Failure to defend a successful state tobacco control program: Policy lessons from Florida

Objectives. This investigation sought to define policy and political factor s related to the undermining of Florida's successful Tobacco Pilot Program in 1999. Methods. Data were gathered from interviews with public health lobbyists, t obacco control advocates, and state officials: news reports: and public doc uments. Results. As a result of a recent legal settlement with Florida, the tobacco industry agreed to fund a youth antismoking pilot program. The program com bined community-based interventions and advertisements. In less than 1 year , the teen smoking prevalence rate dropped From 23.3% to 20.9%. The program also enjoyed high public visibility and strong public support. Nevertheles s, in 1999, the state legislature cut the program's funding from $70.5 mill ion to $38.7 million, and the Bush administration dismantled the program's administrative structure. Voluntary health agencies failed to publicly hold specific legislators and the governor responsible for the cuts. Conclusions. The legislature and administration succeeded in dismantling th is highly visible and successful tobacco control program because pro-health forces limited their activities to behind-the-scenes lobbying and were unw illing to confront the politicians who made these decisions in a public for um.