the power of advocacy2009 advocacy accomplishments

If one American CAN fight cancer, a nation CAN rise up and defeat it.

John R. Seffrin, PhDChief Executive Officer

American Cancer Society andAmerican Cancer Society

Cancer Action Network

1

Dear Friends,

Congratulations to volunteers and staff nationwide on a monumental year for the American Cancer Society and the American CancerSociety Cancer Action NetworkSM (ACS CAN), the Society’s nonprofit, nonpartisan advocacy affiliate. The number of accomplishmentswe’ve achieved together is matched only by the enormity of those victories.

In 2009, ACS CAN seized a unique opportunity to help reform our nation’s health care system, a system we all know stands in theway of the Society’s ability to fulfill its mission to save lives from cancer. By building on the work the Society and ACS CAN beganseveral years ago to raise awareness of the lack of access to health care so many in America face, ACS CAN was able to leverageits powerful grassroots movement to launch a dynamic campaign for health care reform and emerge as the leading patient voicein the debate. By year’s end, thanks in good part to ACS CAN’s cancer advocates nationwide, Congress had made historic progresstowards enacting legislation that will dramatically expand access to quality, affordable care, focus on prevention, and significantlyimprove quality of life for cancer patients and their families.

In another historic triumph, a decade-long fight to empower the Food and Drug Administration to regulate the sale, manufacture,and marketing of tobacco products came to a successful conclusion. Another victory was the 62-cent increase in the federal cigarettetax, which will further reduce tobacco’s deadly toll.

Thanks to the hard work by Society Divisions with assistance from ACS CAN, 14 states and the District of Columbia also raisedtobacco taxes in 2009, with Florida and Mississippi doing so for the first time since 1990 and 1985 respectively. Meanwhile, Connecticutand Rhode Island crossed the $3 threshold. And by year’s end, three more states had passed strong smoke-free laws, includingNorth Carolina, the nation’s leading tobacco growing state.

Finally, in an already banner year, federal cancer research and prevention programs received increased funding of more than $15 billionin the American Recovery and Reinvestment Act of 2009 and the 2009 and 2010 federal budgets after years of stagnation and outright cuts.

The year also marked the departure of Dan Smith, who oversaw our national advocacy efforts on behalf of cancer patients for adecade, first as the head of the Society’s National Government Relations Department, and later as president of ACS CAN. He ledACS CAN to great success, helping to transform advocacy at the Society, including the creation of ACS CAN and the growth of itsdedicated legions of grassroots supporters. In early January 2010, Dan left ACS CAN for a professional opportunity in the U.S. Senate,where he will continue to work to help better public health and fight for people facing cancer.

Every day, American Cancer Society and ACS CAN supporters do so much to help save lives when they fight back against cancer,whether it’s by contacting an elected official, attending an advocacy event, or standing up and speaking out in so many other ways.Thank you for all you do to make our continued success possible. With your help, our nationwide grassroots movement will continueto give ordinary people extraordinary power to fight cancer. And together, we will save lives and create a world with less cancer –and more birthdays.

2009 advocacy accomplishments report

table of contents

Mission Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Dedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Leadership . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Advocacy Awards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6The Power of Advocacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Leadership Summit and Lobby Day . . . . . . . . . . . . . . . . . . . . . . . . . . 10Advocacy and Relay for Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Cancer Disparities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Access to Care/Health Care Reform . . . . . . . . . . . . . . . . . . . . . . . . . . 13Federal and State Highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Historic Wins for Public Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23State-by-State Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Reducing Tobacco’s Toll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Donor Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33CAN Opener . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Special Thanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

2

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

The Society's national headquarters is located in Atlanta, Georgia, and its 13 Divisions nationwide carry out the Society's mission at the state and local level.

American Cancer Society Cancer Action Network ACS CAN, the nonprofit, nonpartisan advocacy affiliate headquartered in Washington, D.C.,supports evidence-based policy and legislative solutions designed to eliminate cancer as amajor health problem. ACS CAN works to encourage elected officials and candidates to makecancer a top national priority. ACS CAN gives ordinary people extraordinary power to fightcancer with the training and tools they need to make their voices heard.

mission statement

3

Advocacy Accomplishments 2009

describes how ACS CAN and Society

Divisions work in partnership through

advocacy to eliminate cancer as a

major health problem. ACS CAN

conducts federal advocacy campaigns

nationwide and leads state and local

advocacy campaigns in the 12 states

of the Society's Great West Division.

In the remaining 38 states, state

and local advocacy campaigns are

directed by Society Division staff.

The Society's National Home Office

grants funds in support of ACS CAN

and Division advocacy efforts.

4

dedicationCarole GrandersonAdvocacy Accomplishments 2009 is dedicatedto our friend and colleague Carole Granderson,who passed away on December 18, 2009.

Carole first came to work for the AmericanCancer Society National Government RelationsDepartment (now ACS CAN) as a temporaryemployee in 2001. She soon proved to be anindispensable part of the team and was offered afull-time position. Ironically, she was diagnosedwith breast cancer a short time later. Carolefaced the disease as she did everything else inlife – in a straight-forward manner and withgood humor. At the time of her death, she wasa seven-year cancer survivor.

Although much of Carole’s work was oftendone behind the scenes, her contributions wereinvaluable to helping ACS CAN grow and thrive.Among her many duties, she was the personwho made sure that each new ACS CAN memberwas acknowledged and that existing memberswere invited to renew. Carole often remarkedhow fortunate she felt to work at ACS CAN,especially after she was diagnosed, but the truthis, it was ACS CAN’s extraordinary fortune to havehad Carole. She was the everyday embodimentof why the Society and ACS CAN's work is so vital.

Carole valued family above all. She is survivedby four children, 10 grandchildren, a sister,brother-in-law, and innumerable nieces,nephews, cousins, and friends. Her ACS CANfamily mourns her passing as well. Her memorywill be a continued source of inspiration as wework to fulfill the Society and ACS CAN’s missionto save lives from cancer.

ACS CAN Board of Directors, 2008-2009

ACS CAN leadership

ChairRobert E. Youle, Esq.

Kathleen M. BondWilliam H. Boykin, Jr., MDDeborah J. CornwallElizabeth T.H. Fontham, MPH, DrPHLewis E. Foxhall, MDLaura J. Hilderley, RN, MSRobert R. Kugler, Esq., TreasurerMary Maryland, PhDKaren A. Moffitt, PhD

Gary M. Reedy, SecretaryChristy A. Russell, MDPeter S. Sheldon, Esq.Gary Streit, Esq.Stephen L. SwansonEric W. Taylor, MDPhylecia WilsonVan Velsor Wolf

George W.P. AtkinsKathleen M. Bond, SecretaryWilliam H. Boykin, Jr., MDDeborah J. CornwallLewis E. Foxhall, MDRobert R. Kugler, Esq., TreasurerMary Maryland, PhDKaren A. Moffitt, PhDGary M. Reedy

William G. RobbinsChristy A. Russell, MDPeter S. Sheldon, Esq.Gary Streit, Esq.Stephen L. SwansonEric W. Taylor, MDAlan G. Thorson, MD, FACSPhylecia Wilson

ACS CAN Board of Directors, 2009-2010

Chief Executive OfficerJohn R. Seffrin, PhD

5

The National DistinguishedAdvocacy Award*ACS CAN’s highest national advocacyaward, presented to individuals whodemonstrate outstanding leadershipin the public policy arena

The Honorable Henry WaxmanUnited States House of Representatives, California

The Honorable Ted DeutchFlorida State Senate

The Honorable Hugh HollimanNorth Carolina State House of Representatives

The Volunteer for Excellencein Advocacy Award*ACS CAN’s highest honor for volunteeradvocacy, presented to individuals whoconsistently demonstrate excellencein public policy

Eric W. Taylor, MD Great West Division

Outstanding State Lead AmbassadorPresented by ACS CAN to a volunteerwho demonstrates exemplary leader-ship in the State Lead Ambassador role

Patty AveryIndiana

Outstanding AmbassadorConstituent Team LeadPresented by ACS CAN to volunteerswho demonstrate superlative abilitiesin the Ambassador Constituent Teamlead role

Betty Clementz Illinois

Ruth PechinWashington State

Ellen Stephenson Florida

Outstanding Volunteer Team Presented by ACS CAN to a group ofvolunteers that demonstrates strongcohesion and cooperation in fightingcancer through advocacy

Pennsylvania

Judicial Advocacy Awardfor ExcellencePresented by ACS CAN to recognizeattorneys whose pro bono servicessupport the ACS CAN Judicial Advo-cacy Initiative

William O’Brien McKenna, Long & Aldridge, LLPWashington, D.C.

Outstanding GrassrootsProfessional Award Presented to a grassroots professional forsingular achievement in volunteer re-cruitment, education, and mobilization

Hillary ClarkeNew York

The Alan Mills AwardACS CAN’s highest honor for advocacystaff, presented to the individual whobest embodies the passion and dedi-cation of the late Alan Mills, a formerSociety staff lobbyist and founder ofthe Society’s National GovernmentRelations Department

Sharlene BozackGreat West Division

Outstanding GovernmentRelations ProfessionalAwardPresented by ACS CAN to a governmentrelations professional for singularachievement in state advocacy

Kimberly HughesMississippi

Outstanding Non-AdvocacyProfessional AwardPresented by ACS CAN to non-advo-cacy professional staff whose collabo-rative efforts further the achievementof advocacy-related mission goals

Lesa FosterRegional Vice President High Plains Division

Outstanding GovernmentRelations Team Award Presented by ACS CAN to one ormore teams of government relationsprofessionals for significant achieve-ments in state and federal advocacy

Federal: Nebraska

State: North Carolina

6

2009 ACS CAN National Advocacy Leadership Awards

recognizing excellence and achievement

* An ACS CAN volunteer work group selected the National Distinguished Advocacy Award and the Volunteer for Excellence in Advocacy Award.

Winning the war on cancer is as much of a public policy challenge as it is a scientific and medicalchallenge. From ensuring that all Americans have adequate, affordable health insurance, to enactinglaws proven to reduce tobacco consumption, to increasing funding for cancer research and programs,interaction with local, state and federal governments is constantly required. That’s why the AmericanCancer Society and its nonprofit, nonpartisan advocacy affiliate, the American Cancer Society CancerAction Network (ACS CAN), work together to ensure that elected officials across the country makecancer a top national priority.

The Society and ACS CAN utilize applied policy analysis, direct lobbying, grassroots action, mediaoutreach, and litigation to accomplish advocacy goals, but science remains paramount. Only evidence-based policy and legislative solutions are pursued. Together, the Society and ACS CAN support acommunity-based grassroots network of cancer patients, survivors, caregivers, volunteers, staff,health care professionals, public health organizations, and other partners that ensures the cancercommunity’s voice is heard.

the power of advocacy

7

advocacy’s role in the fight against cancer

“Advocacy is powerful to me because it is the best way I can

make a difference for my brothers and sisters fighting cancer.”

Mary Grant-Young, Ambassador Constituent Team Lead, California

8

Advocacy and ACS CAN In 2001, legislative advocacy took a major step forward with the creation of ACS CAN. The ACSCAN movement unites and empowers cancer patients, survivors, caregivers, and their loved onesby giving them the training and tools needed to make them heard in the halls of government. Withmore than 180,000 new volunteers recruited in 2009, ACS CAN is a powerful force behindlegislative victories and policy successes that help save lives.

The Heart of the Movement At the heart of the ACS CAN movement is the volunteer-led Ambassador Constituent Team (ACT!).Established in 2007, ACS CAN’s grassroots model energizes volunteers, nurtures a new generationof leaders, and inspires others to join the ACS CAN movement. Working closely with Division staffpartners, these teams handle critical activities in each state to support advocacy campaigns.

Each team member has a clearly defined role. Fifty-one State Lead Ambassadors (SLA), one for eachstate and the District of Columbia, oversee activities in their state’s congressional districts and serveas the main contact for their U.S. senators. Congressional district leads head up each ACT! andwork with their state lead and Division staff partner to recruit and support chairpersons whose rolesmirror the most critical components of successful advocacy campaigns – integrating advocacy andACS CAN into Relay For Life®, fundraising, media outreach, and mobilization.

As voters and constituents who care about cancer, Society Division and ACS CAN advocates activelyengage their elected officials. They write letters and send emails. They make calls and meet withlegislators. They alert the media and rally for the cause. They speak out, knowing their voices are theones that most influence governments to act.

9

Knowledge Is PowerEmpowerment begins with skills, tools and information. Trainings and tactical support provide the foun-dation on which the ACS CAN movement stands. A virtual community – acscan.org/volunteerstructure –provides a forum in which volunteers can find information, access tools, and share best practices.Volunteers can also learn more about ACS CAN policy priorities through the site’s training modules.

In April 2009, ACS CAN hosted the third annual SLA Summit in Austin, Texas. The theme of thissignature training event for SLAs and their staff partners was “The Seven Habits of Highly EffectiveSLAs.” Attendees also received intensive training on issues related to health care reform and otherfederal and state priorities.

Innovative CommunicationAs Americans continue to expand the ways in which they communicate, ACS CAN has kept pacewith an active presence on social networking sites such as Facebook, MySpace, and YouTube.Advocates use these sites to learn about legislative issues and take action. They also use them torecruit new volunteers – more than 50,000 in 2009 alone – and share their cancer experience withfriends and family. Enhancements to acscan.org empowered advocates to send nearly 130,000electronic messages to Congress and the president on various issues throughout the year. In

addition, acscan.org saw a 67 percent increase in visitors to the site over 2008, resulting in nearly675,000 site visits.

ACS CAN’s mobile action network offers an especially convenient communications option. By texting“volunteer” to 73585, a person can begin receiving action alerts and legislative updates via cellphone. Text messaging is also a successful tool for recruiting volunteers who may not be at a computerwhen they first learn about ACS CAN or when urgent alerts are issued.

Partnering for Success Recognizing that partnerships and collaborations are critical to ensuring success, ACS CAN engagesin a variety of outreach activities that promote and leverage the organization and mission. In 2009,ACS CAN led and participated in numerous coalitions supporting mission-based legislative objectivesand served as the leading patient advocacy organization in a number of collaborations, many ofthem focused on health care reform.

This year also represented the first full year of the ACS CAN Corporate Members program. Fifteencompanies collaborated with ACS CAN on areas of mutual interest and helped provide criticalfinancial support for ACS CAN’s mission.

the ACS CAN Leadership Summit and Lobby Day

The 2009 ACS CAN Leadership

Summit and Lobby Day marked the

third year ACS CAN has convened its

enhanced volunteer structure for

training and congressional office

visits. The nearly 600 participants

included State Lead Ambassadors,

Ambassador Constituent Team

leads, and Society Division staff

partners from all 50 states and the

District of Columbia.

Held September 20-23, 2009, the

Leadership Summit consisted of

2 1/2 days of briefings and training

sessions that bookended lobby day.

Highlights included remarks by Bob

Schieffer of CBS News’ Face the

Nation; Ann Marie Morse, mother of Michelle Morse, the inspiration for Michelle’s Law; and Josh Sundquist, cancer

survivor and paralympic skier. In addition, issue- and skill-building workshops prepared volunteers and staff partners

for lobby day meetings and equipped them to better pursue federal and state advocacy goals after returning home.

On lobby day a total of 447 meetings were held with members of Congress, including with all 100 U.S. Senate offices.

Advocates urged their elected officials to put aside partisan politics and pass meaningful health care reform.

For the second year in a row, ACS CAN welcomed to lobby day five National College Athletic Association (NCAA)

basketball coaches who take part in Coaches vs. Cancer®, an effort that unites the Society and the National

Association of Basketball Coaches in the fight against cancer. The coaches joined U.S. Health and Human Services

Secretary Kathleen Sebelius, Minnesota Senators Al Franken and Amy Klobuchar, and other members of Congress at

a rally that enjoyed broad media coverage to urge Congress to pass health care reform. The coaches later joined

ACS CAN volunteers and staff for legislative meetings.

Advocacy in the CourtsCourt cases across the nation determine a wide range of issuesaffecting mission, from the employment rights of cancer patientsand survivors to the accessibility of quality medical care. To betterpursue mission through the judiciary and expand an activelegal portfolio beyond tobacco-related issues, ACS CANlaunched the Judicial Advocacy Initiative (JAI) in 2008. JAIdraws on the expertise of law firms donating their services andin house counsel to ensure that courts consider science-basedinformation when rendering judgment in cases that impactcancer patients and survivors.

In JAI’s inaugural year, ACS CAN weighed in with friend of thecourt briefs in two important access to care cases. In addition,JAI enabled ACS CAN to weigh in on federal regulations per-taining to employment discrimination, medical privacy, andaccess to breast and cervical cancer screenings for low-income,underserved women.

The Power of Our MovementTo put cancer at the top of the nation’s agenda, only a movementthat is organized and relentless in prompting lawmakers to actwill succeed. ACS CAN is that movement, working to provethat if one American can fight cancer, a nation can rise up todefeat it.

“I want to tell the stories of those who cannot tell their own

stories to those who are in a position to do something

to change the endings of those stories."

Jack Robinson, Ambassador Constituent Team Lead,

Nebraska, 1st Congressional District

The thriving partnership between Relay For Life®, theSociety’s signature fundraising event, and advocacymarches on, with more Relays integrating advocacyinto their events and more Relay volunteers embracingadvocacy as a powerful means of fighting backagainst cancer than ever before. With more than 3.5million participants in 5,000 communities nationwide,Relay participants are in the vanguard of the ACSCAN movement.

• In 2009, Relay celebrated its 25th year. To markthis milestone, participants were asked to find anextra hour each day – a “25th hour” – to fightback against cancer. ACS CAN challenged Relayparticipants to use that time to make a differencethrough advocacy. Thousands responded by signingpetitions, becoming ACS CAN members, andsharing their “advocacy hour” experiences online.

• More than 32,000 electronic and handwrittenPicture A Cure® messages, in which individualsshare their personal cancer stories and photoswith lawmakers, were collected at Relay eventsnationwide. The testimonials, which were deliveredto members of Congress in their district andWashington, D.C. offices, urged lawmakers tomake access to cancer care and health care reformtop national priorities.

• Nearly 9,000 Relay participants, most of them takingaction through ACS CAN for the first time, sentapproximately 18,500 emails to Congress in theweeks leading up to the final vote that assuredpassage of the Family Smoking Prevention andTobacco Control Act, which gave the Food and DrugAdministration the authority to regulate the sale,manufacture, and marketing of tobacco products.

• Nearly 16,000 Relay participants joined ACS CANfor the first time in 2009.

advocacy and Relay for Life

11

12

Despite notable progress, the uninsured, minorities and other medically underserved populationsare still not benefiting fully from advances in cancer prevention, screening and treatment. Thenexus between such disparities and advocacy, the two pillars supporting the American Cancer Society’sleadership roles, is strong. The Society and ACS CAN strive to help create, change and influencepublic policies that significantly reduce disparities and promote outreach to diverse communities.

To better explain the health coverage needs of the nation’s most vulnerable citizens, the Society releasedCancer Disparities: A Chartbook, a comprehensive tool to educate multiple audiences about healthdisparities and how ACS CAN is working to address them through legislation and public policy.Interactive training and an ACS CAN-led advocacy workshop at the Society’s 2009 DisparitiesConference, Health Equity: Through the Cancer Lens, also served this purpose and highlightedhow ACS CAN’s grassroots movement can be deployed effectively to fight disparities.

The Society and ACS CAN’s joint Access to Care initiative (see pages 15-18) figures prominently.Minorities are more likely to be inadequately insured or uninsured. While addressing these issueswould not completely solve the problem of health disparities, achieving greater access to quality,affordable healthcare would be a major step forward. This is a key motivator behind ACS CAN’shealth care reform campaign, the legislative piece of access to care.

In addition to pursuing meaningful health care reform, ACS CAN continues to work with SocietyDivisions to advance other legislation to reduce disparities. These efforts include creating,expanding and funding breast, cervical and colorectal cancer early detection and treatment programsfor low-income, uninsured, and underinsured adults. The Society-ACS CAN partnership is alsofighting to expand Medicaid coverage for smoking cessation services. In addition, ACS CAN isengaged in efforts to increase the federal investment in the National Center on Minority Healthand Health Disparities at the National Institutes of Health. Finally, ACS CAN continues to urge thefederal government to place trained patient navigators in health facilities to assess individual andcommunity needs and guide patients through the nation’s fragmented health care system.

To accomplish their goals, the Society and ACS CAN collaborate with many partners on healthpolicy, legislative campaigns, and grassroots training, such as the Intercultural Cancer Council, theCongressional Black Caucus Foundation, and the National Council of La Raza. An especially closealliance has developed in recent years with Zeta Phi Beta Sorority, Inc., Alpha Phi Alpha Fraternity,Inc., and Phi Beta Sigma Fraternity, Inc. and its Sigmas Waging War Against Cancer initiative. ACSCAN will continue to work with these partners to push important legislation that impacts the minoritycommunity such as tobacco control, cancer research funding, and access to health care.

cancer disparities

access to care and health care reform

seizing a mission-critical opportunity

Our nation is making progress in the fight against cancer. Sixty percent ofcancer deaths are preventable. Scientific breakthroughs are leading tobetter screening tests, treatments, and prevention methods. Yet, millionsof Americans are not benefiting. Sky-high out-of-pocket costs promptthousands of patients to skip tests, postpone treatments, or stop receivingcare. Meanwhile, many patients and survivors are either denied coverageor charged amounts they cannot afford for lifesaving care.

Holes in the nation’s current system contribute to needless cancer sufferingand death. To meet the Society’s 2015 goals of reducing cancer incidenceand mortality, these holes must be closed. In 2006, the Society’s NationalBoard of Directors recognized that the status quo is unacceptable and thatfundamental change in the health care system is necessary to achieve mission.

The Society and ACS CAN launched the nationwide Access to Care initiativein September 2007 to raise the issue’s profile, a move in keeping with theSociety’s long history of educating the public about important cancer issues.

ACS CAN was charged with carrying out the major legislative piece of accessto care – health care reform – to help ensure that Americans have accessto quality, affordable care. By seizing this opportunity, ACS CAN sought toimprove access to quality care for all Americans and realize a future wherecancer is no longer a major health issue.

The Leading Voice for PatientsWith 46 million people in America uninsured and another 25 million underinsured, Americansincreasingly saw health care reform as a top priority leading into 2009. By early 2009, the pushfor reform was the strongest it had been in more than a decade, with a new president, Congress,and a broad cross-section of the health care community committed to finding a sustainable solutionto the nation’s health care crisis.

Since it was launched, the Society and ACS CAN’s Access to Care initiative has done importantwork to move the access debate forward and position ACS CAN as a leader in the fight for healthcare reform. Known as an “honest broker” focused on patients, not politics, ACS CAN becamethe leading voice for patients among the major stakeholders – legislators, policymakers, large andsmall business interests, insurers, unions, consumer and patient advocates, health providers, andpharmaceutical companies – working to deliver on the promise of meaningful reform.

ACS CAN helped shape the debate and ensure that the voices of cancer patients, survivors, andcaregivers were heard. A far-reaching, multi-faceted issue campaign acted as an amplifier, buttressedby the integrity of ACS CAN’s policy analysis and the power of its grassroots movement. ACS CAN’srole was deeply felt and translated into clout on Capitol Hill and in the White House, where ACS CANrepresented the larger patient community in stakeholder meetings over a period of many months.During the first health care summit convened by President Barack Obama, then-ACS CAN presidentDan Smith made the case for health care coverage that is affordable, adequate, accessible,and administratively simple to all Americans. Smith emphasized disease prevention, adequatecare, and strong tobacco control policies that would include higher tobacco taxes. ACS CANvolunteers and staff subsequently attended all five of the White House’s regional summits tomake similar points.

Society and ACS CAN representatives counseled the White House and Congress on other occasionsas well. The Society’s chief medical officer, Otis W. Brawley, MD, offered his perspective at a WhiteHouse meeting that brought together physicians representing various disease groups and professionalspecialties. Brawley also testified twice before Congress. In addition, J. Leonard Lichtenfeld, MD,MACP, the Society’s deputy chief medical officer, attended a nationally televised White House townhall meeting hosted by ABC News. In October, First Lady Michelle Obama invited ACS CAN volunteerand breast cancer survivor Joni Lownsdale of Illinois to speak about her difficulty in obtaining insurancecoverage at a White House event marking National Breast Cancer Awareness Month.

Moreover, as various bills moved through the legislative process, ACS CAN was in constantcommunication with key legislators from both political parties, top congressional staff, and seniorWhite House and administration officials to affirm legislative priorities, share cancer patients’ storiesand insights, provide policy analysis, and offer constructive feedback on viable proposals.

Evidence-based Principles, Mission-based Priorities The essential questions for the Society and ACS CAN in deciding whether to support reform legislationhave always been: Does it represent significant progress toward achieving the Society’s mission?Will the law help prevent and detect cancer, treat it effectively, and provide the very best qualityof life for cancer patients? The answers lie in evidence-based health policy.

A series of volunteer-led policy review groups beginning in 2006 examined the problems cancerpatients experience in the nation’s health system and identified potential solutions in keeping withthe Society and ACS CAN’s deliberative and scientific approach to policy development. Three statementsof principles emerged – “What Constitutes Meaningful Health Insurance,” “The Role andConsideration of Costs,” and “Prevention in a Transformed Health System” – to inform the Accessto Care initiative and serve as the basis for ACS CAN’s mission-based legislative priorities:

• Ensure that all Americans have access to meaningful health care reform that is adequate, affordable,available, and administratively simple.

• Transform the current “sick care” system into one that places greater emphasis on disease prevention.

• Emphasize patient-centered care that stresses quality of life through the end of life.

14

Throughout the health care debate, ACS CAN, like Society Divisions faced with statewide proposals,used established principles to determine whether proposed legislation met or fell short of ACS CAN’spriorities. ACS CAN’s analysis and commentary was then funneled back to lawmakers.

Framing the Issue: The Cancer Lens A central tenet of the Society and ACS CAN’s joint Access to Care initiative was to frame the issuethrough “the cancer lens.” Drawing on the obstacles cancer patients experience in obtaining andpaying for medical care, the cancer lens paints a clear picture of how pervasive and perniciouslack of access can be. As serious legislative attempts gained traction, stakeholders from the gov-ernment, private, and nonprofit sectors alike came to appreciate how the cancer lens capturesthe issues in an easily understood manner.

Even President Obama cited the cancer patients’ experiences to call out problems in the healthcare system. Among the stories he told often was that of Laura Klitzka, a breast cancer patientfrom Green Bay, Wisconsin, who came to the White House’s attention through the Society’s MidwestDivision. Klitzka introduced the president at a town hall held in Green Bay in June and later satwith the first lady during the president’s September 9 address on health care to a joint sessionof Congress.

Real People, Real Problems Many of the stories used to illustrate the cancer lens come from the Health Insurance AssistanceService (HIAS) within the Society’s National Cancer Information Center. Since 2005, HIAS specialistshave advised cancer patients who are having difficulty getting the care they need because they eitherlack insurance or the insurance they have is inadequate. Over the past five years HIAS has workedon more than 27,000 cases from 49 states and the District of Columbia.

Information from HIAS callers is captured in an internal database and used to identify broadertrends. ACS CAN works with the news media to highlight callers who wish to share their storieswith a wider audience. In the past year, HIAS callers were featured on NBC’s Today show, and inthe Los Angeles Times, the Indianapolis Star, and Jet magazine.

In February 2009, the Society and the Kaiser Family Foundation profiled 20 HIAS cases in a reporttitled Spending to Survive: Cancer Patients Confront Holes in the Health Insurance System. The re-port illustrated the challenges cancer patients face in paying for lifesaving care, even when theyhave insurance. ACS CAN followed up with a briefing for congressional staff on the problem ofthe under-insured, using stories from the Spending to Survive report. Broad media coverage ofthe report included stories on the CBS Evening News, as well as in The New York Times and Timemagazine. The Society and Kaiser teamed up again in July to issue a follow-up report, PatientsUnder Pressure: Profiles of How Families Affected by Cancer are Faring in the Recession.

The fight to expand access to care was also fought in the courts. Through its Judicial Advocacy Initiative(see page 10), ACS CAN partnered with the Society’s Great West and South Atlantic Divisions andother public health groups to file friend of the court briefs in two state courts in support of plaintiffswhose cases could determine whether millions of people can access lifesaving cancer treatmentand follow-up care.

Policy, Research and PollingOriginal policy research contributed positively to the debate, too. With some stakeholders suggestingthat the public have access to the same coverage as members of Congress, ACS CAN workedwith the Georgetown University Health Policy Institute to assess whether the most popular healthplan among federal employees offers adequate and affordable care for people with serious chronicdiseases. The ensuing report concluded that the plan’s coverage was a good starting point fordefining minimum coverage benefits in health care reform legislation.

In addition, ACS CAN published Cancer and Medicare: A Chartbook to provide an overview of canceramong the elderly and how much Medicare spends on cancer. The Chartbook underscored ACSCAN’s role as a critical resource for policy information during the health reform debate, which inturn helped ACS CAN drive the debate itself.

Polling research also made an impression as ACS CAN conducted an exclusive national poll of cancerpatients and their families. The poll found that one in four people currently receiving cancer-relatedcare delayed treatment in the past year, and nearly one in three people under the age of 65 hadbeen uninsured at some point since their diagnosis. More than 40 percent had trouble affording

15

“No one should be denied access to care for

any reason. I am lucky to have insurance,

but I know many people who don’t.”

Rebecca Stafford, ACT! lead, California

care in the past few years. These troubling results underscored the immediate need for meaningfulhealth care reform.

Action: Now Not Later Opportunities to enact meaningful reform have been few and far between in the nation’s history.To keep the pressure on, ACS CAN invoked the “Action: Now Not Later” theme in its campaignmessaging and materials as lawmakers were drafting legislation. The message: Congress mustact now on passing meaningful health care reforms. Waiting is not an option for cancer patients.

Converging on Capitol Hill

Three separate lobby days in 2009 gave cancer advocates the chance to make the case for reform inthe halls of Congress. In May, ACS CAN brought 13 HIAS callers and their caregivers to Washington,DC to share their stories in 36 separate meetings on Capitol Hill. They also participated in a standing-room-only press conference with members of the House Cancer Caucus, which garnered local TV,print, and online coverage in more than 50 markets. ACS CAN also gave the patients and caregiversthe opportunity to tell their stories in videos that were posted on acscan.org and social media sitesand distributed to the news media.

Just two months later, ACS CAN sponsored a second lobby day for State Lead Ambassadors (SLAs),the top 51 advocacy volunteers within ACS CAN’s grassroots structure, and their Society Divisionstaff partners. This lobby day carried the same urgent Action: Now Not Later message. In September,the SLAs and staff partners returned along with their congressional district volunteer leaders forthe annual ACS CAN Leadership Summit and Lobby Day. Nearly 600 advocates converged on theCapitol to carry the “Action: Now Not Later” message to 447 meetings with lawmakers and staff,including with all 100 Senate offices (see page 10).

Advertising

Advertising was a critical part of the Action: Now Not Later campaign. In May, a series of printadvertisements began running in Capitol Hill publications that contrasted what acting “now”would mean – for example, access to a test that catches cancer early – versus “later” – a latediagnosis that results in financial ruin and premature death.

To target Congress in a unique way over the summer, ACS CAN blanketed the Washington, DCsubway station nearest the U.S. House of Representatives with the ads, placing them on the walls,floor, pillars, and billboards. In addition, cancer survivors Jacqueline and Jim Eyler hosted a videotour of the station on acscan.org for those who could not see it in person. Finally, subway trainsserving the station most U.S. Senate staff use were shrink-wrapped with the Action: Now, NotLater message, and placards were placed inside the cars. ACS CAN’s innovative presentationsparked news coverage in The New York Times¸ PR Week, and National Journal.

16

In the fall, Action: Now Not Later hit the airwaves when ACS CAN debuted its first solo televisionspot on national cable news stations and in the Washington, DC television market during the Sundaymorning news shows. The ad featured Dan Brodrick of Tennessee, a HIAS caller who lost his wife,Sharon, to cancer because she could not obtain insurance due to an unrelated pre-existing condition.The medical bills rose to $80,000 and two years after Sharon's death, Dan is still trying to pay off$23,000 in debt he incurred while trying to keep her alive. News coverage about the spot appearedin The Washington Post and on WVLT, Knoxville, Tennessee’s local CBS station. Subsequent printads also told the Brodricks’ story.

Grassroots Action Action: Now Not Later was the message ACS CAN’s grassroots advocates conveyed to Congress,but the message could also apply to the sense of purpose with which they approached the issue.As the campaign moved into January 2010, the numbers were staggering. More than 100,000phone calls were placed to targeted legislators. A total of 20,000 messages were sent electronically,and more than 400 district office meetings with lawmakers and staff were held.

ACS CAN also engaged 15,000 new activists through social networks and online campaigns like“50 Ways in 50 Days,” which offered volunteers a new action that they could take every day for50 days to help pass health care reform. In addition, a special health care reform Web page,acscan.org/healthcare, was set up to keep the public informed.

Even as news reports emphasized heated rhetoric, ACS CAN volunteers engaged in a civil andconstructive manner. Throughout the August congressional recess, they participated in forumsand town hall meetings on a near daily basis, including one hosted by President Obama inPortsmouth, New Hampshire. In more than 100 events in targeted congressional districts nationwide,ACS CAN volunteers reminded lawmakers that health care reform is about patients, not politics.Armed with legislative kits, stickers, banners, and other materials, the volunteers educated theircommunities and built support for reform. Rallies, candlelight vigils, and story hours, wheregiant books featured cancer patients seeking a “happy ending,” inspired others and attractedlocal media.

Grassroots activities continued into the fall. In late September, fresh off the excitement of theannual ACS CAN Leadership Summit and Lobby Day, leading advocacy volunteers and their staffpartners planned their “4 by 4” mobilization, implementing at least four activities to rally supportfor reform over four weeks. As the campaign stretched into December, advocates embraced theholiday season with the 12 Days of Health Care Reform, which included activities such asvolunteers delivering stockings stuffed with Action: Now Not Later postcards and wrapped giftpackages with a message to “Wrap up health care reform this December” to congressionaldistrict offices.

17

Finding Common Ground ACS CAN partnered with a wide range of organizations in support of health care reform through-out 2009, often serving as the leading patient advocacy group in several prominent collaborations.

Some alliances connected ACS CAN with non-traditional partners, like the Health Reform Dialogue,where ACS CAN was the sole patient-centered group among 17 major health care stakeholdersseeking common ground. ACS CAN worked with several prominent national organizations,including AARP, Consumers Union, and the Service Employees International Union in Washington,DC and around the country. In addition, Healthy Economy Now brought together a diverse set ofgroups representing biotechnology, business, consumers, insurers, medical device manufacturers,pharmaceutical companies, physicians, and union members. The coalition sponsored two nationaltelevision ads suggesting that fixing health care is critical to fixing the economy.

ACS CAN’s ongoing collaboration with the American Diabetes Association (ADA) and AmericanHeart Association (AHA) in the Preventive Health Partnership extended to health care reform aswell, as the group teamed up with three U.S. Senators on a press conference and briefing on therole of prevention in health care reform.

The three groups also voiced collective concerns about a provision that seemingly promoted wellnessin the workplace through discounted insurance premiums for employees meeting certain healthand fitness targets. While the Society and ACS CAN, along with the ADA and AHA, strongly supportemployer wellness programs that encourage healthy behaviors, these programs should not penalizeless healthy employees with higher insurance rates. ACS CAN staff briefed 150 members of theHouse of Representatives and led more than 100 other organizations in successfully persuadingthe House to drop language from its bill that would allow insurers to charge employees substantiallyhigher premiums if they fail to meet wellness targets, essentially permitting premiums to be setbased on health status and pre-existing conditions.

Voices Heard, Influence Felt As the process continued to move forward in Congress, ACS CAN applied its mission-based policypriorities to all the legislative proposals brought forward in order to gauge how each piece of legislationwould affect cancer patients. In the end, legislation produced by both chambers of Congress madegreat progress in helping cancer patients and their families. The bills included a number of strongprovisions that would significantly improve the health care system, including emphasizing prevention;guaranteeing quality, affordable coverage regardless of pre-existing conditions; eliminating lifetimecoverage limits; covering routine health costs for those who enroll in clinical trials; and emphasizingpatients’ quality of life.

ACS CAN scored a significant victory in restoring language to the Senate bill that eliminated annualbenefit caps, preventing insurers from suddenly terminating cancer patients’ coverage, especiallyduring active treatment. After noticing a loophole that would have permitted insurance compa-nies to impose benefit caps, ACS CAN made Congress, the administration, and the media awareof the issue. A series of discussions with senior Senate staff and top White House aides resultedin the provision being rewritten. As a result of ACS CAN’s leadership and vigorous outreach, theSenate bill assured annual limits would be sufficient to cover essential benefits for all patients, andbanned annual coverage limits after 2014.

By the end of 2009, both the House and the Senate had passed their own versions of health carereform legislation in historic votes and the nation was on the verge of enacting historic, sweepingreforms that could dramatically improve the health care system for people with cancer and otherlife-threatening chronic diseases.

Advancing the MissionSociety Division and ACS CAN volunteers and staff can be proud of what has been accomplished,not just on the legislative front in 2009, but of all that has ensued since the joint Access to Careinitiative was launched. The work will and must continue. Advancing meaningful health care reformis just one part of the Society and ACS CAN’s broader goal to expand access to quality care nationwide.Passing legislation is the end of the beginning, not the beginning of the end. Moving forward, theSociety and ACS CAN will continue to lead the way, achieve results, and make a major contributionon behalf of those fighting cancer.

American Cancer Society nationwide goals on access to care These goals were adopted by the Society's National Board of Directors in 2006

• By 2015, the proportion of individuals without any type of health care coverage willdecrease to zero percent.

• By 2015, the proportion of individuals diagnosed with cancer who report difficultiesin obtaining medical care due to high out-of-pocket costs will decrease to two percent.

18

federal and state highlights

19

“I am involved in advocacy to keep the voices

of cancer patients front and center.”

Christina Voss, State Lead Ambassador and

Ambassador Constituent Team Lead, Michigan

Advocacy’s contribution is underscored by the fact that it, along with the elimination of disparities,serves as a pillar supporting the American Cancer Society’s nationwide leadership roles. These rolesare areas the Society has identified as where it can have the most impact: supporting high-impactresearch; preventing cancer and detecting it in its earliest stages; fostering better decision-makingthrough information; and improving quality of life for cancer patients, caregivers and survivors.Advocacy efforts, including those funded through Society grants to ACS CAN, are targeted withinthese roles to achieve maximum results.

Research

• After six years of flat or reduced federal funding for medical research, ACS CAN triumphed ingetting the nation’s investment in biomedical research back on track with passage in Februaryof the American Recovery and Reinvestment Act of 2009 (ARRA). ARRA provided $10.4 billionto the National Institutes of Health (NIH), including $1.25 billion for cancer research over the NIHannual federal appropriation. ARRA also made a significant commitment to public health programs,with $650 million allocated toward prevention and community-based wellness initiatives, suchas tobacco cessation.

• ACS CAN was one of the first organizations to advocate strenuously for the inclusion of researchand prevention funding in ARRA. ACS CAN volunteers persuaded 10 senators whose supportwas crucial to final passage to vote in favor of the bill.

• ACS CAN continues to be the driving force behind the One Voice Against Cancer (OVAC) coalition,which advocates for increased funding for the NIH, National Cancer Institute, National Centeron Minority Health and Health Disparities, Centers for Disease Control and Prevention (CDC),and the Food and Drug Administration (FDA).

• A few weeks after ARRA passed, ACS CAN and OVAC scored a second victory when Congresscompleted work on the fiscal year 2009 (FY09) budget, which included a nearly $1 billion increasein funding for the NIH for FY09.

• ACS CAN and OVAC persuaded Congress to approve nearly $5.5 billion for cancer research andprevention programs in the fiscal year 2010 federal budget, which provides an important downpayment on the president’s goal of doubling cancer research funding over the next eight years.

Prevention and Early Detection

Breast

• In partnership with Making Strides Against Breast Cancer®, ACS CAN continued to fight forincreased funding for the National Breast and Cervical Cancer Early Detection Program(NBCCEDP) with the “Someone Isn’t Getting Screened” campaign, collecting more than 50,000petition signatures at Making Strides Against Breast Cancer events nationwide for deliveryto Congress.

• ACS CAN strongly supported an amendment to the U.S. Senate health care reform bill guaranteeingwomen access to lifesaving cancer screenings such as mammography and Pap tests. The amendmentpassed with bipartisan support.

• Otis W. Brawley, MD, the Society’s chief medical officer, testified before Congress twice on theimportance of the NBCCEDP and mammography screening, as well as the need for enhancedresearch investments to improve existing detection tools and treatments.

• In a year in which states faced extraordinary economic pressures, Society Divisions and ACS CANwere largely able to protect or stave off deep cuts to state funding for breast and cervical cancerscreening and treatment programs. In addition, Alabama and Indiana changed eligibility requirementsso more women could be screened.

• ACS CAN petitioned the Centers for Medicare & Medicaid Services to issue guidance that wouldhelp prevent states from reducing their contribution to the NBCCEDP and provide many low incomewomen with continued access to lifesaving cancer screenings.

• Breast cancer survivor and ACS CAN volunteer Joni Lownsdale of Illinois shared her story ofbeing denied insurance because of her cancer history at a Breast Cancer Awareness Monthevent hosted by First Lady Michelle Obama and Jill Biden, EdD, the vice president’s wife.

• ACS CAN partnered with the Society and the National Football League in their “A Crucial Catch” cam-paign to raise awareness of the importance of early detection of breast cancer at a Breast CancerAwareness Month event on Capitol Hill hosted by U.S. Representative Donna Edwards of Maryland.

• ACS CAN convened a strategic meeting of state and tribal NBCCEDP directors, CDC leadership,and other stakeholders to develop and enhance collaborative initiatives designed to increasescreening rates among medically underserved populations.

• The CDC presented the Society and ACS CAN with an outstanding partner award for continuedsupport and contributions to the NBCCEDP.

• ACS CAN successfully negotiated a more effective breast cancer education and outreach bill,known as the EARLY Act, for younger women.

• The Society and ACS CAN helped clarify the importance of routine mammograms starting at age40 following revised recommendations from the U.S. Preventive Services Task Force.

• ACS CAN’s group “Ensure that ALL Women Have Access to Mammograms” on the social mediatool Facebook reached nearly 19,000 fans, making it the largest of ACS CAN’s Facebook causes.

20

Colon

• Thanks to ACS CAN volunteers’ many years of advocating for increased funding, the CDC in2009 had sufficient resources to launch a robust colorectal cancer screening program. With $39million granted to 26 states and tribes nationwide, the program supports population-basedscreening efforts and provides early detection tests to low-income adults aged 50 to 64 yearswho are underinsured or uninsured.

• Vermont became the 26th state to enact legislation requiring health insurance plans to providecoverage for the full range of colorectal cancer screenings.

• ACS CAN built congressional support for the Colorectal Cancer Prevention, Early Detection andTreatment Act, which would create a national community-based program for colorectal cancerscreening and treatment based on lessons learned from the NBCCEDP.

• At ACS CAN’s behest, the U.S. House of Representatives approved a resolution commemoratingthe 10th anniversary of Congress designating March as National Colorectal Cancer Awareness Month,providing a national platform to increase awareness of colorectal cancer and the importanceof screening.

Lung

• After a decade-long campaign, ACS CAN’s fight to empower the FDA with the authority to regulatethe manufacture, marketing and sale of tobacco products came to a triumphant conclusion(see page 23-24).

• ACS CAN led a successful effort to secure a 62-cent increase in the federal tobacco tax to payfor expansion of the State Children’s Health Insurance Program (see page 24).

• ACS CAN and Society Divisions, in partnership with public health coalitions, continued stateand local efforts to reduce tobacco’s deadly toll by passing, defending and implementing smoke-freelaws, increasing tobacco taxes, and encouraging strong tobacco cessation, prevention and tobaccocontrol policies (see page 32).

• The Society and other health partners continued their role as “intervenors” in the U.S. Departmentof Justice’s case against the tobacco industry for defrauding the American people in marketinglight cigarettes.

Nutrition and Physical Activity

• ACS CAN and the Society, in partnership with multiple external experts, convened a summit onnutrition and physical activity policy to begin developing strategic advocacy initiatives that willsupport the Society’s emerging focus in this area.

“Every time we succeed, there is something else that needs

to be done. Prior advocacy success makes you believe you

can succeed again and again!”

Donna Lundy, Volunteer and Division Board Member, Florida

21

Information

• ACS CAN released the seventh annual How Do You Measure Up? report on state legislative activity.A radio media tour promoting the report reached nearly 1,900 station affiliates and an audienceof 6.4 million listeners. Interviews were featured on CNN Radio, as well as leading news and publicradio stations in Washington, DC, and 11 statewide news networks.

• ACS CAN released Cancer Disparities: A Chartbook, a comprehensive tool to educate multipleaudiences about health disparities and how ACS CAN is working to address them through legislationand public policy.

Quality of Life

• The House of Representatives unanimously passed the National Pain Care Policy Act, legislationthat ACS CAN developed to help relieve suffering from pain in cancer patients and survivors. ACSCAN advocates nationwide sent thousands of e-mails urging passage. Major provisions of thislegislation were also included in the House and Senate’s health care reform legislation.

• Indiana, Oregon, and Texas enacted laws requiring insurers to cover routine care costs for cancerpatients enrolled in approved clinical trials. Twenty-seven states and the District of Columbia nowguarantee this coverage.

• To help prevent employment discrimination among cancer survivors, ACS CAN submitted commentsto the Equal Employment Opportunity Commission regarding recent amendments to the Americanswith Disabilities Act.

• A joint research project with the Society's National Cancer Information Center (NCIC) found thatcancer-related pain is not being managed adequately in the majority of NCIC callers surveyed. Thefindings were published in CA: A Journal for Cancer Clinicians.

• ACS CAN and the Catholic Health Association hosted a congressional briefing on palliative care'srole in improving quality of life for cancer patients, survivors and their loved ones.

• ACS CAN educated senior palliative care researchers and program leaders about the role of publicpolicy during a symposium hosted by the Society and the National Palliative Care Research Center.

22

protecting kids from big tobacco

On June 22, 2009, President Barack Obama signed the Family Smoking Prevention and TobaccoControl Act into law. The bill, which passed by votes of 79-17 in the Senate and 307-97 in theHouse of Representatives, was first introduced more than 10 years ago, and grants the U.S. Foodand Drug Administration (FDA) the authority to regulate the manufacture, marketing, and sale oftobacco products. Society and ACS CAN volunteer and staff leadership attended the White Housesigning ceremony to represent hundreds of thousands of volunteers and staff nationwide whosedetermination and steadfast support made this historic victory possible.

Tobacco kills more than 400,000 Americans each year, causes nearly 90 percent of lung cancerdeaths, and is responsible for nearly one-third of all cancers. The tobacco industry spends morethan $12 billion a year – $35 million each day – to mislead the public about its harmful products; tomarket their products aggressively to addict new, young smokers; and to keep current users fromquitting. Each day, 3,500 children try smoking for the first time, and most adult smokers becomeaddicted as kids.

Despite the fatal harm tobacco products cause, they have historically been one of the least regulatedconsumer products. Forty-five years after tobacco smoke was first found to be a health hazard, the

new law has the potential to break a deadly cycle and protect the nation’s children from theindustry’s aggressive tactics. Major provisions of the bill are already in effect, including the ban onthe manufacture and sale of candy- and fruit-flavored cigarettes that appeal primarily to children.Tobacco companies are also now required to disclose all product ingredients to the FDA for the firsttime ever.

Since 1996, the Society, and later ACS CAN, together with their partners in the public healthcommunity, has led a relentless multi-faceted campaign for passage. Year after year, the commitmentnever wavered, ensuring that momentum was built to the point where consensus was broadand passage inevitable. The power of their work and of ACS CAN’s movement is evident in thebill’s enactment.

In the two weeks leading up to the groundbreaking vote in the House of Representatives, ACSCAN advocates sent more than 4,200 emails, made hundreds of phone calls to Capitol Hill, andsecured dozens of co-sponsors. An even stronger outpouring of support preceded the Senate votewith another 5,000 phone calls as well as nearly 18,500 emails sent in just one week from 9,000Relay For Life participants, nearly 8,000 of them taking action through ACS CAN for the first time.

23

historic wins for public health

ACS CAN ran a powerful series of advertisements in Capitol Hill publications to amplifythe grassroots activity and put further pressure on the Senate. Schoolhouses, and laterschool buses, were used to illustrate the number of kids who would try smoking eachday the Senate failed to act, with the number of schoolhouses (or school buses)growing in each successive ad. The point was further made on acscan.org/protectkids,where a counter concurrently tracked how many children had tried their first cigarettesince January 1, 2009.

Given its track record, the tobacco industry is unlikely to comply willingly or fully with thespirit of the law. Indeed, just two months after the law was signed, several tobaccocompanies filed a lawsuit seeking to block several key provisions from taking effect. TheSociety and ACS CAN are working with partners in the public health community tocounter the industry’s litigation, just one of many fronts ACS CAN intends to fully engagein to ensure timely and effective implementation of the new law.

major provisions: The Family SmokingPrevention and Tobacco Control Act• Bans candy- and fruit-flavored cigarettes that appeal primarily to children• Requires disclosure of product ingredients and additives, including

poisons and carcinogens, to the FDA for the first time. • Prohibits outdoor advertising near

schools and playgrounds • Limits advertising in publications

with high youth readership toblack–and-white text.

• Requires larger, graphic, and moreeffective warning labels covering50 percent of the front and backof cigarette packaging

• No longer permits misleadingterms, including “light”, “low,”and “mild” to describe tobaccoproducts. The industry is alsobarred from using health claims todescribe a product as less harmfulunless the FDA finds the claims tobe scientifically valid.

saving lives, covering kids

After just two weeks in office, President Barack Obama approved a 62-cent increase in the federal tobaccotax – the first increase since 1997 and the largest single increase ever. The new federal cigarette tax of $1.01took effect on April 1, 2009. Adopted to finance expansion of the State Children’s Health Insurance Program(SCHIP), the higher tax will further the Society and ACS CAN’s joint mission of saving lives from cancer bylowering smoking rates and reducing tobacco consumption while giving millions of uninsured children accessto quality health care.

Research shows that every 10 percent increase in the price of cigarettes leads to a seven percent decline inyouth smoking and a four percent drop in overall consumption. The higher tax is expected to prevent morethan 900,000 smoking-related deaths, deter nearly 1.9 million children from smoking, and encourage 1.4 millionadults to quit. Combined with recent successes in raising state tobacco taxes (see page 32), these numbersincrease substantially.

This victory was the result of years of Society and ACS CAN leadership on tobacco control issues. ACS CANlaunched the most recent push to increase the federal tobacco tax in 2007, and with the strong support ofcancer advocates nationwide convinced elected officials from both political parties to pass this bill. ACS CANadvocates sent more than 12,000 messages of support in the weeks leading up to the final passage of thebill in Congress. The federal tax campaign also showcased ACS CAN’s ability to engage activists through newmedia. Nearly 10,000 volunteers were mobilized through Facebook and MySpace and nearly 2,000 peoplesigned up for ACS CAN’s text-message alerts.

24

AlabamaThe Breast Cancer Treatment Act of 2009 wasenacted, allocating an additional $3.7 million toexpand the Breast and Cervical Treatment Act.$835,000 of state funds will be matched by$2.9 million of funds by the federal government.*

ACS CAN and Society supporters and advocatesdefeated a flawed smoke-free bill.

Advocates helped secure $360,000 in statefunding for the state Breast and Cervical CancerEarly Detection Program despite massive budgetcuts to health care and education.*

AlaskaACS CAN helped secure a $9.2 million stateappropriation for Alaska's Tobacco Preventionand Control Program, a $645,000 increase overthe FY 09 appropriation.

ACS CAN successfully advocated for the state's$250,000 appropriation to the Breast & CervicalHealth Check Program. The state funds supple-ment CDC funding and allow for more flexibilityto meet Alaska-specific needs.*

ACS CAN, the Society, and coalition partners inUnalaska and Haines both passed local smoke-freeordinances. Unalaska’s new law covers restaurantsand bars and Haines covers workplaces,restaurants and bars.

Juneau voters increased the city’s cigarette taxfrom 30 cents to $1.00 per pack and approveda 45 percent tax on the wholesale price of othertobacco products.

ArizonaACS CAN worked with partners to see legislationsigned into law that ensures cancer patients inArizona have access to the latest off-label drugsapproved for the treatment of cancer.*

ACS CAN worked to defeat a provision in thelegislative budget would have de-funded tobaccotax enforcement in Arizona.

ACS CAN helped protect the state’s Breast andCervical Cancer Screening Program against anearly 60 percent cut in funding, while ensuringany cuts made to the program did not affectscreenings.*

25

state by state: state and local highlights

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

ArkansasThe state raised the cigarette tax by 56 cents for atotal of $1.15 per pack, in addition to increasingthe tax on cigars and smokeless products. Therevenue will be used in part to help fund theArkansas Breast and Cervical Cancer Early De-tection Program and to establish a cancer registrywithin the Arkansas Cancer Coalition.*

The Colorectal Cancer Prevention, Early Detectionand Treatment Act of 2009 was signed into law,making Arkansas one of several states that haveestablished state screening programs for col-orectal cancer.*

Legislation requiring all state-funded institutions ofhigher learning to become smoke-free environ-ments by August 1, 2010 was signed into law.

CaliforniaWith a vote on the floor of both the Assemblyand the Senate of a $1.50 per pack tobacco tax,tobacco tax legislation progressed far furtherthan in any recent attempt in California. It was thefirst time in 16 years that a tobacco tax was votedon by either the full State Assembly or Senate.

Aggressive, timely and collaborative lobbyingand grassroots efforts by the Society and itspartners successfully stopped state tobaccoretail licensing legislation from proceeding withpreemption language.

California’s Access to Care Community Mobiliza-tion Initiative grew to over 100 community-basedorganizations participating in 10 countywidecoalitions, representing 72 percent of the state’spopulation.*

ColoradoACS CAN successfully lobbied for the passageof legislation that requires private health insuranceplans to maintain coverage for routine carewhen a patient enrolls in a clinical trial, allowingmore cancer patients to enroll in potentially lifesaving clinical trials without fear of losing theirhealth insurance.*

ACS CAN worked with private health insurers inthe state to pass legislation that provides com-prehensive coverage of eleven critical preventativeservices, including screening for breast, cervical,and colorectal cancer as well as tobacco usescreening. The bill mandates that private healthinsurance companies waive both the deductibleand coinsurance for a covered person so that theonly out of pocket expense is a co-payment.*

ACS CAN worked with their partners to passlegislation that will generate revenue for theColorado Breast and Cervical Cancer MedicaidTreatment Program through the Colorado BreastCancer Awareness license plate.*

ConnecticutThe state enacted a $1.00 cigarette tax increase,bringing the total tax to $3.00 per pack and givingthe state the second highest tax rate in thecountry. Additionally, a 7.5 percent tax increaseon the wholesale price of other tobacco productswas approved, for a total tax of 27.5 percent.

Advocates successfully fought to preserve $3.3million in funding for the state ComprehensiveCancer Plan, $2.4 million for the state breastand cervical cancer program and $6.8 million intobacco prevention and cessation funding.*

Legislation was passed prohibiting the use of anindividual’s prescription drug history as criteriato deny health insurance coverage.*

DelawareThe state's cigarette tax was increased by 45cents for a total of $1.60 per pack.

All tanning salons in the state are now requiredto obtain in person parental consent prior to al-lowing youth ages 14-17 to use their facilities.Individuals under age 14 are banned from facil-ities, unless deemed medically necessary.

In an effort to improve quality of life, the stateBoard of Medical Practice voted to adopt theFederation of State Medical Boards Model Policyon the Use of Controlled Substances for thetreatment of pain, giving cancer patients andhealth care professionals more options when itcomes to pain management.*

District of ColumbiaThe District's cigarette tax was increased from$2.00 to $2.50 per pack.

Medicaid was expanded to include District ofColumbia residents with incomes between 200-400 percent of the Federal Poverty Level.*

Legislation passed requiring health insurers toprovide coverage for oral chemotherapy drugsin the same way that intravenous chemotherapyis covered.*

FloridaThe state cigarette tax was increased by $1.00per pack for a total of $1.339. The tax onsmokeless tobacco products was also increasedan additional 60 percent.

The General Appropriations Act included a record$63.5 million for tobacco education, prevention,and cessation activities for the fiscal year beginningJuly 1, 2009.

Legislation was signed into law by the governordedicating up to $50 million annually from newtobacco tax revenues for biomedical research.

26

Georgia Legislation was passed to provide a common setof measurements and requirements for all GeorgiaK-12 schools to prepare physical fitness assess-ments of their students annually and reportthem to the governor.

In a very tough budget year BreasTest and More(now called the Cancer Screening Program),Cancer State Aid and Women's Health MedicaidPrograms all maintained level funding in theFY2010 budget.*

In FY2010, Georgia will spend $2.3 million of itsmaster settlement agreement funds on tobaccocontrol, prevention and education.*

Hawaii

The state cigarette tax increased 60 cents for atotal of $2.60 per pack, with additional 20 centincreases over the next two years, eventuallyreaching $3.00 per pack in July 2011. Smoke-less tobacco taxes were also increased from 40percent to 70 percent of wholesale price.

Legislation was passed into law requiring parityin covering oral chemotherapy drugs with thatof intravenous chemotherapy drugs.*

Due to the hard work of Society and ACS CANvolunteers, attempts to divert cancer researchfunds to other programs were defeated.

IdahoAdvocates successfully protected the existing statefunding for the Women's Health Check Breast andCervical Cancer Screening Program in a year whenmany programs took substantial budget cuts.*

ACS CAN protected the current tax structure forsmokeless tobacco from being changed to aweight based system of taxation.

ACS CAN successfully advocated for the protectionof the tobacco settlement dollars from beingraided to supplement the general state fund.

IllinoisLegislation creating the State Colorectal CancerScreening and Treatment Pilot Program, a screen-ing program modeled after the State Breast andCervical Screening Program, was enacted.*

The state expanded access to Medicaid foruninsured individuals suffering from prostateand testicular cancer.*

The Society passed the Smoke-Free Illinois ActAmendment to improve and clarify enforcementof the existing statewide smoke-free law.

IndianaLegislation requiring Medicaid, the State EmployeePool and private insurance to cover routine carecosts for cancer patients enrolled in clinical trialspassed and was signed into law.*

Legislation which changes restrictions on whichproviders can screen women for breast and/orcervical cancer passed and was signed into law.Additionally, the law allows for women who arediagnosed with cancer to access Medicaidthrough the Breast and Cervical Cancer EarlyDetection Program Treatment Act.*

Advocates successfully maintained cancer andtobacco control funding and blocked proposedbudget language which would have changedsmokeless tobacco tax rates from a percentage-based tax to a weight-based tax.

IowaThe governor signed legislation requiring healthinsurers to provide coverage of oral chemotherapydrugs in the same way that intravenouschemotherapy is covered.*

Legislation was passed which extends healthcare coverage to 99 percent of Iowan childrenand creates a strategic plan to provide coverageto more adults as well.*

ACS CAN and the Society successfully advocatedagainst attempts to weaken or repeal thestatewide comprehensive smoke-free law.

KansasThe state Senate passed a comprehensivesmoke-free bill.

Local smoke-free ordinances were passed inSalina and Topeka. Ballot measures to weakenexisting smoke-free ordinances were defeatedin Emporia and Salina. A smoke-free resolutionwas adopted by Pratt County.

KentuckyThe state cigarette tax increased by 30 cents perpack, doubling the tax to a total of 60 cents perpack. The tax on snuff was also doubled from9.5 to 19 cents per unit.

The state House passed legislation ensuring thatpatients who had existing health insurance andparticipated in a clinical trial would not be deniedinsurance coverage for routine medical tests.*

LouisianaAdvocates helped secure $350,000 in statefunding for the state Colorectal Cancer ScreeningProject, LA-FITCO, despite massive budget cutsto health care and education.*

Legislation was introduced that would have in-creased the state tobacco tax by $1.00. Despiteopposition from the governor and legislativeleadership, the bill passed out of committee andreached the House floor for a vote.

Advocates worked to ensure that $700,000 instate funding for the Breast and Cervical CancerEarly Detection Program was preserved.*

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

MaineAll workplaces are now 100 percent smoke-free,including parks, beaches, public areas, and outdoordining areas, with no exceptions.

ACS CAN and the Society worked to see legislationpassed which requires restaurants with more than20 Maine locations to post calorie informationon menus and menu boards.

MarylandThe Society successfully lobbied for an increaseof $2.25 million in state funding for the Breastand Cervical Cancer Early Detection Program.*

Advocates successfully lobbied against proposedpermanent $14 million reductions in tobaccocontrol programs – the funding cuts are nowlimited to two years.

The Society supported legislation that passed,which allows school systems to develop and im-plement an annual physical fitness measurementprogram and the State Department of Educationto establish an Advisory Council on Health andPhysical Education.

MassachusettsACS CAN and the Society successfully advocatedfor the creation of a State Office of Health Equity, astate-cabinet level agency responsible for coordinat-ing efforts to end racial and ethnic health disparities.*

Legislation which would mandate that privateinsurers cover the full range of colon cancerscreenings, following the Society's guidelines,was introduced. The bill has the support of nearly30 legislators, was the topic of public hearingsand will continue to move during the secondyear of the legislative session.*

Along with coalition partners, Society staff andvolunteers continued implementation of the state'shealth care reform law and fought to ensurethat there were no cuts to eligibility or benefits.*

Michigan

Legislation was signed into law to make work-places 100 percent smoke-free, with the exceptionof cigar bars, tobacco retail specialty stores, andthe gaming floors of casinos.

The Michigan Supreme Court upheld the legalityof the smoke-free regulations that currentlyexist in 21 Michigan counties. The Society, alongwith several partners, submitted an amicus briefin the case.

Local smoke-free ordinances were enacted inMuskegon, Benzie and Leelanau Counties.

MinnesotaACS CAN and the Society successfully advocatedfor legislation that was signed into law whichcreates a new colorectal cancer screening programfor uninsured and underinsured individuals.*

Despite budget cuts, the newly established StateHealth Improvement Program, which will provide$47 million in grants to local communities fortobacco cessation and obesity prevention, waskept intact.

Legislative attempts to exempt smoking rooms andsmoking shacks from the state’s comprehensivesmoke-free law were defeated.

MississippiThe state’s first cigarette tax increase since 1985took effect, raising the tax by 50 cents to 68cents per pack.

MissouriLegislation was passed which requires 30 minutesof physical activity per day in Missouri publicschools.

Funding was maintained for important stateprograms, including tobacco prevention andcessation and the state Breast and Cervical CancerEarly Detection Program. Additionally, appropri-ation of stimulus funds for tobacco cessation,nutrition/physical activity, and healthy communityprograms was secured.*

Local smoke-free ordinances were passed inClayton, Liberty and Kirkwood.

MontanaThe state's comprehensive smoke-free law tookeffect on October 1, 2009.

Despite poor state revenue projections, theMontana Tobacco Use Prevention Program wasfunded at a rate of $7.3 million annually for thenext two years.*

Funding for the Montana Cancer Section wasmaintained, allowing an increased number ofwomen to have access to the state’s Breast andCervical Cancer Early Detection Program.*

Due to the work of the Montana Pain Initiative,a joint project of ACS and ACS CAN the MontanaBoard of Medical Examiners voted unanimouslyto adopt the Federation of State Medical Boardmodel pain policy, with emphasis on pediatricpain management.

NebraskaSociety advocates helped secure a voluntaryagreement for coverage of routine healthcare costs when a patient enters an approvedclinical trial.*

The state allocated $400,000 for a colon cancerscreening program for the uninsured, as well asa $200,000 increase in Breast and Cervical CancerScreening funding.*

Advocates successfully defeated attempts tosignificantly weaken the state smoke-free law.

28

NevadaLegislation ACS CAN strongly advocated for wassigned into law, creating the Nevada CancerDrug Donation Program.*

The legislature adopted a resolution establishingMelanoma and Skin Cancer Awareness Week,bringing public awareness to the issue.

New Hampshire

A 45 cent increase in the cigarette tax, bringingthe total to $1.78 per pack, was signed into laweffective July 1. Additionally, a new cigar tax wasestablished, and the tax on smokeless productswas increased by more than 100 percent.

A hospice benefit was added to the Medicaidprogram.*

Successfully worked to save the state CatastrophicIllness Pool, which helps approximately 700cancer patients, from proposed cuts in thegovernor's budget.*

New JerseyA new state law provides an exception to the30-day supply limit on medically necessary paindrugs and allows patients to receive up to a 90-day supply in certain circumstances.*

The state cigarette tax increased by 10 cents to$2.70 per pack, now the nation’s fourth highest.

The governor signed a menu labeling law requiringcalorie counts to be listed on the menus of mostfast-food and other chain restaurants. New Jerseyis the fifth state in the country to take this giantstep in the fight against obesity. The new lawwill go into effect on January 18, 2011.

New MexicoA new law requires private health insuranceplans to maintain coverage for routine carewhen a patient enrolls in a clinical trial, allowingmore cancer patients to enroll in potentially lifesaving clinical trials without fear of losing theirhealth insurance.*

Those diagnosed through the state’s Breast andCervical Cancer Early Detection program willhave access to an additional $1.6 million in tobaccosettlement revenue that has been dedicated tothe Medicaid Program.*

ACS CAN and Society advocates defeated legis-lation which would have weakened the state’scurrent smoke-free workplace law.

New YorkThe state enacted several laws to expand accessto care, highlighted by a special insurance programfor 19-29 year olds, a COBRA extension to 36months, an expansion of Family Health Plus to200 percent of the federal poverty level for up to400,000 adults, and elimination of enrollmentbarriers such as finger imaging.*

Strong menu labeling laws for chain restaurantsin key regions went into effect, covering 60percent of the state’s population.

New York City passed the nation’s most completeban on flavored tobacco of all kinds, includingsnuff, cigars and snus.

North CarolinaLegislation mandating statewide smoke-freerestaurants and bars was signed into law by thegovernor. The bill also allows localities to passsmoke-free ordinances stronger than state law.

Legislation to create a state drug, supplies andmedical device repository system was signedinto law and took effect.*

Despite budget cuts in other programs, the NorthCarolina Breast and Cervical Cancer Early Detec-tion Program did not sustain any funding cuts.*

North DakotaThe only state to meet new recommendationsset by the Centers for Disease Control, the statenow boasts the first fully-funded tobacco useprevention and cessation program in the country.

Women’s Way, the state's Breast and CervicalCancer Early Detection Program, received anincrease in funding from $50,000 per year to$202,166 per year for the next two years tohelp reach the 24,000 eligible women that needmammogram and cervical cancer screenings.*

The governor, for the first time, included colorectalcancer screening, including colonoscopies, as partof the health insurance package which current andretired state employees are eligible for. Addition-ally, the colorectal cancer screening project inRolette County was funded through June 2011.*

OhioThe Society defeated legislation that wouldhave weakened Ohio’s comprehensive smoke-free law.

Despite a significant budget deficit and resultingcuts, state funding for the Breast and CervicalCancer Early Detection Program was maintained,allowing an additional 4,700 women to bescreened.*

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

Legislation was introduced in both the Houseand Senate to require all health insurance plansto cover a full range of colorectal cancer screeningtests, per the Society’s recommendations.*

Oklahoma

Society advocates protected state Breast andCervical Cancer Early Detection Program screeningfunding and colorectal cancer screening fundingfrom budget cuts.*

An attempt to put a measure on the ballot to divert10 percent of tobacco prevention and cessationprogram funds to adult stem cell research wasdefeated.

OregonAdvocates supported legislation which willstreamline state health services and carry out avariety of initiatives to contain costs and improvethe quality of Oregon’s health care system.*

A new law will expand health and dental coverageto 80,000 uninsured children and an additional35,000 uninsured low-income adults in the state.*

ACS CAN backed legislation requiring healthinsurers to pay at least $500 in tobacco cessationcosts, including medical treatment and education,for tobacco users ages 15 and older was intro-duced, passed and signed into law.*

Legislation banning cigarette vending machineswhere they are accessible by individuals underage 21 was signed into law.

Pennsylvania

A 25 cent increase in the state cigarette tax tookeffect, bringing the total to $1.60 per pack.

The first state tax on cigarillos (small cigars) wasestablished at $1.60 per pack.

Legislation passed the House to require insurancecoverage of routine health care costs when apatient enters an approved clinical trial.*

Rhode IslandThe state increased its cigarette tax by $1.00 to$3.46 per pack, the highest in the nation. Thetax on other tobacco products was also increased.

Legislation was signed into law, effective January 1,2010, which mandates insurance coverage forthe full range of new and established tobaccocessation programs, including all FDA approvedsmoking prescription and over-the-countermedications, with or without counseling sessions.

South CarolinaAfter a year of zero funding, $2 million wasrestored in the budget for the state's tobaccoprevention and control program.

From September 2008 through November 2009,12 local communities passed comprehensivesmoke-free ordinances, bringing the total numberto 30. Approximately 30 percent of the state'spopulation now lives in smoke-free communities.

Despite major budget cuts, the state health de-partment received $1 million for a colorectalcancer screening program that targets underservedpopulations and the Best Chance Network, thestate’s Breast and Cervical Cancer Early DetectionProgram, received $2 million in funding.*

South DakotaComprehensive statewide smoke-free legislationwas passed by the legislature and signed into lawby the governor. However, opponents referred thelaw to the ballot and the voters of South Dakotamust approve the law in November, 2010 beforeit can go into effect.

Legislation was passed and signed into lawwhich will increase the lifetime benefit maximumfor their state’s high risk pool and allow childrento enroll.*

Despite statewide budget cuts, funding for thestate’s tobacco control and prevention programwas preserved.

TennesseeComprehensive colorectal cancer screening leg-islation was introduced. The bill would createthe framework for a colorectal cancer screeningprogram for the uninsured and underinsuredand would require health insurance companies tocover colorectal cancer screening in accordancewith Society guidelines.*

Despite cuts made to many state programs,funding for the state Breast and Cervical CancerEarly Detection Program was restored.*

Legislation was defeated which would haveweakened the state smoke-free law by removing“no smoking” signs.

30

TexasLegislation was passed and signed into law torequire coverage of routine health care costswhen a patient enters an approved clinical trial.*

Legislation was passed to make the high risk in-surance pool premiums more affordable, througha sliding scale based upon ability to pay.*

$450 million (over two years) was appropriatedfor the Cancer Prevention and Research Instituteof Texas, in addition to an additional $1 millionfor technology improvements for the TexasCancer Registry.

Comprehensive local smoke-free ordinances werepassed in Galveston, Corpus Christi, Dallas, FlowerMound, Rowlett, College Station and Conroe.

Utah$8 million in tobacco prevention and controlprogram funding was preserved, despite otherstate budget cuts.

$1.5 million in funding for the state Breast andCervical Cancer Early Detection Program waspreserved.*

Vermont Vermont became the 26th state to enact legis-lation requiring health insurance plans to providecoverage for the full range of colorectal cancerscreenings. In addition, a cap was placed onout-of-pocket costs.*

The state expanded its existing statewidesmoke-free law to include private workplaces withindoor smoking rooms. Vermont’s workplaces,restaurants, private clubs, and bars are 100 percentsmoke free.

Advocates worked to enhance access to theCatamount Health Program, including reducingthe enrollment waiting period, lowering thehigh deductible threshold to $7,500, and blockingproposed increases to premiums, co-pays anddeductibles.*

VirginiaFunding for the state Breast and Cervical CancerEarly Detection Program was preserved.*

Attempts to reduce funding for state tobaccocontrol and prevention programs were defeated.

Legislation was passed and signed into law topreserve cancer screenings in all health policiesoffered by small businesses.*

All health insurance policies offered in the statemust contain coverage for prostate, colorectal,breast and cervical cancer screenings.*

Washington

ACS CAN advocates protected $2.9 million infunding for the state Breast and Cervical CancerEarly Detection Program.*

Legislation banning Internet sales of tobaccoproducts, with the exception of full sized cigars,was signed into law.

Despite major budget cuts, funding was main-tained for the state Medicaid tobacco cessationbenefit and cuts to the state tobacco preventionand education program were limited.*

West VirginiaLegislation was signed into law adopting theFederation of State Medical Boards Model Policyon the Use of Controlled Substances for thetreatment of pain, giving cancer patients andhealth care professionals more options when itcomes to pain management.*

Legislation was signed into law establishing apilot project to operate various types of patientcentered medical homes throughout the state.*

Advocates defeated legislation that would havecaused the Board of Health to lose its authority topass smoke-free regulations and require every healthissue to be voted on by the county commissions.

Funding for the state Breast and Cervical CancerEarly Detection Program diagnostic fund, thestate tobacco prevention and Quit Line programs,and the comprehensive Cancer Coalition,Mountains of Hope, was preserved, despitestatewide budget cuts.*

WisconsinComprehensive statewide smoke-free legislationwas signed into law and takes effect July 5, 2010.

The state increased its cigarette tax by 75 centsto $2.52 per pack and increased the tax onother tobacco products.

A new law makes it more difficult for insurers inthe individual insurance market to deny claimsbased on pre-existing conditions and also allowscertain adult children to be covered under theirparents’ health insurance policy.*

WyomingACS CAN advocates helped preserve $500,000in funding for county-level Cancer ResourceCoordinators and expand the outreach programfrom a five county regional pilot to cover theentire state.*

ACS CAN and its partners advanced compre-hensive statewide smoke-free legislation furtherthrough the legislative process than ever before.

Legislation was signed into law doing away withdiscretionary clauses in insurance contracts.*

A new law requires external, independent reviewsfor insurance policyholders who want a secondopinion when a claim is denied.*

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

32

reducing tobacco’s tollSmoke-Free Successes

• Three states – Maine, Montana, and Vermont – implemented statewide smoke-free laws,expanding coverage to all workplaces, including restaurants and bars.

• Six states – Maine, Michigan, North Carolina, South Dakota, Vermont, and Wisconsin –passed strong statewide smoke-free laws.

• Thirty-two states, the District of Columbia, and Puerto Rico had smoke-free laws in effectcovering 100 percent of all workplaces and/or restaurants and/or bars as of January 2010.

• Smoke-free workplace and/or bar and/or restaurant laws now cover nearly 75 percent ofthe U.S. population.

Cigarette Tax Increases

• Fourteen states – Arkansas, Connecticut, Delaware, Florida, Hawaii, Kentucky, Mississippi,New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, Vermont, andWisconsin – plus the District of Columbia increased cigarette taxes in 2009.

• Two states – Rhode Island and Connecticut – adopted tax increases that put the total taxat $3 per pack or higher.

• At $3.46 per pack, Rhode Island has the nation’s highest cigarette tax.

• Fourteen states and the District of Columbia have state cigarette taxes of $2 or more.

• The average state tax on a pack of cigarettes is $1.34, up from $1.19 a year ago.

• Since 2002, 46 states, the District of Columbia, and several U.S. territories, have raisedtheir cigarette taxes more than 95 times.

Prevention, Cessation, and Control Funding

• North Dakota became the first state to fund their tobacco control programs at theCenter for Disease Control and Prevention’s (CDC) recommended minimum levels forfiscal year 2010.

• Seventeen states offered at least one form of medication and one type of counseling intheir Medicaid cessation coverage.

Corporate Contributors

Corporate Champions$100,000 and up

EMD Serono, Inc.GlaxoSmithKline

Corporate Heroes $25,000 - $99,999

AstraZenecaCelgeneEli Lilly and CompanyJohnson & JohnsonPfizerPhRMA

Corporate Friends$10,000 - $24,999

Abbott LaboratoriesBIOGenentechHologicIronworks Consulting, LLCNovartis PharmaceuticalsPurdue PharmaSanofi-Aventis PharmaceuticalsSEIUVirginia Mason Medical Center

Judicial Advocacy Initiative Contributors

Hope Circle $50,000 or more in contributed services

K&L Gates, LLPKilpatrick Stockton, LLPMcKenna Long & Aldridge, LLP

Advocate Circle$10,000 - $24,999 in contributed services

Sherman and Howard, LLC

Individual Contributors

Major CANpaign Circle$20,000 and up

Dr. John W. HamiltonRobert E. Youle

Chairman’s Circle$10,000 to $19,999

Dr. John & Mrs. Carole Seffrin

President’s Circle$3,000 to $9,999

Dr. Charles Joseph Bennett, Jr.Mr. & Mrs. R. Clifford Berg, Jr.Blue Cross Blue Shield

of MassachusettsThe Boston Red Sox and the

Red Sox FoundationKathleen M. BondGreg & Karen BontragerDr. William H. Boykin, Jr.Dr. Otis W. BrawleyDr. Robert T. BrodellSally West Brooks &

Marvin BrooksHelene G. BrownCataldo Ambulance Service Inc.Jennie R. Cook IIIMolly A. DanielsMike P. DanyTina & Killick DattaDr. Margaret DrugayEvergreen HealthcarePatricia M. FeltsFirst Choice HealthFlorida Health Care

AssociationDr. Elizabeth T.H. FonthamDr. Lewis E. FoxhallGMMB

Nathan GreyF. Sheffield HaleNorma J. HaymanReuel JohnsonDr. Anna Johnson-Winegar &

Lucien WinegarJordan Foust FoundationDr. Douglas K. KelseyMr. & Mrs. Robert KuglerGrace J. KurakMichael KurakMary Jo LangdonDr. Robert M. Langdon, Jr. Unice Lieberman &

Stephan DiamondLockspot CafeAnn MauJean B. McGillDr. Raymond MelrosePamela K. MeyerhofferScarlott K. MuellerKent C. NelsonNorthwest Hospital &

Medical CenterBarbara & Charlie OhanesianOne Eleven CateringOracle CorporationOverlake Hospital &

Medical CenterPhysician InsuranceGregory A. Pizzuti

Rasky Baerlein Strategic Communications

Gary M. ReedyRoche LaboratoriesDr. Christy A. RussellWendy & Michael SeligShakopee Mdewakanton

Sioux CommunityPeter S. SheldonThe Sheridan GroupDaniel E. Smith &

Lorraine VolesCarter StegerDr. Eric W. TaylorDr. Alan & Nancy ThorsonDr. Jeff WeinsteinJohn F. WindhamWinning ConnectionsDavid L. YeagerJoyce Zweifel

Champion’s Circle$1,000 to $2,999

Ag Investments LLCAndy Trivers and AssociatesDeAnne F. BaerDr. Larry D. BaerBall Construction Services LLCDr. Claudia R. BaquetBarnard Griffin Winery

Shelly BarsantiBecker & PoliakoffDr. Therese BeversKevin BickartDr. Benoit BlondeauGeorge Ann BloughBlue Cross & Blue Shield

of WisconsinBNSF Railway CompanyJames D. BondSharlene BozackThe Bravo GroupSheila BreedingDr. Carolyn J. BruzdzinskiCarla BucknellKalah R. BumbaRonald J. ButlerJoseph C. Cahoon, Jr.Cancer Center at Boston

University School of MedicineLinda Carroll-ShernCates Auction HouseMike CavillCephalon Inc.China BlueStephanie ChristensenCitizens Financial Group Inc.City of Rolling MeadowsHillary ClarkeTerri B. ClayTina Clothier

33

donors

34

Cobb Family FoundationColorado Cancer Research

ProgramCommonwealth Hematology-

OncologyConrad Siegel ActuariesConvio Inc.Deborah J. CornwallPatricia J. CromeDebra CunninghamCurvesKelley M. DanielDanya InternationalCharles DeGooyerDr. Richard L. DemingDermatology and Laser

SurgeryRalph A. DeVittoDollywoodPaul and Jo Anne EgermanMassage EnvyDr. W. Phil EvansFiorentino GroupFirestone and Parson JewelersDeb Fischer-ClemensFLAG Capital Management LLCShelby FletcherFlorida Beverage AssociationFlorida Justice AssociationFlorida Nurses AssociationFloridians for Youth Tobacco

EducationEllen A. FogelFoundation Health Services Inc.Joan A. GaiserRobert S. GatofRobert M. GenglerGeorgetown CupcakeGlover Park GroupAnn C. GouréJoel T. Greer

Dr. Ranu Grewal-BahlGroup Health CooperativeDonald J. GudaitisKarl HamiltonPhil R. HarropKelly HeadrickHeffley & Associates Inc.Hematology-Oncology Section

at Boston Medical CenterNancy L. HolleranJames HoustonPaul E. HullBeverlye Hyman FeadIKONInfoUSA Inc.Initiative ConsultingBennie IvoryJefferson Monroe ConsultingBryte Johnson, Jr.Kent JohnsonJari Johnston-AllenKC After HoursJason KellerRobert & Aida KelleyJeff KempthorneKeyBank National AssociationRichard D. KingDr. Marianne B. KipperJames KnoxElaine KooglerLisa LacasseBrian D. LangstraatClaudia K. LashCynthia M. LeBlancDr. Chung LeeLee Hecht HarrisonGary A. LeipheimerLife Beyond Cancer

FoundationThomas M. LindquistRandy Linduff

Eva LokenLombardi Comprehensive

Cancer CenterJeffrey A. MartinMartin Smith, Inc.Massachusetts Medical

SocietyMassachusetts Society of

Clinical OncologistsStacy MatseasDr. Tim MauldinDonna McDonaldPatrick McGuireChantal McMillenPeter MeadeMerck & CompanyMetz, Husband & DaughtonDr. Judith MeyerCatherine E. MickleMix 93.3Paula D. MohanVictor MohrMosaicNew West Management

ServiceDawn NiedermanOne Eighty ConsultingRuth ParriottPartners HealthCare SystemPeter Kleine CompanyNorman A. PettlonWilliam T. PowersPremera Blue CrossPuyallup Valley FlowerTheresa RadzinskyMaseeh RafaniUjwala RajgopalVicki RakowskiDr. & Mrs. Mark W. RedrowRelay GearRenaissance 352 Inc.

William G. RobbinsBarbra RobinsonRocky Mountain Cancer

CentersLynn RoyerSara LeeSavings Bank Life Insurance

Company of MassachusettsMichael SilerGregory B. SmithSoapbox ConsultingSt. Elizabeth Regional Medical

CenterSteve’s FloralGary J. StreitSusan G. Komen for the CureTas Inc.Margaret M. TattoliLawrence S. TierneyPam TraxelUnion Pacific Railroad

CompanyUniversity of California

San DiegoUrban VisionsNancy VellingaRebecca WaldropWe Work for HealthWebcor BuildersWexler & Walker Public

Policy AssociatesBarbara J. WilinskiWilloughby Stuart & BeningNancy C. YawDr. Jacqueline Young

Hero’s Circle$500 to $999

AARP UtahBriggs W. Andrews

APT Inc.Jack ArmstrongDavid ArnoldiDavid F. AronsTim AustinAvantis Medical SystemsDr. Andrejs Avots-AvotinsJanet BenekeLouis BetzMichele BlochLinda G. BlountBlue Cross Blue ShieldBrandeberry-McKennaMary BriggleBuchanan Ingersoll &

Rooney PCBarbara BucholtzDr. Michael J. BuksteinSteve BurgessCharlotte BurkeSteven BurnsNathan BushC.A. Curtze CompanyJudith E. CalhounJane M. CalvertCancer Care Northwest

CentersDr. Lee M. CarterSandi C. CasseseCavanagh CompanyBrent P. ChambersElisheva B. ChamblinBob ChapmanMary Rob ClarkeJames ClinesJoseph William CruittAaron E. CzyzewskiRandy J. DahlSabrina DandridgeJohn DanielDaniel Consulting

Dr. Raymond DemersEmily DiazDonald DistasioKay DoakScott DotyDr. Julian DutteraBryan K. EarnestEisenhower Medical CenterElectronic Healthcare SystemsElements Studio PhotographyShannon ElyDr. Mark EmmertDr. & Mrs. Galen EversoleDr. Jack T. EvjyDarlene D. FalkJerry FehrGuy FischerKelly FlahertyDr. Thomas J. ForlenzaDr. Karen FreundFrances M. GainesGamma West AdministrationMeg GarzaPriscilla F. GibbsStephen GimiglianoJoy GinsburgToppy GoolsbyGraham GroupJames S. GrayGregg HaifleyDonna K. HammackDave HancockLynn A. HancockJennifer HauslerDr. Allen H. HendersonSusan D. HenryDr. Carla J. HermanDr. Karen HeusinkveldLisa N. HicksKelly HowleyFaye Hsu

35

Marc HymovitzICC Horticulture DepartmentNick IngalaLaurie Jensen-WunderJosam Foods Inc.Charlie JusticeBeth KahnKatrina KammKearney Donovan &

McGee PCDr. Kathryn L. KepesCynthia E. KnowlesMary Pederson-KoeneckeLake Research PartnersDr. Robert S. LaveyColleen LemoineMargaret E. LesherDr. Bonnie LesleySharon LightFrank P. Lloyd, Jr.David LockettMaria Kuklinski-LongLove CommunicationsDonna S. LundyM & R Strategic ServicesCraig MaloneMaple City FloristBrian A. MarlowJan A. McCaughertyDavid McCoyMichael Yakawich for MayorSue MoatsBrian D. MonaghanMontana City GrillVerlena Mooney-NewellWendy P. MoranNoel CompanyM. Elizabeth OatesOncology Therapies of VistaDr. Melvin P. PalalayPapa Joe's

Diane J. PhillipsDr. John PiercePolo Ralph Lauren CorporationThe Port Of OaklandDavid PugachCarol RichardMarian Riggs-GelbCatherine A. RobertsNeil J. RobertsonMegan RoetherKarin A. RootRopes & Gray, LLPSteven C. RotherMary P. RouvelasSaal Family FoundationSalon BuzzSanctuary Day SpaColleen SaringerJo-Anne SessaSheraton LAXRichard SimkinsBrett R. SkaugstadPeter SlocumJoseph SmithPatricia L. SmithDebbie SmolikDawn A. SnappSonrisa Day SpaJerry SpoonemoreEllen StephensonDonal P. SullivanSteven L. SwansonJames SweeneyDonna ThrelkeldTradewinds ResortStacy TruaxTurnkey PromotionsJanell K. VargaJoseph VergaDr. Victor VogelPaula Warlick

Dr. W. Bedford WatersKristine WeaverTerry WeirDr. Richard L. WhiteSarah WickensMichael WiesmannJoseph L.WikoffThomas WilliamsCarolyn Williams-GoldmanKaren J. WillisPhylecia D. WilsonMr. & Mrs. Stephen WinnDavid WoodmanseeDick WoodruffDr. Gerald WoolamDr. G. Fred Worsham

Leader’s Circle$250 to $499

195 Calvary Baptist ChurchDr. Jame AbrahamBrian E. AdamsMary Lou AdamsJennifer L. AdzimaAmerican Legion Post 24Kenneth M. AndersonDr. Richard AndersonDavid AubreyValerie M. AustinDr. Mahapatra AvaPatricia S. AveryChristie BadgerCarol L. BakerStephen BalfourCindy J. BallardSarah BarberMr. Joseph Barbetta &

Ms. Megan BagnuloSusan BarronGeoff Bartsh

Sharon BasileMandi BearschKahle BeckerAmanda T. BeeghlyCarol BellSelene BenitoneDavid BensonTracy M. BillowsCatherine BlackstoneBlair Gastroenterology

AssociatesEdward BoucherDr. Timothy K. BowersScott E. BoyleMarcus BrewerDr. Samuel BrittCorinne BroderickKeysha Brooks-ColeyMichelle L. BrownKaren R. BurnhamValerie BurnieceJohn CacciatoreGlenn A. CallahanJoan CambrayMark T. CarboniCharlotte CarpenterDaniel CarrollKenann CassidyCatholic Healthcare WestCenter for DermatologyCenter For Orthopedic

ExcellenceTiffany ChapmanChesterfield Quilt GroupPatti ClappTom ClarkBetty M. ClementzDenna L. ClineDr. Carmel J. CohenIra & Debra Jo CohenRenee Colvin

Margaret S. ConlonDr. Ricardo CrisostomoKevin J. CullenJim DanekLori DaviesMichael DavisDawson & Gerbiz LLPJ.T. DeanDeeb Construction &

DevelopmentPatrick DelaneyDr. Vincent T. Devita, Jr.Debra DicksonLena Dobbs-JohnsonJames DoggettJoyce J. DolbecNancy DoucetteTammy DrosteLaura S. DudellKimberly DunlapJohn DunnDana DzwonkowskiHeather J. EagletonToni EarlDianne EarleClaire M. EdgecombDavid B. EhrlichMartha EinsonJoann ElmoreDr. & Mrs. David ElsonKristi Farver-OaksSenator Mike Fasano Rollin FatlandNick FedericiLinda W. FeldmanStephen FinanBarbara A. FindlayFoland, Wickens, Eisfelder,

Roper & Hofer, PCZachary & Lisa FortschKenneth C. Francis

Joseph Franco, Jr.Dr. Seth FranklinPete FredriksenDr. Harold P. FreemanTonnie FurjanicErik A. GaikowskiEd & Eileen GaiserThenice GallDavid Andrew GellerKim GerminoKara GilliganMr. & Mrs. David W. GliddenDonald M. GoldbergGarrett GoldbergJacob GoodmanDr. W. Jarrard GoodwinCarole GrandersonHolly GrantDr. Jon M. GreifAngelia Halaja-HenriquesDeborah HamiltonKen HammM. HanschSenator Thomas F. HansenDottie HargroveTrista HargroveRobert E. HarriganKyle D. HarrisDr. Lauralee HarrisAlissa HavensAndrew HeadleyEllen HeierPaul C. HeintzLesley HelmichBart E. HendricksShari HenningRobert F. Henninger, Jr.Hidden Lake WineryPamela T. HigginsonTimothy HoDr. Patricia Hoge

36

Dana HopkinsJon HornadayEunice A. HostetterJill HoukCourtney HouserLisa K. HoweHowl at the MoonScott HuizengaJennifer HuntJulie HyerSuzanne HymanEllen IsraelDr. Elaine IuanowJ CateringKatherine A. JanewayKristen JeffersAugust JohnsonJames S. JohnsonLila Rae JohnsonPhilip W. JohnstonFlora JonesKate KarlCarolyn KatzinJulie KellnerRobert KingRebecca A. KirchMichangelo KittrellDr. Howard Barry KlecknerSam Kong KeeKarl KrugerDebbie KuehneVictoria A. KurakLake View Athletic ClubDiane K. LaMontLinda LangMartin R. LarsenDavid A. LauerPatricia L. LawlorDavid C. LawrenceEva LeanJ.J. Leari

Nhia LeeMichael R. Leep, Sr.Wayne LewisMarjorie Love LeslieAlice Anne LoychRichard E. LudwickMichael J. LumbraDr. Daniel LydiattGloria LynchNancy MackenzieJason MadererDenyse M. MahoneyJoseph R. MahoneyDaniel P. MalloveKathy MannelloDenise M. MartinPenny MathiasBeverly MayDr. Bill MayerElizabeth McClainDonna McCulloughTommy McFlyFrank & Barbara McGradyEileen T. McGrathBobbie McKeeMarc D. McKenneyDr. Thomas E. McMickenGary A. McMullenMedical X Ray Center PCRick MellorAlicia M. MendenhallSheppard F. Miers, Jr.Jane E. MillerBarbara MillsStephen & Beverly MillsMary J. MilroyRobert MitchellKaren MoffittDr. James E. MontieBarbara MorganRobert O. Morris

Sarah MurphyJim MurrayPeter NegriDr. Amy R. NelsonCarrie NelsonFlorenda NewtonDat NguyenClayton NielsenFrank R. NolimalShirley OlmstedCheryl OlsenMelissa OlsonNick O'NeillKimberly OrnJohanna L. OwensSue PadernachtKristin Page-NeiPark Nicollet Health ServicesDr. Edward E. PartridgePartyLiteDale ParuchSusan PeekChris PerilloDr. Bruce A. PetersonDoug PetersonLarry PhillipsEllen Phillips-AngelesMary E. PierceGarry L. PincockDr. Luis PinedaFrances Popstojanovic-HolstromSusie PouliotMichelle PowerRobert PrendergastRandy PresentDave QuintanaDr. Derek RaghavanLinda RamseyHeather RappSanjay ReddyLaura Reeves

Julie ReidRyan ReidErin ReidyRestorative Light TherapiesReynolds Iron Works, Inc.Linda RhodesJamie L. RiccobonoGail M. RichmanKatie RileyRobert M Levy &

Associates Inc.Diane RobertsDouglas B. RobertsJohn & Kerry RobertsCarol A. RoderDustin RoethelKimberly RohanNancy RootDr. Gerard RoseburroughEdwin RosenblattDr. David S. RosenthalLisa E. RothJeffrey A. RoushBrad RutledgeCharles L. RyanKatie RyanEd SatoEugene SavioVladimir SavranskyNancy ScharfeldDr. Maryjean SchenkDeborah Spence SchiroLinda C. SchmidtJan SchutMargo ScottScheryl ScottSusan ScottDr. Kathy J. SelvaggiCynthia SernaJacqueline R. SharpGeorgia Shelden

Dr. Barry M. ShermanApril J. SherryWilliam SherryJanet SikorskiBurleigh L. SingletonJohn & Nanette SkalCharles G. SmithMartin SmithMegan SmithSmith Bryan & Myers Inc.Russ SobottaScott SolomonMary SpillaneRichard E. SpoonemoreChristopher SquierDr. Laura St. GermainDonna StaudingerJack W. SteinmeyerBill E. StraykMandy L. StringerJulie A. StrzyzewskiJames W. StubnerD. SullivanKaren SullivanRichard M. SullivanSunlight Day SpaLeonard R. SvenssonDru C. SzczerbaKarina DonnellyPatricia J. TateAngie Thies-HuberDavid ThomasEran ThompsonKevin J. ThompsonSuanne L. ThurmanApril TillesBeverly TiradoRachel J. TownshendKristine TravagliniGilbert TrimbleRuss Trimble

Dr. Michael H. TrujilloJo Ann TsarkJames TupperMartha UpchurchDr. Mark VangorderBennett VanhoutenDavid F. VenezianoDr. Joe & Mrs. Karen

VerdirameDenise VeroskyStevie VildibillBrenda VreekeLois WardenKenlyn WatsonMargaret B. WeaverDonald WebsterDr. Mitch WeinbergDr. George WeinerSteven WeissJennifer M. WhipKenneth A. WhitingerLori WhitneyPatricia A. WilliamsPatricia WilliamsKristine WilsonG. Van Velsor Wolf, Jr.Sieu Tang WoodKjestine WoodsPatricia R. WorkmanJames P. YankovichYoung Professionals of ChicagoSteve ZamzowDr. Herb ZaretskyPatricia L. Zoll

The annual CAN Opener brings together hundreds of activists and cancer survivors from across thecountry to support ACS CAN. Equal parts rally and recognition, the event gives ACS CAN anopportunity to honor leaders who have demonstrated exceptional strength in the fight againstcancer. In 2009, the CAN Opener hosted the third successful “AmeriCAN Idol” competition, whichshowcased talent from American Cancer Society Divisions.

CAN Opener

37

38

special thanks

Listed below are individuals and organizations that helped make 2009 such a successful year inadvocacy. The list is by no means exhaustive, so an additional thank you is extended to those notspecifically mentioned. Please know that your contributions did not go unnoticed.

ACS CAN Board of DirectorsAmerican Cancer Society National

Board of DirectorsAmerican Cancer Society Division

Boards of DirectorsState Lead Ambassadors Ambassador Constituent Teams American Cancer Society StaffAmerican Cancer Society Division Staff ACS CAN Staff

Coaches vs. Cancer®

Mike Brey, University of Notre Dame Ed DeChellis, Penn State University Oliver Purnell, Clemson University Tubby Smith, University of Minnesota John Thompson III,

Georgetown University

Colleges Against CancerSM

Making Strides Against Breast Cancer®

Relay For Life®

The House Cancer CaucusThe Honorable Lois CappsThe Honorable Steve IsraelThe Honorable Sue Myrick

The Senate Cancer Coalition The Honorable Diane FeinsteinThe Honorable Sam Brownback

The AmeriCAN Idol Contestants

Patty Avery Scott Baker, Esq.Stephen Baskin

Greg Bontrager Otis W. Brawley, MD Lori Bremner Dan Brodrick Chesterfield Quilt Group Jenée Desmond-Harris, Esq.Doug Demark PhotographyThe Honorable Ted DeutchBrian Eberle, Esq.Elizabeth T.H. Fontham, MPH, DrPHThenice “Ten” GallGeorgetown CupcakeJustin Guilder, Esq.Kaylee Hartung Jessica Hinkie, Esq.The Honorable Hugh Holliman Michael JacobsonDaniel Jarcho, Esq.

Dollywood IKON Donna KaufmanEric Kracov, Esq.Robert R. Kugler, Esq.J. Len Lichtenfeld, MD, MACPJohn Longstreth, Esq.Joni Lownsdale Kevin Malek, JD, PhDSummer Martin, Esq.Marriott Courtyard Washington

Convention Center Tommy McFlyKaren Moffitt, PhDNatalie Morrison Ann Marie Morse Terry Music William O’Brien, Esq.

Gary M. ReedyEmanuel Rouvelas, Esq.Jim Satalin Bob Schieffer John R. Seffrin, PhD Sheraton LAX Soapbox Consulting Gary Streit, Esq.Ellen StephensonAllison Stevens Josh Sundquist Tradewinds ResortEric Taylor, MDRobert E. Youle, Esq.Phylecia WilsonVan Velsor WolfDavid Zacks, Esq.

www.acscan.org