Tobacco Documents Online

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Sen. Kennedy (D, llass) and eight 9• ,= other Senators on May 19 intr ;:' 53115, "a bill to est,a . a ccxmpre- evention and health progran in the United States. Title IV wou7 d"creatc Yr;~rams designed t o ri :: pror.xx~te health through smoking deter- ='r rence." Title IV vras also introduced .,~r. ;. separately as S3118, and other tiitless as S3116 and 3117. The eig~t other Senators, sponsors of both,S3115-and 3118 are: Williams (D, NJ) , Chaffee '(R, RI),, Randolph (A, W'.Va) , Pelll (D,. , , . RI ), , Riegle (b, Mich ),, rbGovern (D, . . SD) , Hart (14 Colo) land Leahy (D, Vt) . (Cranston, Javits, Schwei.ker and Staf- ford sponsored Titles I and'II, only, providing grants and technical assis- :.: tance to States). . .It . Hearings were held on the bills N9ay . xr Y 24 and 25. Test.imony was given by Sm. c,,:,: Ford (D, Ky) and by Dr. William H. Foe- ' 3; ge, Director, Center for Disease Con- As ¢{t;;: trol, Dr. Noraran Kretchmer, Director, "~',,.:~i.. .. .. . .. ~ . + .. . .. . , . . .::5~... _ . .... , ... f..r,. . . ;~ ^ ...: . . ..- ~ . . . _ ~ Smi thi of USDA Te11 s Leaf Deal ers : Carter /Administration Does Not Intend To Disrupt P. R. "BObby"l Smith, Assistant Secre- tary of Agriculture, told nr-mbers of the .° Tobacco Association of the U.S. and Leaf. ~, Zbbacco Exporters Association May 2'2: ' t+lie Carter Admi.nistration has no inten- tion of disnzpting the Amrican tobacco industry. "The position of the President and' the Secretary of' Agriculture onthis question is crystal-clear," he said. 'f "We are firmly cor*mi:tted~ to oontinuing ENNEDh~ A~N~' D~~ OTHERS~ INTRODUCE °'DISEA~SE PREVERMN~ -~ HEALTH PROMOTIOW" PACKAGE,, INCLUDING "5W10ICIN~CDETERRENCE" RROGRAM « STATLER HILTQN; SEVENTH AVE. AND 33RD STREET. MEW YQRK, N.Y. 10001 (2'12)23944'35 NB-78-6 onal Institutes of Child Health .,, and Humran~ Devel'opnent, John Pinney, :Director, Office of Smoking and Health,j all of the Departrrlent of Health, Edtca-.;, tion, and~ Welfare; Dr. Richard I. _ Ewac, University of Houston; Dr. J:..ies W. Swinehart, Pelham Manor,New York; Paula Green, Green Dol¢r,a.tch Ad.uertisiu2g!, Inc., Newr Yorlc City; Dr. LaSalle D.. Lef-- fail, Jr., Anierican Cancer Society, Washington, D.C.; Dr. Donald Young„ 'y American Lung Association, Washington, : D.C«;Dr. Robert M« Daugherty, Jr., Amer- ican Heart Association, Washington, D.C.;; and John S., Banzahf, III, Action on Sanoking' and Health, Washington, D.C; r:. x and a panel of students frcam Washington, ' D.C. area high schools. 11he hearings t' were recessed subj ect tA call . i.. . .. ~ ~ _. ...A. . . . . .;.ti;l ~~.. . ~~:ii included zn'thls NB are excerpts d frcan Sen. Kennedy''s statement, includ-, ing the full text of ar.d commntary on S3]L18',, + ~ t}7y`rr. '.i ~r ~t y the federal price support program for ": " tobaE:co. : Smith alluded to the "very st.rong, pressures''"to decrease govert>z:aent as-1 sistance to.the tobacco industry andd said "some changes and' adjixstnents in the current program may be necessary ~ inorder to disarm our critics and to~ ~, place tobacco on a stabie, durable and;~ progressive footing."' ~ . .. , ;~~, .

,e' endUnl; 4'cptcntP.cr .^.0; 1C'.;1; wxP >91',O;t100.0+r~ a wrrrt Tlr nnsrca' as,acrATr rrLA7 4 a . . P BTUIliT f'Gr the nd:c:c1 ya'tr rnHinl !~rpti:mhcr 20, 1962. , earoKrxu crcear.rres oP vnxrswc r.r.vet, or ~~~' (Z)i Rur !he purlso•:o of maiklh,r, p;t}•rnr.nts' ret ~urrn Nrcrrrtrrc eva warr svnsrnrucra *,d'~,i fbr t:rant:4nudc,r p.lrnr-ra;.U. (A) („jy tltL`re.ar0. CoM.nlorrLYl LT+nF-1r. ro1i'aM1S6'RCIAGL7 MA~iv- th ' ' . au orl.cd to l:o al,;,rcqprl:.ted S'l0;On0;c i00' F,vGrar.t:o crcNasrrns for thu Iurucl'yct.r endlu :pttir I,;c ;i0, 1980. SF¢. ~ IL (n) 7lro ..ccrctany of Hcaltri; F.dit- ~- >aL0,Q0U lri7!l fo th G r e rcal ,rar cndlhl~ Scptrnt• Dcr 90 3931, , and L10,0',O,ritt0' for thc, fl:;astit catlon, and Wclfare shalt cnnduct„ or ar• jcart endin~,:Jcj~tc:nbcr ~Dy,1962', rangc for tho, conduct cf, a.^,cucly or studJcs ' . . of (1) ' the rrlsttvc hc Llili, rl::F:s ae;trolntud House Ag'ai n Sets Back Johnson B'i'dl To' P'.L. 480' Tobacco Shi'pments Rep. Johnson ('R, Colo) tried once again to amend P'.L. 430 to eliminate tobacco and tobacco products for eligi- bility under Title I, the "'food-for- peace" program, and once again the -='-House rWjccted'-the anrendirier.t. --(He suc- ceeded' initially in the House in.May 1977, but lost eventually to a Humphrey- Whitley ame.ndment calling for priority to foodand fiber sales. See NB-77-7' and -11) . They did so in ca>menting on a peti- tion by 66 non-profit organiizations seeking clarification of hcxw PSAs are defined, their standardization as to logging, miinimLUn' numbers and dispersion throughout the day. In its corments, HEW' said that PSAs can make an important contribution to the success of its program to inforr,r the public on ir,>portant issues of health and: safety, suerh as its campaign to better inform the public on the health dangers, of' smoking,. r, Marvin K. Bloan' Executive Director NB-78-6 v1'ohnson was supported in statements wlth smokln;f cigarrt:rs of varying lavala or it 1..+' anv, xilrotlnc ar:u (2) the hralt.h t1sk:+ assoctattd K^.I*h s naY.lnr c1parrt,tco c•intaln- Int any tiubstancc.: rrirnmo:rlN adhtrrl to conr- mcrcltUly r^~anuflcturcd clt;arMtcr.. (b) \Hltlh(n two yca:s of' tlie: ctatc of en- ectntcnt af'thls part, the Secretary shnll re- port to tTic Cor,,.r_..s the resui,ts of te:e study or stiudics conductcd pursuant to suh<cctlon (p) and any r'ecumrzcndattons for lcZisl9,- thx or adminlstra;lve actlon., by Drinan (D, Mass), C-ary Myers (R, Pa) Prizc:nard (R Wash) and Hagedorn (R, Minn) ; the ame.ndme.nt was challexlged by Jones (D,, NC), Ashbrook (P,, Ohio), Per- kins ('D,, Ky) , Dan Daniel (D, Va) , Wanp]ier (R, Va) , Natcher (D., Ky) , Neal (D, NC), Hubbardi(D, Ky), Jenrette (D, SC), Rose (D, NC) , Fountain (D; NC),., Hefner (D, NC) and Mathis (D, Ga)', .. The vote against the amendment was 189 to 126, with 119 not voting. FTC and' HIEW Say More Time For Broadcast Publiic. Service Announcements Needed . Zhe FL!C and HECV have j ointly urged the FCC to'require broadcasters to in- crease the nzunaer of public service anr ncnuLceTwnts ('PSAs) they air and to' broadcast therv at peak viewingihours as well as~ fringetime.,

s~r.r~r.r .~r...~.~..,•....~. ~ ~ ~ ~ ~ . . . - . ~ .. .~. . . ~. .,.-. . .. .. a 1Mr. KENNEDY. Mr. Presictont, dtspitc Its sizeande tophisticatiurn our cccxl':thl care system has many failings. It is ex- Cessi'vely' costly: It ]s Pnorrv plRnncdi It provides our people uneven qu;tlity of care. It overemnli prnvi,;ion af spe- cialty care. It gives iwizn.^•,Ir•ient weiraht! to tZYeprovision of primary care. I!ZAssever, Mr. Presidcnt• none of' these shortcorninit;s i.s more scrious than the one I rise to acldre!;s todlv. Despitc the ;180' billion we wi11' spend I on personal health services thi.s year, despite our an astounarn^; 71 prerc^_nt, Add cirrhosis, proved' liiestyi'e rrii ht b 51' t ; e a e a extend dihbctcs„ emphysema, and renal di~:ea.~e. life ex ect a b ` p a cy yere from 7 to anywh, and we account fnr 7G percent of alP 11 yeas; deaths. Accidents ho:nici'de and suici'dc w i. , . brin!;, the total to 83' percent of deaths .% But one lin4 in the chairsI cwas stfll in the United States. miss:ng. Even if we knew that reducing '9's We do not fully understand' the hiolotry' cnoresteroi reveLa; or cessation of smok- ;i{ • of alli thcse conditions or the :ocial inp, or trrn+mont of hich blood pre.strre , factors vrlrich underlie th(rm. But re- could reduce the in,adencc of' c:atccr and ~ eently;,bccau:so of epidc:niolnF;ical break- heart disease, it was nnR~~ clear that we;.; throttgh.~; nTe ha.ve idcntified some of tlie I coi°'cl fiud! acceptable i:ays to ird'ace peo:- ; iinrrort::.nt causative flct'ors undr?rl'yint; pic` to sWn smo?:in^_, to (:et their hyper- k' t ' ern fon adccyLately trc,^,S eci, or to change some of tlie:,e conditions; We have irc^un . ta see tho rclation tii'rt, of fnvolunt^ their dict':s in c.a,-s t'_;at Motil'd reduce th 000 h ls i 7 t moro oshI :in • :i , cicst, tc our exposnres-in the cnvironment and lhc ~ Urc'r chole.;terol lr_tii ~:~ .;:- , 1;_- 3G0.000 physicinrs, dc: pile mcdic are ; ad :.: Korkltlace-to the devcl+),!ment of' dis- riow• hoacevcr„ in s:me of triemo t eY- ` ° medicaid expcuclitttres of » Li111on this ease. And we hrtve also t,o;•lrn, to see the cit:nrt expet rrntr n r^°o..t tiaiM,, this- year, we have in thLs cou»+ry no n.. ,'ronxI ' iimportance of lifestyle and' hcalth habits lastS (1uestion is Le.n!; ..nswercd• and the stratr ; - for t:he rcrcna d f' iil ! 1 p on o nc~s an .ais.tiouiuy anron;; our pco):e. i ruirai riirs for the major burdbn of' lllness ini our C^lifanyFa. anicxrrrirr.nr:t fu:uledlby the ovenigl'tt asto!nidin;;: Su!clY, the p!•e- ' society*. . W:a.Pional He2rt. and Blood Dn:cti- vemtian of illness and the maint. ..ancc - tut:n 111s elemnrr;trated that an, intenst-o of good heal'th :s the wisest. most cost- Sei!ne of the most prcrnising, d'cvelo;7- ediicafionai cam;>a`.-rr, u.;in,: the. mars cftective, and most hu:itar.e approach to ments in the area of' hrevention concern, • media and ind;vidiial cou::.;eling could reducing, the burden of iIlnes in this the-liii', brtwecn l::cst>:lc and illness, and redttce chole.stcrol Ikvels by 20 to 40, country. Yet, we find thatthe United . I w(Auiclll'ii:e to slt;uc. M'r:Pix-idcnt, sonrc percent, substantially incre^se the num- Stat'es spends less t1lan 2 percent of its of' my l^crsonal eticitcrsent over recent ber of people getting trmted for 1'iieh health dollars on preventive health pro- brv:ilcthrouehs in, this area. blood' pressure, and'rcduce the numbr.rn 'grams, and that the Federal Govern- In tihe 19G3:r. and early 1^G0'_s, tlirough, 'smol:inS: In a sirnil'ar st'udu In tlin Frn- ment h:is no coordir,atcdi strate;y for the work of wync+rr ^.:,diothers. we canie nish, province of Ivorth, Karelia, a broad' taking advarrtage of the nrany nev break- first tio understand the central ro!e of , blsed hellth educ.ati'on program reducedi t3'Iroubhs occurrine in thi.a field. •- ' cie.nrette smoi.:n;, in the d'evelo;):llcnt the incidence of heart attack by 4'0, per- I am introducing. on behalf of myself of lun.- cancer. A few years later, tm•ouGh . cent. ' and .Sena.torsWILLIAD75. CIIA'FEE.. RAN- , WAia',don^ in the city of'.Frami',ngh'.un in.'The~incorporation of:.sound preventtve. "DVLYH.~ rELL,., I:RANSTU:;:,, tG3EGLE, JAl'rr5,, mY ' Ow11. .,~]LaLC ot a1Tassaehusetts, epide- health practice .'s's altea:d'y~ havrng~ a~~ na- 10CH~WEIIiEP., .7. TAFFORD. 1'biCC+'OVERN',. HUIRT,, and' Il,EAUY, legislation which I think will fill this inexcusab'.e gap in our nltionai' health policy and our national health system. The National Disease Prevention and Health Promot'ion, Act of 1978 was developed with the wise assistance of many of my colleagues. I think it pro- vi:de.S the essential elements of' a program which can dramatically reduce through ~' disease prevention the burden of illness in our count:r•s. A'Li+: President, we' can prevent the dis- eases v.hic.,'t kill most Americans. We have the means, or will shortly develop them Until recently, we could not make . this claim. But let us now look at the One hundred years aro; infectious dis- eases were the most burdensome illnesses 1n this country„but that is no lonrer the case. We have l'earned! how to prevent many of the inf'ectious diseases through lmmuniation. and throughi imnroved' sanitation and nutrition; andl we have learned how to treat many of the com- municable diseases throueh the' use of antibiotics and' other medications. Now,. chronic disease and' violence are the leading killers and cripplers in, our soct-- ety. In 1976. chronic aftlictions and vio- lence accotrnted for 83 percent of all deaths in the United States. "Hcart disease alone accounted for 38 pcrccnt of' all deaths. I-Ie1rt discase plus strolcc and other'ettrdiovascular diseases' accounted for 51 percent of deaths. Cardiovascu:ly disea,~e plus cancer'for ini causing the diseases which account htff)rmation is indhed' cna:ur:-;ir.r,; Ini . mioi began to see the close links tionwide effect in, this country. From between cholesterol Icvels, high blood 1970 to 1976 death rates from stroke pre«ure, smol:ing. and the development dropped 18 percent. Exrerts feel this of corona rs- artery disease and strace. --" decline is~ at Icar>t in part attributable The imnlications of these findings were uaclear. Ifsmol;ing nascorrel'ated': with, Iung, cancer and other disease states,, that did not mean that ending the habit' wouldiprotect'against the development of' cancer or heart discase. And if elevated choiesterol's and' elevated blood pressures were correliLted with heart disease and stroke, we still could not be sure that lon-ering, cholesteroI' or' treating blood to improved' health habits among limer- icans, and to the more widrspreI d treat- ment of high blood prc-7sure. St!arted' i'n 1973; the National Hi;;a Blood Pressure Education Campaign at tne Nationnl. Heart„ Lung, and!Blood Institute has un- doubtedly, contributed to this last ac- complishment: We now find ourselves, lAr: President, at a point tn history very similar' to a pressure would protect a;ainst the de- stage we reached in _::c investigation of vel'opment of cardiovascular disease: "' infectious diseases some 150 years aso. But our epidemiol'ogies and clinicians developed evidence on these points as weli: It became clear that when smokers quit, their r:sl: of dev.elopir.a cancer and heart disease decreased ra;,idly. Simi- larllr„ it became clear through studies done by the Veterans'' Administr:.•tion and elsewhere that treating high blood preasure could draiuatically reduce the incidence of stroke among hypertensives. While no one has cor.clusively demon- strated that lowering cholesterol levels will prevent cardiovascular disease, many of our' country's leading cardiolugists predict t'hatv; ilI be the case. New evidence Ls constantly emerging that lifestyle changes can af!ect morbid- ity and'mortalit,y: A recentstud'y demon- strated that men who exercise regularly and vigorously reduce their risk of heart attack by 60 percent. Finally.,a study by Belloc'aad Breslotvw demonstrated in the early 1970's that im- In the early 1!800's, lonr,* before bacteriaa were discovered, enterprising citizens prevented' choi'?ra epiderrries by qunraa- tining contaminated' pumps. Simi'.arly, at the turn of the centur,+, public health experts were able: by er.id:catiizr; mos- quitos, to prevent yellow fe-er long', be- fore they had isciated the yellow fever virus or developed a vaccine. ' ' The lesson is ,clear. We do not have toi undprstand every' facet of a disease to control' itL We nora find ourselves' ca- pable of makino huge inroads into the prevalence of our Nation's most d'evast'at- ing killers, even though our und'erstand- ing of'the causes of those diseases Is in- complete. If we seize the chance, we may be able to accomplish wi'th chror:ic d'is- ease what we accomplished with infec- tious diseases over the last century. The National Disease Prevention and Health Promotion Act of 1978 will, in my opinion, enabl'e us to take advantage , { • NB-78-6

, of this tremendous opportunity. It will 1 tio l h - promo na ae y reinforce existing healt tivities at Federal. State: and Iocal Ievels. Arid 1t a'i11' lbunch us into new programs that YRo1d' great, potential promise: .>•'TMe act has four tit'ics: " Flt 7id fo th proves grantsre rs. Title ,support of presentive health services. Tllese 1'rlc:ude formula grants to the States to assistl them in dcsi ;ning pro- grams aimed at preventinq the five Iead- i ihg causes of death and the five leading 'L"itle IV ot our bill. Mr. Prestii'ent, . 1 on preventing smoking among ontaiz~ our antisntoking proposals. I ren. :~ do not think I cx.,~,;eratc, Mr. President. econd; nonslnokcrs' have a right to `` when I say that cii-;irette smokins; is be protected against tiye Irritation and '' the single greatest pres•cntable threat to potent!al h1r:n associntcd with' exnosure' our Nation's healtl'I: I v;Ill not cl^horate to cir:arrCte smoke. They have' a rri;;ht ' on the scientii;ic unacrpinninf*s of this to unPoilnted indoor air. The Federal allegation. Thouch the tobacco inditstry G<rvenunrent altotlld make sure titat', `' continucs-against ali' the evidence--to within its ,(tu•isciiction, this ri; ht Is pro- ^ are.ue the safety of cigarette sntolang, -;tc?eted: "fca, Yf' any, sc1f-resl•ccting : scientists or Third. t:rott,^ltb:rnnin!7cl'rarctte sntolt- I pllyricialls in this couutry n:ree. f tt; Jr•auld be in:appropnatc' anci-prob- catrses of disability within their State' . Tile most recent scicrltilic ret•iew of abf,•;-inetrcc.t.ivo, tile: Fcderal Gut•ern- i botutdariles. The:' grant pro^ram also this subject was canciucted by the rsc:rt h:ls every ria:ht to dccrease the iy ;ltuclttdes project frants to public and American C:i27ccr Sh,cioSy's tJ:lt;crnztl hc. Ifih hn 1tdti of st l ii ' . lto : ir by t ISinT tar ,. 'f' priivate entites for the support of health Cornmi: stnn om Sittokitt, . ncT PtttyiiC iir-'ot'It,WS tO rurotlra±, e smol-crs to use ~..' promotioaai pro;rams of proven effec- ' Poiicy: v.h:ctl rciorted in J:eallary1l1,3'. -::ctgarct.t.ctil+-:;,liktisItoitarnithcirlicaltlr ' kf.~.tfveness and hL:h national priority. The Con ml;sion found t,aat cszarc'te , I 1m a t:: that there is souie cli^ nte p y;!,Exatnples are h•l:ertension and ltn- snokiile re.n;:ius the ltr;cst sitt 1L o cr wl; tl.er iv t;ir and nica!It:c cir^- munCzation scrvices. uniiaecss uy and t^rccctllni:tc canz:^ ar ^ nn ttc s zc truly lu s hruful Su ..tt.mc lr=: Second: Title ITUrot•iries for the crea- ilincss and ecttl} de:uh," 'I'lie Ccxutrls- Yhi>o'ratorv evii:csce ind t i '" lca c:; t t:rt cnn ..- tilon! of a Prevention Resources program t;iotl, cnnclndcxl t.li: t cr,:aret te stno:caat- , suntcrs may ; naod:e rnorc of' thc :c' ciE;t- which ai11 povir?t' tcc!inical assistlnce a ls rcl t d i 19 ~: ~ i e ., n r to uiorc than 32Ut UU rcttcs„ inhalb them mtore decply. hold to State tlndi,local henlt}i Tromotion aietths includ'lnf; 20 nc rce,aG of' nl; emn- - ' . niake In their lungs 1 , efforts, and aill suhport rese:urch and the s•on2cr„ and It fonnd that cic lrcttc cer dcaUis l th d Tli i c . smo!:r thc:n e r to ; os e cr ere .. data collection neccsstry to porfect na- ' one cau es 30 dcaths pt r hour mc 41n s , , o LrotvinE evidence that other eon als tibna'1. State; and locai pcevet:ti,e he .lth dc^tli every 2'miautes. It concluc:cdi that stit'ttenta of' smo]*.e, beside t.tir and tiico'` activities. clg;t,rette smoking is a maior cause oL' " tinc., may be hartnftlll, and that the haz ; Thlyd: Tillc III amenclti the Ioad, losJ_birtl2 vcil birth anoma- ht infan}s tit ti ii , , ucn . csc cons ard asociated wltn t I3rui^, andl Co mc•tic r+c,, for tt epiirpose' lies, and mnternnl and neonatal rnortal- . mn not he altered' through rcmoval of • " of rcvirtng ' food 1:{bcl i^ statutes. I ite tty. It noted thlt $15 bill:on taa•s sI%Cnt tar and nicotine. •' anlendtne :ts noul':...:Iatre nutr:tional, . in 1977 onislnol:ila:-rciated iliness, near- . labelinl; of ull :.:o:i :tn tite c%tc~uu hr:zc- While reco~lizing these uncertainties. ticait, Rn that cnr.:"auatir:, can Yl:ivr' icn- l~t 10 percent of total personal health I am still iinpressed by the ehidemia-' )~rovcal iilformatiun about tlic health and ex°enditures. logic data shon•in~ that users of ftiter These figures are so staR.,gerit~z; as to , ci.^,arettt•s tend to develUp lu i~ cancer nutritional Implications of the foods they . consume. Fourth: Title IV' proposes a compre- hensive antis Inkiiig Intiative aimed at redilcini; the' burc!cn of'smokirig-relatied illness in our society. Taken tn;:cther. lir. 1"re.>ident'', these major init atlives form a coordinated and f'.+exibl eexible pro4ra.m of Federal support •for health promotion and disease' pre- vcniG!on activities in this country.. Though the pronosals cover a broad range of IGsui~.s: I feel they are unified by their cor.mton ains: the prevention of' disease and disability amon,, our pcople. Nevertheless. I understand that many of my collGacrttes may wish to~ support so.rle' of' tliiese' proposals but not' all of' them. For that reason, I~ will introduce the Nationcll' Disease Prc:•ention and' Health Promotion :lct or iJ78 in two forms: Fir st as a single piece of ie~-isla- tion, and' second as a p,c:cka^e of' three bills. The first bill in the latter *-ackage would cotls:st of title I ar.d' II: The sec- ond, picce' of tlie' package n~ould' Y~.nclude title IfII only. And the third part' of thee t1e nearly ineomnrrhenslble. Thcy eall and heart d!sca'-re la:ss freqt!c.itl'w, ar.d ' for dramatic and firm action. That is by the continued recom:nenintion of what the h.ltiorra)' Disease E're! cntiion the Arncrica.n Cancer socicty that con- and Health Promot.ioa Aet of 107H pro- surners be encoura.-ed to srlo .e e!'Ia- r po:es. Snecit5ca:)!y: t,_Ie act suggests an rettes low in tar and nicoti7ir. It :ce ns' '` antismo!ciae camnaic•n cot::nused of the to mc;, therefore, that cnraour:l,ing _ follbv.-in3 L-ey clen•1^nts co„surmptiom of "less Fi rst .-d^ rst. A ma;or Fedcraa' i^;«iwtive aimed rettes is a reasonable and vi .1.'c s;lorr `, at the prevention of smoking among' term strat•c1Tr. For the lon,' ter^•l, ve,• children. Seventy-five Aercent o:' Amer- need , ,~°'" neec; ta ronii3l+r titcreasa our snot 1'cc.s,c cans start sn:o':ing , before' the age of' of't3ze bzolth ris.cs associated n.tl..,:r.c:.- ` 2'1. Smoking arnor:g teenage giria has tno e:;arcttes low in tar and nicotine reached epidcmie proportiors. The per- It Is for that reason that we asti the : ce'ntaQe' of smokin3 has doubled since Szcratary to launch an intensive inve.,-' 13s8', tigation of' the low tar and ricotine Second. The Institution of a revolving strategy and to report bact witILI1 u ~' ir or i ' .g : aaxn a:el to repiryce the curren 1 . cir,~r^tte pnc-aies: The' act ^-ould spe'_1' out 10 r.eR• labels one' of' which would have to be af',3xcd' on a randcm b^sic to each ci?a.ret'te pac):a,e. The rat?onale, based on experience in Western Euroiean countries; is that more informnt_or2 can be' cont•e3'ed~ if the labels chan,r,e: and ; ears to the Corig2•.css. ° a - -ey t' . v ri r, ..n 1 > , c : S. 3118 tha:t, CUnsLlraers~ oSill'~ notice~~e thein irore~. -. Be.tr enwctc-a ~by~ths.Sencrc aT:a~ lrc;ts,x'.al. _. " if their content:vari'es. • ... :,;t R'cpresentatives' of the United Srataso/'. ''hir.d. A rec;u:rcn:ent in Fec:er .I' law a'raarica in Uon5lress ass'cmbieds 'Ihz.r tbs G th "S no1:1n Dc•^r- s b 1 t package would consist of titie' IV. the that all'~'ederal buildin~s and :tll'c;erriers anti-smoking le7i'sl'atinn. I welcome my ; in int^rst^~te transportation set aside Coll'eagu'es to j;oin: R'ith: me~ in!cosponsor- areas, wilere~ nol7fitnoi:erss exnn avoide.C~-~ Tnt`: the total7 act. or anh' parts of the posure to clrarett'e stno4>e ifl they chose:. corresponding disease prevention, pa'ck- agE: health, protecttoit tax, tvhtch R•oulr: tax Mr. Presid'ent', I would now like to ci•;r.rettes in proportion to'their tar and describe bl'ieay thn contents of each' of nicotine contcnt• decreasing the' current the titles of'thil; legislation. . I:'ederal' tax for ci¢arettes very low, tn tar and nicotine: .:nd i~ncre.nsin- tlle tax for those very high in these constituents. I will ma!te just a: few point'r: about the bases for these proposals. 1~'ir. Presi- de22t. The act's antisclokin; initiative rea5ts as the following basic principles. First, our primary public policy oblee- ttve must be to prevent sniokini±. Since d'eterrence' is nto::t easily achieved before the habit is initiated, a'e'propose'target- te may e a e e Ac ~ rcnca 4ctof 1978". SEGBLATION' Or S][oal3<G.^.t Fr.:]Trl1L Ewar-r .. T,iFS, R€STIDIICMOIS. Q7W~ SnSOPsIINa LSr BEDLSdL F.-,ctLrrLCS: a Fourth: T'he iastituti'cn of a F.ed'eral S:;c. 2. (a) E. ccept~ as provid^d th subrr.e- tious (b)., (c) and ( d1. st._utan, al,:al' no.t' be pcrmittetl In any e:1c'.oscsi arc:, opett to tho public in any 1''ed,!r12 faciy lty or lli any s:.ttc- way, eltrsatar. hatls%ay: conr•cy,uiac. e::aitlag ,raOm,t'aecptiotl: ruelu. aocaCreli:•V rGUtu,. uIh'ccu'inc'rcw,n: in: a1,y sCCL tlaelllty. (p)i Smoixrs tih.tll uc e:Tcctlve!Y s.p:r.ttat frotn nonrm'mo;:ers in ::ny ra•a-,;ir:aut. c:afe- tcrih: snactcpnr. ot,hcr dRilrt•; furitity'M rcc•rea- Uon rootm or Ibum;e iu uny 1fi:Jvr:,I, t:Lctli1iY, (c), F'arlt llnstruaucnf:l2ty of' tlic lSnlt.c.al $Lat.cw sltall i13ai rr,:aai,nntalo citores tU:at du not re>:ult tti exc¢sl;•o cvat <rr au:aiu:..tra- t3Va dL maPtlon to etfcc..ttuely acp:trato t'tio workpl:accw of its amploy"ens ufi,)f do rnaC 03.~0 :x 7~c7 ,, r

~ . .. . - :2"a ,~ ~?~ '. ... .. .. . ' ~. .. . .. . .,::~ ~ :r~ .'t .< . . ._, ... , . . . , . ^..a P, 1isS~.. amoko and who wfJ;h, th be su cl+r•ratccU frr1~ C. -..•.;: "(tDp , 40 or more toxic unlts, a hcalfli pro- f['ka thc ir tah falis c 1or v/1' to b O ~ . , lt car ~ .tho workplaces of, ita enlpll)y4cs vrbo di tecWon tax of $0.025. p' smoko: « N ~ the tt r and nicotlno contcnt oG aucli, atiwti:~::~u«~ua:n.rau~,(;runtz,onui (',d) In plar"•ning: d'cst{^nlrtq, pttrchlsupurposr.r o1 subscction (b) (d) aboce the- ' r' , (2} 11 the lxu kmrclor whlcit Su1LS to bcar ,, - Ils7ltng, or othecwLa obtt1n1u6 LcW facllir , nttrnocr o[,'t:anlc ttntltal'means the sum of- ".one of,tiie fi,llawJn;;,stalements• 1+hs: eru•lb itsstrurncniallty of' t11e Uititod, '(I1')', tha nttrrtber: of m11l1gruma of"tar', '(A) CAia¢h'R RtAy 12E3ULT FRQ15f:Ci(b- xNala sll-All', to the ntaxintum extcnt ptac- plus 1AItIC1Z"Tr tcltyG/ tlcablc ktratlon o[' « ir:uro th cltnctlvo sc : l o .,,i (I1) CANCEfi OF T1IS LU14GS biOLTI7i ' - " ,,. tho rrttmlicr of the mltA (I3) 110 t.hnc~1 M:ruul.mq;,nndlnon-smoking cntployces lnsuch - ' ' ' which are contained is AM) TIiRO.1T ?l:13 I'.Ia'1 Sticotluo CIQ-„ fflitics., graniw of ~'7ra~ s]IOKrNC•' 6rGN5~ aliClt' csl;arl`ttG ' «(3'), Di-r~rasnr.artax aT Ftnrnxt: TxAm: "(t') II ti 'P ntG/':,s Xt:11 I3:.SII2.'p illt ' d l' f 3 1 F cra ac v nrc: n nnv fica . In avery ¢ :I I, tc I~G; `=l7to r'cd, r:.{' '!'r,uie (',uuntl~- FRt ~U Q C 1 ' C°*t"ir"cow , . tt•iicre stnokin Is rohlUltcd under section q P slon (hcrcinartcr refe.rrttii tn aa% ttta'Ct~m- "lU') CIC !_L' lh ~^.'iJI>I\G'Nt.3 1 IIURTZ ts ' nd l i l I l `' ' car y a ahti" ie e a Sn,a 4011,sl ;ns sliz l m,A,lun')I shalll from tltnc to litnc (but at TOtiR' 1'II •11t f': mnspteuou.tily posted: In su+licicnt numb~r.c lcast:once cach calcndrir y,c;tr)i determine or '('E) I.Mi'lil'Sr.',tA ASI) C1If4O\ICIIli;OIIT "" cnon fve notice to any and rami:ncncc ta ' ' p p ( i C1i1°I M AtAT RL:SLZ.T T'ICt1I CIG\f2iS' . etiuse to be det.erntincd tte tar and nicotlno..'.•Z*i`s entarlitj, or occupying such area that smok- ~ntrttt (calculatrtl in milli,:rauts rr ci^a- S"ttOl.'qING; ; ry p ,..q~ 1ng,Is prohibited in such area. rette) of' ¢ach br tud of' ct ;nrct oew ntrnufac- ••(I') CIGA;SP'ITE' SG10la'~C} DLTtiItlCi J ' •' PI S7G\fL11CI. rif.1l IIxronCtrsret•tz tured In or impc+rtcd Into the United Stnhcs DA1T.1GI: 171L•' L'N1;OR W' , . . . S r CHIi,D; ~ ad ar ahief The c nclition, metltad ti h t dt f I Th 4 .,., s nnc re c o procc tres o sc o execu ('a) r rr,Llt dctermluuLions shall be "(G)~ YOU Ott-F 1 C+L'Ib IIOD'S' SO31E RFn l!~ admtni..tratlve afl'iccr of'cach lnstrumentailty' cctndncliltt; , of the United St.•ttes shall be responsible for pronlul^ated by the Coutnu .ion ist rcrtttla. ' SrELT-DO"v"I. sections 2', and 3 1n any, Federal' tlons is~,tued,by it for pu.po:es oi' ihls para- "(If) St.O!iE'2'S COUGH IS A"T ESRL4 enforclng , facility fn which such instrumentality main- gr:tph. Until such time as such rc!,uiatr;on4 SIG' N OF'LL•'IN G D:1`~1'.:LGE; talns ofllces. are first is5ued„the conditio..,,,:;tetilodw, and °(D)', IPr' YOU RirST' S,:CI;.•. I':II'ALE *<vi ~- (,b): Not later than ninety days after the procedures for conducting such detcrurina- I:IGIiTLT-TIt?5 ~tAI' REL~UCy TiiE r"..ISKS ';'1 date of enactment of this Act„the esecutive tions shall be thase approvedi by the Com- TO YOUR I/EAI'<TII';, head or chief admlhis'to•atil•e officer of' each mission for 1',ormal testing t•:hieh, are in ef- "(J) DON''T S; IOtiE'C'G 12t TI ES TO THE ' 1'' Instrumentality of' the: U'nitcd States shall fect on the date of the enactment of this' &N.,,-. TIiIS MAY REDUCE THE R.ISKS TO publish in the Federal Register re,,rulations subsection:, YOUR H1 9LTII. for, the enforcement of sections 2'and 3 in- °(B) CssT::-cA^aN- TO a.> G cr.Vr~3r.- ^ (b) Tue statements rrr, .ircd!b st.tirect+on . ' eltodir•g, but not limited to, app:opriate sane- During the last calendar quart'.r of each (a) shall be located in, a conspicuotts p1>ka . tions for noncompliance of such sectSans calendarr year, the Chatz:t•trr: af' the Com- on erery ci-arette pac;-:ace and sha" 1' appear ' . comparable to sanctions for failure to cam- mi<_sio n_sion shall certify to the Secre'_ary, the tar ia conspicuovs: and le :ible t e in contrast ~-t , rn pl'y' with any other applicable regulation af- . and nicotiite content of each bra .d of cica- r bc typograph, layout, and color with other d f ' rettes:manuiacture iecting, the health, safety, or well-being of n or impo ted into the pr:nted matter on the pacl:agge. ''' ' the plblicor the work force. United States. Such certiitcatiotts shall be "r 'Cp~ D[~.rrta:vs " J used, by the Secretary to determine the rate r'Cp Cigaret•¢ss shall bee packaged forasle `; of' tax to be: itnpased or. ci~arettcs for the or diatr3button !In such a manner so 4hateach' 2, SeC. S: Fbr the purposes of this Act, t"' ~ period beginning with the t.-st da3: of the of the statements required b7 paragraph ta) •+ (p) the term "smoking" means the smok- calendar year, be,inning,after such certi.fica. (2) appears on 10 percent of all algtretta Ing or possession of' a,li^ltted cigarette, ci`a*„ tion: !fi made, andi during saeh calendar year: p ackages; 1 or pipe containing'a tcbacco product; and ••(C) The Commission and tYte, Secretary EsrnntasxMs:ri OF pROCaasf TO r=a s taxlwo "( (b) the term "effecti^ely separated" means saail promulgate regulations for the pur- wat'or[e CFitt.n>;E.V Ava eDOr:ESC=xTs the separation of'ereas,ln,a-htch smo!'1nq Ls poses of' teyting, certifSirg; and 1lnposing ' S?:C.,10: (a) The Secretary of He31th,,Edu • pers.itted and' In n•hiea smolang is' not per- t;~.:es undl:r this subsection on new brands r+-. cation, and'tEe.f e a2_tr consultation with >fftltted in a manner a tickt nunimizls, to tlta o ciqarettes introduced1far sale:'. - n ra riate u`_lic,and private cntities„shall~ : extent pra.cticable, tt:e drift, of smoke from (bj, The antendments made by suhsection eg~blp h a am..e:icnsi:'a rogram desi ed . the smotiing, area lrto the norsmoaiag aaea s:zaii ag + p ~ (a) ihe term; ^instrumentnlltp of tlu (a) p-y to ci3arettes n•h_ch the man- , to dcter smol•an; t:nar,; children a: d ado-, , j ufacturer or importer of suoh, cicarettes,re- llescei3ts. Sitch a pra:rcro shall!inciude- 41'ait'ed Stat es lre.*_'n.5- . moves (,witiiin t,he meanine, of section 5C02' t • (1) an executive agency; as deSncd in seo- (1• the unde .n. tng or suppa:t (through tion 1CS of t ile 5; Uni,ed' States Code (k') of such Code) within l20 days after the ~.~~, or couLr t or both) of bEomedieal . date of enaetmert of this Act: the United States Postc.l' Service; and b¢:h rf ra.'r¢ ._rcit de;igned to lnc:ease (2); (cl The Commission and the Secretary of' undertanding a the biological aad' be (0) the Congress; the Treasury, or his delr±ate shal!', p:omul'- (4) the courts of the United States; and gate regulations for the gurposes o, section haaloraI dc,er:nir_arts of smooina among ' (5) the governmenry of the territories and Jip1(b) af' the Internal, Eevenue Code ob children and udoiescents, n lth special ampha possesslons of the Unlted Statas; 1954 within 60 dars after tlte date of the . sis onaltiidrea aged 12 or belaw; 7fs '. (d) the termi'•Federal facility" me rts- enaetr_tent of'th15 Act. (2)i the undertaking or support (through (1), any bui<ding: irstallatton• or f>Yci,ity Snc. 8: There are authorized to:be aanra+ grants or contracts or both) of' demonstra- ~' otsnr•d by the United States, excepting pri, p«iated for the fiscal years endiltg, Sentem- tions and evaluations of comor¢h¢nsita com« 9ateresidencies, or ber 30, 1981, September 30, 100.. mtutlty and sahaol-based,pro!~'rams designed .,, Septem- (2) any part of' any other build'ing, inst':nl'- ber 30; 1093; and Scptember 30. 19,34, those ' t'o' deter smol:ing, anlano, children and ado-` latloa„ or facility, which part 1:9 on•ned, or amounts determined' by the Secretary of the lescents;, aad leased by the United Stat.es„excepting prirata', Treasury to be equivalent to the taxes re- (;3), Crants to States or political subdlvi- a rasidenctes• "• • '- ceived in the Treasttry, uunder secrnio:< 5:0:(to)i slons of States'to asslst them In meeting the ' >larECxftE'DaTE of the internal Revenue Code of' 1954 for: the costs of onorating comprehensive community ments to or school-bascd proe.ar.ls designed to deter '• ts'w. B; The provisioof'this Act shall tcke purpoce of' making add'itional pay , effect ninety days after the date of' cnactm:.nt: the States to: assist them iit meeting: the smol:ing,among children and adolescents :;)' of this Act, -• costs of providing, preventlVe health services (b) 1•vlth ro.^•peet to grants under para- = ias•rNarisitartrrr oA A rtEA 2.Tx Paortcstorc rAa under section 315 of', the PubI1c 1lealth, Serv- graph (a) (3)'., the :fcretary andi each, grant *t 5701' ice Act. The amount of payments to tile applicant and recipient must comply with : ctl b f S ? tt , cc: . Qhl aunsec on ( ) o se U .- S:ates sunll ba determtnea on a per capita the provislcrna of st;WSectibns (b), ('c)„ (d), i l'1 195 f R f I (re a o c ntarna evenue: Code o , (g} ([') - basis and (h~•of section 317 rovldcd that onl those Statc3 who (e) , , . . p y 1ng to the rat,a, of tax on cfgarett~s)I I5 ~u' .. a*ereaehinr grant3 under section 3l5(11 (2) (e), (1) For' tue purpose of making pay , tl d d d l smcn e as aws to rea o `(b) Cigarettes-- of the Public Health Service Act stiall', be m,enCs for the undectaatr.g or support of re- „(1) >nt+tcost•nox • eligible to racellre paSments undcr tkii's sub- zc'arch under paracraph (a) (1). there are , at+ ras- shall bs L~rtpo;ed' on every clg:u.*tta manufacturednufacturcd' iu sectaan•, authorized to'bo aPPt' oBriat¢d';I10,C00;000 for " dl S th Aa t' l' 0 ' ' r year en nS ep e ca i, 1 J8 PAcltACrs or itnlsortedi into the: United State9,, rco,nrd- cttexees ltr r;loFctva roa amAr.i•rrncntbar 30, less of u•eirht„ which cont'r.lns- See. 0. (a)' Effective one year aftcr the d:.to xTOlOC0;0u0 for the fi ~c _+i ,: car endatag Septem- "(Il) from 10 to 19.9 toxic units, a health of enactment of'tltls Act, Srcrton 4' of' tlra br 90; 1731'• and 610;(a,0.000' for the fiscal protectton,tax of $O CO^_S; had¢rni C1i?nretto Labelin f; anti Adv¢r«istngycur ending September 30„ I'JL'2'. '(I3) from 20 to LJ.9 toxic units. a health Act (Public Law 89-92) fs a:ncndx.d to read, (2)' For, the puri,a,e of' maklng , payments ptota_Aian,tax of S0 0^275; as follo Hst for the untlcrtakln" or sup7r)rt of'dcmonstra- `(C) front 30 to 37.0 toxic unita,, a healtYl: •'SFe. 4(a)',. It shall be unia*afitl' fnr any' t1a11S arrd aVSlti IilO t5 ur.der para;;rt,hh, (a)) protoctton tax o['$0.045t nnd person to mnnufacture:, imnart, or packa,^•o (2). thcre are anllrord:.cd to, be appropriated . , . . .,.. .,,,_ t:n« ttt,nt,d i10.OG.~,0,70'fur atc f; ,cal year anUilul;,S¢ptam+ . t~er a0;, 1960, $1'U,OOOsC WJ for tlta ltseal qcae nretikss-_ __ ___ .4 ,' . BCates anp cl ;~ l . ., . .,, . ~