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2007 Advocacy accomplishments


Dear Friends, We have so much to celebrate from the past year. The considerable advocacy achievements of the American Cancer Society, in partnership with its sister advocacy organization, the American Cancer Society Cancer Action NetworkSM (ACS CAN), have moved us closer to defeating this disease. Staff and volunteers from both organizations rose to the occasion and produced exceptional results. At ACS CAN, we continue to provide ordinary people with extraordinary power to fight cancer by banding together to change public policy. This year we unveiled our enhanced volunteer structure, which represents a remarkable evolution of our grassroots model and further empowers our advocates. Our volunteers now have specialized leadership opportunities and greater organizational involvement as they give voice to the concerns of the cancer constituency.

Daniel E. Smith President, ACS CAN and National Vice President, Federal & State Government Relations, American Cancer Society

The march toward a smoke-free nation continued with eight states passing and/or implementing smoke-free laws. Through this advancement, combined with higher tobacco taxes in 13 states, we are ensuring that our children inherit a safer public health environment. We also fought vigorously for a national tobacco tax to fund children’s health insurance and for FDA regulation of tobacco.

A NEW DAY FOR GRASSROOTS ADVOCACY Together ACS CAN and the Society launched their Access to Care campaign to elevate the profile of this critical issue. Our efforts included joining a coalition of the largest nonpartisan health advocacy groups, meeting with presidential campaigns, and developing policy tools that define meaningful insurance and can be used to evaluate health care proposals. We are working to ensure that our elected officials make it a priority to provide all Americans with access to quality health care. Our nationwide movement to eliminate cancer is growing. We offer this accomplishments report as evidence of what can happen when determined citizens join together and take meaningful action. I look forward to working with you in 2008 as the ACS CAN Fight Back Express bus hits the road, visiting every state in the continental United States. We will connect directly with lawmakers, candidates, and the public on the issues that matter the most to the cancer community. Together, we can defeat cancer.


Table of contents Mission statements

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leadership

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APPC

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The power of Advocacy

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Advocacy Awards

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access to care

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our grassroots movement

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Federal and state highlights

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The cancer promise

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State-by-state accomplishments

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Donor recognition

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Special Thanks

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The American Cancer Society is the nationwide community-based voluntary health organization dedicated to eliminating cancer as a major health problem by preventing cancer, saving lives, and diminishing suffering from cancer through research, education, advocacy, and service. The american cancer Society mission

The american cancer Society cancer action network mission ACS CAN is the nonprofit, nonpartisan sister advocacy organization of the American Cancer Society, which is dedicated to eliminating cancer as a major health problem. ACS CAN works to encourage lawmakers, candidates and government officials to support laws and policies that will make cancer a top national priority. ACS CAN gives ordinary people extraordinary power to fight cancer.




The American Cancer Society Advocacy and Public Policy Committee (APPC), comprised of leadership volunteers, provides important guidance to and review of the Society’s nationwide advocacy efforts, including how the Society should address emerging issues.

CHAIR Marion E. Morra, MA, ScD

PRESIDENT Elmer E. Huerta, MD, MPH

CEO John R. Seffrin, PhD

2006-2007 Laura J. Hilderley, RN, MS, Chair

CHAIR Laura J. Hilderley, RN, MS

Robert T. Brodell, MD Lewis E. Foxhall, MD Coral Houle Anna Johnson-Winegar, PhD Robert T. Kendall III , Treasurer Robert Kugler, Esq. Karen Moffitt, PhD Roger A. Quick

Robert Youle, Esq., Chair

Robert T. Brodell, MD Gena R. Carter, MD Wanda D. Filer, MD Lewis E. Foxhall, MD Laura J. Hilderley, RN, MS Elmer Huerta, MD, MPH Anna Johnson-Winegar, PhD Robert Kugler, Esq Marion Morra, MA, ScD Linda Z. Mowad, RN Eliza Perry, RN Christy A. Russell, MD Peter S. Sheldon, Esq. Gary J. Streit, Esq. Alan G. Thorson, MD, FACS Richard Wender, MD Phylecia Wilson

2007-2008 Laura J. Hilderley, RN, MS, Chair

Gary M. Reedy Christy A. Russell, MD Peter S. Sheldon, Esq. Stephen L. Swanson Alan G. Thorson, MD, FACS Richard C. Wender, MD Phylecia Wilson Robert E. Youle, Esq., Secretary

Ray Bell Robert Brodell, MD Teri Cox Lewis E. Foxhall. MD Elmer Huerta, MD, MPH Robert Kugler, Esq. Mary Maryland Karen Moffitt Marion Morra, MA, ScD

Gary M. Reedy, Secretary Christy A. Russell, MD Peter S. Sheldon, Esq. Gary Streit Stephen Swanson Eric Taylor Phylecia Wilson Robert E. Youle, Esq., Treasurer







Once you see that things can be done and that laws can be changed and that people can be protected, it gets in your soul and you have to go forward and you have to do more.

Lisa Cristia Illinois division Volunteer




Advocacy’s role in the fight against cancer Solving the cancer problem is more than just a scientific and medical challenge – it is also a matter of public policy. Government plays a decisive role in the fight against cancer. But in a world of competing policy concerns, it doesn’t matter how noble an individual cause might be; legislators often overlook crucial issues when faced with pressure from a variety of active constituencies. The American Cancer Society and its sister advocacy organization, the American Cancer Society Cancer Action Network (ACS CAN), work in partnership to ensure that elected officials in Washington, D.C., and across the nation make the war against cancer a top national priority. The Society and ACS CAN utilize applied policy analysis, direct lobbying, grassroots action, media outreach, and litigation to accomplish their advocacy goals. A community-based grassroots network of cancer survivors and caregivers, volunteers and staff, health care professionals, public health organizations, and other partners work together to fight for policies that secure investments in research and prevention, expand access to health care, and improve quality of life for cancer patients. These efforts produce policies, laws, and regulations that further the overall missions of the Society and ACS CAN.

Advocacy and the Society’s Nationwide Leadership Roles

Advocacy’s contribution is underscored by the fact that it – along with elimination of disparities – serves as a pillar supporting the Society’s nationwide leadership roles:



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Supporting highimpact research

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Preventing cancer and detecting it in its earliest stages

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Fostering better decision-making through information

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Improving quality of life for cancer patients, caregivers, and survivors

The Society can have the most impact on the fight against cancer in these areas. Advocacy efforts, including those funded through Society grants to ACS CAN, are targeted to support these roles and achieve maximum results.

The American Cancer Society’s success in the fight against cancer is no accident. It is the product of design. Relying on careful, science-based analysis, the Society crafts effective strategies that help prevent cancer, save

lives, and diminish suffering from the disease. Advocacy, exemplified by the creation of ACS CAN, supports this effort and adds to the already considerable progress that has been made in the fight.


Advances In Advocacy

1994 Advocacy is added to the Society’s mission statement. 2000 One Voice Against Cancer (OVAC) coalition is founded to fight for more federal funding for cancer research and programs. 2001 The American Cancer Society Cancer Action Network (ACS CAN) is formed. 2002 The first Celebration on the Hill™ shows the importance of advocacy in the fight against cancer. 2003 The five-year effort to double the National Institutes of Health budget, a key priority at Celebration on the Hill, is completed. 2004 Advocacy is identified, along with disparities, as a pillar supporting the Society’s nationwide priorities. ACS CAN and Advocacy

In 2001, advocacy at the Society took a major step forward with the creation of ACS CAN. ACS CAN is more than just an organization; it is a movement transforming the passion of millions of Americans touched by cancer into grassroots power. It provides the muscle necessary to make sure that issues related to research funding, access to quality health care, prevention, early detection, and treatment get the

attention they deserve. ACS CAN also helps voters make informed decisions by serving as a trusted source of information about candidate positions on cancer-related concerns and key issue campaigns. Despite its relatively recent arrival on the scene, ACS CAN is influential and widely respected. Successful issue campaigns have increased the organization’s visibility and demonstrated to lawmakers and the public alike that ACS CAN is a force in public policy.

Whether it’s educating voters about the need for higher tobacco taxes and smoke-free policies, using vigorous lobbying to ensure that more people receive cancer screenings, commenting on regulations that affect cancer patients, or getting candidates on the record on health care reform, ACS CAN and its grassroots movement are essential voices in the policymaking discussion.

ACS CAN launches its pilot Campaign Against Cancer. 2006 ACS CAN makes cancer a federal policy priority at a second, larger Celebration on the Hill featuring 10,000 advocates. ACS CAN defeats legislation that would have eliminated guaranteed coverage for mammograms and other cancer screenings. More than 50 percent of Americans are covered by smoke-free laws covering workplaces and/or restaurants and/or bars. 2007 ACS CAN prevails upon Congress and the president to reauthorize the National Breast and Cervical Cancer Early Detection Program. The American Cancer Society and ACS CAN launch the Access to Care campaign. ACS CAN assumes the lead on federal lobbying campaigns that promote the Society’s mission. ACS CAN implements a new nationwide advocacy volunteer structure.




Recognizing excellence in advocacy National Distinguished Advocacy Award*

Theodore C. Marrs Award*

The Society’s highest national advocacy award, presented to individuals who demonstrate outstanding leadership in the public policy arena

The highest honor given within the Society for volunteer advocacy, presented to individuals who consistently demonstrate excellence in public policy

For his many years of leadership to enact laws that help people fight cancer: The Honorable Edward M. Kennedy United States Senator, Massachusetts

For his tireless and effective contributions to grassroots advocacy, including his leadership in the creation of ACS CAN Celebration on the Hill and his steadfast support for integrating advocacy and Relay For LifeÂŽ activities: Robert T. Brodell, MD, Ohio

For his forceful efforts to increase federal funding for cancer research and programs: The Honorable Michael N. Castle United States House of Representatives, Delaware, At Large For his longstanding commitment to legislation promoting smoking prevention, cancer screenings, long-term care, and other health issues: The Honorable Charles K. Scott Wyoming State Senate

Outstanding Advocacy Volunteer Presented to volunteers who have demonstrated a sustained commitment to Society advocacy efforts: Pat Tate, South Carolina Lady Baesman, Ohio Rebecca Duffy, Oregon

Outstanding Government Relations Professional Award Presented to an individual government relations professional for singular achievement in state advocacy: Michael Grady Director of Public Policy and Government Relations Illinois Outstanding Grassroots Professional Award Presented to an individual grassroots professional for singular achievement in volunteer recruitment, education, and mobilization: Juliana Frederick Grassroots Manager West Virginia

Jerry Maldavir Award

Outstanding Government Relations Team Award

The highest advocacy honor given within the Society to staff, presented to the individual who best embodies the passion, dedication, and enthusiasm of the late Jerry Maldavir, a former Society staff lobbyist

Presented to a team of state government relations professionals for singular achievement in state advocacy: New Mexico, Great West Division

For devoted service to Society advocacy activities and ongoing excellence in volunteer recruitment and mobilization: Aaron Czyzewski Director of Grassroots Advocacy Florida



* The Society Advocacy and Public Policy Committee (APPC) selects the National Distinguished Advocacy Award and Theodore C. Marrs Award recipients.


Of all the forms of inequality, injustice in health care is the most shocking and inhumane.

Dr. Martin Luther King, Jr




expanding access to care Access to Quality Cancer Care

Woven throughout the American Cancer Society’s leadership roles is a pressing need to resolve the problem of lack of access to health care, which is linked with cancer mortality. Advances in prevention, early detection, and treatment have contributed to remarkable progress in the fight against cancer, including steady decreases in the country’s total number of cancer deaths. To continue our success in the war on cancer, we must address obstacles that prevent millions of Americans from having timely access to quality cancer care. Society-led scientific research in peer-reviewed journals shows that the uninsured are more likely to be diagnosed with late-stage cancer than those with private insurance. The

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uninsured face more difficult and more expensive medical treatments, and are at greater risk of death. Even those with insurance often discover that their policies are inadequate to cover treatment and can leave them with catastrophic debt. In 2006, the Society’s National Board of Directors formally recognized that significant changes needed to be made to the current health care system in order to deliver state-of-the-art cancer care and control at the community level. The shared goal of the Society and ACS CAN is to continue saving as many lives as possible through specific reforms that advance the fight against cancer, including the expansion of key programs to cover more people for cancer screenings and treatment, while

pushing the country to address larger, systemic issues with health care. These efforts are consistent with the Society’s leadership roles, with access to care connecting the advocacy and disparities pillars. Raising Awareness

Insurance issues are often complex and difficult to grasp. By framing the health care debate through the cancer lens, the Society and ACS CAN provide a clear picture

of how the issue affects millions of individuals who suffer needlessly because they are uninsured or underinsured. If there are problems with the health care

system, cancer patients will likely encounter them. The Society and ACS CAN are using a variety of tools to educate policy makers, opinion leaders, and the public about the role of access to care in combating cancer. A congressional briefing in June featuring then-Society president Dr. Richard Wender, Dr. Robert Blendon of Harvard University, and cancer patient Doreen Cacioppo brought the

issue to Capitol Hill. Subsequent efforts throughout the year raised the national profile of the issue. An extensive Societyled public awareness

campaign, starting with a National Press Club event and anchored by months of broadcast, print, and online advertising, generated broad media coverage in numerous esteemed outlets. By featuring actual cancer patients, the advertising conveyed in dramatic fashion the challenges uninsured and underinsured patients face and established that the nation’s health care crisis is directly linked to the fight against cancer.

Setting a Standard

Based on the results of the Society’s deliberative and sciencebased approach to policy development, a Statement of Principles


on What Constitutes Meaningful Health Insurance was issued in 2007. This statement outlined the essential components to quality, affordable health insurance as being adequate, available, affordable, and administratively simple for all – the four A’s – regardless of health status or previous medical claims. A series of “threshold questions” and an evaluative tool were also created to assist staff and volunteers in assessing health reform proposals at the state and federal levels. Policy development continues as the Society uses evidence

and experience to identify problems in the nation’s health care delivery system that are critical to improving the detection and treatment of cancer. Together, the Society and ACS CAN are setting an exemplary standard for any outcome of the access debate. The four A’s and the evaluative tool were an active part of the debate in California, Colorado, Illinois, and Pennsylvania, where broad health care reform legislation and proposals were seriously considered. In Massachusetts, which passed landmark health

reform legislation in 2006, the Society’s principles and policy tools helped guide regulations for and implementation of the new law. The Society’s Divisions are using these tools in Divisionwide task forces as additional states take up the issue. Finally, the new State Cancer Promise (see p. 22) presses legislators to prioritize health care reform, assure better cancer care, and expand access. A Helping Hand

The Health Insurance Assistance Service (HIAS), a joint effort between the Society and the Georgetown University Health Policy Institute, offers cancer patients who call the Society’s National Cancer Information Center a free resource that connects them with health insurance specialists. HIAS call specialists handle inquiries about health

insurance, coverage dynamics, and state programs – all specific to the caller’s needs. Since HIAS began in 2005, more than 14,000 cases from 28 states have been addressed, with plans to continue expanding the program. Information from the calls is captured in an internal database that helps identify patients whose experiences illustrate problems and notes callers who consent to talk to the media so their stories reach a wider audience. Bob Herbert of The New York Times ran a series of three opinion columns, each featuring a HIAS caller. Callers have also been featured in other national media including The Washington Post, U.S. News and World Report, and National Public Radio’s Morning Edition.

Finding Common Ground

Ultimately, broad consensus among a variety of active constituencies is needed to achieve meaningful health care reform. In May, ACS CAN and its partners in the “Are You Covered?” collaboration – AARP, the Alzheimer’s Association, the American Diabetes Association, and

the American Heart Association – held nonpartisan advocacy events in four key early primary/caucus states: Iowa, Nevada, New Hampshire, and South Carolina. Together, the country’s largest health advocacy groups urged the 2008 presidential candidates to make access to health care a central part of their platforms.

The Four A’s

of Meaningful Health Insurance Adequate Access is timely and covers the full range of health care, including prevention and early detection.

Affordable Costs are based on the patient’s ability to pay.

Available Coverage is available regardless of health status or prior claims.

Administratively simple Processes are easy to understand and navigate.

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ACS CAN took the lead on media outreach and event planning in Iowa and had volunteers present at each event. Volunteers visited candidate headquarters, attended official press announcements, and participated in advocacy trainings. Activities such as issue trainings and volunteer deployment to candidate events continued until each state held its presidential primary or caucus. Quality Health Coverage

National reform is unlikely to gain traction until after the 2008 elections. In the interim, incremental steps are being taken at the federal and state levels. In 2007, the president signed a law reauthorizing, at a higher funding level, the Centers for Disease Control and Prevention’s National Breast and Cervical Cancer Early Detection Program, which screens low-income, underin-

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sured, and uninsured women and offers them a gateway to treatment. Efforts to increase its funding as well as to pass legislation to establish a similar colorectal cancer screening and treatment initiative are ongoing. ACS CAN’s work also includes support for Michelle’s Law, which was introduced in Congress in 2007. Named for the daughter of a Society volunteer in New Hampshire and modeled after that state’s law, it would require insurance companies to cover college students on medical leave for up to a year. States continue to move on their own to expand state health insurance programs, create or bolster screening and treatment programs for uninsured patients, and pass new legislation or defend existing laws that guarantee lifesaving cancer screenings.

Electoral Activity

Health care reform was a leading topic of discussion as the presidential primary season got under way. ACS CAN does not and will not endorse proposals put forward by candidates or political parties, but the organization will continue to educate the public about the impact that insurance problems have on cancer patients. During the summer, ACS CAN met individually with presidential campaigns from both parties. Looking ahead, ACS CAN’s electoral activities will empower volunteers to take action and will reinforce the organization’s role as a leading voice in the national dialogue on health care.

Advocacy on the road

To promote the Congressional Cancer Promise, ACS CAN took its Picture A Cure™ activity on the road this summer during the (Des Moines) Register’s Annual Great Bicycle Ride Across IowaTM (RAGBRAI). Society staff and volunteers fielded a team of riders while ACS CAN staff and volunteers kept pace in the ACS CAN Mobile Action Center, visiting each town in which the cyclists spent the night. The Action Center carried information that educated riders, asked them to take the fight against cancer to state and national legislators, and offered them a chance to do so by telling their own cancer story through Picture A Cure.


WE CAN DO IT. TOGETHER WE CAN MAKE OUR VOICES HEARD. WE CAN DEFEAT CANCER. WE CAN WITH ACS CAN.

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Strength in Numbers – Strength in Knowledge Advocacy accomplishments at any level of government would not be possible without the force of a grassroots volunteer movement backing every legislative campaign, ballot initiative, and effort to hold lawmakers accountable. The Society’s and ACS CAN’s volunteer advocates make it happen. As voters and constituents who care about cancer, they work to make cancer a national priority. They write letters and send emails. They make calls and meet with legislators. They alert the media and rally for the cause. They speak out, knowing their voices are the ones that most influence local, state, and federal officials. The creation of ACS CAN marked a new day for grassroots advocacy around cancer issues. ACS CAN is building the premier nationwide grassroots movement to help ordinary people exercise extraordinary power to fight against cancer. For the first time in history, cancer survivors and their loved ones are uniting as a well-organized grassroots force, and they are demanding that our government officials do the right things, right now. As a result, thousands of people with cancer will be saved from needless death each year. A New Grassroots Model

The continued success of ACS CAN’s cancer movement depends on the strength of its volunteers, as measured by their commitment to the movement and their leadership of it. During the past year, ACS CAN adopted an enhanced grassroots program model that builds on a strong foundation of achievement by nationwide grassroots “ambassador” advocates working closely with their staff partners. The enhanced approach will energize existing vol-

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unteers, nurture a new generation of volunteer leaders, and inspire others to join the ACS CAN movement. The heart of the enhanced model is the volunteer-led Ambassador Constituent Team (ACT!). Team members handle the critical volunteer activities in each state that support ACS CAN’s national advocacy campaigns. Fifty state lead ambassadors oversee teams in their respective congressional districts and serve as the main contact for their U.S. senators. In addition, there is a state

lead ambassador for the District of Columbia and another representing Native Americans. Each ACT! in turn is headed by an ACT! lead who works with the state lead and Division staff partners to recruit four ACS CAN chairs who integrate advocacy components into Relay For Life, fundraising, media outreach, and mobilization. Whether it’s working with Relay, recruiting new ACS CAN members, or meeting with elected officials, the

new grassroots model provides specialized leadership opportunities and the tools necessary to succeed. ACS CAN empowers volunteers through trainings and skills development so they can carry out tasks like hosting house parties, talking to the media, and creating personal advocacy Web pages. Volunteers and their staff partners set goals, motivate others, and compel lawmakers to support the fight against cancer.


Enhanced Training

When it comes to effective advocacy, there is strength in numbers and in knowledge. That is why ACS CAN has developed a new training program to support its enhanced grassroots model. The program is designed to train both staff and volunteers in issues, skills, and tactics that will help them work together to win more victories and build a stronger organization. ACS CAN training staff are a key resource for Divisions, helping volunteers and their staff partners stay motivated and involved. Volunteers will be presented with more advanced training opportunities as the enhanced structure matures and grows stronger. The new training program officially kicked off in June at the State Lead Ambassador Summit, with state lead ambassadors and their staff partners

convening in Denver. The two-day gathering featured strategic planning, intensive education about the role of the state lead, and discussion around priority advocacy issues. Ambassadors also learned how to flourish in their new role and how to work most

effectively with their new staff partners. The meeting marked the first formal gathering of state leads from around the country and served as an important preamble to the inaugural ACS CAN Leadership Summit and Lobby Day in September.

ACS CAN Leadership Summit & Lobby Day

The 2007 ACS CAN Leadership Summit and Lobby Day brought together more than 550 top volunteers and staff representing every state and the District of Columbia. It was the first time that ACS CAN convened state and district ACT! leads under its enhanced grassroots model. The Leadership Summit was a day of intensive trainings, during which state volunteer leads facilitated sessions and further established the new grassroots program as the ambassadors’ own. Ambassadors learned more about how to work with their fellow volunteers and staff partners to make their constituent teams cohesive and effective. Breakout sessions covered topics including building relationships with legislators, reducing disparities, enhanced

e-advocacy opportunities, and the Society’s and ACS CAN’s efforts to improve access to health care. Following the Leadership Summit, ACS CAN volunteers visited Capitol Hill to lobby their respective members of Congress on key issues of concern to the cancer community. During more than 400 meetings, ACS CAN’s advocates pushed for more federal funding for cancer research, an increased federal cigarette tax, legislation giving the Food and Drug Administration the authority to regulate tobacco, and continued support for the ACS CAN Congressional Cancer Promise. Among the day’s successes was the volunteers’ ability to persuade 44 members of Congress to change their position and support a 61-cent federal tobacco tax increase

to finance expansion of the state children’s health insurance program. ACS CAN’s new volunteer leaders came to Washington, D.C., with a vision for fighting cancer in their community. They left the nation’s capital ready to make that vision a reality. ACS CAN’s enhanced grassroots program provides volunteers with the tools and the means to con-

quer cancer through advocacy. These dedicated individuals will fight to take ACS CAN’s advocacy efforts to the next level.

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Ambassador Constituent Team (ACT!)

RELAY FOR LIFE fights back The partnership between Relay For Life, the Society’s signature event, and advocacy continues to thrive. Relayers from across the nation maintain their position in the vanguard of the ACS CAN movement by engaging in “Fight Back Through Advocacy” initiatives. ò

The first-ever electronic Picture A Cure premiered at Relay For Life events in every state in 2007. The messages featured volunteers’ personal cancer stories accompanied by a digital photo and were electronically sent to Washington, D.C., for delivery to Congress. ò

Relay volunteers signed and collected thousands of paper Picture A Cure forms urging Congress to support ACS CAN's Congressional Cancer Promise. These petitions, personalized with volunteers’ cancer stories, were delivered to U.S. senators’ local offices and were also distributed during ACS CAN’s Lobby Day in Washington, D.C.

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Relay advocacy chairs nationwide spearheaded a movement to recruit ACS CAN members. This past year, ACS CAN recruited almost 7,500 members through Relay and raised more than $110,000.

Each member of an Ambassador Constituent Team (ACT!) has a clearly defined role that contributes to the group’s overall function. The positions mirror the most critical components of successful advocacy campaigns.*

State Lead Ambassador

Works with staff partners and fellow volunteers to set recruiting, fundraising, training, and legislative campaign goals for the state and is the key volunteer contact for the state’s U.S. senators

ACT! Lead

Leads the Ambassador Constituent Team (ACT!) and serves as the primary volunteer contact with the member of Congress and other lawmakers from his or her district; recruits and brings together other local volunteers called ACT! Chairs to lead district efforts in four specific areas: advocacy through Relay For Life, ACS CAN fundraising, media advocacy, and mobilization

Relay ACS CAN Chair

Media Advocacy Chair

Provides resources and training on advocacy activities undertaken at Relays or within the Relay community in conjunction with Society Relay staff and volunteers

Builds relationships with and monitors local media, disseminates ACS CAN campaign information, and serves as a local spokesperson when appropriate; works closely with Division communications staff

ACS CAN Fundraising Chair

ACTion Chair

Plans and implements ACS CAN fundraisers in the district

*In some congressional districts, one person may serve in multiple capacities. 16

Bolsters ACT! mobilization, carries out campaign activities, organizes ACT! communications, and cultivates volunteers


There is no better place to have an impact than in our nation’s capitol and at our statehouses.

Amy Johnson Boyle, Iowa Lead Ambassador

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federal and state highlights

Each year, the American Cancer Society and ACS CAN celebrate victories at all levels of government that accelerate progress in the fight against cancer. These successful efforts bring us closer to a final shared triumph over the disease. Together, dedicated staff and volunteers at the local, state, and federal levels continue to produce tremendous accomplishments like those we achieved in 2007. RESEARCH

In early 2007 an ongoing ACS CAN-led campaign to stave off drastic cuts to the National Institutes of Health (NIH) succeeded and ultimately produced a $637 million increase for the 2007 fiscal year. ACS CAN volunteers nationwide held State of the Union watch parties to shine a spotlight on the need for sustained increases at the NIH, the National Cancer Institute (NCI), the Centers for Disease Control and Prevention (CDC), the NIH Center on Minority Health and Health Disparities, and the Health Resources and Services Administration. After the president’s 2008 fiscal year budget called for steep cuts in

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cancer research and programs, ACS CAN volunteers held public rallies calling on Congress to fight back. ACS CAN remained at the forefront of this fight throughout the year. ACS CAN was the driving force behind One Voice Against Cancer, a coalition of cancer-related advocacy groups supporting federal cancer program funding.

Texas voters overwhelmingly approved a Society-backed ballot initiative to fund the Cancer Prevention and Research Institute of Texas, which will manage a historic plan to infuse $3 billion into cancer prevention and research. The Society helped the University of North Carolina secure $25 million for fiscal year 2007-2008 and $40

million for 2008-2009 for cancer research. The Eighth Circuit Court of Appeals affirmed the legal rights of institutional biomedical research tissue banks. The Society filed a friend of the court brief in the case in support of the tissue banks. The Society and ACS CAN, in partnership with the Association of American Cancer Institutes, published

the first-ever reference book describing each of the nation’s cancer centers. PREVENTION AND EARLY DETECTION

ACS CAN supported the Medicare Early Detection and Cancer Promotion Act of 2007, which waives breast, cervical, and colorectal cancer screening co-pays and extends the eligibility window for the “Welcome to


Medicare” physical from six months to one year. ACS CAN submitted comments to the U.S. Food and Drug Administration on proposed revisions to sunscreen regulations – the first in 20 years – that would better inform the public about the dangers of sun-induced skin cancer and the relative value of commercially available sunscreens. A Society policy review group developed new policy on how to ensure maximum use of cancer vaccines.

Breast Cancer

Congress and the president reauthorized, at a higher funding level, the CDC’s National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides screenings for low-income, uninsured, and underinsured women and offers them a gateway to treatment. Twelve states expanded their screening program capacities by increasing the state funding portion for the NBCCEDP. Massachusetts, Texas, and Wisconsin in-

creased funding for breast and cervical cancer treatment programs for women diagnosed through the NBCCEDP. ACS CAN advocates nationwide sent thousands of emails and met in person with hundreds of members of Congress to push for reauthorization and increased funding of the NBCCEDP. Making Strides Against Breast Cancer® participants delivered thousands of “What About the Other Four?” petitions to Congress to highlight the fact that, due to limited resources, the NBCCEDP only reaches one in five eligible women. In its inaugural year, the “We Can Change the Odds” campaign sent more than 18,000 postcard petitions to U.S. senators urging them to increase NBCCEDP funding by $48 million. The Society and the National Association of Chronic Disease

Directors cosponsored a meeting of state and tribal breast and cervical cancer program directors and the CDC to discuss policy issues and opportunities for greater collaboration on NBCCEDP. ACS CAN helped create a facilitation guide to strengthen relationships between ACS CAN, the Society, and state breast and cervical programs to promote best practices and ensure these programs’ continued growth. The Society’s director of cancer screening participated in a panel discussion hosted by the 16 female U.S. Senators about the reported decline in mammography screenings. Colon Cancer

Four states – Minnesota, Nebraska, New Mexico, and Washington – passed legislation requiring insurance companies to cover the full range of colorectal screenings in all of their plans.

Legislation was introduced in Louisiana to create a colorectal cancer screening and treatment program for uninsured patients.

At the urging of ACS CAN, the Centers for Medicare and Medicaid Services (CMS) waived the Medicare deductible for colorectal cancer screenings. The Colorectal Cancer Early Detection, Prevention, and Treatment Act, which would create a national communitybased colorectal cancer screening and treatment program modeled after the breast and cervical program, was introduced in the U.S. House. ACS CAN hosted "Preventable, Treatable, Beatable: Policies to Win the Battle Against Colorectal Cancer," a briefing for congressional aides and the media.

New Jersey legislators considered a bill to expand the state’s colon cancer screening program for the uninsured and to start a treatment component. Two states – Delaware and New York – already have colon cancer screening and treatment programs for the uninsured in place. New York further expanded its program in 2007. Lung Cancer

ACS CAN was the leading public health organization in the battle to increase the federal cigarette tax and use the revenue to expand the State Children’s Health Insurance Program (SCHIP), which provides health insurance to children in low-income families (see p. 21).

ACS CAN, Society Divisions, and their public health partners continued state and local efforts to decrease the number of tobaccorelated cancers and deaths through smokefree laws, higher tobacco taxes, and increased funding for smoking cessation, prevention, and control programs (see p. 25). ACS CAN advocates worked to pass legislation that would grant the U.S. Food and Drug Administration the authority to regulate tobacco products and how they are marketed (see p. 21). The Society and its public health partners filed a friend of the court brief at the U.S. Supreme Court in a case affecting the rights of citizens to recover damages from tobacco manufacturers. The Court ruled unanimously that the manufacturers should not be protected from past

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misdeeds concerning light cigarettes simply because the Federal Trade Commission regulated testing of those products. The Society and other public health groups successfully petitioned the U.S. Supreme Court to hear a case on whether states may regulate direct Internet or phone tobacco sales as a means of reducing youth access and ensuring that products are delivered to licensed tobacco dealers.

The Society also joined in a friend of the court brief. A decision is expected in 2008. The Society and other health partners filed a friend of the court brief in a case pending before the Supreme Judicial Court of Massachusetts that argues that federal law did not intend to preempt plaintiff claims against a tobacco company in state court and that states must be permitted to have their own laws on recovery of such damages.

The Society filed a friend of the court brief in a case pending before the South Carolina Supreme Court regarding whether state law preempts the town of Sullivan’s Island from enacting a strong smoke-free ordinance. The Society helped block legislation that would have permitted the use of taxpayer funds to promote U.S.-grown tobacco internationally. Colleges Against CancerSM, a campus-

based program that integrates Relay For Life, advocacy, and health promotions at more than 300 colleges nationwide, created a smoke-free campus toolkit. INFORMATION

ACS CAN led a coalition that secured $2.9 million for the Patient Navigator Program, which places trained “navigators” in health facilities to assess patient and community needs and guide patients through the health care system. This first-time allocation sets the program up for future growth. ACS CAN issued How Do You Measure Up: A Progress Report on State Legislative Activity to Reduce Cancer Incidence and Mortality, the fifth annual nationwide report on state cancer policy issues.

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The Society's second annual cancer disparities conference highlighted how research, policy, and political influence can come together to reduce health disparities and improve the health of minority and other medically underserved populations. ACS CAN distributed a resource kit to every senator and member of Congress to assist them in discussing cancerrelated issues with constituents. QUALITY OF LIFE

The Senate passed an ACS CAN-supported amendment to block proposed Medicare rules that would have eliminated coverage of routine care costs, such as blood work and physician visits, for patients in clinical trials, resulting in increased costs and decreased participation. With further urging from ACS CAN, the Centers for Medicare and Medicaid (CMS) ultimately main-

tained its current policy. ACS CAN safeguarded cancer treatment coverage in Medicare by persuading CMS to protect the broad scope of anticancer drugs covered in Medicare’s drug benefit program. Eighteen states took action to improve or preserve access to pain management resources, services, and medication for cancer patients and survivors. ACS CAN provided advocacy tools and extensive strategic support. The National Pain Care Policy Act, which would improve pain care research, education, training, and access at the federal level, was introduced in the U.S. House. ACS CAN hosted a congressional briefing on pain and palliative care issues. The Society teamed with the Lance Armstrong Foundation and the Susan G.

Komen for the Cure Foundation to underwrite a nationwide report card evaluating state pain policies. The Society joined AARP in a friend of the court brief in the case of a breast cancer survivor denied a job with the U.S. State Department’s Foreign Service because of her biannual checkups with a nurse practitioner to ensure the cancer does not recur. The brief argued that the State Department violated the Rehabilitation Act, which is intended to protect cancer survivors regarded as disabled.


ACS CAN led the public health community in a powerful campaign to increase the federal cigarette tax by 61 cents and use the revenue to expand the State Children’s Health Insurance Program (SCHIP). ACS CAN advocated for the president to sign the legislation and later pushed for a congressional override of the president’s veto. Although the override effort fell a few votes short, ACS CAN remains committed to raising the federal tobacco tax.

ACS CAN was a leading partner in the effort to build congressional momentum to pass the Family Smoking Prevention and Tobacco Control Act. The act would give the Food and Drug Administration (FDA) the authority to regulate tobacco products and stop tobacco companies from marketing their deadly product to children.

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ACS CAN volunteers held rallies or events in 15 congressional districts and made more than 2,400 phone calls to Capitol Hill offices. In less than three days, close to 16,000 volunteers contacted their legislators on the issue. Various national news outlets, including The New York Times, The Associated Press, The Washington Post, and National Public Radio, cited the Society, ACS CAN, and its spokespeople for their involvement in the SCHIP debate. ACS CAN ran fullpage print ads in The Washington Post and in Capitol Hill publications that urged Congress and the president to support the children’s health bill and tobacco tax. The Capitol Hill newspaper Roll Call presented ACS CAN with an award for excellence in advertising for its SCHIP ad. The ad was cited for “outstanding readership response” in a survey conducted for Roll Call by Harvey Research.

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By a vote of 13 to eight, the Senate Health, Education, Labor, and Pensions (HELP) Committee approved the measure in August. The bill had 55 Senate cosponsors and 215 House cosponsors as of December 2007.

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ACS CAN volunteers participated in Stop Big Tobacco Month in May. Each week, volunteers highlighted the devastating effects of tobacco use and urged Congress to stop tobacco companies from targeting children, women, and minorities.

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Dr. Elmer Huerta, then-incoming president of the American Cancer Society, testified before the Senate HELP Committee and met with the Congressional Hispanic Caucus leadership urging their support of the legislation. ACS CAN also submitted testimony for a hearing held by the House Energy and Commerce Health Subcommittee. ò

The Society, ACS CAN, and its spokespeople were recognized in The New York Times, The Wall Street Journal, The Washington Post, Capitol Hill publications, and by other major daily newspapers and the Associated Press for their involvement in the effort to pass FDA regulation.

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ACS CAN ran print and online advertisements throughout the spring and summer in key Capitol Hill publications and targeted state newspapers.

campaigns

Stopping big tobacco

ederal tobacc

Saving Lives, Expanding Coverage

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The Cancer Promise

ACS CAN continues to make cancer a federal legislative priority in a tangible way with the Congressional Cancer Promise. The Congressional Cancer Promise outlines legislative measures that can accelerate progress and generate new discoveries in the fight against cancer. Specifically, these measures focus on elevating prevention, early detection, and survivorship; increasing federal research funding; and expanding access to health care.

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Cancer advocates from across the nation have worked to ensure that elected officials pursue the goals outlined in the promise and to widen congressional support for the Society’s and ACS CAN’s legislative agenda. In 2007, the Society introduced the State Cancer Promise, which asks state legislators and candidates for state office to promise to do their part to conquer cancer in their state. The State Cancer Promise mirrors the Congressional Cancer Promise in its focus on making health system reform a priority; elevating and enhancing prevention, early detection, quality of life care, and survivorship; and expanding access to health care.

The State Cancer Promise was introduced at the release of the fifth annual How Do You Measure Up? state legislative report and will be used as a rallying point for health reform efforts.


it is only through speaking up for change on cancer issues that we will actually see change happen. Who will speak up, if I don’t?

Donna Adkins, Virginia Lead Ambassador

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Alabama The Society succeeded in protecting $400,000 in state funds for the breast and cervical early detection program. This year marked only the second time that the state allocated its own funds, making defense of continued funding critical to the program’s success and growth.* For the first time, comprehensive statewide smoke-free legislation not requiring a public referendum was introduced in the legislature and was approved by the Senate Education Committee. Seven local communities enacted comprehensive smokefree ordinances, a marked turnaround from previous weaker ordinances. The state House of Representatives banned smoking on the House floor. The legislature enacted joint resolutions endorsing the American Cancer Society’s 2015 goals and recognizing Minority Cancer Awareness Week.* Alaska The breast and cervical cancer early detection program received $250,000 in state funding.* A ballot measure to repeal Anchorage’s smoke-free ordinance was defeated. The state tobacco program’s 2008 fiscal year appropriation

is now at 93 percent of the national Centers for Disease Control and Prevention’s minimum, an increase of $1.3 million from the previous year. The Society successfully fought off vendors’ intense and wellfunded efforts to roll back penalties for selling tobacco to kids. Arizona Funding increases for the state breast and cervical cancer early detection program reached $250,000, with total funding in excess of $1.3 million.* The statewide smoke-free law, which passed on a ballot initiative in November 2006, went into effect on May 1, 2007. Arkansas The state completed its two-year pilot program to screen and treat 400 uninsured citizens for colorectal cancer. Society advocacy and cancer control staff were intimately involved in the pilot. Legislation will be drafted in 2008 to take the program statewide.* The Society spearheaded a new coalition of public health groups backing introduction of a bill to increase the tobacco tax by 50 cents. If passed, the new revenue would go toward health programs such as

The legislature eliminated the casino exemption from the Colorado Clean Indoor Air Act of 2006 effective January 1, 2008.

breast and cervical screenings, colorectal screening, tobacco control, tumor registry, and the state comprehensive cancer control plan.* California The Society’s principles and policy guidelines on meaningful health insurance were used to assess proposed health reform legislation. A strong push was made to educate policy makers in the executive and legislative branches on the Society’s standards and why winning the fight against cancer depends on better access to quality health care.* At the Society’s urging, proposed health reform legislation included a $2.00 increase in the state’s tobacco tax. The state enacted a law banning smoking in cars when minors are present. The legislature passed a bill requiring chain restaurants to provide nutritional information on menus and order boards, making California the first state to get such legislation to the governor’s desk. Unfortunately, the bill was vetoed. The state’s breast cancer research income tax check-off program was extended.

Connecticut The state cigarette tax went up by 49 cents for a new total of $2.00 per pack. The increase will generate approximately $50 million per year in new revenue and result in longterm health care savings of more than $336 million. The HealthFirst Connecticut and Healthy Kids Initiatives, which improve health care access for uninsured families, expanded eligibility for the state Healthcare for Uninsured Kids and Youth (HUSKY) program and increased reimbursements for Medicaid providers.* The state created the Charter Oak Health Insurance Plan (COHIP), a public/private partnership that will offer health insurance at an affordable rate to those who don’t qualify for other state programs. COHIP will ultimately enroll approximately 32,000 people.* Colorado The state allocated $4.7 million for its breast and cervical cancer early detection program, exceeding the federal match by $2.7 million.*

Treatment Program.*

The Society has been actively monitoring a statewide panel that is considering options for health care reform.*

A bill was introduced to enhance the state’s existing colorectal cancer screening coverage guarantee by including screening guidelines endorsed by the Society and the American College of Gastroenterologists.*

The mandatory offer of hospice care coverage in small group health benefit plans was restored.*

The Delaware Screening for Life program was expanded to include prostate cancer screenings.*

A law was enacted removing claims experience and health status as factors insurance carriers may consider when determining premium rates for small employers.* The legislature established a program to increase awareness about the availability of cervical cancer immunizations. Delaware The cigarette tax was increased by 60 cents for a new total of $1.15 per pack. Delaware continued to fund its tobacco control and prevention program at the Centers for Disease Control and Prevention’s recommended level. Tobacco control initiatives in 2007 included offering nicotine replacement therapies and other drug interventions free through the Delaware QuitLine program. Eligible Delaware residents can now receive free cancer treatment for up to two years through the Delaware Cancer

A new health care scholarship recruitment program was established at the University of the District of Columbia to recruit and retain health professionals to work in underserved communities in the District.*

District of Columbia The District allocated more than $1.4 million of its budget for breast and cervical cancer screening, prostate cancer screening and treatment, and an awareness and prevention program for a virus that can cause cervical cancer.* Stringent smoke-free emergency regulations prevented attempts to gut the District’s new comprehensive smokefree law. The tobacco settlement fund provided $20 million for the District’s comprehensive cancer program and $10 million for its tobacco prevention program. An amendment to the District’s State Plan for Medical Assistance expands Medicaid eligibility for 19- to 20-year olds. In addition, the District’s Medicaid waiver was renewed, allowing childless adults ages 50 to 64 to remain enrolled in the program.*

The new SafeRx Act requires prescribers to make efforts to inform patients about potential risks and side effects associated with off-label use of a drug before prescribing or administering medication. Florida The state allocated $9 million for the Bankhead-Coley Cancer Research Program to significantly expand Florida’s cancer research capacity, increase participation in clinical trials, and reduce cancer’s impact on disparate groups.* The James & Esther King Biomedical Research Program received $9.9 million in the state budget to support biomedical and behavioral research on tobacco-related diseases.

* Denotes initiative addressing disparities and/or access to care. 24


The Florida Breast and Cervical Cancer Early Detection Program secured $6.7 million to continue funding reducedcost or free mammograms, clinical breast exams, and Pap smears to low-income, uninsured women 50 to 64.* Legislation passed that secures $58 million annually to implement Florida’s constitutional amendment requiring statewide comprehensive tobacco control including cessation services. The Closing the Gap initiative secured $5.7 million to stimulate the development of community and neighborhood-based organizations to improve health outcomes of racial and ethnic populations and promote disease-prevention activities.*

high-deductible health plans was also defeated.* The Society defeated proposed legislation that would have allowed out-of-state insurance companies, which are not bound by state laws requiring coverage for lifesaving cancer screenings, to sell health policies in Georgia.* The legislature created a committee to study the effectiveness of using tobacco settlement funding for tobacco control, education, and prevention. The committee will make recommendations to the governor on specific funding levels and programs. The Georgia House of Representatives passed legislation creating a study committee on pain.

Georgia

Hawaii

The Society defeated legislation that had the potential to deny access to care for cancer patients and others with chronic illnesses by creating a state “high-risk” insurance program. Legislation to create insurance policies known as

Multiple attempts to weaken the state’s comprehensive smoke-free law were defeated. The state implemented a planned cigarette tax increase of 20 cents, the second year of a policy that raises the tax 20 cents per year for six years. Idaho The bowling alley exemption to the state’s smoke-free law was eliminated. The House and Senate overrode the governor’s veto to enact this legislation.

Comprehensive smoke-free workplace ordinances went into effect in Plainfield and Greencastle. Illinois The state passed the Smoke Free Illinois Act, a 100 percent comprehensive smoke-free law that covers all indoor public places and places of employment – including bars, restaurants, and casinos – effective January 1, 2008. Repeated attempts to weaken the new smoke-free law by granting casinos an exemption were defeated. The state Senate passed legislation increasing the state cigarette tax by 90 cents and giving Chicago’s suburban counties the option to levy an additional tax of up to $1.00 per pack. The state approved Societysupported regulations that prohibit Illinois insurers from using pre-existing conditions to set rates for individual policies.* The Society’s policy guidelines on meaningful health insurance were used to evaluate the governor’s proposal for universal access to care. The Division then took a leadership role in recommending improvements to the plan.* Indiana The tobacco tax was increased from 55 cents to 99 cents to pay in part for initiatives that will broaden access to care, such as a new state insur-

Iowa

ance program for as many as 132,000 currently uninsured adults. Preventive cancer screenings would be included with patients paying on a sliding scale.* New tobacco tax revenues will also expand the state’s Children’s Health Insurance Program. Parents will also be able to keep dependent children under the age of 24 on their insurance plans.* Small businesses that offer wellness programs and some businesses and individuals with health insurance will be eligible for state tax credits.* An additional $5.4 million was allocated annually for tobacco prevention and cessation programs. This increases the funding to $16.2 million annually for the next two years. The Fort Wayne City Council passed one of the strongest smoke-free ordinances in Indiana, becoming one of only three municipalities nationwide to overturn a weak smoke-free law in favor of a stronger measure. The ordinance went into effect on June 1, 2007.

The cigarette tax was increased $1.00 to a total of $1.36 per pack. Taxes were also increased by a comparable amount on other tobacco products. Tobacco tax revenue will be used for the first time to expand access to the state’s Children’s Health Insurance Program and Medicaid.* The budget for the state’s comprehensive tobacco control program doubled, bringing total funding to nearly $13 million annually. In another first, the Department of Public Health will receive $200,000 for cervical and colorectal cancer screening.* The Iowa Consortium for Comprehensive Cancer Control will receive $500,000 in state funding. The state Senate approved legislation allowing local governments to regulate smoking – the furthest this type of proposal has ever advanced in the legislature. Kansas Smoke-free ordinances in Overland Park, Leawood, and Lenexa passed in 2007 and become effective January 2, 2008.

Reducing tobacco’s toll Smoke-free successes

five states - Arizona, Louisiana, New Hampshire, New Mexico,

and Minnesota – and the District of Columbia implemented 100 percent smoke-free workplace and/or restaurant and/or bar laws. Three states – Illinois, Maryland, and Oregon – passed laws that will take effect in either 2008 or 2009. Illinois’ smoke-free law includes casinos. Colorado strengthened their smoke-free law this year by adding casinos to the smoke-free list and Idaho expanded their smoke-free law to include bowling alleys. Tennessee enacted a statewide smoke-free law that exempts venues open only to those over age 21.

twenty-six states were smoke-free. one hundred ten communities, including As of January 1, 2008,

Anchorage, Houston, and tobacco-growing areas such as Charleston, South Carolina and Louisville/Jefferson County, Kentucky, went smokefree, for a total of more than 2,671 smoke-free communities nationwide.

sixty percent of Americans are protected by some

More than form of smoke-free law.

Excise Tax successes

thirteen states - Alaska, Arizona, Connecticut, Delaware,

Hawaii, Iowa, Indiana, Maryland, New Hampshire, South Dakota, Tennessee, Texas, and Wisconsin – increased their cigarette tax this year. Maryland’s increase took effect January 1, 2008. South Dakota and Texas increased taxes on other tobacco products as well. Cessation, Control, and Prevention successes

three states - Colorado, Delaware, and Maine – funded

tobacco prevention programs at the CDC’s recommended minimum levels. This is the sixth consecutive year Maine has ranked first in funding tobacco prevention programs.

other states that have increased funding for state tobacco cessation and prevention programs include Florida, Indiana, Iowa, Oklahoma, South Dakota, Tennessee, and Wisconsin.

Many of these achievements were made possible by Society Mission Delivery Council grants.

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Attempts to enact a weak statewide smoke-free bill were defeated. Application fees for a new breast cancer awareness license plate will support the work of a statewide coordinator who will liaise between cancer centers, hospitals, physicians, and clinics statewide to ensure patients are aware of prevention and early detection protocols, treatments, and clinical studies.* The state passed legislation exempting nonprofits from the state sales tax, ensuring that the Society can continue to fulfill its lifesaving mission. Kentucky Four additional communities adopted 100 percent smokefree ordinances. The House and Senate passed legislation making cessation counseling and drug therapy available to all Medicaid enrollees. The Society will work to secure $8 million in annual funding for the benefits during the 2008 legislative session.* The state preserved $300,000 for the breast and cervical cancer early detection and treatment programs. * Churchill Downs, the home of the Kentucky Derby, began to prohibit smoking in all of its indoor areas effective November 25, 2007.

Louisiana

Maine

Maryland

Minnesota

The legislature doubled state funding for the breast and cervical early detection program for a total of $700,000.*

The Society defeated a bill that would have made health insurance less affordable to cancer patients and their families.*

The governor signed a 100 percent smoke-free workplace law covering bars, restaurants, and workplaces effective February 2008.

Legislation was enacted that ensures coverage for the full range of colon cancer screening tests.*

The Society fought efforts to use tobacco settlement funding for non-public health programs.

The cigarette tax was increased from $1.00 to $2.00 per pack.

The Society successfully defended several attempts to weaken the state Clean Indoor Air Act. The governor’s proposal to securitize tobacco settlement funds was defeated. Legislation was introduced to create a colorectal screening and treatment program for the uninsured.*

Candy- and alcohol-flavored cigarettes and cigars were banned to keep children from using them as gateway tobacco products. The state legislature passed a bill authorizing funding for a state cancer plan. Legislation passed allowing MaineCare to institute a chronic disease management program.* A bill seeking to change an existing prescription monitoring program to make its sole focus law-enforcement was defeated.

A new health care reform law substantially expanded Medicaid eligibility for parents and, if there is funding, childless adults. The law also includes a tax incentive for employers and employees and is expected to expand health care coverage to 110,000 Marylanders.* The state budget protected breast and cervical cancer screening funds, preserved $25.8 million for state cancer screening programs for medically underserved residents, increased funding for tobacco control initiatives, and funded a prescription drug repository.* A law passed that requires health insurers to offer the same benefits to domestic partners – and children of a dependent or a domestic partner – and to permit dependent children to remain on a parent’s plan until age 25.* Legislation starting a prostate cancer education and screening pilot program in three rural Maryland counties was enacted.*

The Massachusetts Legislative Caucus on Cancer Awareness was unveiled at the Society’s annual state Lobby Day. Massachusetts

Michigan

The state, in the first year of implementing its health reform law, expanded eligibility for fully subsidized coverage and covered prescription drugs and preventative care. The law has provided insurance to 300,000 previously uninsured individuals.*

A new state law allows residents to put five dollars or more from their income tax return toward breast and cervical cancer screening, follow-up care, and treatment programs.*

Massachusetts reinvested in the Breast and Cervical Cancer Treatment Act with a budget of $5.4 million, an increase of $1.45 million.* Funding for tobacco prevention and control programs increased for the fourth consecutive year. Additional funds of $4.5 million brought the total to $12.75 million. The state established an ovarian cancer awareness, screening, and treatment program.* The Massachusetts State Commission to Eliminate Health Disparities among Racial and Ethnic Minorities recommended policy initiatives to address the causes of health disparities, increase diversity within the health care workforce, and improve access to and the quality of health care.*

The Michigan House of Representatives approved smoke-free workplace legislation covering bars and restaurants, the first vote ever held in the Michigan legislature on a comprehensive smokefree law. The Society defended funding for tobacco and cancer control from attempts to severely cut or eliminate all chronic disease prevention programs. The governor signed legislation requiring the Michigan Department of Community Health to offer incentives to encourage Medicaid recipients to adopt healthier lifestyles.* The Prostate Cancer Research Fund was created. The fund will use income tax check-off donations to support state medical schools and hospitals that specialize in cancer treatment and urban hospitals that serve African American men.*

The state enacted comprehensive smoke-free legislation that covers all public places and workplaces, including all bars and restaurants. The Society supported successful efforts to increase funding and expand eligibility for MinnesotaCare.* Mississippi The legislature committed state funds of $150,000 for the state’s breast and cervical cancer early detection program, a first for the state.* A bill raising the Mississippi tobacco tax from 18 cents to one dollar passed the House of Representatives. The Mississippi Legislature appropriated $13 million for tobacco control funding, despite the governor’s court challenge that gutted the program’s $20 million annual budget. Missouri The state allocated $200,000 of its tobacco settlement funds to start a tobacco prevention and cessation pilot program. This marks the first time that Missouri has put its settlement funds toward tobacco control. Voters in Chillicothe approved a smoke-free law and the City

* Denotes initiative addressing disparities and/or access to care. 26


Council passed an ordinance implementing its provisions. The city of Kirksville enacted a smoke-free ordinance covering restaurants and bars. Montana Legislation was defeated that would have allowed many insurers to sidestep state regulations that guarantee coverage for cancer screenings.* The state enacted legislation that requires insurance plans to disclose their cancer screening coverage to prospective individual and group plan purchasers.* The Society and its partners made sure $2.2 million in state funds were allocated to implement the state’s comprehensive cancer control plan over the next two years. A significant portion of those funds will go toward expanded breast

and cervical cancer screening, allowing up to 2,000 more women in need to be screened statewide.* The Montana Tobacco Use Prevention Program will be funded at the Centers for Disease Control and Prevention’s recommended level.* Nebraska The state enacted legislation requiring insurance companies to cover the full range of colon cancer screenings in all of their plans.* A statewide smoke-free bill reached the last stage of debate prior to passage, with a vote expected in 2008. Nevada The Society led a vigorous coalition in the fight to maintain funding for the Nevada Tobacco Prevention Coalition and succeeded, with funding held at just over $4 million for the biennium. A bill that would have made smokeless tobacco much less expensive and more easily accessible was defeated. A new law requires tobacco retailers to display notices concerning the sale of tobacco to minors.

The Society worked to pass legislation that requires health insurance companies to include coverage of the HPV vaccine and prostate cancer screening tests in available health benefits packages.* New Hampshire By a two-to-one margin in both houses of the legislature, the state approved and enacted a 100 percent smoke-free restaurants and bars law. The cigarette tax was increased 28 cents for a total of $1.08 per pack. The state cancer plan was budgeted at $6 million over two years to fund tobacco control, breast and cervical cancer prevention and early detection, colon cancer screenings for the uninsured, minority health outreach, survivorship programs, and physical activity and nutrition initiatives.* New Jersey Atlantic City passed an ordinance banning smoking on 75 percent of casino gaming floors, resulting in most casinos banning smoking entirely in gambling areas. In addition, the state Senate approved a bill to make casinos 100 percent smoke-free. Legislation was introduced to expand a state program providing free breast, cervical, prostate, and colon cancer screenings to low-income, uninsured residents. The bill,

which also includes treatment coverage for patients diagnosed with prostate and colon cancer, passed out of three key committees.*

cancer, cervical dysplasia, HPV, and the vaccines available to prevent these diseases.

The governor signed a law requiring that cigarettes be “fire safe,” effective June 2008.

The Society defeated legislation that would have allowed insurance providers to sidestep state regulations that guarantee coverage for breast and prostate cancer screenings.*

The New Jersey Assembly Health Committee approved legislation banning flavored cigarettes. The New Jersey legislature initiated a program to educate physicians, parents, and teens about the HPV vaccine, which can help prevent cervical cancer. New Mexico Funding for the state breast and cervical cancer early detection program was increased by $200,000 for a total of $500,000.* The state enacted legislation requiring insurance companies to cover the full range of colon cancer screenings in all of their plans.* A comprehensive statewide smoke-free workplace law was enacted and went into effect June 15, 2007. Funding for statewide tobacco control programs was increased by $1.9 million, for a total of $9.6 million, including a $500,000 set-aside for tobacco control on Native American lands.

North Dakota

New York The state expanded its first-inthe-nation Medicaid coverage program for uninsured colon cancer patients diagnosed through the state’s public screening programs and added coverage for prostate cancer patients.* The New York City Council increased funding for colon cancer screening for the uninsured from $1.5 million to $2.5 million. Also, New York City reported that the disparities gap in colonoscopies between blacks and whites declined to a one point difference, a 13-point decline over the last four years.* The Society fought successfully to preserve $85.5 million in tobacco control program funding, the highest in the nation.* New York State offered insurance coverage to small businesses and trade unions through its expanded Medicaid plan, Family Health Plus, and streamlined the enrollment process for all public insurance programs.* The Society is playing a leading role in public hearings around the state to consider proposals to improve access to health care.*

Five million dollars was appropriated to help purchase the HPV vaccine for uninsured young women and launch a physician education program.* North Carolina The Society assisted the University of North Carolina’s Comprehensive Cancer Research Center in securing $25 million for fiscal year 2007-2008 and $40 million for 2008-2009 in state funding for cancer research. An additional $2 million in state funding for the North Carolina Breast and Cervical Cancer Program was secured.* The state established a high-risk pool to offer health insurance to eligible citizens who otherwise would not have been able to secure affordable coverage.* Effective in 2008, cities and counties will have the authority to pass local smoke-free laws. In addition, smoking will be banned in all state-owned buildings, public schools, and long term care facilities. New legislation requires local boards of education to provide parents and guardians with information about cervical

The state allocated $100,000, its first commitment, for the breast and cervical cancer early detection program. In addition, the Department of Health will receive $200,000 for a project to provide access to colon cancer screenings for the uninsured.* The state reached a voluntary written agreement with insurers to cover fecal occult blood colorectal cancer screening tests through wellness packages.* Legislation intended to weaken the state’s smoke-free workplace law was defeated. The North Dakota Donated Prescription Drug and Device Program continued to receive state funding.* Ohio The state allocated $2.5 million per year for two years for the breast and cervical cancer early detection program. The first-time commitment of state dollars will allow 10,000 additional women to be screened each year.*

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Rules were adopted to implement the Smoke-Free Workplace Act. Legislation intended to weaken the Smoke-Free Workplace Act was defeated. The Senate Insurance Committee approved legislation prohibiting insurers, public employee benefit plans, and multiple employer welfare arrangements from excluding coverage for routine patient care administered as part of a cancer clinical trial.* Legislation passed requiring the state board of education to adopt physical education standards for grades K-12 and to hire a full-time physical education coordinator within the Ohio Department of Education. Oklahoma Legislation ensuring coverage for the full range of colon cancer screenings passed the state Senate.* Attempts to reduce the state tobacco excise tax were defeated. The Society persuaded the Oklahoma State Employee Benefits Council to offer tobacco cessation coverage up to twice a year with no lifetime maximum.* Oregon A comprehensive statewide smoke-free workplace law was signed by the governor. The law will go into effect in January 2009.

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Pennsylvania The State House of Representatives unanimously passed legislation ensuring coverage for the full range of colon cancer screenings.* State funding was protected for the Healthy Woman breast and cervical cancer screening and treatment program.* The Society ensured that state and local tobacco prevention and cessation programs will receive state tobacco settlement funds, in excess of $31.6 million. Statewide smoke-free legislation covering bars, restaurants, and casinos passed the Senate and House for the first time and was sent to a joint conference committee. An attempt to exempt casinos from local smoke-free laws was defeated. Rhode Island Funding for the Women’s Cancer Screening Program was protected from cuts in the 2008 fiscal year budget.* The Society forced the withdrawal of legislation that would have carved out an exemption to the statewide smoke-free workplace law. A law requiring that cigarettes be “fire safe” was passed and became effective January 1, 2008.

The state’s Intractable Pain Treatment Act was amended to rectify provisions that could impede patient access to adequate pain management.* Building on the success of a 2006 law that removed unhealthy snacks from middle and elementary schools, legislation was enacted to replace unhealthy snacks and highsugar beverages with healthier alternatives in high schools. South Carolina Efforts to strengthen prohibitions on local communities’ ability to pass smoke-free laws were rejected. Eleven local communities passed smoke-free ordinances. A bill to increase the cigarette tax passed the full House as well as the Senate Finance Committee. Debate will resume in 2008. Two million dollars has been allocated for the state’s tobacco prevention and control program.

overwhelmingly approved a Society-backed ballot initiative to fund the Institute.

The State Employee Health Plan began covering colorectal cancer screenings on January 1, 2007.* South Dakota The state tripled funding for its comprehensive tobacco control program, for a total of $6 million annually, thanks to a tobacco tax increase that took effect January 1, 2007. A new law imposes a penalty on adults who purchase tobacco products for minors and requires all tobacco product retailers to register with the state. The state passed legislation enabling full-time adult students to remain on their parents’ health insurance until age 29.* The state passed legislation creating a “telepharmacy” to serve remote communities lacking pharmacists.* The legislature authorized the Department of Health to provide free HPV vaccinations to girls between the ages of 11 and 18.*

Tennessee The state allocated $1 million in recurring annual funding for its breast and cervical cancer program, more than twice the appropriation of $400,000 in 2006 and the first time that the state committed hard dollars to the program.*

The Texas Breast and Cervical Cancer Services Program, which provides free breast and cervical screening and treatment to low-income women, received new funding of $5.2 million for screening and $14 million for treatment during the next two years.*

regulations around pain management and recommend improvements in pain management in Texas. Utah In collaboration with a coalition of other health care organizations, the Society secured an additional $24.3 million in funding for health care for disparate populations including

Tennessee more than tripled its tobacco tax, moving it from 20 to 62 cents, the largest in any tobacco-growing state. The legislature enacted a statewide smoke-free law that exempts venues open only to those over age 21. The state set aside $10 million in funding for tobacco control, primarily earmarked for cessation assistance and drug coverage for the underserved. This is the first time state money has been spent on tobacco control.* Texas The Cancer Prevention and Research Institute of Texas was created to manage a historic plan to infuse $3 billion into cancer prevention and research. Voters then

Eight communities implemented smoke-free ordinances that will protect more than three million workers and citizens from secondhand smoke.

increases for Medicaid providers, expansion of the Children’s Health Insurance Program, and continuing care for people with disabilities.*

The state increased funding for comprehensive tobacco prevention and cessation programs to $21.5 million for the next two years.

Due to the Society’s effort, a bill passed that provides $250,000 of new, ongoing funding to develop and implement cervical cancer awareness and education.

Legislation requiring Texas middle school students to participate in daily exercise passed. Students in all grades must also undergo annual fitness assessments starting with the 2008-2009 school year. Legislation passed that will create a study committee to review existing laws and

The Society spearheaded the effort to pass legislation providing $250,000 per year for two years to fund pain management education and data systems.


Vermont The Society ensured that Society-recommended cancer screenings, quality primary care, preventive and chronic care, acute episodic care, and hospital services were offered in the state’s Catamount Health Care Plan, which launched November 1, 2007, to provide coverage for the state’s 60,000 uninsured adults.* Funding for the tobacco control program was increased by $110,000. The Society promoted pain management and end-of-life care as alternatives to a bill, which was ultimately defeated, that would have allowed physician-assisted suicide. Virginia An executive order banning smoking in all state buildings and vehicles, including state colleges and universities, went into effect on January 1, 2007. The state Senate passed a Smoke-Free Air Act.

The House of Delegates voted on smoke-free related legislation for the first time in 17 years. Unfortunately, a comprehensive version of the bill backed by the governor covering bars and restaurants was defeated. The original, weaker version of the bill was, however, vetoed. Washington Amendments to a Senate bill that would have allowed insurance providers to sidestep state regulations that guarantee coverage for cancer screenings and treatment were defeated.* The state passed legislation requiring insurance companies to cover the full range of colorectal screenings in all of their plans.* The state budget included $50 million to help sustain tobacco prevention programs. West Virginia Funding totaling $400,000 for the Breast and Cervical Cancer Diagnostic Fund was reinstated after being removed from the state budget.* Pocahontas County passed a 100 percent smoke-free workplace and public areas law effective January 1, 2008, becoming the last of West Virginia’s 55 counties to pass smoke-free regulation. Legislation that would have

stripped local communities of their ability to enact strong smoke-free laws was defeated for the 15th year in a row. The state allocated $5.8 million for tobacco-prevention funding and made it a line item in the budget. The state’s end-of-life palliative care center received $175,000 and the Management of Pain Act passed the Senate. Wisconsin The Society supported successful legislation to offer more children health insurance coverage and expand Medicaid coverage for childless adults.*

Wyoming The state’s breast and cervical cancer program received $250,000 for outreach to medically underserved women, including Native Americans, ethnic minorities, and those in rural areas. Approximately 800 more women will be screened as a result.*

The state increased funding for its breast and cervical cancer screening and treatment program by $125,000 over two years.*

The Wyoming Cancer Control Act allocated $1.2 million for a colorectal screening program, funded three county cancer resource coordinators, and authorized a pain management initiative.*

The state allocated $175,000 in funding over two years for a colonoscopy program based in an underserved northern area of the state.*

The city of Evanston enacted a 100 percent smoke-free workplace law that includes bars and restaurants in September 2007.

The cigarette tax was increased $1.00 for a total of $1.77 per pack effective January 1, 2008. Taxes were increased a comparable amount on other tobacco products.

The Society obtained a grant to convene the state’s first stakeholders meeting on pain management issues.

A 50 percent increase for the state’s comprehensive tobacco control program was secured, bringing funding to $15 million annually.

The Wyoming Health Care Commission received $20,000 to conduct a study on the costs of clinical trials.

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to our donors: Thank you for your support and leadership in 2007.

Corporate Platinum Circle $50,000 and up Pfizer, Inc Pharmaceutical Research and Manufacturers of America TG Madison Wal-Mart Stores Inc. Corporate Chairman’s Circle $25,000 - $49,999 Amgen Major CANpaign Circle $20,000 and up John M Boler Helene Brown Dr. John W Hamilton Robert E Youle Chairman’s Circle $10,000 - $19,999 John C Baity Richard C Blum Robert J Brown Ronald Dekoven Kimberly T DuChossois Dr. Harmon and Julie Eyre Robert A Ingram Thomas M Lindquist Howard Marguleas Gary M Reedy Dr. John R and Carole Seffrin

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Corporate President’s Circle $10,000 - $24,999 GE Capital KPMG LLP Novartis Quest Diagnostics Relay Gear Texans To Cure Cancer PAC Verizon President’s Circle $3,000 - $9,999 Dr. Chaker N Adra Sheena R Aebig Dr. Milo & Ms. Susan Barrera R Clifford Berg Kathleen M Bond Dr. Robert T Brodell Dr. Marvin and Sally West Brooks Dr. Barrie R Cassileth Childrens Hospital & Regional Medical Center - Seattle Maria Cole Jennie R Cook Molly A Daniels Michael P Dany Robert P DeMarco Steven & Laura Derks Stephan Diamond and Unice B Lieberman Dr. Margaret Drugay Kris Fauske Patricia M Felts First Choice Health Dr. Elizabeth T Fontham Dr. Lewis E Foxhall Fred Hutchinson Cancer Research GMMB Nathan Grey and Carolyn Guenther-Grey Norma J Hayman Hilton Hotels H Lee Moffitt Cancer Center

John C Hoctor Imaging Technologies Services, Inc Ironworks Consulting LLC Susan M Jagers Harry Johns Reuel E Johnson, Jr. Lucien and Anna Johnson-Winegar Dr. Douglas K Kelsey Mr Robert R. Kugler Michael & Grace Kurak Mary Jo Langdon Dr. Robert M Langdon, Jr. Lockspot Cafe Ann Mau Jean B McGill Patrick C McGuire Dr. Raymond J Melrose Pamela K Meyerhoffer Michael J Mitchell Karen A Moffitt MSHC Partners, Inc Scarlott K Mueller Dr. Martin J Murphy, Jr. Kent C Nelson Frank R Nolimal Sandra A Norman Paradysz Matera Ann Marie N Pomerinke Frances T PopstojanovicHolmstrom Premera Blue Cross Paul & Rebecca Rogers Dr. Carolyn D Runowicz Dr. Christy A Russell Wendy K D Selig Dr. Stephen F Sener Peter S Sheldon Daniel Smith and Lorraine Voles Gregory B Smith Smokefree Midland Richard E Spoonemore St Joseph Medical Center - Tacoma Carter Steger

Dr. Phyllis S Stephenson Stephen L Swanson Swedish Health Services Dr. Craig Tanio Dr. Eric W Taylor Donald and Rogeria Thomas Dr. Alan & Nancy Thorson Chris H Torti Lauren G Waggoner Warren Business Graphics, Inc Donald A Webster Williams Kastner & Gibbs Wisconsin Restaurant Association Van Velsor Wolf Dr. G Fred Worsham, Jr. David L Yeager Champion’s Circle $1,000 - $2,999 Adaptis, Inc Leo N Albert Doris J Andera Gary J Andres George P Atkins Jr. Barnard Griffin Dr. Robert A Bayer Renee Beach Dr. Therese (Terry) B Bevers Jim Blair Karen and Greg Bontrager Dr. William H Boykin Carla Marie Bucknell Dr. Michael J Bukstein Gena R Carter Martin A Cheever Becky M Chou Stephanie B Christensen Dr. Mark Clanton Tracy Lynn Coe Elizabeth C Cord Deborah J Cornwall Aaron E Czyzewski Kelley M Daniel Dr. Patricia L Dawson

Charles W DeGooyer Ralph A DeVitto, Jr. Harold Edwards Dr. Phil Evans Dr. Thomas D Fogel Marsha J Fountain Gloria S Garcia Patrice Gerard Karrie J Good Dr. J M Greif Jack A Hanover III, Jr. Kyle Harris Dr. Karen B Heusinkveld Coral S Houle Linda L Houser John W Howard Paul E Hull Laurel L Jensen Wunder E Chris Johnson, Jr. James K Knox Stephanie H Lane Cynthia M Le Blanc Britney M Lietz John R Linduff William J Malitsky Brian A Marlow Dr. Shahla Masood Deborah J Mattern Dr. Tim T Mauldin, Jr. Beverly May Patricia B May McClusky Clinic PC Deborah L Meade Tammy L Miller The Minahan Companies, Inc Jessica R Mitchell Philip M Moilanen Mosbacher Foundation, Inc Northwest Hospital Oncology Hematology West Edward E O’Sullivan Paramount Pictures Cliff Parker Marsha L Pearlman Gregory Pizzuti

Steve Pressley Emily N Pualwan Roger A Quick Vicki Rakowski Dr. Mark W Redraw Vivian E Riefberg Corbin J Robertson, Jr. Emanuel and Marilyn Rouvelas Scott M Sarat Robert None Schechner Thomas Sheridan Jennifer Sherrel Dr. Peter Shields John P Shipkoski Sigma Theta Tau Nursing Honor Society - Iota Phi Silver Eagle Distributors LP Steven E Slaughter Richard W Stilwell Susan G Komen Breast Cancer Foundation Patricia E Swanson Victoria E Tomas-Martinez Pam Traxel University Of Washington Sue A Walker Wal-Mart Store # 516 Dr. Jonathan P Weisul Todd C Wilkins Thomas J Williams Robert G Willis Chris Wiltshire Dr. Jerome Yates Nancy Yaw Hero’s Circle $500 - $999 Betty Jane Allgaier Briggs W Andrews Dr. Larry D Baer Todd J Bagdonas Carol L Baker Dr. Claudia R Baquet Eric A Borsum Audrey E Bowen Criado Sharlene R Bozack

Brandeberry Mckenna Public Affairs Dr. Barbara Bucholtz Charlotte L Burke Lisa M Cahoy Lee M Carter Jim E Castello, Jr. Clarence P Cazalot, Jr. John S Chaperon Connie J Chapman Rebekah R Chodoff Becky M Chou Dennis E Clark William M Coelho Debra J Cohen Thomas Brian Condon Jennifer G Cutrer Kathern J Dalton Amy DeBlaise-Kasai Rose M Defa Phyllis A DeStefano Joe Di Albert Jackie L Dillard Karen L Dimick Dr. M Julian Duttera, Jr. Dr. Albert B Einstein, Jr. Reverend Dennis E Ellisen Emporia State University Dr. Susan M Escudier Susan S Everett Ruth E Faklis Lisamarie Fallon Rollin Fatland Paul G Fimognari Dr. Thomas J Forlenza Zachary A Fortsch John Furniss Frances M Gaines Joy A Ginsburg Joan Goldfeder Ann C Gouré Kelly Green Kahn Karin S Haack Wallace G Haislip Dr. Adnan Hammad Megan Hannan


Virginia E Hauck Kelly Headrick Thomas A Heim Dr. Alan C Henderson Dr. Carla J Herman Steven U Higger Sabrina L Horton Kazuyoshi Iwamoto Traci M Jensen Cynthia D Joice David E Katri Judith S Kaur Jeffrey L Kean Angela Kegler McDowell Lawrence W Kellner Brian D Key Dr. Howard B Kleckner Cynthia Kline George C Kosmos, Jr. Maria J Koumantaros Daniel Labriola Lake Research Partners Gary A Leipheimer Margaret E Lesher Wayne E Lewis Dr. Jennifer R Lippens Dr. Dan D Lydiatt Dr. John J Lynch Lilliam S Machado Laurie A Maginn Andrew J and Joyce D Mandell Janet L Marcantonio Charles Matthau Debbie A McKay Robert McNeel Candace A Milan Laura L Miller Jazmin Miranda Smith Robert D Mitchell III Wendy P Moran Patti S Morris Laura E Nathan Oklahoma City Yard Dawgz Tom O’Keefe Michele Perry

Lawrence S Primeau Dennis R Prucha Carolyn D Pruitt Dr. Douglas Reding Resources For Change Reynolds Iron Works Inc Pat T Rice Judy L Ritchie Nancy Roach Neil J Robertson Wilhelmina E Robertson Ray Rogers Jeneva C Rose Joseph H Roth, Jr. Saint Elizabeth Regional Medical Center Albert Santos Jack J Sarat, Jr. Alan Sclater Dr. Kathy J Selvaggi Marlene Share Kim R Smarsh Norma Spoonemore Jack W Steinmeyer Dr. Kim Stocking Alexis K Storlie Streetscape Properties Gary J Streit Karen R Strohecker Robert R Theroux Debby J Thompson Nada D Trout Dr. Timothy Tucker Turner, Collie & Braden Karen L Warmke Jan R Waszak Lisa G Wickman Zoe A Williamson Dr. Gerald L Woolam Carma J Yoder Dr. Robert C Young Dr. Herb Zaretsky Dr. Richard J Zienowicz

Leader’s Circle $250 - $499 John T Adams II Marguerite W Adelmann Gina M Adolph Patricia L Aiken H D Ainsworth David L Allen Dr. Rebecca S Alleyne Dr. Arnold L Amass Kevin Ames Mona M Amundson Jolene M Anderson Janet L Angi Cindy M Antolik Cindy S Arlt Susan W Armstrong Candy Arrington Dr. Jose G Arroyo Grau Patrick S Artz Connie W Austin-Welch Danelle E Avery Patty S Avery Dr. & Mrs. Andrejs E Avots-Avotins Florence Ayers James Ayers Daniel W Bahr Maria Baker Rosalyn H Baker Kathy Baker Catherine L Barnard Katheryn M Barnes Lytheda M Barnes Martin Barrera-Martinez Martha A Baxter Dr. Stephen Bayles Karen C Becker Marguerite A Belanger Ralph E Bell Sr. Costantino Benedetti Cheryl M Bertus Lisa Beyer Scanlon Maxine K Bigler Rose M Blake Christine M Blatnik

George A Blough Ollie H Bobbitt III Tina M Bodine John R Boehm Richard L Bohy Carl Bongiovanni Gloria A Borcher Holly A Bower Mary A Boyd Lynn E Brand Linda Brenninkmeyer Joe M Bridges Karlynn M Brintzenhofeszoc Jackie S Broberg Woodrow F Brokenburr Marilyn K Broussard Michelle L Brown Thaina L Brown-Brake Debbie H Browning Laurence K Buck Joan W Buglewicz Kalah R Bumba Theresa A Burgess Sharon D Bush Curtis S Butler Claudia Cable Mr. and Mrs.C Cahoon, Jr. Judith E Calhoun Julie D Callaway Barbara H Carne Richard D Carpenter Alana R Carr Michelle E Carriker Kaylene M Carter Patricia H Carter Linda J Carter Beck Ron Catron Anna-Melissa G Cavazos Anna Chanakas Julianne M Charlesworth Dr. Barry M Chauser Fred A Chavez Dr. Jonathan K Cho Gary P Chow Keri S Christian Phyllis Y Clark

Hillary G Clarke Thomas D Cleveland Debbie L Cohen Amy S Conn Sherry L Cook Carla L Cope Kristi Coppin-Arnold Gay A Cornell Shelley S Courington JoAnne V Cousino Teri P Cox Melinda Craft Frances R Crawford Sharon C Cronan Barbara Crowe Deborah J Curtin Randy J Dahl John A Daniel Chris D DaSilva David Canzone DOM Yomara Davis Jerry L Davis Dr. Keith E Davis Delores Davis Kristy E Deaton Jean DeCarlo Diana S Diaz Peter Dierickx Keith D Dillenbeck Alice M Dipietro Donald W Distasio, Jr. James C Ditto Evelyn G Dixon Drusilla W Dobson Dr. Joe C Dobson Scott A Doerr Mary A Dorsey Patricia J Dow Stephen J Dreyer Nancy S Dufur Debbie A Duncan Delores F Dunham Dr. Joel S Dunnington Roderick D Duquette Bryan Earnest Dr. David M Eaton

Kenneth & Karen Eggers Nancy K Elwell Joy Espeleta Karen S Everhart-Hardman Dr. & Mrs. Jack T Evjy Dianne M Fahring Darlene D Falk Deborah Falkenberg Steven C Fannin Anthony J Fassio Barbara Faung AnnMarie Fauske Stephanie Feld Dr. Judy Fenyr Melody Diane M Fey Sandra Finestone Deidra P Finley Constance L Fisk Richard L Fitzgerrell Kathy G Flaherty Kendra L Flanagan Margaret Flood Susan B Foerster Jessica J Francis Brenda Jo Fulton Warren W Gale Thenice P Gall Keith Garrison Toni B Gary Meg S Garza Nina L Geabic Karin Gehm Barrett Robert M Gengler Elaine P Gibb Mary S Gilbert Christa M Gill William & Marion Gill Russell G Gillard Paula Gleicher Kathryn J L Goller Sarah E Goodwin Mary V Gordon Cherie E Gravois James S Gray Dr. Jon M Greif Jennifer S Groves

Daniel J Grubb Sr. Chris K Gruehn Maria G Gruol Donald J Gudaitis Shannon Guernsey Gertie M Haese F Sheffield Hale Cathy Haliburton Sharon F Hall Pam A Hall Bobby Hamilton Donna K Hammack Lynn Hancock James Lee L Hansen Linda K Hansen Cindy L Hargett Larry E Hargrave Judith M Hartig-Osanka Anne Hartline Tracy L Haskin Louisa T Haugen Katherine L Headrick Ronald R Hecht Judith M Hejny Dr. Allen H Henderson Dan D Hennessey Nancy A Henson-Clark Sue P Heublein Laura J Hilderley Patricia L Himes Diane F Hirt Dr. Rod Hochman Philip P Hoge Cathy B Holcombe Mary Lee L Holloway John D Holmes, Jr. David W Holmquist Carolyn K Hoppe Jon R Hornaday Karen E Horowitz Eunice A Hostetter Dwight B Houchins Kelly A Howley Dr. Richard A Hsi Doreen A Huber Nancy B Hughes

Dr. Lee Huntsman Richard E Huttner Beverlye E Hyman Fead Lynn B Irby Carol L Jackson Dr. Andrew D Jacobs Shirley D James Katherine A Janeway Helen E Jankowski Patricia C Jansen Richard R Jarvis Sue R Jirkovsky-Landers Jeffrey R Johnson Ann C Jones Betty L Jones Sue E Kaiser Michael D Kaitcer Jennifer S Kampsula Ronald F Kamykowski Wendy Kaplan Carolyn F Katzin Kevin T Keane Rosa T Kelson Margaret J Kent Dr. Mary Claire King Sherwood C Kingsley John C Kirgan Lee W Kitchen Cheryl W Klein Julie A Klein Dr. Carol B Knight Vickie J Knight Calvin Knight Leticia W Kollgaard Petros P Koumantaros David J Koza Bradley D Krings Margaret I Kruckemeyer Jeanette S Kuhn John K Kyger Jeremy J LaFaver Jenna C Langer Mary S LaPrairie Jayne A Lastusky Deborah A Leary Cynthia M Leblanc

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Mary L Lee Michael Leibert Diane M Lewandowski Cathleen A Lieberman Robert Lilleness Daniel A Linegar Michael D Lipton Michael A Lischio, Jr. Karen E Litwak Danielle A Lively Laura Llanes Dr. Frank P Lloyd, Jr. Roger Loeb Patti P Love Larry J Lovelace Rob L Lucas, Jr. David F Ludwig, Jr. Beth A Lunow Rosemary W Mackey Joseph R Mahoney Judy P Maleng Tim E Mallon Daniel P Mallove Kim E Malone Barbara R Manley Maureen G Mann Diana L Manor Paula Lou Mapoles Candy S Marshall David Marwitz J S Mathews Stacy A Matseas Shelley M Mauss Loretta A Mayberry Helen L Mayle Peter J McCallum Jim D McConnell Susan E McCoy Cindy A McCracken Jay McCullough Patti A McGee Jordana M McKinney Ginny A McMains Gary A McMullen John E McNamara Bonnie J McSpiritt

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Kristina A McWilliams Mary E Medina Larry Meisner Dr. Gilbert S Melnick Peggy C Melton Helen A Mendel Gregory R Meredith H Fred Mickelson Catherine E Mickle Marie R Milleage Roberta J Miller Lydia M Miller Deborah A Mohlenhoff Eric Mohney Brian D Monaghan Leela Mookerjee Angie C Moore Mary Margaret Moorhead Joanna L Morales Marie White Morgan Henry M Morgan Barbara C Morgan Larry P Morris Virginia M Morrison Suzanne M Mostafa Susan L Mudd Dr. Andre A Muelenaer Katharine A Mumbleau Kerry E Murano Clint Murphy Wayne E Murphy Eva D Musgrove Teresa A Music Terri L Neel-Kinder Kristin P Nei Elaine S Nelson Christine A Nelson Mary M Nelson Julie Nemec Nancy N Nemec Cynthia S Nesgoda Alice J Nestor Barbara C Nickles Rebecca Nightingale Jim Nissen Elizabeth H Nolan

Phebe B Novakovic Erin O’Neill Cheryl J Okcular Dr. Mark A O’Rourke Christopher G Pablo Kimberly A Palmer Jerry H Pappas Cathy L Paradis Ruth Parriott Jodie Parrish Heidi E Parsons Richard Pecaro Sharon L Pederson Herman Pennamon , Jr. Toni Peterson Dr. Ralph L Peterson Emma J Petty Gary E Pia Annette P Pickrel Dr. James V Piephoff Andrew James Pierce Mary F Pilgrim Garry L Pincock Raymon E Pinney, Jr. Dewanda L Platt Linda J Pleasants Cherilyn R Pollard Maggie S Powell Steve Presley Melody R Pressnell Cheryl L Prunty Alisha M Purdun Thomas C Pursley Colleen D Putnam Joan S Putrino Bruce Pym Susan L Quinones Rosanne E Radke Frank B Ragsdale Holly Randall Dr. Susan M Rawl Marcia Redden Ramona S Regalado Paul L Rettman Megan Alexander Roether Cheryl J Rhoda

Gail M Richman Marilyn A Rickabaugh Kelly M Rickard Heather L Risk Katie M Rix William G Robbins Dr. Morris L Robbins Diane Roberts Catherine A Roberts Susan K Robertson Michael W Robinson Abigail Roddie-Hamlin Megan A Roether Kathy M Rogers Dale A Rogers Johnson Patsy R Romero Rotenberg & Company LLP Cari L Roth Linda M Roundtree Karen M Rouse Judy (Candy) M Rucka Rebecca L Ruehl Kimberly D Russell Dr. Marianne K Ryan Thomas L Safran Jan J Sams Shelli Sandrew Dennis Santiago Ed Sato Darla J Sauer Mary O Sawaya Margaret Lucille Sayre Deborah Schiro Linda C Schmidt Glenn M Schriver III Michele E Schromofsky Robianne K Schultz Kathy Schuly, MD Nancy Sclater David G Seaman Allen D Segal Carole Seigel Anthony E. Sellier Donna M Shaw Tracy J Shaw Ona M Sherman

Rebecca J Sherwood Richard W Siefke Michael Siler Hortencia C Silva Amy P Silverstein Joseph S Simmons Rose P Simmons Sue Simonetti David W Singer Burleigh L Singleton Brett R Skaugstad Jessica M Slate Peter Slocum Patricia Ann Sloman Deborah R Smith Charlie M Smith Tash R Sogg Janet M Soifer Mary Spillane Linda J Spinella Rebecca K Stafford Claire A Staveley Lynn Laura St Germain Sandra M Stoddard Dr. Georjean Stoodt Karla Stovall Jane A Streets Patrick R Struble James W Stubner Thelma Q Suson Elizabeth T Tafoya Karen E Tappin Pat J Tate Tazmah L Taylor Richard C Tenney Michele Tesler Gaylord B Thayer, Jr. Janet F Thompson Paul Thornell Rob J Tichy Dr. Mary B Todd Zaida Torres Care J Tuk Ken Tupa Stephen L Turner Julie A Turner

Jackie H VanHuss Cynthia L Vant Hul Ann Vaughan Martha Velez Dr. Gerard J Voorhees Carol K Wade Debbie N Walker Dr. Sherry L Walker Karen M Walker Barbara A Walsh Dr. Grace Wang Steven C Weiss Sharon A Wellendorf Twila F Westerman Drucilla G Wheat Mary Ann Wheatley Stuart E White Dr. Richard L White, Jr. Debbie A Wilfong Kimberly M Williams Wanda H Williams Jo E Wills Charles R Wilson John Witmer Valerie Witters Loretta Wolf Michelle J Wolf Beverly C Wong Dr. Maria J Worsham Chris T Wortz Linnea Wright Debra G Wymer James R Yates Amy J Yoder Dr. Jackie Young Chris R Youtz Evelyn G Zneimer


Special Thanks

CAN OPENER The annual CAN Opener brings together hundreds of activists and cancer survivors from across the country to support ACS CAN. Equal parts rally and recognition, the event gives ACS CAN an opportunity to honor leaders who have demonstrated exceptional strength in the fight against cancer. This year, the CAN Opener featured the first “AmeriCAN Idol” competition, which showcased talent from the Society’s Divisions.  

ACS CAN Board of Directors American Cancer Society National Board of Directors American Cancer Society Division Boards of Directors American Cancer Society Foundation Board of Trustees American Cancer Society Staff American Cancer Society Division Staff Corporate Affairs Business Unit Relay For Life Business Unit Meetings and Travel Business Unit Laura J Hilderley, RN MS, Chair, ACS CAN Board of Directors Gary M Reedy, Vice Chair, American Cancer Society Foundation Robert E Youle, Esq., Chair, APPC Karen Moffitt, PhD, Audit & Income Development Chair, ACS CAN Board of Directors Patricia E Carrigan, PhD Sam Donaldson, ABC News Tommy McFly, Mix 107.3 Helen Mendel Sean Swarner, Cancer Climber Richard E Spoonemoore Dr. Eric Taylor David Ward, Smithsonian Institution The Honorable Lois Capps The Honorable Steve J Israel The Honorable Sue Myrick The Honorable Deborah Pryce The Honorable Dianne Feinstein The Honorable Sam Brownback The AmeriCAN Idol Contestants Myra Bailey Alma Barrera Aimee Belgard Rebecca Duffy John Kirgan Don & Judy Lobb Stu Lowe Idonia Ramos Elisa Rudolph-Perez Cynthia Vant Hul Mary Grant-Young The South Atlantic “We Are the World” singers The Ohio “Amateur CAN Openers” 33


To learn about the Society or ACS CAN, visit our web sites: www.cancer.org www.acscan.org

Š 2008 The American Cancer Society, Inc. | No. 7660.07


Advocacy Accomplishments 2007