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North Carolina
Updated: November 17, 2008

2009 State Ranking: 32
% of CDC Recommended Spending: 17.3%
FY2009 FY2008
TOTAL SPENDING ON
TOBACCO PREVENTION		$18.5 millionTOTAL SPENDING ON
TOBACCO PREVENTION		$18.9 million
State Spending$17.1 millionState Spending$17.1 million
Federal Spending*$1.38 millionFederal Spending$1.84 million

*For FY2009, federal spending refers to a nine-month grant provided to the states by the U.S. Centers for Disease Control and Prevention for the period beginning July 2008. In April 2009, the CDC will transition to a new funding agreement with the states that will provide the usual 12-month grant.

Tobacco Generated Revenue (FY2009)
$390.0 million

CDC Recommended Spending on Tobacco Prevention
$106.8 million

Actual Spending on Tobacco Prevention (FY2009)
$18.5 million

Tobacco's Toll in North Carolina
High school students who smoke 19.0%
Kids (under 18) who become new daily smokers each year 10,400
Kids now under 18 and alive in North Carolina who will ultimately die prematurely from smoking 193,000
Adults in North Carolina who smoke 20.9%
Adults who die each year from their own smoking 12,200
Annual health care costs in North Carolina directly caused by smoking $2.46 billion

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Summary: The U.S. Centers for Disease Control and Prevention (CDC) recommends that North Carolina spend $106.8 million a year to have an effective, comprehensive tobacco prevention program.  North Carolina currently receives $18.5 million a year for tobacco prevention and cessation, which includes both state and federal funds.  This is 17.3% of the CDC's recommendation and ranks North Carolina 32nd among the states in the funding of tobacco prevention programs.  North Carolina's spending on tobacco prevention amounts to 4.7% of the estimated $390 million in tobacco-generated revenue the state collects each year from settlement payments and tobacco taxes.

Recent Developments: North Carolina's tobacco settlement funds are governed by a 1999 law that placed all of the monies into three trust funds. The Golden LEAF Foundation receives 50 percent of the funds for assistance to tobacco-dependent communities. The Tobacco Trust Fund receives 25 percent for direct aid to tobacco farmers, quota holders, tobacco manufacturing workers and tobacco-related businesses. The remaining 25 percent of the funds are placed in a Health and Wellness Trust Fund (HWTF), which is administered by the North Carolina Health and Wellness Trust Fund Commission. 

For FY2009, North Carolina will receive $18.5 million in federal and state funds for tobacco prevention programs, about the same amount as was spent in FY2008.

Additional Resources

The Toll of Tobacco in North Carolina view

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