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States’ Investments in Cancer ResearchA Survey Conducted by the Association of American Cancer Institutes (AACI)
Survey Methods• Survey Focused on State Funding
• Direct appropriations to AACI centers (or parent institutions)
• Tobacco excise tax dollars supporting cancer research at AACI centers
• Tobacco settlement dollars supporting cancer research at AACI centers
• Responses Collected June-July 2008• 64 of 92 Cancer Centers Responded
• 48 NCI, 16 Emerging; 51 Matrix, 13 Free Standing
• Survey Built in Collaboration with CCAF
State Funding for Cancer Centers
State Funding for Cancer CentersCancer Centers that are… Number of
ResponsesPercent of Responses
Part of a public (state-owned) institution that receives annual state funding
29 45%
An independent public (state-related) entity that directly receives annual state funding
9 14%
An independent private entity that directly receives annual state funding
7 11%
An entity that does not receive annual state funding 19 30%
n= 64
State Funding for Cancer Centers
Less than 1% 1 to 2.49%
2.5 to 5%Greater than 5%
16
2
11
Percent of Parent Institution’s State Funding Allocated to the Cancer Center
n=20
Can
cer
Cen
ters
at
Pu
bli
c U
niv
ersi
ties
State Funding for Cancer Centers
Less
than
$5
millio
n
$5-1
0 m
illio
n
$10-
15 m
illio
n
$15-
20 m
illio
n
$20-
25 m
illio
n
Mor
e th
an $
25 m
illio
n0
5
10
15
20
2522
2 20
2 2
n=30Mean=$12.8 million, Median = $2.4 million
Can
cer
Cen
ters
State Funding for Cancer Centers Less than $5 Million
Less than $1 million
$1-2million
$2-3million
$3-4million
$4-5million
0
1
2
3
4
5
6
7
7
4
6
2
3
n=22
Can
cer
Cen
ters
Allocation of State Funding for Cancer Centers
State Tobacco Excise Tax Dollars Allocated to AACI Cancer Centers
Tobacco Excise Tax Dollars
Survey Responses…
Cancer Centers Reporting 48
Number of States Represented 34
States of responding Centers Taxing Tobacco Products 26
Cancer Centers Receiving a Portion of State’s Excise Tax on Tobacco Products
8
Tobacco Excise Tax Dollars
Cancer Research Center of Hawaii
UNM Cancer Center / Health Sciences
UNMC Eppley Cancer Center
0.0%2.0%4.0%6.0%8.0%
10.0%12.0%14.0%16.0%18.0%20.0%
20.0%
8.0%
4.5%4.4%
3.6%
1.7%
Percent of Revenue Received from State’s Excise Tax on Tobacco Products at Six Cancer
Centers
State Tobacco Settlement Dollars Research Allocated to AACI Cancer Centers
Tobacco Settlement DollarsSurvey Responses…
Cancer Centers Reporting 48
Number of States Represented 34
Cancer Centers Receiving Funds from State Tobacco Settlement
13
Median Funding $3 million
Mean Funding $3.3 million
Tobacco Settlement DollarsCancer Center Budget Categories
Supported by Tobacco Settlement Funding
Number of Cancer Centers
Operations 4
Recruitment 7
Research 12
Building Funds 1
Regional Cancer Control Activities 2
Other 1n=13 cancer centers
State Comprehensive Cancer Control (CCC) Plans
Role of Cancer Center in Writing State CCC Plans
5 "Very Active"
4 3 2 1 "Not Active"
0
5
10
15
20
25 21
11
6
3
7
n=48
Can
cer
Cen
ters
How active a role did your cancer center play in writing your state’s CCC plan?
Cancer Centers and State CCC Plans
Cancer Center Participation
Number of Cancer Centers
Implementation of the state CCC plan is a cancer center priority
21
Cancer Centers that have members involved in implementing selected sections of the plan
32
Cancer Centers that have members chairing committees and playing other key roles in the state CCC coalition
24
Cancer Centers that have members chairing the CCC coalition board
8n=48 cancer centers
Cancer Centers and State CCC Plans
Cancer Center Participation
Number of Cancer Centers
Cancer Centers that have contributed financial support to the state CCC plan
17
Cancer Centers that have received state or CCC coalition funds to help implement the plan
9
Cancer Center Directors whose priorities are included in their state’s CCC plan
36
n=48 cancer centers
Alamo Navajo Reservation
Rich Ethnic DiversityDistinct Cancer PatternsPopulation: 1,919,000
42% Hispanic 10% American Indian5% Other Minorities
44% Non Hispanic White
University of New Mexico Cancer Center: Challenges and Opportunities
High TechnologySandia and Los Alamos National Laboratories
UNM /NMSUBiotechnology Industry
Tremendous DisparityPer Capita Income: 47th
Poverty: 18 - 36% Uninsured: 22 - 32%
New Mexico: 5th Largest State in Land Mass
Making the Case for State Support
• Licensure: Become State’s “Official” Cancer Center
• Research and Public Service Projects: Receive Direct State Appropriation (Frequently Tobacco Excise Tax)• Develop mission and goals relevant to your State• Develop statewide or integrated Cancer Care
Network• Develop outreach programs for community-based
participatory research and overcoming health disparities
• Justify research investments for economic development
• Identify key legislators to serve as advocates • Seek recurring State appropriations and
demonstrate their impact on provision of cancer services and economic development
University of New Mexico Cancer Center
Annual Recurring Revenues• Research & Public Service Project : $3 million
• Tobacco Excise Tax: $3.4 million• Tobacco Excise Tax for Construction: $13 million
• Limited to 25 Years• Used to Pay Debt Service on Bonds (NM Finance
Authority)
Non-Recurring Revenues:• Access to Capital / Equipment Funds $16.5 million
• (2000-2008)