SB 213-FN-A – VERSION ADOPTED BY BOTH BODIES

AN ACT establishing a comprehensive cancer plan fund, requiring master settlement agreement strategic contribution fund payments to be deposited in such fund, and establishing a comprehensive cancer plan oversight board.

SPONSORS: Sen. Fuller Clark, Dist 24; Sen. Burling, Dist 5; Sen. DeVries, Dist 18; Sen. Gottesman, Dist 12; Rep. Bridgham, Carr 2

AN ACT establishing a comprehensive cancer plan fund, requiring master settlement agreement strategic contribution fund payments to be deposited in such fund, and establishing a comprehensive cancer plan oversight board.

AN ACT establishing a comprehensive cancer plan fund and making an appropriation therefor, and establishing a comprehensive cancer plan oversight board.

The Department of Health and Human Services states this bill, as amended by the Senate (Amendment #2007-0603s), will increase state expenditures by $4,041,000 in FY 2008, FY 2009, FY 2010, and FY 2011. This bill will have no fiscal impact on state, county and local revenue or county and local expenditures.

This bill appropriates $4,041,000 from strategic contribution fund payments as agreed to in the master settlement agreement to the comprehensive cancer plan fund in FY 2008, FY 2009, FY 2010, and FY 2011 for the purposes of this bill.

The Department of Health and Human Services states this establishes the comprehensive cancer plan fund, and appropriates $4,041,000 to the fund from the strategic contribution fund payments as agreed to in the tobacco master settlement agreement in FY 2008, FY 2009, FY 2010, and FY 2011. The bill allocates the appropriation to the fund as follows:

• $2,722,000 towards the state tobacco use prevention program (which would be deposited into the tobacco use prevention fund);

• $100,000 towards diet and exercise programs;

• $240,000 towards early detection and screening programs for breast and cervical cancer;

• $710,000 towards early detection and screening programs for colorectal cancer;

• $50,000 to survivorship and cancer support for those affected by prostate cancer;

• $89,000 to identify and promote treatment and support services for survivors; and

• $130,000 to minority oversampling data for information on behavioral risk and cancer rates.

The Division of Public Health Services (DPHS) states although the bill does not establish new positions, new staff would be needed to provide technical expertise and contracts management for the services outlined in the bill. The Department assumes funds would be used for positions as follows:

For tobacco use prevention programs –

• Fund 50% of the current Administrator I position (LG 27, Step 6) who oversees the tobacco prevention and control program;

• Two new Health Promotion Advisors (LG 23) to coordinate state program objectives and manage contracts;

• One new Assistant State Epidemiologist (LG 23) to conduct surveillance and evaluation using evidence-based survey tools;

• One Program Specialist III position (LG 23) dedicated to assisting communities and business and industry to comply with the state Indoor Smoking Act;

• One Program Specialist II (LG 21) position dedicated to financial and management reporting; and

• One Program Assistant II (LG 15) position to provide support to all program actives.

For diet and exercise programs –

• Fund 50% of a Health Promotion Advisor (LG 23) to coordinate state program objectives and manage contracts.

For early detection and screening programs for breast and cervical cancer –

• One new Health Promotion Advisor (LG 23) for program recruitment and marketing.

For early detection and screening programs for colorectal cancer –

• One new Health Promotion Advisor (LG 23) for program recruitment and marketing.

• One new Public Health Nurse (LG 25) for quality assurance and care management; and

• One Claims Processor II (LG 12) for billing data entry and record keeping.

The Department states no new positions would be required to administer funds for the other programs contained in the bill. Funds would be used to contract for services as well as to defray any additional administrative costs associated with these services. Funds would also be used for other current expenses related to program expenditures, such as education materials and performance management systems. Assuming annual steps, and benefits at 48.3% of salary, the Department estimates the fiscal impact as follows:

FY 2008 FY 2009 FY 2010 FY 2011

Salaries $ 388,452 $ 404,240 $ 422,332 $ 439,798

Benefits $ 187,622 $ 195,248 $ 203,986 $ 212,422

Current Expense $ 102,500 $ 102,500 $ 102,500 $ 102,500

Rent $ 45,716 $ 49,093 $ 52,775 $ 56,733

In-State Travel $ 11,250 $ 11,250 $ 11,250 $ 11,250

Out-of-State Travel $ 19,500 $ 19,500 $ 19,500 $ 19,500

Equipment $ 38,500 $ 0 $ 0 $ 0

Contracts $3,247,460 $3,259,169 $3,228,657 $3,198,797

Total $4,041,000 $4,041,000 $4,041,000 $4,041,000