 30 evaluation of the initiative, its programs, and its marketing 10 31 strategy. The initial baseline used to subsequently measure 10 32 the effectiveness of the initiative shall be developed using 10 33 existing, available indicators and data sources. Following 10 34 development of the initial baseline, indicators of the 10 35 effectiveness of the initiative shall be reviewed on at least 11 1 an annual basis to ensure that the indicators used most 11 2 accurately provide for measurement of such effectiveness. The 11 3 data assessed may include data demonstrating the prevalence of 11 4 tobacco use among youth and pregnant women, the prevalence of 11 5 the use of alcohol and other substances among youth, and the 11 6 effectiveness of tobacco promotional activities. The data 11 7 assessed may also include data demonstrating the prevalence of 11 8 other youth and adult behaviors, attitudes, knowledge, and 11 9 beliefs including those related to the prevalence of sexual 11 10 activity among youth and the effectiveness of pregnancy 11 11 prevention measures, and the prevalence of violent behavior 11 12 among youth. 11 13 2. Administrative costs associated with each program of 11 14 the initiative and program provider shall be established at a 11 15 reasonable level consistent with effective management 11 16 practices. 11 17 3. Requests for information or for proposals shall 11 18 emphasize that performance measures are required for any 11 19 contract or allocation of funding under the initiative. 11 20 Sec. 8. NEW SECTION. 142A.8 COMMUNITY PARTNERSHIPS. 11 21 1. A community partnership is a public agency or nonprofit 11 22 organization operating in a local area under contract with the 11 23 department to implement the initiative in that local area 11 24 utilizing broad community involvement. 11 25 2. A community partnership area shall encompass a county 11 26 or multicounty area, school district or multischool district 11 27 area, or community empowerment area, in accordance with 11 28 criteria adopted by the commission for appropriate population 11 29 levels and size of geographic areas. 11 30 3. The commission shall adopt rules pursuant to chapter 11 31 17A providing procedures for the initial designation of 11 32 community partnership areas and for subsequent changes to the 11 33 initially designated areas. 11 34 4. The requirements for contracts entered into by a 11 35 community partnership and the department shall include but are 12 1 not limited to all of the following: 12 2 a. Administrative functions. 12 3 b. Fiscal provisions. 12 4 c. Community and youth involvement in program and 12 5 administrative decisions. 12 6 d. Law enforcement involvement. 12 7 Sec. 9. NEW SECTION. 142A.9 YOUTH PROGRAM. 12 8 1. A youth program component shall be implemented in each 12 9 community partnership area to achieve the purposes of the 12 10 initiative. 12 11 2. The youth program shall include but is not limited to 12 12 all of the following: 12 13 a. A structure for program participants to interact with 12 14 other participating youth within the community partnership 12 15 area and in other areas of the state. 12 16 b. A structure for formal youth involvement in youth 12 17 program governance at the community partnership area level and 12 18 in a statewide youth summit or summits consisting of 12 19 participation by representatives of the community partnership 12 20 area level. 12 21 c. A structure for participation in a statewide executive 12 22 body consisting of participants selected by the delegates to 12 23 the statewide youth summit of the youth program. 12 24 d. Youth activities that are character-based and focused 12 25 on rewarding appropriate values, behavior, and healthy choices 12 26 by participants. 12 27 3. To the greatest extent possible, the youth program 12 28 shall be directed by youth for youth participants. In 12 29 addition, the state and local administrators associated with 12 30 the initiative shall consult with and utilize the youth 12 31 program participants in the media, marketing, and 12 32 communications program, education efforts, evaluation, 12 33 collaboration, enforcement, and other aspects of the 12 34 initiative. 12 35 Sec. 10. NEW SECTION. 142A.10 FUNDING OF PROGRAMS 13 1 DELIVERED THROUGH COMMUNITY PARTNERSHIPS. 13 2 1. The commission shall develop and implement a statewide 13 3 system for the initiative programs that are delivered through 13 4 community partnerships. 13 5 2. The system shall provide for equitable allocation of 13 6 funding for initiative programs among the state's community 13 7 partnership areas, based upon school-age population and other 13 8 criteria established by the commission. 13 9 3. The specific programs, distribution provisions, and 13 10 other provisions approved by the commission for expenditure of 13 11 the maximum allocation amount established for a community 13 12 partnership area shall be outlined in the written contract 13 13 with the community partnership. 13 14 4. Any allocation received by a community partnership 13 15 shall be matched with local funding, in-kind services, office 13 16 support, or other tangible support or offset of costs. 13 17 Sec. 11. NEW SECTION. 142A.11 REPEAL. 13 18 This chapter is repealed June 30, 2005. 13 19 Sec. 12. INITIAL APPOINTMENTS. 13 20 1. The initial appointments to the commission on tobacco 13 21 use prevention and control of the members who are not youth 13 22 members selected at the youth summit or who are not commission 13 23 nonvoting members, as established by this Act, are as follows: 13 24 a. Three members to a one-year term. 13 25 b. Three members to a two-year term. 13 26 c. Four members to a three-year term. 13 27 2. The initial youth appointments shall be as follows: 13 28 a. One member to a one-year term. 13 29 b. Two members to a two-year term. 13 30 c. Two members to a three-year term. 13 31 3. The initial appointments to the commission on tobacco 13 32 use prevention and control who are not youth members selected 13 33 at the annual youth summit or who are not commission nonvoting 13 34 members shall be made by the governor from a nominating pool 13 35 provided by the legislative council for the terms set out in 14 1 subsection 1. The legislative council shall solicit extensive 14 2 public input in developing the nominating pool. The 14 3 nominating pool shall include at least three nominees for each 14 4 membership slot. 14 5 4. The initial appointments to the commission shall be 14 6 made within sixty days of the effective date of this Act. 14 7 Sec. 13. REVIEW OF ENFORCEMENT EFFORTS. The tobacco use 14 8 prevention and control commission created under chapter 142A, 14 9 in cooperation with the office of the attorney general, the 14 10 Iowa department of public health, and the alcoholic beverage 14 11 division of the department of commerce, shall review current 14 12 state and local tobacco enforcement regulations and 14 13 activities, including those related to retailers, clerks and 14 14 minors, and shall submit recommendations to the governor and 14 15 the general assembly, on or before December 1, 2000, to 14 16 provide for balanced and uniform enforcement statewide. 14 17 Sec. 14. EMERGENCY RULES. The department of public health 14 18 may adopt emergency rules under section 17A.4, subsection 2, 14 19 and section 17A.5, subsection 2, paragraph "b", to implement 14 20 this Act, and the rules shall become effective immediately 14 21 upon filing, unless the effective date is delayed by the 14 22 administrative rules review committee, notwithstanding section 14 23 17A.4, subsection 5, and section 17A.8, subsection 9, or a 14 24 later effective date is specified in the rules. Any rules 14 25 adopted in accordance with this section shall not take effect 14 26 before the rules are reviewed by the administrative rules 14 27 review committee. Any rules adopted in accordance with the 14 28 provisions of this section shall also be published as notice 14 29 of intended action as provided in section 17A.4. 14 30 Sec. 15. EFFECTIVE DATE. This Act, being deemed of 14 31 immediate importance, takes effect upon enactment. 14 32 EXPLANATION 14 33 This bill creates new Code chapter 142A relating to tobacco 14 34 use prevention and control. 14 35 Code section 142A.1 provides the purpose and intent of the 15 1 chapter. This section provides that the purpose of the 15 2 chapter is to establish a comprehensive partnership among the 15 3 general assembly, the executive branch, communities, and the 15 4 people of Iowa in addressing the prevalence of tobacco use in 15 5 the state. The intent of the general assembly is that the 15 6 comprehensive tobacco use prevention and control initiative 15 7 established in the chapter specifically address reduction of 15 8 tobacco use by youth and pregnant women, promotion of 15 9 compliance by youth and retailers with tobacco sales laws and 15 10 ordinances, and enhancement of the capacity of youth to make 15 11 healthy choices, and provide for extensive involvement of 15 12 youth in the activities under the initiative. This section 15 13 also provides that it is the intent of the general assembly 15 14 that the initiative evolve to create a social and legal 15 15 climate in which tobacco use becomes undesirable and 15 16 unacceptable, in which role models and those who influence 15 17 younger generations promote social norms and demonstrate 15 18 behavior that counteracts the glamorization of tobacco use, 15 19 and in which tobacco becomes less accessible. The evolution 15 20 of the initiative is to be accomplished by engaging all who 15 21 are affected by the use of tobacco in the state including 15 22 smokers and nonsmokers, youth and adults. 15 23 Code section 142A.2 provides definitions used in the 15 24 chapter. 15 25 Code section 142A.3 creates a tobacco use prevention and 15 26 control division within the Iowa department of public health 15 27 and creates a tobacco use prevention and control commission. 15 28 This section specifies the membership of the commission. The 15 29 commission is comprised of 15 voting members, five of which 15 30 are youth, and five ex officio nonvoting members. The voting 15 31 members who are not youth are initially to be appointed by the 15 32 governor utilizing a pool of nominees presented by the 15 33 legislative council. Subsequent to the initial appointments, 15 34 the governor is directed to appoint these voting members, 15 35 subject to confirmation by the senate. In addition to the 16 1 members of the commission, specified agencies are directed to 16 2 each assign one liaison to the commission to provide 16 3 assistance to the commission. The commission is also directed 16 4 to designate an advisory council to the commission to include 16 5 representatives of health care provider groups, parent groups, 16 6 antitobacco advocacy programs and organizations, tobacco 16 7 retailers, research and evaluation experts, and youth 16 8 organizers. The bill provides that if a member of the 16 9 commission is convicted of a crime relating to tobacco, 16 10 alcohol, or controlled substances, the member is subject to 16 11 removal. 16 12 Code section 142A.4 specifies the commission duties, and 16 13 Code section 142A.5 specifies the duties of the director of 16 14 public health and the duties of the administrator of the 16 15 division of tobacco use prevention and control under the 16 16 chapter. 16 17 Code section 142A.6 establishes the comprehensive tobacco 16 18 use prevention and control initiative. The purpose of the 16 19 initiative is to attain the specified results of reduction of 16 20 tobacco use by youth, strong and active involvement of youth 16 21 in tobacco use prevention and cessation activities, enhanced 16 22 capacity of youth to make healthy choices, reduction of 16 23 tobacco use by pregnant women, and increased compliance by 16 24 minors and retailers with tobacco sales laws and ordinances. 16 25 The bill specifies the type of data which will demonstrate 16 26 success of the initiative. The initiative is to be 16 27 implemented with the extensive involvement of youth and the 16 28 involvement of parents, schools, and community members. The 16 29 division is to encourage collaboration at the state and local 16 30 levels to maximize available resources and to provide 16 31 flexibility to support community efforts. The bill provides 16 32 that goods and services necessary to implement the initiative 16 33 may be procured without competitive bidding, subject to the 16 34 approval of the commission. 16 35 Code section 142A.7 specifies the components of the 17 1 initiative including youth programs, a media, marketing, and 17 2 communications program, independent evaluation of each 17 3 component of the initiative, and ongoing data assessment and 17 4 initiative evaluation. The bill limits administrative costs 17 5 of each program to a reasonable level and requires that any 17 6 request for information or request for proposal emphasize that 17 7 performance measures are required for any contract or 17 8 allocation of funding under the initiative. 17 9 Code section 142A.8 provides for the designation of 17 10 community partnerships which are public agencies or nonprofit 17 11 organizations operating in a local area under contract with 17 12 the department to implement the initiative in that local area. 17 13 The community partnership is to utilize broad community 17 14 involvement. Community partnerships may be a county or 17 15 multicounty area, school district or multischool district 17 16 area, or a community empowerment area, in accordance with 17 17 criteria adopted by the commission for appropriate population 17 18 levels and geographic area size. The commission is to adopt 17 19 rules to provide procedures for initial designation of the 17 20 community partnerships. Contracts entered into between the 17 21 department and community partnerships are to include 17 22 administrative functions, fiscal provisions, community and 17 23 youth involvement in program and administrative decisions, and 17 24 law enforcement involvement. 17 25 Code section 142A.9 provides for a youth program component. 17 26 A youth program is to be implemented in each community 17 27 partnership area. Each youth program is to include a 17 28 structure for program participants to interact with other 17 29 participating youth in the community partnership and 17 30 throughout the state, a structure for formal youth involvement 17 31 in youth program governance in the community partnership and 17 32 in statewide youth summits, a structure for participation in a 17 33 statewide executive body consisting of participants selected 17 34 by the delegates to the statewide youth summit of the youth 17 35 program, and youth activities that are character-based and 18 1 focused on rewarding appropriate values, behavior, and healthy 18 2 choices by participants. The youth program is to be directed 18 3 by youth for youth, and is to include utilization of and 18 4 consultation with youth in the media, marketing, and 18 5 communications program, education efforts, evaluation, 18 6 collaboration, enforcement, and other aspects of the 18 7 initiative. 18 8 Code section 142A.10 directs the commission to develop a 18 9 system to implement a statewide system for the initiative 18 10 programs delivered through the community partnerships. The 18 11 system is to provide for equitable allocation of funding, 18 12 based upon school-age population, and other criteria 18 13 established by the commission. The specific programs, 18 14 distribution provisions, and other provisions approved by the 18 15 commission for expenditure of the maximum allocation 18 16 established for a community partnership area are to be 18 17 outlined in the written contract with the community 18 18 partnership. Allocations received by a community partnership 18 19 must be matched with local funding, in-kind services, office 18 20 support, or other tangible support, or offset of costs. 18 21 Code section 142A.11 provides for repeal of the new Code 18 22 chapter June 30, 2005. 18 23 The bill provides for the initial appointments to the 18 24 commission in a manner that staggers the terms of the voting 18 25 members. The bill provides that initial appointments to the 18 26 commission of members who are not youth members, or who are 18 27 not nonvoting members are to be appointed by the governor from 18 28 a nominating pool provided by the legislative council. The 18 29 legislative council is directed to solicit extensive public 18 30 input in developing the nominating pool. The nominating pool 18 31 is to include at least three nominees for each membership 18 32 slot. The initial appointments to the commission are to be 18 33 made within 60 days of the effective date of the bill. 18 34 The bill provides that the tobacco use prevention and 18 35 control commission, in cooperation with the office of the 19 1 attorney general, the Iowa department of public health, and 19 2 the alcoholic beverages division of the department of 19 3 commerce, is to review current state and local tobacco 19 4 enforcement regulations and activities, and submit 19 5 recommendations to the governor and the general assembly on or 19 6 before December 1, 2000, to provide for balanced and uniform 19 7 enforcement statewide. 19 8 The bill provides emergency rulemaking authority for the 19 9 Iowa department of public health. Any rules adopted under 19 10 this provision do not take effect until reviewed by the 19 11 administrative rules review committee. 19 12 The bill takes effect upon enactment. 19 13 LSB 7257XS 78 19 14 pf/cf/24
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