— LEAGUE RECOMMENDATION —
Michigan should increase funding for smoking prevention and cessation campaigns and services, using tobacco settlement dollars and other state funds.
BACKGROUND: Between 2008 and 2017 state spending on smoking prevention and cessation initiatives in Michigan (not including Medicaid dollars) fell 34% from $5.7 million to only $3.8 million. Funding for prenatal smoking prevention remained essentially flat, in part because the state used too few of its annual tobacco settlement funds for efforts to prevent smoking.
- Approximately 1 in 5 births in Michigan is to a mother who smoked during her pregnancy. Prenatal smoking has risen, especially among Hispanic women whose rates increased 24% between 2008 and 2015 (from 10.1% to 12.5%). White women in Michigan are still most likely to smoke, with 1 in 5 using tobacco products during pregnancy.
- The American Lung Association gives Michigan a failing grade (“F”) for the state’s smoking prevention and cessation efforts. In 2016, Michigan ranked 44th in the country based on the Centers for Disease Control and Prevention’s recommended spending levels for tobacco prevention. In fact, for every dollar Michigan spends to prevent smoking, the tobacco companies spend $190 to market their products.
- Few pregnant women receive services that could help them give up smoking during pregnancy. Less than 2% of mothers receive smoking cessation classes or other supports, and only 5% of mothers who smoked during the last three months of pregnancy were referred to a smoking cessation program. Despite the reality that White women are most likely to smoke during pregnancy (21%), surveys shows that healthcare providers are less likely to discuss the dangers of smoking during pregnancy with their White patients.
WHY IT MATTERS:
- Smoking during pregnancy is harmful to babies. Prenatal smoking can cause pregnancy and birth complications such as poor intrauterine growth, preterm delivery, low birthweight and birth defects. In addition, smoking increases the likelihood of a sleep-related death during infancy.
- Children born preterm or at low birthweight can suffer long-term consequences. Babies born too early or too small often face chronic health issues such as asthma, as well as problems with neurological development. The result can be reduced educational achievement, higher rates of dropping out of school and reduced economic security.
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Emily Jorgensen joined the Michigan League for Public Policy in July 2019. She deeply cares about the well-being of individuals and families and has a great love for Michigan. She is grateful that her position at the League enables her to combine these passions and work to help promote policies that will lead to better opportunities and security for all Michiganders.
Jacob Kaplan 
Mikell Frey is a communications professional with a passion for using the art of storytelling to positively impact lives. She strongly believes that positive social change can be inspired by the sharing of data-driven information coupled with the unique perspectives of people from all walks of life across Michigan, especially those who have faced extraordinary barriers. 
Rachel Richards rejoined the League in December 2020 as the Fiscal Policy Director working on state budget and tax policies. Prior to returning to the League, she served as the Director of Legislative Affairs for the Michigan Department of Treasury, the tax policy analyst and Legislative Director for the Michigan League for Public Policy, and a policy analyst and the Appropriations Coordinator for the Democratic Caucus of the Michigan House of Representatives. She brings with her over a decade of experience in policies focused on economic opportunity, including workforce issues, tax, and state budget.
Donald Stuckey 
Patrick Schaefer
Alexandra Stamm 
Amari Fuller
Renell Weathers, Michigan League for Public Policy (MLPP) Community Engagement Consultant. As community engagement consultant, Renell works with organizations throughout the state in connecting the impact of budget and tax policies to their communities. She is motivated by the belief that all children and adults deserve the opportunity to achieve their dreams regardless of race, ethnicity, religion or economic class.
Megan Farnsworth joined the League’s staff in December 2022 as Executive Assistant. Megan is driven by work that is personally fulfilling, and feels honored to help support the work of an organization that pushes for more robust programming and opportunities for the residents of our state. She’s excited and motivated to gain overarching knowledge of the policies and agendas that the League supports.
Yona Isaacs (she/hers) is an Early Childhood Data Analyst for the Kids Count project. After earning her Bachelor of Science in Biopsychology, Cognition, and Neuroscience at the University of Michigan, she began her career as a research coordinator in pediatric psychiatry using data to understand the impacts of brain activity and genetics on children’s behavior and mental health symptoms. This work prompted an interest in exploring social determinants of health and the role of policy in promoting equitable opportunities for all children, families, and communities. She returned to the University of Michigan to complete her Masters in Social Work focused on Social Policy and Evaluation, during which she interned with the ACLU of Michigan’s policy and legislative team and assisted local nonprofit organizations in creating data and evaluation metrics. She currently serves as a coordinator for the Michigan Center for Youth Justice on a project aiming to increase placement options and enhance cultural competency within the juvenile justice system for LGBTQIA+ youth. Yona is eager to put her data skills to work at the League in support of data-driven policies that advocate for equitable access to healthcare, education, economic security, and opportunity for 0-5 year old children. In her free time, she enjoys tackling DIY house projects and trying new outdoor activities with her dog.
Amber Bellazaire joined the Michigan League for Public Policy as a policy analyst in June of 2019. Her work primarily focuses on state policy and budgets affecting Michigan’s Medicaid programs. Previously, Amber worked at the National Conference of State Legislatures tracking legislation and research related to injury and violence prevention, adolescent health, and maternal and child health. She also brings with her two years of Americorps service. As a full time volunteer, Amber had the opportunity to tutor high school students in Chelsea, Massachusetts and address issues of healthcare access and food insecurity through in-person outreach in Seattle, Washington.
Simon Marshall-Shah joined the Michigan League for Public Policy as a State Policy Fellow in August 2019. His work focuses on state policy as it relates to the budget, immigration, health care and other League policy priorities. Before joining the League, he worked in Washington, D.C. at the Association for Community Affiliated Plans (ACAP), providing federal policy and advocacy support to nonprofit, Medicaid health plans (Safety Net Health Plans) related to the ACA Marketplaces as well as Quality & Operations.
