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)