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HomeMy WebLinkAboutagenda.council.special.20170905 CITY COUNCIL SPECIAL MEETING September 5, 2017 CITY COUNCIL CHAMBERS 4:00 PM I. Resolution to consider ballot language for proposed tobacco product sales tax Page 1 of 3 MEMORANDUM TO: Mayor and City Council FROM: Sara G. Ott, Assistant City Manager DATE OF MEMO: September 1st, 2017 MEETING DATE: September 5, 2017 RE: Resolution #122, Series of 2017 - Local Cigarette and Tobacco Sales Tax Ballot Question REQUEST OF COUNCIL: Staff seeks City Council’s direction regarding placing a local cigarette and other tobacco product sales tax question on the November 7, 2017 ballot. The attached resolution is the recommended ballot language based upon City Council’s discussion in previous work sessions. PREVIOUS COUNCIL ACTION: At work sessions on August 8 and 21, City Council requested staff to develop potential ballot language that proposes a cigarette sales tax that starts at $3.00 per pack and increase by $0.10 per year up to a maximum of $4.00 per pack for cigarettes and a 40% sales tax on all other tobacco products. The City Council also affirmed that the other tobacco sales tax should apply to e-cigarettes, as covered by the City of Aspen definition of other tobacco products, and that the tax should become effective January 1, 2018, to coincide with the with increased age requirement for purchasing cigarettes and other tobacco products within the City of Aspen. Further, during these work sessions, City Council discussed that revenues collected through this tax would be placed in the General Fund with the specific purpose of financing health and human services, tobacco related health issues, and addiction and substance abuse education and mitigation. BACKGROUND: City Council has a long history of promoting healthy choices and healthy living. Recognizing statements from the U.S. Centers for Disease Control and Prevention, “youth who use multiple tobacco products are at a higher risk for developing nicotine dependence and might be more likely to continue using tobacco use into adulthood” and that one mechanism to reduce consumption is through higher pricing (i.e. taxation) of tobacco products1. The City of Aspen is the first municipality in Colorado to raise the minimum purchasing age for cigarettes and other tobacco products from 18 to 21, effective January 1, 2018. As part of this decision, the City will become ineligible for state revenue sharing from state cigarette and 1 Source: U.S. Centers for Disease Control and Prevention, Youth and Tobacco Use Fact Sheet, https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm P1 I. Page 2 of 3 tobacco taxes. The City of Aspen is likely the first municipality in Colorado to propose a local cigarette and tobacco tax, however, as of 2014, over 600 U.S. municipalities exercised local cigarette taxes. Tax rates ranged from $0.01 - $3.00 per pack2. Additionally, earlier in 2017, the City of Aspen adopted a municipal definition of cigarettes and other tobacco products, as found in the Aspen Municipal Code §13.25.020. This definition includes e-cigarettes, and excludes U.S. Food and Drug Administration approved nicotine cessation products. The full definition list is attached for your reference. City staff has reached out to tobacco retailers in Aspen to gather feedback regarding the idea of a significant tax on tobacco products and reactions have ranged from mildly supportive to fairly vigorous opposition from those retailers. The most significant factors for opposition were concerns from the retailers that they would see a substantial decline in sales revenue, both directly from reduced tobacco sales as well as a decline in incidental/additional sales resulting from clientele entering the businesses primarily to purchase tobacco products who also purchase items such as food and beverages. One retailer has indicated that it intends to stop selling tobacco product should the tax be enacted. In addition to this retailer feedback, staff has been contacted by national associations representing the interests of tobacco retailers and national public health advocacy groups, as well as local public health officials. DISCUSSION: The resolution establishes the ballot language that would appear on the November 7, 2017 election ballot. The question format was adjusted from previous versions to clarify the tax rate per cigarette and per twenty-pack. The ballot language is in compliance with the TABOR provisions of the Colorado State Constitution. If approved by City Council, the City Clerk will forward this question to the Pitkin County Clerk and Recorder. FINANCIAL/BUDGET IMPACTS: Finance has prepared a model of the likely revenue from a new tax at different tax rates. The model is based upon average tobacco sales information provided by a small sample of local retailers and with the assumption that as taxes increase, sales of tobacco products will decrease. Revenues in year one of the tax are estimated to be $325,000. Administration of the tax collection and audits can be accommodated within existing staffing levels. If City Council passes this resolution and the ballot measure fails on November 7, 2017, the City would not collect any local sales tax on cigarette and tobacco products. This is because the City of Aspen has not applied the local sales tax on cigarette and tobacco products to comply with Colorado rules regarding revenue sharing of state cigarette and tobacco taxes. The state revenue sharing will end on December 31, 2017 due to the Tobacco 21 ordinance. NEXT STEPS: Should the resolution be passed, it will be forwarded to Pitkin County for the November 7, 2017 ballot. 2 Source: Orzechowski & Walker, Tax Burden on Tobacco, 2014 P2 I. Page 3 of 3 CITY MANAGER COMMENTS:_______________________________________________ ATTACHMENTS: Resolution #122, Series of 2017 Aspen Municipal Code Section 13.25.020, definitions U.S. Centers for Disease Control Youth Tobacco Fact Sheet P3 I. 1 RESOLUTION NO. 122 (Series of 2017) A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF ASPEN, COLORADO, SUBMITTING TO THE ELECTORATE OF THE CITY OF ASPEN A QUESTION SEEKING AUTHORITY TO INCREASE TAXES ON THE SALE OF CIGARETTES AND OTHER TOBACCO AND NICOTINE PRODUCTS. WHEREAS, the City of Aspen, Colorado (the “City”), is a duly organized and existing home-rule municipality of the State of Colorado, created and operating pursuant to Article XX of the Constitution of the State of Colorado and its Home Rule Charter of the City of Aspen, Colorado (the “Charter”); WHEREAS, the members of the City Council of the City of Aspen (the “Council”) have been duly elected and qualified; WHEREAS, the Council hereby finds that tobacco and nicotine addiction is a leading cause of preventable death, that people should be deterred from starting the use of tobacco and nicotine products and encouraged to quit the use of tobacco and nicotine products, and that taxes on the sale of tobacco and nicotine products are effective at preventing and reducing tobacco and nicotine use; WHEREAS, the Council hereby designates revenues collected through this tax would be placed in the General Fund with the specific purpose of financing health and human services, tobacco related health issues, and addiction and substance abuse education and mitigation. WHEREAS, Section 12.2 of the City Charter authorizes the City to levy and collect taxes for municipal purposes including, provided, however, that no income tax, sales tax or excise tax may be levied until such tax shall have been approved by majority of the electors voting at a regular or special election; WHEREAS, Article X, Section 20 of the Colorado Constitution (“TABOR”) requires voter approval for any increase in taxes; WHEREAS, TABOR requires the City to submit ballot issues (as defined in TABOR) to the City’s electorate on limited election days before action can be taken on such ballot issues; WHEREAS, November 7, 2017, is one of the election dates at which ballot issues may be submitted to the electorate of the City pursuant to TABOR; WHEREAS, the Council hereby determines that it is in the interests of the City and its residents to call a special election to be held on November 7, 2017, and to submit to the electorate of the City, at the election, the question of authorizing a tax increase on the sale of tobacco and nicotine products; P4 I. 2 WHEREAS, the Pitkin County Clerk and Recorder (the “County Clerk”) is conducting a coordinated election pursuant to the Uniform Election Code of 1992, being Articles 1 to 13 of Title 1, C.R.S. (the “Uniform Election Code”) on November 7, 2017; WHEREAS, pursuant to C.R.S. §1-1-102 and C.R.S. §31-10-102.7, the Council may elect to utilize the provisions of the Uniform Election Code in order to participate in the coordinated election on November 7, 2017; WHEREAS, on August 14, 2017, the Council passed Resolution #111, Series of 2017 calling for and establishing a special municipal election on November 7, 2017 and authorizing the City Clerk to execute an Intergovernmental Agreement with the Pitkin County Clerk and Recorder concerning the November 7, 2017 election. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ASPEN, COLORADO, THAT: Section 1. All action heretofore taken (not inconsistent with the provisions of this resolution) by the City and the officers thereof, directed towards the election and the objects and purposes herein stated is hereby ratified, approved and confirmed. Section 2. Unless otherwise defined herein, all terms used herein shall have the meanings defined in the Uniform Election Code. Section 3. The following ballot issue, certified in substantially the form set forth below, is hereby referred to the electorate of the City and shall appear on the ballot of the City at the November 7, 2017 special election with the following ballot title which is set pursuant to C.R.S. §31-11-111: Tax Increase on the Sale of Tobacco and Nicotine Products. SHALL CITY TAXES BE INCREASED BY UP TO $325,000 IN 2018 AND BY SUCH AMOUNTS AS MAY BE GENERATED ANNUALLY THEREAFTER BY THE IMPOSITION OF NEW TAXES AS FOLLOWS: BEGINNING JANUARY 1, 2018, THERE SHALL BE A NEW TAX OF FIFTEEN CENTS PER CIGARETTE OR THREE DOLLARS PER PACK OF TWENTY CIGARETTES SOLD PROVIDED THAT SUCH TAX SHALL INCREASE BY AN EQUAL AMOUNT ANNUALLY THEREAFTER FOR TEN YEARS UNTIL THE TAX IS TWENTY CENTS PER CIGARETTE OR FOUR DOLLARS PER PACK OF TWENTY CIGARETTES; BEGINNING JANUARY 1, 2018, THERE SHALL BE A NEW SALES TAX OF 40% ON THE SALES PRICE OF ALL OTHER TOBACCO PRODUCTS; P5 I. 3 THE TERMS “CIGARETTES” AND “TOBACCO PRODUCTS” HAVE THE SAME MEANINGS AS IN SECTION 13.25.020 OF THE ASPEN MUNICIPAL CODE; AND THAT THE CITY MAY COLLECT, RETAIN AND EXPEND ALL OF THE REVENUES OF SUCH TAXES AND THE EARNINGS THEREON, NOTWITHSTANDING THE LIMITATIONS OF ARTICLE X, SECTION 20 OF THE COLORADO CONSTITUTION OR ANY OTHER LAW? Section 4. The City Clerk is hereby appointed as the designated election official of the City for purposes of performing acts required or permitted by law in connection with the election. Section 5. Pursuant to C.R.S. §1-11-203.5, any election contest arising out of a ballot issue or ballot question election concerning the order of the ballot or the form or content of the ballot title shall be commenced by petition filed with the proper court within five days after the title of the ballot issue or ballot question is set. Section 6. The officers of the City are hereby authorized and directed to take all action necessary and appropriate to effectuate the provisions of this resolution. Section 7. If any section, paragraph, clause or provision of this resolution shall for any reason be held to be invalid or unenforceable, the invalidity or unenforceability of such section, paragraph, clause or provision shall in no manner affect any remaining provisions of this resolution. Section 8. All resolutions or parts of resolutions inconsistent herewith are hereby repealed to the extent only of such inconsistency. This repealer shall not be construed to revive any resolution or part of any resolution heretofore repealed. Section 9. The effective date of this resolution shall be immediately upon adoption. INTRODUCED, READ AND ADOPTED by the City Council of the City of Aspen on the 5th day of September, 2017. . Steven Skadron, Mayor P6 I. 4 I, Linda Manning, duly appointed and acting City Clerk do certify that the foregoing is a true and accurate copy of that resolution adopted by the City Council of the City of Aspen, Colorado, at a meeting held on the day hereinabove stated. . Linda Manning, City Clerk P7 I. Excerpt of Chapter 13.25 LICENSING OF TOBACCO RETAILERS 9/01/2017 13.25.20 Definitions. The following definitions shall apply throughout this Chapter: (a) Cigarette means any product that contains tobacco or nicotine, that is intended to be burned or heated under ordinary conditions of use, and consists of or contains: (1) any roll of tobacco wrapped in paper or in any substance not containing tobacco; (2) tobacco in any form that is functional in the product, which, because of its appearance, the type of tobacco used in the filler, or its packaging or labeling, is likely to be offered to, or purchased by consumers as a cigarette; or (3) any roll of tobacco wrapped in any substance containing tobacco that, because of its appearance, the type of tobacco used in the filler, or its packaging and labeling, is likely to be offered to, or purchased by, consumers as a cigarette described in subparagraph (1)(a) above. (4) the term includes all “roll-your-own,” i.e., any tobacco that, because of its appearance, type, packaging, or labeling, is suitable for use and likely to be offered to, or purchased by consumers as tobacco for making cigarettes. (b) Department means the City of Aspen Environmental Health Department, and any agency or person designated by the City Manager to enforce or administer the provisions of this Chapter. (c) Electronic Smoking Device means an electronic device that, when activated, emits a vapor, aerosol, fume or smoke that may be inhaled or absorbed by the user, including, but not limited to, an e-cigarette, e-cigar, e-pipe, vape pen, e-hookah and similar devices. Electronic smoking device includes any component, part, or accessory of such a device, whether or not sold separately, and includes any substance, with or without nicotine, intended to be aerosolized, vaporized or produces a fume or smoke during the use of the device intended for human consumption. (d) Licensee means the owner or holder of a Tobacco Product Retailer License. (e) License refers to the Tobacco Product Retailer license. (f) Licensing Administrator means the person(s) within the City government designated with responsibilities by the City Manager for license issuance, renewal and collection of fees. (g) Minimum Legal Sales Age means twenty-one (21) years of age or older. (h) Mobile Vending means any sales other than at a fixed location. (i) Tobacco Product means 1) any product which contains, is made or derived from tobacco or used to deliver nicotine or other substances intended for human consumption, whether heated, chewed, absorbed, dissolved, inhaled, snorted, sniffed P8 I. or ingested by any other means, including, but not limited to Cigarettes, cigars, little cigars, chewing tobacco, pipe tobacco, snuff, bidis, snus, mints, hand gels; and 2) electronic smoking device; 3) notwithstanding any provision of subsections 1) and 2) to the contrary, “tobacco product” includes any component, part, accessory or associated tobacco paraphernalia of a tobacco product whether or not sold separately. The term “Tobacco Product” does not include: (i) any product that contains marijuana; and (ii) any product made from or derived from tobacco and approved by the Food and Drug Administration (FDA) for use in connection with cessation of smoking. (j) Tobacco Product Retail Location or Retail Location means any premises where Tobacco Products are sold or distributed to a consumer including, but not limited to, hookah bar, lounge or café, any grounds occupied by a retailer, any store, stand, outlet, vehicle, cart, location, vending machine or structure where Tobacco Products are sold. (k) Tobacco Product Retailer means any Person who sells, offers for sale, or does or offers to exchange for any form of consideration, Tobacco or Nicotine Products, or Tobacco Paraphernalia. “Tobacco Retailing” shall mean the doing of any of these things. This definition is without regard to the quantity of Tobacco Products or Tobacco Paraphernalia sold, offered for sale, exchanged, or offered for exchange. (l) Tobacco Product Retailing means the selling, offering for sale, or exchanging for any form of consideration a Tobacco Product. (m) Self-Service Display means the open display or storage of Tobacco Products in a manner that is physically accessible in any way to the general public without the assistance of the retailer or employee of the retailer and a direct person-to-person transfer between the purchaser and the retailer or employee of the retailer. A vending machine is a form of self-service display. (n) Tobacco Paraphernalia means any item designed for the consumption, use or preparation of Tobacco Products. (o) Vending machine shall mean any mechanical, electrical, or electronic self-service device which, upon insertion of money, tokens, or any other form of payment, dispenses product. P9 I. On This Page Background Estimates of Current Tobacco Use Among Youth Factors Associated With Youth Tobacco Use Reducing Youth Tobacco Use References Yo u t h a n d To b a c c o U s e Youth use of tobacco in any form is unsafe. If smoking continues at the current rate among youth in this country, 5.6 million of today’s Americans younger than 18 will die early from a smoking-related illness. That’s about 1 of every 13 Americans aged 17 years or younger alive today. Background Preventing tobacco use among youth is critical to ending the tobacco epidemic in the United States. Tobacco use is started and established primarily during adolescence. Nearly 9 out of 10 cigarette smokers first tried smoking by age 18, and 99% first tried smoking by age 26. Each day in the United States, more than 3,200 youth aged 18 years or younger smoke their first cigarette, and an additional 2,100 youth and young adults become daily cigarette smokers. Flavorings in tobacco products can make them more appealing to youth. In 2014, 73% of high school students and 56% of middle school students who used tobacco products in the past 30 days reported using a flavored tobacco product during that time. Estimates of Current Tobacco Use Among Youth Cigarettes From 2011 to 2016, current cigarette smoking declined among middle and high school students. About 2 of every 100 middle school students (2.2%) reported in 2016 that they smoked cigarettes in the past 30 days—a decrease from 4.3% in 2011. 8 of every 100 high school students (8.0%) reported in 2016 that they smoked cigarettes in the past 30 days—a decrease from 15.8% in 2011. Electronic cigarettes Current use of electronic cigarettes increased among middle and high school students from 2011 to 2016. About 4 of every 100 middle school students (4.3%) reported in 2016 that they used electronic cigarettes in the past 30 days—an increase from 0.6% in 2011. About 11 of every 100 high school students (11.3%) reported in 2016 that they used electronic cigarettes in the past 30 days—an increase from 1.5% in 2011. Hookahs From 2011 to 2016, current use of hookahs increased among middle and high school students. 2 of every 100 middle school students (2.0%) reported in 2016 that they had used hookah in the past 30 days—an increase from 1.0% in 2011. Nearly 5 of every 100 high school students (4.8%) reported in 2016 that they had used hookah in the past 30 days—an increase from 4.1% in 2011. 1 2,3 1,3 3 4 5,6 5,6 5,6 P10 I. Tobacco Use Among Middle and High School Students—United States, 2011-2016 Larger infographic Smokeless Tobacco In 2016 : About 2 of every 100 middle school students (2.2%) reported current use of smokeless tobacco. Nearly 6 of every 100 high school students (5.8%) reported current use of smokeless tobacco. All Tobacco Product Use In 2016, about 7 of every 100 middle school students (7.2%) and about 20 of every 100 high school students (20.2%) used some type of tobacco product. In 2013, nearly 18 of every 100 middle school students (17.7%) and nearly half (46.0%) of high school students said they had ever tried a tobacco product. Use of multiple tobacco products is prevalent among youth. In 2016, about 3 of every 100 middle school students (3.1%) and nearly 10 of every 100 high school students (9.6%) reported use of two or more tobacco products in the past 30 days. In 2013, more than 31 of every 100 high school students (31.4%) said they had ever tried two or more tobacco products. Youth who use multiple tobacco products are at higher risk for developing nicotine dependence and might be more likely to continue using tobacco into adulthood. Notes: “Current use” is determined by respondents indicating that they have used a tobacco product on at least 1 day during the past 30 days. Tobacco Use* Among High School Students in 2016 Tobacco Product Overall Females Males 5 5 7 3 5 7 7 5 P11 I. Any tobacco product 20.2%17.0%23.5% Electronic cigarettes 11.3%9.5%13.1% Cigarettes 8.0%6.9%9.1% Cigars 7.7%5.6%9.0% Smokeless tobacco 5.8%3.3%8.3% Hookahs 4.8%5.1%4.5% Pipe tobacco 1.4%0.9%1.8% Bidis 0.5%0.3%0.7%   Tobacco Use* Among Middle School Students in 2016 Tobacco Product Overall Females Males Use is determined by respondents indicating that they have used a tobacco product on at least 1 day during the past 30 days. Any tobacco product includes cigarettes, cigars, smokeless tobacco (including chewing tobacco, snuff, dip, snus, and dissolvable tobacco), tobacco pipes, bidis, hookah, and electronic cigarettes. Where percentages are missing, sample sizes were less than 50 and thus considered unreliable. Any tobacco product 7.2%5.9%8.3% Electronic cigarettes 4.3%3.4%5.1% Cigarettes 2.2%1.8%2.5% Smokeless tobacco 2.2%1.5%3.0% Cigars 2.2%1.7%2.7% Hookahs 2.0%1.9%2.1% Pipe tobacco 0.7%0.6%0.8% Bidis 0.3%–0.4% Factors Associated With Youth Tobacco Use Factors associated with youth tobacco use include the following: Social and physical environments The way mass media show tobacco use as a normal activity can promote smoking among young people. Youth are more likely to use tobacco if they see that tobacco use is acceptable or normal among their peers. High school athletes are more likely to use smokeless tobacco than their peers who are non-athletes. Parental smoking may promote smoking among young people. Biological and genetic factors There is evidence that youth may be sensitive to nicotine and that teens can feel dependent on nicotine sooner than adults. Genetic factors may make quitting smoking more difficult for young people. A mother’s smoking during pregnancy may increase the likelihood that her offspring will become regular smokers. Mental health: There is a strong relationship between youth smoking and depression, anxiety, and stress. Personal perceptions: Expectations of positive outcomes from smoking, such as coping with stress and controlling weight, are related to youth tobacco use. Other influences that affect youth tobacco use include: Lower socioeconomic status, including lower income or education Lack of skills to resist influences to tobacco use Lack of support or involvement from parents Accessibility, availability, and price of tobacco products Low levels of academic achievement Low self-image or self-esteem Exposure to tobacco advertising † 5 * † § † § 2,8 9 2 2 2 2,8 P12 I. Reducing Youth Tobacco Use National, state, and local program activities have been shown to reduce and prevent youth tobacco use when implemented together. They include the following: Higher costs for tobacco products (for example, through increased taxes) Prohibiting smoking in indoor areas of worksites and public places Raising the minimum age of sale for tobacco products to 21 years, which has recently emerged as a potential strategy for reducing youth tobacco use TV and radio commercials, posters, and other media messages targeted toward youth to counter tobacco product advertisements Community programs and school and college policies and interventions that encourage tobacco-free environments and lifestyles Community programs that reduce tobacco advertising, promotions, and availability of tobacco products Some social and environmental factors have been found to be related to lower smoking levels among youth. Among these are: Religious participation Racial/ethnic pride and strong racial identity Higher academic achievement and aspirations Continued efforts are needed to prevent and reduce the use of all forms of tobacco use among youth. References 1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2017 Jun 15]. 2. U.S. Department of Health and Human Services. Preventing Tobacco Use Among Young People: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Office on Smoking and Health, 1994 [accessed 2017 Jun 15]. 3. U.S. Department of Health and Human Services. Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2012 [accessed 2017 Jun 15]. 4. Centers for Disease Control and Prevention. Flavored Tobacco Product Use Among Middle and High School Students—United States, 2014 (https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6438a2.htm?s_cid=mm6438a2_w). Morbidity and Mortality Weekly Report, 2015;64(38):1066–70 [accessed 2017 Jun 15]. 5. Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students—United States, 2011–2016 (https://www.cdc.gov/mmwr/volumes/66/wr/mm6623a1.htm?s_cid=mm6623a1_w). Morbidity and Mortality Weekly Report, 2017;66(23):597-603 [accessed 2017 Jun 15]. 6. Centers for Disease Control and Prevention. Tobacco Product Use Among Middle and High School Students—United States, 2011 and 2012 (https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6245a2.htm?s_cid=mm6245a2_w). Morbidity and Mortality Weekly Report, 2013;62(45):893–7 [accessed 2017 Jun 15]. 7. Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students—United States, 2013 (https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6345a2.htm?s_cid=mm6345a2_w). Morbidity and Mortality Weekly Report, 2014;63(45):1021–6 [accessed 2017 Jun 15]. 8. U.S. Department of Health and Human Services. Reducing Tobacco Use: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2000 [accessed 2017 Jun 15]. 9. Centers for Disease Control and Prevention. Combustible and Smokeless Tobacco Use Among High School Athletes—United States, 2001–2013 (https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6434a2.htm?s_cid=mm6434a2_w). Morbidity and Mortality Weekly Report, 2015;64(34):935–9 [accessed 2017 Jun 15]. 10. Centers for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs—2014. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2014 [accessed 2017 Jun 15]. 2,10,11 2,10,11 11 2,10 2,10 2,10 2 P13 I. Submit (javascript:quicksubscribe();return false;) More CDC Sites 11. King BA, Jama AO, Marynak KL, Promoff GR. Attitudes Toward Raising the Minimum Age of Sale for Tobacco Among U.S. Adults (http://dx.doi.org/10.1016/j.amepre.2015.05.012). American Journal of Preventive Medicine 2015-49(4):583-8. [accessed 2017 Jun 15]. For Further Information Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Office on Smoking and Health E-mail: tobaccoinfo@cdc.gov (mailto:tobaccoinfo@cdc.gov) Phone: 1-800-CDC-INFO Media Inquiries: Contact CDC’s Office on Smoking and Health press line at 770-488-5493. Fact Sheets Adult Data Cessation Economics Fast Facts Health Effects Secondhand Smoke Smokeless Tobacco Tobacco Marketing and Products Youth Tobacco Use Get Email Updates To receive email updates about Smoking & Tobacco Use, enter your email address: What's this? (http://www.cdc.gov/emailupdates/) Quick Links For help with quitting (http://www.smokefree.gov/) 1-800-QUIT-NOW (http://1800quitnow.cancer.gov) 1-800-784-8669 Related CDC Sites Winnable Battle: Tobacco Use Division of Cancer Prevention and Control Lung Cancer National Comprehensive Cancer Control Program Division of Reproductive Health   Multimedia Follow CDCTobaccoFree (http://www.facebook.com/cdctobaccofree) (http://twitter.com/cdctobaccofree) (http://pinterest.com/cdcgov/tips-from-former-smokers/) (http://www.youtube.com/playlist?list=PL184B81EA3136E9FE&feature=plcp) Smoking & Tobacco Use Media P14 I.