Policy Priorities

2019 Tobacco Use Prevention Policy Priorities

Tobacco Use Prevention and Cessation Program Funding: Promote tobacco use prevention and cessation in North Carolina through statewide, evidence-based and/or evidence-informed policies and appropriations for tobacco use prevention and cessation program.

  • Secure CDC-recommended levels of recurring funding for evidence-based tobacco prevention and cessation programs in North Carolina.

Secondhand Smoke: Promote evidence-based policies that protect public health by eliminating exposure to secondhand smoke and e-cigarette aerosol.

  • Protect existing smoke-free law which made restaurants and bars smoke-free on January 2, 2010.
  • Monitor opportunities to expand existing smoke-free and tobacco-free laws by promoting legislation to make all NC worksites and public places 100% tobacco-free.

Local Control: Support legislation that expands local control.

  • Support legislation that expands and protects local control, including supporting legislation that will allow communities and state and local universities to pass regulations to eliminate exposure to secondhand smoke and e-cigarette aerosol.
  • Support local efforts to implement evidence-based tobacco control policies.

Excise Tax: Support an increase in North Carolina’s cigarette excise tax to at least the national average and support an excise tax increase on other tobacco (non-cigarette) products, including e-cigarettes, to a tax rate equivalent with that of cigarettes.

Tobacco 21: Monitor Tobacco 21 legislation and readiness.

Support and protect funding and evidence-based programs that align with other items on the policy agenda.

2019 Obesity Prevention Policy Priorities

Healthy Food Financing: Promote the elimination of food deserts in North Carolina through statewide, evidence-based and/or evidence-informed policies and appropriations for healthy food financing, corner store initiatives, and other policies that improve access to healthy foods (including fruits, vegetables, whole grains and lean proteins), including food and nutrition services and nutrition education.

Seek an appropriation of $1 million in recurring state funds to expand the Healthy Food Small Retailer Program that increases the amount of healthy food being offered in existing corner stores in low- and moderate-income communities.

Physical Activity and Physical Education: Promote the inclusion of PE in the state’s accountability system as a measure of school success and/or in the School Report Card. Promote policies that address standards-based curriculum, appropriate professional development for teachers, teacher certification/licensing, waivers/substitution, student assessment, and accountability. Support opportunities to engage in promoting physical activity.

Water Access: Support efforts to ensure water is free, clean, safe, and accessible in school and childcare center settings.

Built Environments: Support the ability of local communities to promote access to routine physical activity and healthy eating through active transportation, complete streets, and Safe Routes to School policies, including multi-modal transportation infrastructure (e.g., mass transit, sidewalks, bike lanes), recreation opportunities (e.g., parks, trails greenways, shared and open use policies), food venues (e.g., grocery stores, farmers’ markets, community gardens), and the integration of healthy land use (“sustainable communities”).

Worksite Wellness: Support evidence-based and/or evidence-informed policies that promote a healthy work environment for employees.

Early Care and Education: Support improvements to statewide standards addressing evidence-based best practices in infant and child nutrition, outdoor learning and play, physical activity, breastfeeding, and screen time. Support the creation of statewide designation or recognition to programs that meet best practices.

Out-of-School Time: Support funding to implement and monitor healthy eating and physical activity in out-of-school time programs.

School Foods: Support the implementation of policies that require all foods and beverages available in schools meet national nutrition guidelines and be fully-funded. Support policies identified to reduce exposure to marketing and advertising of unhealthy foods in schools. Support policies that expand farm-to-school and farm-to-childcare programs.

Support and protect funding for evidence-based and/or evidence-informed obesity prevention programs and infrastructure.

Download NCAH’s 2019 Tobacco Use Prevention Policy Priorities and Obesity Prevention Policy Priorities.


Promote: Actively advocate for
Support: Sign letters of support, forward action alerts
Monitor: Track and react to as necessary


Other items presented to NCAH for endorsement will be handled on a case-by-case basis by either the appropriate policy committee or the Board of Directors depending on the urgency.

rob@idriveroi.comPolicy Priorities