MISSISSIPPI LEGISLATURE

2023 Regular Session

To: Drug Policy; Accountability, Efficiency, Transparency

By: Senator(s) Hickman, Simmons (12th), Jackson

Senate Bill 2281

AN ACT TO AMEND TO AMEND SECTION 41-113-1, MISSISSIPPI CODE OF 1972, TO INCLUDE DRUG ABUSE IN THE LEGISLATIVE INTENT FOR THE TOBACCO EDUCATION, PREVENTION AND CESSATION PROGRAM; TO AMEND SECTION 41-113-3, MISSISSIPPI CODE OF 1972, TO REVISE THE DUTIES OF THE OFFICE OF TOBACCO CONTROL BY ADDING FENTANYL AND DRUG ABUSE PREVENTION EDUCATION; TO AMEND SECTION 41-113-5, MISSISSIPPI CODE OF 1972, TO REVISE THE DUTIES OF THE DIRECTOR OF THE OFFICE OF TOBACCO CONTROL TO INCLUDE IMPLEMENTATION OF A FENTANYL DRUG ABUSE EDUCATION, PREVENTION AND CESSATION PROGRAM; TO AMEND SECTION 41-113-7, MISSISSIPPI CODE OF 1972, TO REVISE THE DUTIES OF THE OFFICE OF TOBACCO CONTROL BY ADDING FENTANYL AND DRUG ABUSE PREVENTION EDUCATION; TO AMEND SECTION 41-114-1, MISSISSIPPI CODE OF 1972, TO INCLUDE VAPORIZING DEVICES IN THE DEFINITION OF "SMOKE" OR "SMOKING" FOR THE PROVISIONS OF LAW THAT RESTRICT TOBACCO USE IN PUBLIC FACILITIES; TO BRING FORWARD SECTIONS 41-113-9 AND 41-113-11, MISSISSIPPI CODE OF 1972, WHICH PROVIDE FOR THE MISSISSIPPI TOBACCO CONTROL ADVISORY COUNCIL AND THE TOBACCO CONTROL PROGRAM FUND, FOR PURPOSES OF AMENDMENT; AND FOR RELATED PURPOSES.

     BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

     SECTION 1.  Section 41-113-1, Mississippi Code of 1972, is amended as follows:

     41-113-1.  (1)  The Mississippi Legislature recognizes the devastating impact that tobacco use * * * has, fentanyl use and drug abuse have on the citizens of our state.  Tobacco use * * * is, fentanyl use and drug abuse are the * * * single most preventable causes of death and disease in this country and this state.  Each year, thousands of Mississippians lose their lives to diseases caused by tobacco use, fentanyl use and drug abuse, and the cost to the state is hundreds of millions of dollars.  Tobacco use * * * also is, fentanyl use and drug abuse are a large burden on the families and businesses of Mississippi.  It is therefore the intent of the Legislature that there be developed, implemented and fully funded a comprehensive and statewide tobacco use, fentanyl use and drug abuse education, prevention and cessation program that is consistent with the Best Practices for Tobacco Control Programs * * * of and youth high risk drug use prevention guidelines from the federal Centers for Disease Control and Prevention, as periodically amended.  It is also the intent of the Legislature that all reasonable efforts be made to maximize the amount of federal funds available for this program.

     (2)  The goals of the tobacco use, fentanyl use and drug abuse education, prevention and cessation program include, but are not limited to, the following:

          (a)  Preventing the initiation of use of tobacco products, fentanyl and abuse of drugs by youth;

          (b)  Encouraging and helping smokers to quit and reducing the numbers of youth and adults who use tobacco products, fentanyl or abuse drugs;

          (c)  Assisting in the protection from secondhand smoke;

          (d)  Supporting the enforcement of laws prohibiting youth access to tobacco products, fentanyl and youth drug abuse;

          (e)  Eliminating the racial and cultural disparities related to use of tobacco products, fentanyl and youth drug abuse; and

          (f)  Educating the public and changing the cultural perception of use of tobacco products, fentanyl and youth drug abuse in Mississippi.

     SECTION 2.  Section 41-113-3, Mississippi Code of 1972, is amended as follows:

     41-113-3.  (1)  There is hereby created the Office of Tobacco Control (office) which shall be an administrative division of the State Department of Health.

     (2)  The Office of Tobacco Control, with the advice of the Mississippi Tobacco Control Advisory Board, shall develop and implement a comprehensive and statewide tobacco, fentanyl and drug abuse education, prevention and cessation program that is consistent with the recommendations for effective program components and funding recommendations in the 1999 Best Practices for Comprehensive Tobacco Control Programs of the federal Centers for Disease Control and Prevention, as those Best Practices may be periodically amended by the Centers for Disease Control and Prevention and the youth high risk drug use resources created by the federal Centers for Disease Control and Prevention.

     (3)  At a minimum, the program shall include the following components, and may include additional components that are contained within the Best Practices for Comprehensive Tobacco Control Programs of the federal Centers for Disease Control and Prevention, as periodically amended, and that based on scientific data and research have been shown to be effective at accomplishing the purposes of this section:

          (a)  The use of mass media, including paid advertising and other communication tools to discourage the use of tobacco products, fentanyl and drug abuse and to educate people, especially youth, about the health hazards from the use of tobacco products and/or drug abuse, which shall be designed to be effective at achieving these goals and shall include, but need not be limited to, television, radio, and print advertising, as well as sponsorship, exhibits and other opportunities to raise awareness statewide;

          (b)  Evidence-based curricula and programs implemented in schools to educate youth about tobacco, fentanyl and drug abuse and to discourage their use of tobacco products, fentanyl and abuse of drugs, including, but not limited to, programs that involve youth, educate youth about the health hazards from the use of tobacco products, fentanyl and/or the abuse of drugs, help youth develop skills to refuse tobacco products, and demonstrate to youth how to stop using tobacco products;

          (c)  Local community programs, including, but not limited to, youth-based partnerships that discourage the use of tobacco products, fentanyl and abuse of drugs and involve community-based organizations in tobacco, fentanyl and drug abuse education, prevention and cessation programs in their communities;

          (d)  Enforcement of laws, regulations and policies against the sale or other provision of tobacco products, fentanyl and/or drugs to minors, and the possession of tobacco products, fentanyl and/or drugs by minors;

          (e)  Programs to assist and help people to stop using tobacco products, fentanyl and/or abusing drugs; and

          (f)  A surveillance and evaluation system that monitors program accountability and results, produces publicly available reports that review how monies expended for the program are spent, and includes an evaluation of the program's effectiveness in reducing and preventing the use of tobacco products, fentanyl and the abuse of drugs, and annual recommendations for improvements to enhance the program's effectiveness.

     (4)  All programs or activities funded by the State Department of Health through the tobacco, fentanyl and drug abuse education, prevention and cessation program, whether part of a component described in subsection (2) or an additional component, must be consistent with the Best Practices for Comprehensive Tobacco Control Programs of the federal Centers for Disease Control and Prevention, as periodically amended, and all resources and guidelines established by the federal Centers for Disease Control and Prevention to reduce and prevent fentanyl use and drug abuse by youth, as periodically amended, all funds received by any person or entity under any such program or activity must be expended for purposes that are consistent with those Best Practices and guidelines.  The State Department of Health shall exercise sole discretion in determining whether components are consistent with the Best Practices for Comprehensive Tobacco Control Programs of the federal Centers for Disease Control and Prevention.

     (5)  Funding for the different components of the program shall be apportioned between the components based on the recommendations in the Best Practices for Comprehensive Tobacco Control Programs of the federal Centers for Disease Control and Prevention, as periodically amended, or any additional programs as determined by the State Board of Health to provide adequate program development, implementation and evaluation for effective control of the use of tobacco products and preventive measures for fentanyl use and drug abuse.  While the office shall develop annual budgets based on strategic planning, components of the program shall be funded using the following areas as guidelines for priority:

          (a)  School nurses and school programs;

          (b)  Mass media (counter-marketing);

          (c)  Cessation programs (including media promotions);

          (d)  Community programs;

          (e)  Surveillance and evaluation;

          (f)  Law enforcement; and

          (g)  Administration and management; however, not more than five percent (5%) of the total budget may be expended for administration and management purposes.

     (6)  In funding the components of the program, the State Department of Health may provide funding for health care programs at the University of Mississippi Medical Center and Mississippi Quality Health Center Grants that are related to the prevention and cessation of the use of tobacco products and the treatment of illnesses that are related to the use of tobacco products.

     (7)  No statewide, district, local, county or municipal elected official shall take part as a public official in mass media advertising under the provisions of this chapter.

     SECTION 3.  Section 41-113-5, Mississippi Code of 1972, is amended as follows:

     41-113-5.  (1)  The Office of Tobacco Control shall be under the management of a director, who shall be appointed by the State Health Officer.  The responsibility for implementation of the comprehensive and statewide tobacco, fentanyl and drug abuse education, prevention and cessation program shall be vested in the director.  The director shall be an individual who has knowledge and experience in public health, medical care, health care services, mental health care services, preventive health measures * * * or, tobacco use control or drug abuse prevention and/or treatment measures.  The director shall be the administrative officer of the Office of Tobacco Control, and shall perform the duties that are required of him or her by law and such other duties as may be assigned to him or her by the State Board of Health.  The director shall receive such compensation as may be fixed by the State Board of Health, subject to the approval of the State Personnel Board.

     (2)  The State Health Officer may employ such other persons as may be necessary to carry out the provisions of this chapter.  The compensation and the terms and conditions of their employment shall be determined by the State Board of Health in accordance with applicable state law and rules and regulations of the State Personnel Board.

     SECTION 4.  Section 41-113-7, Mississippi Code of 1972, is amended as follows:

     41-113-7.  The Office of Tobacco Control shall perform the following duties, with the advice of the Mississippi Tobacco Control Advisory Council:

          (a)  Develop and implement appropriate policies and procedures for the operation of the tobacco, fentanyl and drug abuse education, prevention and cessation program;

          (b)  Develop and implement a * * * five‑year strategic plan for * * * the a tobacco, fentanyl and drug abuse education, prevention and cessation program;

          (c)  Develop and maintain an annual operating budget and oversee fiscal management of the tobacco, fentanyl and drug abuse education, prevention and cessation program;

          (d)  Execute any contracts, agreements or other documents with any governmental agency or any person, corporation, association, partnership or other organization or entity that are necessary to accomplish the purposes of this chapter;

          (e)  Receive grants, bequeaths, gifts, donations or any other contributions made to the office to be used for specific purposes related to the goals of this chapter;

          (f)  Submit an annual report to the Legislature regarding the operation of the office;

          (g)  Submit to the State Auditor any financial records that are necessary for the Auditor to perform an annual audit of the office as required by law; and

          (h)  Take any other actions that are necessary to carry out the purposes of this chapter.

     SECTION 5.  Section 41-114-1, Mississippi Code of 1972, is amended as follows:

     41-114-1.  (1)  As used in this section:

          (a)  The term "public facility" means any building, gymnasium, athletic field, recreational area or park to which the public is invited, whether there is charge for admission or not.

          (b)  The term "smoke" or "smoking" means inhaling, exhaling, burning, vaporizing, carrying or otherwise possessing any lighted cigarette, cigar, pipe, "alternative nicotine product" or any other object or device of any form that contains lighted tobacco or any other smoking or vaporizing product.

     (2)  During any time that persons under eighteen (18) years of age are engaged in an organized athletic event at a public facility in Mississippi, no participant in or spectator of the athletic event shall smoke in the facility, if the facility is enclosed, or within one hundred (100) feet of the facility, if the facility is not enclosed, except as permitted under subsection (3)(c) of this section.

     (3)  The person, agency or entity having jurisdiction or supervision over a public facility shall not allow smoking at the facility in violation of this section, and shall use reasonable efforts to prevent smoking at the facility.  The person, agency or entity may take the following steps:

          (a)  Posting appropriate signs informing persons that smoking is prohibited at the public facility.

          (b)  Securing the removal of persons who smoke at the public facility in violation of this section.

          (c)  Providing a designated area separate from the fields of activity, to which smoking shall be restricted.

     (4)  Any person who violates this section shall, upon conviction, be subject to a civil fine and shall be liable as follows:

          (a)  For a first conviction, a warning;

          (b)  For a second conviction, a fine of Seventy-five Dollars ($75.00); and

          (c)  For all later convictions, a fine not to exceed One Hundred Fifty Dollars ($150.00).

     Anyone convicted under this section shall be recorded as being guilty of a civil penalty and not for violating a criminal statute.  Any such violation shall be triable in any justice court or municipal court with proper jurisdiction.

     (5)  It is the responsibility of all law enforcement officers and law enforcement agencies of this state to ensure that the provisions of this section are enforced.

     (6)  If the actions of a person violate both this section and Section 97-32-29, the person shall be liable only under this section or Section 97-32-29, but not under both sections.

     SECTION 6.  Section 41-113-9, Mississippi Code of 1972, is brought forward as follows:

     41-113-9.  (1)  There is created the Mississippi Tobacco Control Advisory Council, which shall consist of thirteen (13) members.  The thirteen (13) members of the advisory council shall consist of the following:

          (a)  Four (4) members appointed by the Governor, with one (1) member from a list of three (3) physicians recommended by the Mississippi State Medical Association, one (1) member from a list of three (3) individuals recommended by the Mississippi Chapter of the American Heart Association, and two (2) individuals who are not affiliated with the tobacco industry who possess knowledge, skill, and prior experience in scientifically proven smoking prevention, reduction and cessation programs, health care services or preventive health measures;

          (b)  Two (2) members appointed by the Lieutenant Governor, with one (1) member from a list of three (3) nurses recommended by the Mississippi Nurses' Association, and one (1) member from a list of three (3) individuals recommended by the Mississippi Chapter of the American Lung Association;

          (c)  Two (2) members approved by the Speaker of the House of Representatives, with one (1) member from a list of three (3) social workers recommended by the Mississippi Chapter of the National Association of Social Workers (NASW), and one (1) member from a list of three (3) individuals recommended by the Mississippi Chapter of the American Cancer Society;

          (d)  The Attorney General, or his or her designee;

          (e)  The State Superintendent of Public Education, or his or her designee;

          (f)  The Vice-Chancellor of Health Affairs of the University of Mississippi Medical Center, or his or her designee;

          (g)  The Dean of the College of Health at the University of Southern Mississippi, or his or her designee; and

          (h)  The Administrator of the School of Health Sciences of the College of Public Service at Jackson State University, or his or her designee.

     (2)  The Lieutenant Governor shall appoint one (1) member of the Senate and the Speaker of the House shall appoint one (1) Representative to attend meetings of the Tobacco Control Advisory Council.

     (3)  For those members that are required to be appointed from lists of individuals recommended by certain nominating groups, if none of the recommended names are acceptable to the appointing official, then the nominating group shall submit another list of three (3) different individuals until an acceptable individual is submitted to the appointing official.

     (4)  The members who are state officials or university officials shall serve as members for as long as they hold the designated office or university position.  The appointed members shall serve for terms that are concurrent with the terms of the appointing officials, or until their successors are appointed and qualified.

     (5)  Any vacancy in an appointed member position shall be filled within thirty (30) days of the vacancy by the original appointing official, and the individual appointed to fill the vacancy shall meet the same qualifications as required for the former member.

     (6)  The initial appointments to the advisory council shall be made not later than forty-five (45) days after March 30, 2007, and the first meeting of the advisory council shall be held within sixty (60) days after March 30, 2007, at a time, date and location specified by the State Board of Health.

     (7)  The advisory council shall annually elect a chairman from among its members.  The advisory council shall meet at least quarterly.  A quorum for meetings of the advisory council shall be a majority of the voting members of the advisory council.  The members of the advisory council shall receive the per diem compensation provided under Section 25-3-69 plus expense reimbursement as provided under Section 25-3-41 for attending meetings and necessary business of the advisory council.

     (8)  The Mississippi Tobacco Advisory Council shall advise and make recommendations to the State Board of Health regarding rules and regulations promulgated pursuant to this program.

     SECTION 7.  Section 41-113-11, Mississippi Code of 1972, is brought forward as follows:

     41-113-11.  (1)  There is established in the State Treasury a special fund to be known as the Tobacco Control Program Fund, which shall be comprised of the funds specified in subsection (2) of this section and any other funds that are authorized or required to be deposited into the special fund.

     (2)  From the tobacco settlement installment payments that the State of Mississippi receives during each calendar year, the sum of Twenty Million Dollars ($20,000,000.00) shall be deposited into the special fund.

     (3)  Monies in the fund shall be expended solely for the purposes specified in this chapter.  None of the funds in the special fund may be transferred to any other fund or appropriated or expended for any other purpose.

     (4)  All income from the investment of the funds in the Tobacco Control Program Fund shall be credited to the account of the Tobacco Control Program Fund.  Any funds in the Tobacco Control Program Fund at the end of a fiscal year shall not lapse into the State General Fund.  Any funds appropriated from the Tobacco Control Program Fund that are unexpended at the end of a fiscal year shall lapse into the Tobacco Control Program Fund.  However, beginning with fiscal year 2020, any funds appropriated from the Tobacco Control Program Fund that are unexpended at the end of the fiscal year shall lapse into the Health Care Expendable Fund.

     SECTION 8.  This act shall take effect and be in force from and after July 1, 2023.