2020-2021 Progress Report

A Year of Relentless Commitment to Equity & Progress

Letters from Leadership

A Letter to Advocates from American Heart Association CEO Nancy Brown

Investing in Champions for Health Equity

All children, no matter where they live, should grow up with access to healthy and affordable foods, safe drinking water and family-friendly places for physical activity.

Voices for Healthy Kids, an initiative of the American Heart Association, with support from the Robert Wood Johnson Foundation, makes it easier and more enticing for children to eat healthy, drink smart and move more.

This mission is more important than ever as communities nationwide manage health disparities exposed by the COVID-19 pandemic. 

That is why the American Heart Association, as a long-standing champion for health equity, is putting a stake in the ground to dismantle structural barriers to health and well-being. Simply put, we are relentless in our commitment to create a world where every person has the opportunity to live a full, healthy life.  

Lighting our path is our 2024 Impact Goal to advance cardiovascular health for all, including identifying and removing barriers to health care access and quality.

In pursuit of that goal, we made 10 Commitments, which we are systematically fulfilling through investments, advocacy, innovation and engagement.

I could not be prouder of the role that Voices for Healthy Kids plays in realizing these commitments, working tirelessly with local and national organizations to transform communities from the ground up. 

Over the past year, campaign efforts doubled in support of community organizations disproportionately affected by the pandemic. 

Whether leveraging our leading science to make an advocacy impact, building advocacy capacity, funding equity-focused community organizations  or creating messaging playbooks, including the Racial Equity in Public Policy Message Guide, Voices for Healthy Kids is a trusted and enduring connector across the country.

On behalf of the American Heart Association and Voices for Healthy Kids, I extend heartfelt thanks to our funders, supporters, grantees and collaborators for helping lead the way as champions of health equity for all.

All my best,

Nancy Brown, Chief Executive Officer - American Heart Association Nancy Brown Chief Executive Officer American Heart Association

   

From the Voices for Healthy Kids Executive Director Lori Fresina

This past year, Voices for Healthy Kids reimagined our purpose. We pushed ourselves to think about more ways we could create and support opportunities for all children to thrive by putting our powerful institutional tools and assets directly into the hands of the communities most impacted by structural racism. We hope that anyone who collaborates with Voices for Healthy Kids as a grantee, trainee, community-based organization, or leadership volunteer leaves this experience more prepared to successfully advocate for any issue they deem important while prioritizing equity.

We’ve challenged ourselves to provide the greatest value possible —  and that has changed how we approach grantmaking, policy development, campaign support, leadership development, and more. None of this reimagination was done in isolation.  We are becoming better and more active listeners, seeking and accepting input with humility, curiosity, and openness.

Our Strategic Advisory Committee remains a driving force behind the scenes, propelling our equity work and impacting our policies, practices, and culture.  We expanded the committee to include more community perspectives and past and current grantees, bringing important local voices into the room as thought partners. We also welcomed a new committee chair, Donna Arnett, Ph.D., M.S.P.H., B.S.N., dean of the University of Kentucky College of Public Health and past president of the American Heart Association. 

We added equity-focused experts to our Policy Research Network to help us become more anti-racist in our policy agenda. We centered equity in our grantmaking process, and awarded 57 grants in FY 2020 - 2021.

We pulled out all the stops to provide grantees and other organizations with the best, most relevant assistance and resources possible. Early in the pandemic, we launched an online, accessible training series that builds and cultivates advocates’ skills to extend beyond a single campaign or policy conversation. We trained hundreds of people in storytelling, communicating with decision-makers, and digital advocacy. 

We are grateful for the ongoing support of the American Heart Association and the Robert Wood Johnson Foundation and thank our new funders, including the W.K. Kellogg Foundation, The Rockefeller Foundation, and The Pritzker Children's Initiative.

And, of course, we are thankful for our entire Voices for Healthy Kids network — our grantees, national collaborators, community-based organizations, researchers, and more — as each of you plays a unique and critical role in creating equitable neighborhoods nationwide.

With respect and gratitude,

Lori Fresina, Executive Director - Voices for Healthy Kids Lori Fresina Executive Director Voices for Healthy Kids

By The Numbers, 2013-2021

Increasing Impact
  • 294 policy successes (as of 8/1/21)

  • 273 million people affected by Voices for Healthy Kids policy wins* **Represents population of states and/or communities impacted by policies passed. Policies must meet American Heart Association’s guidelines, which are based on science and potential population impact (as of 8/1/21). 

  • 50% increased chance of passing a state policy with Voices for Healthy Kids support* * Bleich, Sara N, et al. The Voices for Healthy Kids Campaign and US State Legislation to Prevent Childhood Obesity. American Journal of Public Health: March 2016, Vol. 106, No. 3: 436-439.

  • $4.2 billion secured in appropriations to support mission-related programs and services that address the root causes of childhood obesity and health inequities (since the start of the initiative)

Building A Movement
  • 260 campaigns funded (as of 8/1/21)

  • 27 organizations in the Strategic Advisory Committee aligning with policy priorities and centering health equity (2021 committee)

  • 144 organizations participating in Voices for Healthy Kids’ advisory committees, work groups and other collaborations (as of 8/1/21)

  • 79,148 online grassroots advocates (as of 8/1/21)

Training and Resources
  • 21 advocacy toolkits created

  • 19 national message research projects

  • 5,875 requests for skills building, planning and consultation (technical assistance)

Policy Wins Across the U.S.

Alabama

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indian Country

Iowa

Kansas

Kentucky

Louisiana

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Mexico

New York

North Carolina

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Alabama

Advocates defeated multiple bills that would have stripped authority from local county health departments during a public health threat and the COVID-19 pandemic.

American Heart Association - Alabama
Alabama

Alabama Board of Education adopted statewide nutrition standards for competitive foods sold in schools

American Heart Association – Alabama
Arizona

A special appropriation of $500,000 for SNAP incentives was included in the Arizona COVID-19 pandemic response budget to ensure increased access to fruits and vegetables.

Pinnacle Prevention
Arizona

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Association - Arizona
Arizona

Advocates secured an annual appropriation of $500,000 for the SNAP Double Up Food Bucks program to continue addressing food insecurity in the state.

Pinnacle Prevention, American Heart Associatoin - Greater Phoenix Division
Arizona

An Arizona bill that would have preempted local control of tobacco work and undone all previous tobacco control policies at the local level was stopped.

American Heart Association – Arizona
Arizona

In Tucson, AZ, approved a ballot measure that will create a pool of $67.1 million through the sale of bonds to implement connectivity projects in the city.

American Heart Association – Arizona
Arizona

Multiple groups joined together during the 2020 legislative session to stop almost 20 preemptive bills put forth by the Arizona legislature.

American Heart Association – Arizona
Arizona

Tuscan AZ City Council unanimously adopted a Complete Streets ordinance that prioritizes equity and will improve transportation options within the community for all people.

Living Streets Alliance
Arizona

Voters in Mesa approved the Mesa Moves bond program, which will help fund regional roadway improvements, projects to reconstruct arterial roads across the city, and active transportation like biking and walking.

American Heart Association - Arizona
Arizona

Voters passed a tax ballot measure expected to generate $16.7 billion over the life of the tax, with a significant portion being spent on walking and biking infrastructure.

American Heart Association – Phoenix
Arkansas

Arkansas lawmakers passed Act 775, which requires that all new schools have water bottle filling stations, and for the stations to be installed when existing schools make major renovations.

American Heart Association - Arkansas
Arkansas

Fayetteville, AR, mayor signed an executive order requiring all vending machines on city property to comply with GSA/HHS nutrition standards and that all vending machines provide calorie labeling.

American Heart Association – Arkansas
Arkansas

Rogers, AR, mayor issued an executive order requiring all city vending machines to comply with nutrition guidelines to ensure that healthier food and beverage options are available on local public property.

American Heart Association – Arkansas
Arkansas

Springdale, AR, adopted nutrition standards for vending machines on city owned and leased property.

American Heart Association – Arkansas
Arkansas

The Arkansas Legislative Committee authorized a request from the Arkansas Department of Human Services to allocate $1.8 million in CARES Act funds to go to Statewide Critical Direct Feeding Services for Children, Elderly, and Families

American Heart Association - Arkansas
Arkansas

The Little Rock School District was the first district in the nation to adopt a water access policy requiring all new construction and major renovation projects in schools to include water bottle filling stations.

American Heart Association – Arkansas
Arkansas

The Little Rock, AR, city manager signed a healthy vending policy for all vending machines located in buildings and on property owned by the city.

American Heart Association – Arkansas
Arkansas

The North Little Rock School District added a water bottle filling station requirement to its district wellness policy, requiring filling stations for any new construction or school renovation.

American Heart Association – Arkansas
California

Albany, CA, voters passed a one-cent per ounce tax on sugary drinks.

American Heart Association – California
California

Berkeley, CA passed a one-cent per ounce tax on sugary drinks, with proceeds going toward public health initiatives.

American Heart Association – California
California

California AB 1613, an amendment to the 2016 budget, redirected $900 million in cap-and-trade funds to greenhouse gas reduction efforts, including $10 million in new funding for the Active Transportation Program.

American Heart Association – California
California

California AB 841 restricts junk food marketing in all California schools during the school day.

American Heart Association – California
California

California adopted a smart snacks competitive foods policy, ensuring that 6,314,700 students have access to healthier snacks in schools.

American Heart Association – California
California

California allocated over $142 million over four years to increase access to and provide support for Head Start and Early Head Start programs.

California Head Start Association
California

California became the first state in the nation to permanently adopt free school meals for all K–12 students.

California Association of Food Banks and the Center for Ecoliteracy
California

California became the first state in the nation to permanently adopt free school meals for all K–12 students, helping to end hunger, eliminate stigma, and support students' academic success.

American Heart Association - California
California

California passed legislation requiring the default beverage offered with restaurant kids’ meals to be water or milk.

Public Health Advocates
California

California secured $9.5 million for water filtration systems for schools in low income neighborhoods and $500,000 for technical assistance to those schools.

American Heart Association – California
California

California's Los Angeles County Board of Supervisors approved $2 million in discretionary funds from redirected federal American Rescue Plan dollars to go toward SNAP incentives, Los Angeles' Market Match program.

Hunger Action L.A.
California

Los Angeles County, CA, voters passed Measure M, a 0.5% sales tax and 0.5% traffic relief tax, which will funnel an estimated $25 billion into active transportation projects over the coming years.

Yes on Measure M/Investing in Place
California

Monterey County, CA, voters approve Measure X, a sales tax increase, which will provide $20 million for pedestrian and bike improvements, $20 million for Safe Routes to Schools programs and $360 million to local road maintenance and safety over 30 years.

American Heart Association – California
California

Oakland, CA, voters approved a one-cent per ounce tax on sugary drinks.

American Heart Association – California
California

San Diego County Board Members unanimously approved $2 million in funding for SNAP incentives and $1 million in funding for produce prescriptions

American Heart Association - California
California

San Francisco, CA, adopted a new ordinance that improves the nutritional quality of foods and beverages in vending machines on city and county-owned properties.

American Heart Association – California
California

San Francisco, CA, voters passed a one-cent per ounce tax on sugary drinks.

American Heart Association – California
California

Santa Clara County, CA, voters approved Measure B, a 0.5% sales tax, with $250 million of the money generated by the tax dedicated to improving walking and biking infrastructure.

American Heart Association – California
California

Stanislaus County, CA, voters passed Measure L, a 0.5 cent sales tax, estimated to generate $960 million dollars over 25 years for local transportation investments.

American Heart Association – California
California

Stockton, CA, City Council unanimously passed an ordinance requiring the default beverage offered with kids’ meals to be water, milk or non-dairy milk-alternative.

California Center for Public Health Advocacy
California

The 2018-2019 California State Budget included $9 million in funding for the CalFresh Fruit and Vegetable EBT Pilot program to help low-income residents purchase and consume more California-grown produce.

American Heart Association – California
California

The Cathedral City, CA, city council passed an ordinance requiring healthy beverages to be the default option in restaurant kids’ meals.

American Heart Association – California
California

The city council in Daly City, CA, unanimously approved a new policy requiring the default beverage offered with kids’ meals to be water, milk or non-dairy milk-alternative

American Heart Association – California
California

The City of Los Angeles approved the 2018 budget, including $27 million to support the Vision Zero initiative, an effort to eliminate pedestrian traffic deaths by creating safer active transportation infrastructure

Investing in Place & LA County Bicycle Coalition (AHA)
California

The Long Beach, CA, city budget was approved, including $10 million dollars for bike and pedestrian safety improvements throughout the city. Funds were available thanks to successful ballot measures that provided the necessary transportation dollars.

American Heart Association – California
California

The Long Beach, CA, City Council unanimously passed the Kids First Choice policy, removing sugary drinks from restaurant kids’ meals.

Public Health Advocates
California

The Los Angeles City Council allocated over $100 million to make streets accessible for everyone: $34.6 million for Vision Zero, $30.9 million for Complete Streets and $38.7 million for bike and pedestrian projects.

Investing in Place
California

The Perris, CA, City Council passed an ordinance making water, milk and 100% juice the default drinks served with children’s meals in restaurants.

California Center for Public Health Advocacy
California

The San Francisco fiscal year 18-19 budget included over $1 million in funding for Healthy Food Vouchers.

American Heart Association – California
California

The San Jose City Council unanimously approved $6.78 million in funding for active transportation infrastructure improvements.

American Heart Association – California
California

The Santa Clara County, CA, Board of Supervisors adopted an ordinance prohibiting restaurants from offering drinks other than water or milk in combination with a kids’ meals.

California Center for Public Health Advocacy
Colorado

A preemption law in Colorado was repealed, giving local governments more power to tax and regulate tobacco products.

American Heart Association – Colorado
Colorado

Boulder, CO, voters voted “yes” on measure 2H, a two-cent per ounce tax on sugary drinks.

American Heart Association – Colorado
Colorado

Colorado adopted a competitive foods statewide policy to ensure the nutritional quality of foods in schools.

American Heart Association – Colorado
Colorado

Colorado adopted updated early care and education rules for childcare centers, improving nutrition and physical activity requirements and limiting screen time.

The Fund for a Healthier Colorado
Colorado

Denver, CO secured $7.1 million for bicycle and pedestrian projects, a $1 million increase from previous years’ budget allocations.

American Heart Association – Colorado
Colorado

Denver, CO, voters voted yes on the Denver GO Bond, securing more than $115 million for walking and biking infrastructure, including $30 million just for sidewalk improvements.

American Heart Association – Colorado
Colorado

Lafayette, CO, City Council approved an ordinance requiring the default beverage offered with kids’ meals to be water, milk or non-dairy milk-alternative.

American Heart Association – Colorado
Colorado

The Colorado legislature approved $1.1 million in physical education appropriations, prioritizing funding for high-need schools and districts.

Healthier Colorado
Colorado

The Colorado Transportation Commission allocated $2.5 million annually, starting in fiscal year 2016, to fund the Safe Routes to School Program that was created through legislation in 2014.

American Heart Association – Colorado
Colorado

The Denver, CO, 2019 budget included $15 million for citywide bike and pedestrian infrastructure improvements.

American Heart Association – Colorado
Connecticut

Connecticut authorized bonds for construction of walkways and bikeways ultimately securing $9.8 million to build active transportation infrastructure.

American Heart Association – Connecticut
Delaware

House Bill 79 was passed by the Delaware legislature, requiring healthy drink options as the default beverages in all kids’ restaurant meals.

American Heart Association – Delaware
Delaware

The Delaware legislature approved over $15 million in bike and pedestrian appropriations as part of the 2021 Capital Improvements Act.

American Heart Association – Delaware
District of Columbia

The District of Columbia Council Committee on Health recommended doubling $500,000 for the Produce Rx program

DC Greens
Florida

Florida advocates responded to multiple preemptive policies during the 2020 session, effectively stopping the passage of new preemption bills and paving the way for future preemption repeal.

Statewide Alignment Group
Florida

Florida advocates successfully stopped multiple attempts to pass tobacco preemption in the state legislature.

American Heart Association – Florida
Florida

Pinellas County, FL, voters voted to renew an existing 1% sales tax that generates money for capital improvements, including an estimated $412 million over ten years for transportation projects.

American Heart Association – Florida
Florida

St. Petersburg, FL, mayor signed an administrative healthy vending policy to improve foods available in all city owned and operated facilities.

American Heart Association – Florida
Georgia

Atlanta allocated over $1.4 million in transportation funding to support the Huff Road Complete Streets Project to bring equitable walking and biking to an underserved area of the city.

American Heart Association – Georgia
Georgia

Atlanta approved a tax district that will fund a trail system to provide a safe space for walking, biking, and other physical activity.

American Heart Association- Georgia
Georgia

Atlanta, GA, enacted a new Complete Streets policy, which will help shift more people from driving to other modes of transportation, expanding transportation options for all people.

American Heart Association – Georgia
Georgia

Atlanta, GA, voters approved a five-year increase in sales tax to generate $380 million to fund active transportation projects throughout the city.

American Heart Association – Georgia
Georgia

Augusta passed a referendum that provides at least $25 million specifically toward bike and pedestrian funding projects.

American Heart Association - Georgia
Georgia

Georgia advocates defeated legislation that would have prevented local governments from enacting or enforcing comprehensive smoke-free ordinances.

American Heart Association – Georgia
Georgia

Georgia Department of Education adopted a statewide nutrition policy to ensure healthier competitive foods are available in schools.

American Heart Association – Georgia
Georgia

The Savannah City Council passed a resolution implementing healthy vending and healthy food service policies, ensuring that the 2,600 city employees, as well as visitors to city property, have access to healthier foods and beverages.

American Heart Association – Georgia
Hawaii

After advocates acted, Hawaii SNAP participants will now have a Double Up Food Bucks (Da Bux) fruits and vegetables incentives program funded at $500,000 via state funding, with additional private funding pending.

Hawaii Appleseed
Hawaii

The Hawaii Governor signed Senate Bill 549 into law, requiring restaurant kids’ meals to have healthy beverages as the default option starting January 2020.

American Heart Association – Hawaii
Hawaii

The state legislature in Hawaii passed a $100,000 allocation ($50,000 per year for two years) for Double Up Food Bucks, making fresh, nutritious foods more affordable for people who can’t afford to shop at high-end grocery stores.

Hawai‘i Appleseed Center for Law and Economic Justice
Idaho

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Associatin - Idaho
Idaho

Advocates successfully defended against preemptive language in the Idaho tobacco retail licensure bill.

American Heart Association – Idaho
Illinois

Chicago allocated over $550,000 in CARES Act funding to support SNAP incentives, supporting both SNAP participants and local farmers markets.

American Heart Association - Illinois
Illinois

Illinois included $500,000 in funding for SNAP incentives infrastructure in the 2020-2021 state budget.

American Heart Association - Illinois
Illinois

Legislators in Illinois passed a six-year transportation capital program that includes $50 million annually for bike and pedestrian projects.

American Heart Association - Illinois
Illinois

The Cook County, IL, County Board of Commissioners passed a one-cent per ounce tax on sweetened beverages.

American Heart Association – Ilinois
Indian Country

The Navajo Nation Council voted to extend the Healthy Diné Nation Act (HDNA) of 2014, a tax on unhealthy beverages – like sugary drinks – and foods like candy, chips, and frozen desserts

First Nations Development Institute
Iowa

Iowa HB 570 unanimously passed the Senate and was signed by the governor to clarify liability allowing the use of municipal property for recreational activities.

American Heart Association – Iowa
Iowa

The City Council of Des Moines, IA, voted unanimously to adopt a revised Complete Streets policy to improve the transportation network for all users within the city, with a focus on equity, prioritizing areas that have seen historical underinvestment.

American Heart Association – Iowa
Iowa

The Des Moines City Council built upon the success of their complete streets policy by approving nearly $60 million in streets funding, including $13 million for bike and pedestrian projects.

American Heart Association – Iowa
Iowa

The Iowa Governor allocated $1 million in CARES Act funding to the Double Up Food Bucks program to increase SNAP participants’ purchasing power for fruits and vegetables.

American Heart Association – Iowa
Kansas

Wyandotte County passed an equity-focused complete streets policy to make streets and sidewalks safer for walking, biking, and rolling.

American Heart Association - Kansas
Kentucky

Kentucky established early care and education standards on nutrition, physical activity, screen time, and sugary beverages in licensed centers.

American Heart Association - Kentucky & Kentucky Youth Advocates
Kentucky

Louisville, KY, mayor signed an executive order to increase healthier food and beverage offerings in vending machines on city property.

American Heart Association – Kentucky
Kentucky

The Louisville City Council updated the existing complete streets ordinance to focus more specifically on performance measures, transparency, accountability and equity to increase roadway safety and encourage active living.

Kentucky Youth Advocates
Kentucky

Water bottle filling stations are now required to be installed in all newly constructed schools and school modernization projects in Kentucky.

American Heart Association – Kentucky
Louisiana

Jefferson Parish, LA, president signed an executive directive requiring both healthy vending and healthy food service on all Jefferson Parish public property.

American Heart Association – Louisiana
Louisiana

Louisiana Governor signed Executive Order 17-15, requiring healthy vending for all state owned and leased properties, making Louisiana the first state in the country to meet all of AHA’s policy priorities for healthy vending.

Tulane
Louisiana

New Orleans passed a city ordinance requiring planning, designing, funding, operation, and maintenance of the city's transportation system

Bike Easy
Louisiana

New Orleans, LA, finalized a healthy food procurement vending and healthy food service procurement policy impacting over 5,500 city employees and 378,000 residents.

American Heart Association – Louisiana
Louisiana

Voters in Baton Rouge, LA, approved a sales tax that will generate approximately $170 million over 30 years to improve sidewalks, connectivity, safe biking and walking routes.

American Heart Association – Louisiana
Maryland

Baltimore, MD, passed the strongest Complete Streets policy in the country to date, with a major focus on equity.

Baltimore Complete Street Coalition
Maryland

Baltimore, MD, secured a long-term vending contract and procurement policy to ensure healthier choices on government properties.

American Heart Association – Maryland
Maryland

Howard County included $1.45 million in its 2019 budget for biking projects.

American Heart Association – Maryland
Maryland

Montgomery County, MD, County Council unanimously approved Bill 1-17, requiring healthy options in vending machines on county property.

The Horizon Foundation
Maryland

Prince George's County Council passed the Healthy Kids’ Meals bill (CB-071-2020), legislation that would curb the number of sugary drinks and unhealthy foods sold with restaurant kids’ meals.

Horizon Founation
Maryland

Prince George’s County, MD, County Council unanimously adopted a healthy vending policy to help ensure Prince George’s County’s over 900,000 residents have access to healthier options while on public property.

The Horizon Foundation
Maryland

The Baltimore City Council passed an ordinance requiring the default beverage offered with kids’ meals to be water, milk, non-dairy milk-alternative or 100% juice.

Sugar-Free Kids MD/Horizon Foundation
Maryland

The County Executive of Baltimore County issued an executive order that improves the nutritional quality of foods and beverages in vending machines on county-owned properties.

Sugar-Free Kids MD/Horizon Foundation
Maryland

The Howard County Council appropriated $5.3 million dollars for bike and pedestrian improvements, with a focus on ADA compliance.

American Heart Association – Maryland
Maryland

The Howard County Council approved $3 million in appropriations for biking and walking infrastructure products.

The Horizon Foundation
Maryland

The Howard County, MD, County Council approved the fiscal year 2018 budget, which included a more than $3.5 million investment in active transportation infrastructure and improvements.

The Horizon Foundation
Maryland

The Montgomery County Council in Maryland approved nearly $30 million in funding for implementation of the 2018 Master Bike Plan, which will support active transportation and recreation.

American Heart Association – Maryland
Massachusetts

Boston passed its fiscal year 2021 operating budget and its fiscal year 2021-2025 capital plan, allocating funding for safe, reliable, and accessible streets and spaces

American Heart Association - Massachusetts
Massachusetts

Massachusetts allocated $13 million for its Healthy Incentive Program, a SNAP incentive program that provides a one-to-one match for fresh and fruits and vegetables at farmers markets.

Massachusetts Food Systems Collaborative
Massachusetts

Massachusetts secured the release of $12.5 million in state revenue for the newly created complete streets certification program.

American Heart Association – Massachusetts
Massachusetts

The Boston City Council approved over $500,000 in funding for SNAP incentives infrastructure as part of the fiscal year 2021 budget.

American Heart Association – Massachusetts
Massachusetts

The Boston City Council included $14.3 million in the fiscal year 2021 budget to fund bike and pedestrian projects in low-to-moderate income neighborhoods.

American Heart Association – Massachusetts
Massachusetts

The Boston City Council voted unanimously to approve the 2020 budget and 2020-2024 capital budget, including $16.15 million in funding for bike and pedestrian infrastructure.

American Heart Association – Massachusetts
Massachusetts

The Massachusetts Capital Budget for fiscal year 2021 included more than $35 million for bicycle and pedestrian infrastructure.

American Heart Association – Massachusetts
Massachusetts

The Massachusetts Department of Transportation approved more than $110 million as part of the five-year capital investment plan to fund walking and biking projects throughout the state.

American Heart Association – Massachusetts
Massachusetts

The Massachusetts fiscal year 2020 budget includes $6.5 million in funding for the SNAP Healthy Incentive Program, which provides SNAP recipients with $1 back on their EBT cards for each dollar spent on eligible produce.

Massachusetts Food System Collaborative
Massachusetts

The Massachusetts’ Governor issued the 2020-2024 Capital Investment Plan, which includes $11.5 million per year for the Complete Streets Funding Program.

American Heart Association – Massachusetts
Michigan

A coalition of advocates defeated a six-bill package that would have prohibited local bans on flavored e-cigarette products.

Keep Michigan Tobacco Free Alliance
Michigan

Michigan lawmakers allocated 5% of annually appropriated funds from the Community Revitalization Program to support healthy food access, totaling an estimated $12-$15 million over that five-year period.

American Heart Association – Michigan
Michigan

Michigan passed SB 690, a mid-year supplemental bill that allows the state to spend funding from the CARES Act, and allocated a one-time appropriation of $1 million to the Double Up Food Bucks program.

Fair Food Network
Minnesota

A coalition of nearly 40 organizations secured funding for $1 million annually for Safe Routes to School infrastructure

American Heart Association - Minnesota
Mississippi

Jackson, MS, mayor signed an executive order implementing nutrition standards for all vending machines and food service operations on city property.

American Heart Association – Mississippi
Mississippi

Mississippi adopted Smart Snacks Standards for all foods and beverages sold in Mississippi schools, going above and beyond by not allowing nutrition standard exemptions for fundraisers.

American Heart Association – Mississippi
Mississippi

Mississippi State Department of Healthy adopted updated licensing standards for both center-based and home-based child care, improving physical activity requirements to complement their strong nutrition and screen time rules.

American Heart Association – Mississippi
Mississippi

The Brookhaven School District Board of Trustees unanimously approved a measure that will allow students and staff to carry refillable water bottles at schools.

American Heart Association - Mississippi
Mississippi

The Jackson, MS, mayor signed an executive order that strengthened the city’s existing complete streets ordinance, adding equity components that were missing from the original ordinance.

American Heart Association – Mississippi
Missouri

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Association - Missouri
Missouri

Kansas City, MO, improved their 2014 vending policy to bring it up to date with modern nutritional standards. Residents, city employees and visitors will have access to healthier options while on city property.

American Heart Association – Missouri
Missouri

Missouri voted to expand Medicaid to cover an additional 230,000 adults.

Beyond Housing
Missouri

St. Louis mayor signed an executive order implementing nutrition standards for all vending machines and food service operations on city property.

American Heart Association – Missouri
Missouri

The City Council in Kansas City, MO, passed an ordinance requiring new transportation infrastructure projects to include Complete Streets components, with a priority on ensuring successful implementation of Complete Streets in low and moderate-income neighborhoods.

American Heart Association – Missouri
Missouri

The Kansas City, MO, Board of Education adopted an updated school wellness policy to promote student health and help facilitate student learning of lifelong healthy habits around nutrition and physical activity.

Communities Creating Opportunity
Missouri

Voters in St. Louis approved Proposition R, which will raise $2.3 million annually for Early Childhood programs and services each year.

WEPOWER
Montana

A Montana bill that would have stripped local authority to regulate tobacco and e-cigarettes was defeated

American Heart Association – Montana
Montana

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Association - Montana
Nebraska

A Nebraska bill that would have impacted the ability of local communities to regulate tobacco licensing, taxes and fees was defeated.

American Heart Association – Nebraska
Nebraska

A Nebraska bill with potential to preempt the local regulation of “consumer merchandise,” including tobacco and soda taxes, was defeated.

American Heart Association – Nebraska
Nevada

Clark County, NV, voters voted “yes” on Question 5, allotting approximately $43 million for Safe Routes to School projects and $119 million to biking and walking projects over the next 10 years.

American Heart Association – Nevada
Nevada

The City of Las Vegas funded eight active transportation projects, providing nearly $10.5 million to make the city more bike and pedestrian friendly.

American Heart Association – Nevada
Nevada

The Regional Transportation Commission in Nevada approved budget items allocating $10.33 million and $20.83 million in bike and pedestrian infrastructure and safety funding to the City of Henderson and Clark County respectively.

American Heart Association – Nevada
Nevada

The Regional Transportation Commission of Southern Nevada approved over $12 million in funding to support a connected and safe active transportation network in Las Vegas

American Heart Association – Nevada
Nevada

The Regional Transportation Commission of Southern Nevada approved over $35 million for walking and biking projects in Las Vegas.

American Heart Association – Nevada
New Mexico

Advocates in New Mexico ensured an amendment that would have preempted any and all local regulation of tobacco usage and sales was not included in SB 131.

American Heart Association – New Mexico
New Mexico

Albuquerque, NM, City Council passed a resolution to provide access to healthier food options in city owned and operated facilities.

American Heart Association – New Mexico
New Mexico

During New Mexico’s 53rd legislative session, advocates worked to defeat three bills that would have prevented local governments from taxing foods and beverages.

American Heart Association – New Mexico
New Mexico

The Albuquerque City Council passed an ordinance to amend the existing complete streets policy to ensure equity, transparency, accountability and community involvement are integral parts of the City’s road and street construction process.

American Heart Association – New Mexico
New York

New York AB 3009C, an appropriations bill, allocated $200 million to fund the Empire State Trail system throughout the state.

American Heart Association – New York
New York

New York City allocated $21 million to support physical education programs for the city’s 1.16 million students.

American Heart Association – New York
New York

New York City allocated additional funding to physical education, investing approximately $385 million over four years to support capital improvements for physical education programs.

American Heart Association – New York
New York

New York City allocated an additional $101 million to expand the city’s greenway through East Harlem.

American Heart Association – New York
New York

New York City became the first city in the northeast to pass legislation requiring restaurants to automatically serve kids’ meals with healthy drink option.

American Heart Association – New York
New York

New York City Capital Budget was approved, including $100 million of initial funding to create a seamless greenway along the waterfront of the East Side of Manhattan.

American Heart Association – New York
New York

New York City received a $5.5 million Gus Schumacher Nutrition Incentive Program (GusNIP) grant and commited to matching that amount for a total $11 million investment in SNAP incentive programs.

American Heart Association - New York
New York

New York City secured an additional $39.8 million in physical education appropriations to help hire additional certified physical education teachers.

American Heart Association – New York
New York

New York City, NY, secured $9 million in physical education appropriations.

American Heart Association – New York
New York

Physical education assessment and accountability measurements were approved by the New York City Council to determine where more resources are needed to ensure every child has access to effective physical education.

American Heart Association – New York
New York

Street Design Checklist bill was passed by the New York City Council, making the city’s Complete Streets policy official.

American Heart Association – New York
New York

The New York State Legislature included $2.1 billion for the Fund for Excluded Workers as part of the state's budget

Make the Road NY
North Carolina

Charlotte, NC, voters approved a general obligation bond that will provide $30 million for investments to improve sidewalk and active space infrastructure in the city.

American Heart Association – North Carolina
North Carolina

Charlotte, NC, voters passed a transportation bond that dedicated $42 million to improving the walking and biking infrastructure throughout the city.

Sustain Charlotte & Transportation Choices Alliance.
North Carolina

Greensboro, NC, voters approved a $28 million transportation bond that earmarked $5 million for sidewalks, bike lanes and intersection improvements.

American Heart Association – North Carolina
North Carolina

Mecklenburg County, NC, adopted a healthy food procurement vending policy to ensure healthier choices on county properties.

American Heart Association – North Carolina
North Carolina

Raleigh, NC, voters passed a transportation bond that dedicated $35 million to improving the walking and biking infrastructure throughout the city.

American Heart Association – North Carolina
North Carolina

The Durham, NC, city budget was approved, including $7.87 million dollars for sidewalk infrastructure.

American Heart Association – North Carolina
North Carolina

The Mecklenburg County, NC, Board of Commissioners agreed to direct $49 million from a 2008 bond package funding source to support the greenway trail system throughout the county

American Heart Association – North Carolina
North Carolina

The Mecklenburg County, NC, Board of Commissioners approved the fiscal year 2018 Parks and Recreation Project Ordinance, which allocated $4 million for the Little Sugar Creek greenway near downtown Charlotte.

American Heart Association – North Carolina
North Carolina

The North Carolina Child Care Commission voted to updated licensing standards for both center-based and home-based child care, strengthening physical activity, nutrition, screen time, tobacco and CPR requirements.

American Heart Association – North Carolina
North Carolina

The Raleigh, NC, fiscal 2018 budget and fiscal 2018-2022 Capital Improvement Plan were approved, allocating approximately $9 million to fund bicycle and pedestrian improvements, invest in greenways and fund the City’s BikeShare program.

American Heart Association – North Carolina
North Carolina

Voters in Wake County, NC, passed a bond measure that includes $120 million for walking and biking infrastructure.

American Heart Association – North Carolina
Ohio

Cleveland passed a healthy default drinks policy for restaurant kids’ meals in the city, making water, nonfat or 1% milk, or 100% fruit juice in a serving size of no more than 6 ounces the default beverage in meals for children.

American Heart Association - Cleveland & Neighborhood Leadership Institute
Ohio

Columbus adopted a default beverage policy to make healthy drink options the default for kids and families when they dine out.

American Heart Association - Ohio
Ohio

Ohio increased funding to the Produce Perks (Double Up Food Bucks program) from $250,000 per year to $500,000 per year.

American Heart Association - Ohio
Ohio

The Ohio General Assembly passed legislation to modernize water access requirements for school buildings by ensuring that newly built schools include water bottle filling stations.

American Heart Association - Ohio
Ohio

Toledo passed an ordinance to make healthy drinks, such as water, low-fat milk, or 100% juice, the first option to kids and families when they dine out.

American Heart Association - Ohio
Oklahoma

A temporary penny sales tax was approved by 71.7% of Oklahoma City voters to raise a projected $978 million over eight years, with $87 million allocated for sidewalks, bike lanes, trails and streetlights to support safe active transportation.

American Heart Association – Oklahoma
Oklahoma

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Association - Oklahoma
Oklahoma

Oklahoma City voters approved a $967 million bond package and a temporary continuation of a penny sales tax, to provide funding for infrastructure and public safety investments, including active transportation projects and improvements.

American Heart Association – Oklahoma
Oklahoma

Oklahoma City, OK, City Council unanimously passed a resolution implementing a healthy vending policy, followed by a policy memorandum from the City Manager detailing the policy requirements.

American Heart Association – Oklahoma
Oklahoma

Oklahoma voted to expand Medicaid in the state and prevent state lawmakers from limiting or reversing expansion.

The Oklahoma Institute for Child Advocacy
Oklahoma

Oklahoma voters approved a measure that expands Medicaid to cover more working adults with low incomes.

Oklahoma Institute for Child Advocacy
Oklahoma

The City Council in Oklahoma City, OK, unanimously approved an updated comprehensive plan that implements Complete Street standards, ensuring transportation infrastructure is designed to enable safe access and use for all people.

American Heart Association – Oklahoma
Oklahoma

Tulsa, OK, adopted a healthy food procurement vending policy to ensure there are healthy food and beverage options served on city owned and leased properties.

American Heart Association – Oklahoma
Oregon

Clackamas, Multnomah and Washington counties, OR, secured $3.5 million for Safe Routes to School, including $1.5 million for a regional Safe Routes to School program and $2 million for street improvements near low-income schools and trails.

Bicycle Transportation Alliance
Oregon

Multnomah County established a "Preschool for All" program (universal preschool)

American Heart Association - Oregon
Oregon

Oregon HB 2017 was passed, allocating $125 million in funding over ten years to the Safe Routes to School fund.

American Heart Association – Oregon
Oregon

Oregon passed a competitive foods policy to ensure the nutritional quality of foods available in schools.

Upstream Public Health
Oregon

Oregon voters protected the right of local governments to pass local sugary drink taxes by voting against a beverage industry led constitutional ballot initiative.

American Heart Association – Oregon
Oregon

Portland, OR, voters passed a motor fuels tax, Portland’s first local funding source dedicated to active transportation infrastructure, estimated to generate $64 million over four years.

Fix Our Streets Portland Campaign
Oregon

The Oregon legislature appropriated $1.5 million to support infrastructure development and expand access to the Oregon SNAP incentives program.

American Heart Association – Oregon
Pennsylvania

A bill preempting sugary drink taxes was successfully defeated in the Pennsylvania legislature.

American Heart Association – Pennsylvania
Pennsylvania

Advocates defeated a preemption bill that would have jeopardized sugary drink taxes in the state.

American Heart Association - Pennsylvania
Pennsylvania

Advocates in Philadelphia successfully opposed legislation to repeal the existing sugary drink tax.

American Heart Association – Pennsylvania
Pennsylvania

Philadelphia adopted nutrition standards for vending machines on city owned and leased property.

American Heart Association – Pennsylvania
Pennsylvania

Philadelphia, PA, City Council passed a 1.5 cent per ounce sweetened beverage tax with a 13-4 vote.

American Heart Association – Pennsylvania
Pennsylvania

The Philadelphia City Council approved an increase in subsidy reimbursement rates for child care programs, which will increase the number of early child care spots for eligible children.

American Heart Association - Philadelphia
Pennsylvania

The Philadelphia City Council approved an ordinance to make the default drink in kids’ restaurant meals a healthy option, like water, milk or 100% juice.

American Heart Association – Pennsylvania
Pennsylvania

The Philadelphia City Council approved the city’s budget, which included $15 million in bike and pedestrian funding.

American Heart Association – Pennsylvania
Pennsylvania

The Philadelphia fiscal year 2021 budget includes $20 million in funding for safe and equitable bike and pedestrian projects.

American Heart Association – Pennsylvania
Rhode Island

More than 78% of Rhode Island voters approved a bond referendum to allocate $10 million to bike and recreation projects.

American Heart Association – Rhode Island
Rhode Island

Rhode Island allocated $15 million for physical improvements to and development of licensed Early Childhood care and education facilities.

American Heart Association - Rhode Island
Rhode Island

Rhode Island Department of Children, Youth and Families updated licensing rules for child care centers, improving nutrition, physical activity and screen time standard.

American Heart Association – Rhode Island
Rhode Island

Rhode Island now has a smart snacks competitive foods policy in all schools to ensure the nutritional quality of foods in schools.

American Heart Association – Rhode Island
Rhode Island

Rhode Island voters approved the $35 million Green Economy Bonds, which included $10 million for the State Bikeway Development Program to design and construct bikeways throughout the state.

Yes on 6 Coalition
Rhode Island

The Rhode Island Governor signed Senate Bill 2350A/House Bill 7419A into law, prohibiting advertising and marketing of unhealthy foods and beverages on school property.

American Heart Association – Rhode Island
South Carolina

Advocates defeated preemption proposals that would have effectively prevented any local flavored tobacco ordinances and any local tobacco retail licensure ordinances.

American Heart Association - South Carolina
South Carolina

Columbia, SC, City Council passed a healthy vending and food service resolution to ensure that healthier food and beverage options are available on local public property.

Eat Smart Move More South Carolina
South Carolina

South Carolina adopted a competitive foods statewide policy to ensure the nutritional quality of foods in schools.

American Heart Association – South Carolina
South Carolina

Spartanburg County, SC, enacted a binding administrative policy that requires healthy vending options on all county owned property.

Eat Smart Move More South Carolina
South Carolina

The mayor of Charleston, SC, signed a healthy vending policy covering all city owned and leased properties.

Eat Smart Move More South Carolina
Tennessee

The Board of Education in Hamilton County approved the installation of water bottle filling stations in all newly constructed or majorly renovated schools.

American Heart Association - Tennessee
Tennessee

The child care licensing regulations were streamlined to cover both centers and home-based care, establishing strong statewide nutrition, physical activity and screen time standards.

American Heart Association – Tennessee
Tennessee

The Nashville, TN, mayor amended an executive order (passed by her predecessor) to strengthen the city’s Complete Streets policy, expanding access to all modes of transportation for all users and promoting equity and transparency.

American Heart Association – Tennessee
Texas

Advocates defeated a bill that would have preempted local ordinances on tobacco.

American Heart Association - Texas
Texas

Austin, TX, approved a budget that had $800,000 earmarked to expand access to nutritious food, including $500,000 for healthy food retail and $300,000 to expand SNAP outreach efforts.

American Heart Association – Texas
Texas

Austin, TX, secured funding to establish a healthy corner stores program to increase the availability of healthy food options in Austin.

American Heart Association – Texas
Texas

Austin, TX, voters approved a transportation bond that included more than $110 million to support a Safe Routes to School program, as well as sidewalk, bikeway and urban trail construction and maintenance.

Bike Austin
Texas

Dallas allocated over $8 million to bike and pedestrian projects in city to make streets, sidewalks, and pathways safer for all.

American Heart Association - Dallas
Texas

Dallas County approved $7 million for bike and pedestrian projects, with much of the funding targeting two of the most underserved zip codes in the county.

American Heart Association – Texas
Texas

Dallas County, TX incorporated healthy vending standards into their contracting process for food vending service providers, ensuring access to healthy food and beverage options on all county property.

American Heart Association – Texas
Texas

Texas advocates worked diligently to stop a broad preemption bill that would have limited local lawmaking power and nullified many existing laws, including 104 comprehensive smoke-free ordinances.

American Heart Association – Texas
Texas

Texas passed a bill to simplify the certification and recertification requirements for Texas seniors and people with disabilities accessing SNAP benefits

American Heart Association - Texas
Texas

Texas SB 1873 requires physical education quality reporting as part of the existing School Health Survey.

American Heart Association – Texas
Texas

The Austin Independent School District updated its Project Development Manual to include at least one bottle filling station on each floor, wing, or other building section of a school building

American Heart Association - Texas
Texas

The San Antonio, TX, 2019 budget included $9 million for sidewalks and $1 million for bike lanes and other pedestrian safety measures.

American Heart Association – Texas
Texas

The Texas legislature passed Senate Bill 952 into law, requiring child care licensing regulations be updated to improve nutrition, physical activity and screen time standards for both center-based and home-based childcare programs.

American Heart Association – Texas
Texas

Travis County, TX, voters approved a transportation bond that allocate approximately $65 million to walking and biking projects over the life of the bond.

American Heart Association – Texas
Texas

Voters in Austin, TX, approved two ballot measures that will provide $38 million for sidewalk rehabilitation, Vision Zero/pedestrian safety and urban trails, and $5 million for parks and recreation projects in the city.

American Heart Association – Texas
Texas

Voters in Dallas, TX, supported the 2017 Dallas Capital Bond program, securing tens of millions of dollars for walking and biking infrastructure throughout the city.

American Heart Association – Texas
Utah

Advocates mobilized to prevent a bill that would have preempted the state health department from protecting public health with regard to tobacco.

American Heart Association - Utah
Utah

Advocates prevented $400,000 in SNAP funding from being cut from the state budget, protecting the state's SNAP Double Up Food Bucks program.

American Heart Association - Utah
Utah

Advocates successfully worked with legislators to remove tobacco preemption language out of House Bill 324.

American Heart Association – Utah
Utah

Salt Lake County, UT, voters passed a parks and recreation bond measure that included several million dollars in funding for sidewalks, bikeways and walking paths throughout the community.

American Heart Association – Utah
Utah

The child care licensing standards for both centers and home-based care were updated to require more nutritious food service, increased physical activity opportunities and limited screen time to promote a healthier child care environment.

American Heart Association – Utah
Utah

The Salt Lake City Council approved a $25 million sales tax initiative to fund improvements to the city’s active transportation system.

American Heart Association – Utah
Utah

The Salt Lake City Council approved their Capital Improvement Program Projects, which included over $13 million for bike and pedestrian infrastructure, with 82% of the funding dedicated to projects in low income communities.

American Heart Association – Utah
Utah

Utah Governor signed House Bill 208 into law, codifying the state’s Safe Routes to School program with a priority to fund projects in low-income communities.

American Heart Association – Utah
Vermont

Vermont Department for Children and Families adopted updated licensing standards for center-based and family-based care centers, improving nutrition and physical activity requirements and limiting screen time.

American Heart Association – Vermont
Virginia

Advocates worked to pass SNAP "Broad-Based Categorical Eligibility," which will result in over $8 million in new SNAP benefits coming into the state.

American Heart Association - Virginia
Virginia

Richmond Public Schools updated its school wellness policy to make water access in schools a priority for the district.

American Heart Association - Virginia
Virginia

The Chesterfield County, VA, School Board adopted an update to the school wellness policy, bringing the school’s competitive food policy into full alignment with USDA standards for school foods.

American Heart Association – Virginia
Virginia

The Northern Virginia Transportation Authority is creating a six-year transportation plan that will support bicycle and pedestrian projects that will create or increase multimodal regional access for residents in low to moderate income communities.

American Heart Association – Virginia
Virginia

The Virginia legislature included a $1.25 million appropriation for SNAP incentives in the 2020-2022 biennium budget.

American Heart Association – Virginia
Washington

Advocates helped secure additional state investment in the statewide Fruit and Vegetable Incentive Program (FVIP), which provides a match to SNAP shoppers to purchase additional fruits and vegetables

American Heart Association - Washington
Washington

Advocates worked for multiple years to develop an Early Head Start pilot program that grew into $18.7-million-funded Early Head Start program, as well as to codify the program into state law.

Washington State Association of Head Start and ECEAP
Washington

The Seattle 2020 budget included a $2.7 million investment in the City’s Fresh Bucks program, which offers a match to SNAP participants purchasing fruits and vegetables at authorized retailers.

Childhood Obesity Prevention Coalition
Washington

The Seattle City Council approved the mayor’s 2018 budget, which includes $2.4 million for the city’s Fresh Bucks SNAP incentive program. The money is available thanks to the newly enacted sugary drink tax, which generated an estimate $14 million in 2018.

American Heart Association – Washington
Washington

The Seattle, WA, City Council approved a 1.75 cent per ounce excise tax on sugary drinks, with generated funds used to support public health initiatives.

Childhood Obesity Prevention Coalition
Washington

The Washington child care licensing rules were updated for family-home and center-based childcare settings throughout the state, improving nutrition, physical activity and screen time standards.

Childhood Obesity Prevention Coalition
Washington

Washington HB 1235 requires physical education quality reporting at the school, district and state levels, assessing key factors of quality PE to help strengthen physical education programs throughout the state.

Washington

Washington HB 1299 secured $15.3 million for walking and biking infrastructure to support active transportation across the state.

Childhood Obesity Prevention Coalition
Washington

Washington SB 5988 secured $75 million for the Bicycle and Pedestrian Safety Grant Program, $89 million for the Bicycle and Pedestrian Safety Project List and $56 million for Safe Routes to School as part of a 16-year transportation package.

Childhood Obesity Prevention Coalition
Washington

Washington secured $5 million in funding for a “Healthy Kids Healthy Schools” grant program that can fund projects such as water bottle filling stations.

American Heart Association – Washington
West Virginia

Advocates in West Virginia defended against several preemptive bills to protect the rights of local governments.

The American Nonsmokers’ Rights Foundation
West Virginia

Preemptive language was successfully removed from a West Virginia bill, preserving the rights of local governments to regulate the sale, marketing and use of tobacco products.

American Heart Association – West Virginia
West Virginia

West Virginia passed SB 238, allowing members of the community to use school property for recreational use outside of school hours.

American Heart Association – West Virginia
Wisconsin

Advocates worked to ensure the state did not lose its eligibility for enhanced SNAP funding of $50 million.

American Heart Association - Wisconsin
Wisconsin

The mayor of Madison, WI, signed an executive order implementing nutrition standards for vending machines on all city-owned or managed properties, helping ensure nutritious foods are available to employees and the public.

American Heart Association – Wisconsin
Wisconsin

The Milwaukee, WI, City Council adopted a new Complete Streets policy, which will expand transportation options for all users regardless of age, race, ethnicity, income or ability

Wisconsin Bike Fed
Wyoming

There was a successful campaign in Wyoming to defend against preemptive language in the tobacco tax bill, stopping the legislature from removing local authority on tobacco control.

American Heart Association – Wyoming
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