Oklahoma Tobacco Settlement Endowment Trust Board of Directors Regular Meeting 10:00 a.m., Tuesday, March 30, 2021

This regular meeting is being held consistent with the amendments to the Open Meeting Act, 25 O.S.2011, § 301 et seq., signed into law on Wednesday, February 10, 2021.

The following board members are scheduled to participate remotely via videoconferencing: Michelle Stephens, Bruce Benjamin, Jack Allen, Susanna Gattoni, Casey Killblane, Ken Rowe, Marshall Snipes

To Join the Meeting, go to: https://zoom.us/j/92884752025 A livestream of the meeting can be accessed at: link will be added: https://youtu.be/HFfvQ9q4fUA

AGENDA

1. Open Meeting Act Announcement and Call to Order

2. Approval of Minutes of the February 19, 2021 Special Board Meeting

3. Executive Director’s Report – Julie Bisbee a. TSET strategic plan b. Overview of Executive Director Activities

4. Agency Operations Committee Report a. Update on six-month earnings estimate b. Financial Reports i. FY21 Budget to Actual - Operating ii. FY21 Budget to Actual - Programs iii. FY21 Operating Budget Revision iv. FY21 Programs Budget Revision b. Budget revision – Onside Partners c. Discussion of FY22 Budget

5. Programs Committee Report a. Health Promotion Research Center Update – Drs. Michael Businelle and Darla Kendzor

Note: The Board of Directors may discuss, vote to approve, vote to disapprove, vote to table, or decide not to discuss any item(s) on the agenda.

If accommodation is needed on the basis of ability, please contact Anna Lisa Phillips at (405) 623-8060 for assistance. b. Oklahoma Center for Adult Stem Cell Research Update – Dr. Courtney Griffin and Kelly Gentry c. Stephenson Cancer Center Update – Dr. Robert Mannel d. Discussion and possible action on OSU Medical Authority Residency Training Program e. Discussion and possible action on FY 2022 service agreement renewal requests i. University of Oklahoma Health Sciences Center, Oklahoma Tobacco Helpline Services ii. University of Oklahoma Health Sciences Center, Oklahoma Tobacco Helpline Oversight

f. Discussion and possible action on Healthy Incentive Grants for Districts

Organization County Recommended Amount Cave Springs Public Schools Adair $15,000.00 Whitefield Public School Haskell $3,000.00 Newcastle Public Schools McClain $7,000.00 Glencoe Public Schools Payne $8,000.00 Marietta Public Schools Love $14,000.00 Maud Public Schools Pottawatomie $12,000.00 Battiest Public Schools McCurtain $12,000.00 Kingston Public Schools Marshall $20,000.00 Howe Public Schools LeFlore $11,500.00 Darlington Public School Canadian $8,000.00 Oktaha Public Schools Muskogee $20,000.00 Heavener Public Schools LeFlore $20,000.00 Glover Public School McCurtain $15,000.00 Total $165,500.00

g. Discussion and possible action on Healthy Incentive Grants for Schools

Organization County Recommended Amount

Jay Elementary School Delaware $4,000.00 Quail Creek Elementary Oklahoma $4,000.00 Will Rogers Elementary Payne $4,000.00 Stillwater Middle School Payne $5,000.00 Westville Public Schools Adair $6,000.00 Ravia Public School Johnston $2,000.00 Comanche Middle School Stephens $2,000.00 Allen Elementary Pontotoc $3,000.00

Note: The Board of Directors may discuss, vote to approve, vote to disapprove, vote to table, or decide not to discuss any item(s) on the agenda.

If accommodation is needed on the basis of ability, please contact Anna Lisa Phillips at (405) 623-8060 for assistance. Waurika High/Middle School Jefferson $3,000.00 Bennington High School Bryan $2,000.00 Porter Junior and High School Wagoner $4,500.00 Porter Elementary School Wagoner $4,500.00 Bennington Elementary Bryan $3,000.00 Total $47,000.00

h. Discussion and possible action on Healthy Incentive Grants for Communities

Organization County Recommended Amount City of Guthrie Logan $70,000.00 Town of Carney Lincoln $14,000.00 Town of Meeker Lincoln $14,000.00 City of Miami Ottawa $24,000.00 Town of Central High Stephens $10,000.00 City of Perry Noble $25,000.00 City of Anadarko Caddo $10,000.00 City of Yale Payne $10,000.00 Town of Talala Rogers $10,000.00 City of Comanche Stephens $36,000.00 Total $223,000.00

i. Food Systems Impact Grant Update – Julie Bisbee

6. Public Information and Outreach Committee Report – Casey Killblane/Ken Rowe a. Health Communications Update b. Public Health Academy of Oklahoma Update c. COVID-19 #MaskUp Final Report d. TSET Healthy Youth Initiative Update e. Legislative Update f. Outreach Update g. Sponsorships h. Upcoming Events and Training

7. Appointment of Epidemiologist and Program Officer a. Consideration of a motion and vote to enter into Executive Session pursuant to 25 O.S. § 307 (B)(1) for the discussion of employment of any individual salaried public officer or employee.

Note: The Board of Directors may discuss, vote to approve, vote to disapprove, vote to table, or decide not to discuss any item(s) on the agenda.

If accommodation is needed on the basis of ability, please contact Anna Lisa Phillips at (405) 623-8060 for assistance. i. Program Officer ii. Epidemiologist iii. Annual Evaluation of Executive Director

b. Consideration of a motion and vote to return to Open Session c. Discussion and possible action on a motion and vote related to the employment of any individual salaried public officer or employee. i. Program Officer ii. Epidemiologist iii. Annual Evaluation of Executive Director

8. New Business – Any matter not known about or which could not have been reasonably foreseen prior to the time of posting the agenda [25 O.S. § 311 (A)(9)]

9. Adjournment

In the event the meeting connection is lost or compromised during the meeting, the meeting will be stopped, and the Board will attempt to restore communications for a maximum of thirty (30) minutes.

Materials shared electronically, may be accessed here: link will be added

Note: The Board of Directors may discuss, vote to approve, vote to disapprove, vote to table, or decide not to discuss any item(s) on the agenda.

If accommodation is needed on the basis of ability, please contact Anna Lisa Phillips at (405) 623-8060 for assistance.

MINUTES OF A SPECIAL MEETING OF THE BOARD OF DIRECTORS FOR THE

OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST

February 19, 2021

10:30 a.m.

This meeting was held via Zoom videoconference with a livestream option for enhanced public accessibility in compliance with the Open Meeting Act.

Board members present: Michelle Stephens, Bruce Benjamin, Jack Allen, Susanna Gattoni, Casey Killblane, Ken Rowe and Marshall Snipes. All board members joined virtually.

AGENDA

1. Open Meeting Act Announcement and Call to Order The TSET Board of Directors Chair Michelle Stephens, called the meeting to order at 10:31 a.m. and announced that all requirements of the Open Meeting Act had been met. Stephens welcomed those joining via Zoom and YouTube livestream.

TSET staff joining virtually were Executive Director Julie Bisbee, Director of Public Information and Outreach Thomas Larson, Director of Health Communications Sjonna Paulson, Director of Programs Jonás Mata, Director of Agency Operations, Tessa North Director of Grants and Board Secretary Anna Lisa Phillips who served as recording secretary.

Assistant Attorney General Tiffany Wythe, General Counsel for the board, was also present.

2. Approval of Minutes a. Approval of Minutes of the January 26, 2021, Regular Board Meeting Jack Allen moved board approval of the January 26, 2021 minutes as presented. Bruce Benjamin provided a second. Motion carried.

Aye: Stephens, Benjamin, Allen, Killblane, Gattoni, Snipes

Ken Rowe entered the meeting at 10:34 a.m.

3. Consideration of a motion and vote to enter into Executive Session pursuant to 25 O.S. § 307 (B)(1) for the discussion of employment, hiring, appointment, promotion, demotion, disciplining, resignation or discharge of any individual salaried public officer or employee. a. Accountant b. Public Information Specialist Stephens called for a motion and vote and enter into Executive Session. Bruce Benjamin made a motion; Casey Killblane provided a second. Motions carries.

The board entered into Executive Session at 11:01 a.m.

4. Consideration of a motion and vote to return to Open Session

Stephens called for a motion and vote to return to Open Session. Bruce Benjamin made a motion; Marshall Snipes provided a second. Motion carries.

The board returned to Open Session at 11:35 a.m.

5. Discussion and possible action on a motion and vote related to the employment, hiring, appointment, promotion, demotion, discipling, resignation or discharge of any individual salaried public officer or employee. a. Julie Bisbee and appropriate TSET staff recommended to the board, authorizing Director of Agency Operations to move forward with hiring Candidate A for the position of Accountant at an annual salary of $55,000. If Candidate A is unable to accept, the offer will be extended to Candidate B. Stephens called for a motion. Casey Killblane made a motion, Jack Allen provided a second. Motion carries.

Aye: Stephens, Benjamin, Allen, Killblane, Gattoni, Rowe, Snipes

b. Julie Bisbee and appropriate TSET staff recommended to the board, discharging the current Public Information Specialist. Stephens called for a motion. Bruce Benjamin made a motion, Casey Killblane provided a second. Motion carries.

Aye: Stephens, Benjamin, Allen, Killblane, Gattoni, Rowe, Snipes

Jack Allen left the meeting at 11:45 a.m. Marshall Snipes left the meeting at 12:00 p.m.

6. Shape Your Future Cross-Sectional Survey Laura A. Beebe, PhD, University of Oklahoma Health Sciences Center, presented the board with 2020 Shape Your Future cross-sectional highlights. Dr. Beebe stated that three of five campaign targets were met. Campaign targets included; awareness of Shape Your Future (SYF) program messaging; a family filling half their plate with fruits and vegetables; and making sure children get 60+ minutes of physical activity each day. Dr. Beebe also stated that reductions observed in sugar-sweetened beverage (SSB) consumption following the Rethink Your Drink (RYD) program have disappeared, with levels in 2020 similar to what were observed in 2015 prior to the launch. If reduction in SSB consumption remains a program objective, there is reason to believe that increased investment in the RYD messages would improve campaign outcomes. The program messages were effective in 2016-2017. Dr. Beebe said that new data on the public’s knowledge of how much sleep is needed to support physical and mental health supports the need for increased education on the subject.

7. Tobacco Stops With Me Evaluation Results Laura A. Beebe, PhD, University of Oklahoma Health Sciences Center, also presented on evaluation results for the Tobacco Stops With Me campaign. Dr. Beebe gave the board 2020 cross-sectional highlights including public awareness (unconfirmed) of Tobacco Stops with Me (TSWM) was higher in FY20 and met the benchmark for the campaign (71%). Dr. Beebe also stated that three of six campaign benchmarks were met. These benchmarks included; ads that made the public protect youth from tobacco industry, support for law making all public places smoke-free and support for law prohibiting smoking in vehicles with a child, and that knowledge about the harms of secondhand smoke have levelled or declined over the past two years.

8. “SwapUp” Teen Obesity Prevention Campaign The board viewed a pre-recorded presentation by representatives of the Rescue Agency on the “SwapUp” Nutrition Campaign that TSET launched on February 11, 2021 as part of the Healthy Youth Initiative. The presentation highlighted the goal of the campaign, which is to provide realistic and tangible ways teens can make healthier food and drink choices and to encourage them to make these better choices by illustrating how good

food impacts feelings, activity and performance. The presentation highlighted campaign messaging and messaging was informed by an online survey with 403 urban and rural teens across Oklahoma. The Rescue Agency will be evaluating the first year of the campaign by running a follow-up online survey in June 2021.

9. Adjournment Stephens called for a motion to adjourn the meeting. Killblane moved, Benjamin seconded. Motion carries.

Aye: Stephens, Benjamin, Killblane, Gattoni, Rowe

Meeting adjourned at 12:08 p.m.

OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST STRATEGIC MAP: 2019-2022

ACHIEVE MEASURABLE IMPROVEMENTS IN THE HEALTH OF OKLAHOMANS

FOCUSED INVESTMENT THOUGHT LEADER OPERATIONS

Use Appropriate Media Strategies to Build Drive Behavioral Change in Tobacco Use, Align Board of Directors’ and Board Awareness of TSET’s Programs Nutrition and Sedentary Lifestyle of Investors’ Strategies

Prioritize Programs that Target Youth Make TSET’s Evidence-Based Knowledge Available to the Public Review Future Funding Strategies Impact High-Risk, Underserved Populations Develop Ambassadors for Outreach

Drive Policy Change Recruit, Develop and Retain TSET Staff Communicate and Coordinate with Key Opinion Leaders Invest in High-Priority Research

Foster Ongoing Board Development Be a State Convener for Priority and Effectiveness Leverage Innovation to Change Behaviors Health Areas

ACTIVELY SUPPORT EVIDENCE-BASED PROGRAMS THAT PRODUCE MEANINGFUL RESULTS

405.521.3888 | TSET.OK.GOV Board of Directors Michelle Stephens Executive Director Julie Bisbee OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST

MISSION OF OKLAHOMA TSET Improve the health and quality of life of all Oklahomans through accountable programs and services that address the hazards of tobacco use and other preventable health conditions.

TSET Constitutional Language, OKCONST O.S. § Article 10 section 40 Earnings from the trust fund, including but not limited to interest, dividends and realized capital gains from investments of the trust fund, shall be expended for the following purposes: 1. Clinical and basic research and treatment efforts in Oklahoma for the purpose of enhancing efforts to prevent and combat cancer and other tobacco-related diseases; 2. Cost-effective tobacco prevention and cessation programs; 3. Programs other than those specified in paragraph 1 of this subsection designed to maintain or improve the health of Oklahomans or to enhance the provision of health care services to Oklahomans, with particular emphasis on such programs for children; 4. Programs and services for the benefit of the children of Oklahoma, with particular emphasis on common and higher education, before- and after-school and pre-school programs, substance abuse prevention and treatment programs and other programs and services designed to improve the health and quality of life of children; 5. Programs designed to enhance the health and well-being of senior adults; and 6. Authorized administrative expenses of the Office of the State Treasurer and the Board of Directors.

TSET MEASURES OF PROGRESS Since 2001, TSET’s investments, grants and programs to address the hazards of tobacco use and other preventable health conditions have helped to create a healthier, more prosperous state. TOBACCO OBESITY

More than 250,000 Oklahomans impacted by access to healthier foods and community gardens

More than 500,000 Oklahomans impacted by safer routes to school and better street design

To see TSET’s academic evaluations, reports and more, visit tset.ok.gov/content/reports-data.

405.521.3888 | TSET.OK.GOV Board of Directors Michelle Stephens Executive Director Julie Bisbee Revised 03/12/2021 OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST

2/23/2021 Calculation of FY21 Estimated Earnings (12-31-2020)

FY 2021 FY 2020 FY 2020 For the Six Months Ending For the Six Months Ending November Revision December 31, 2020 December 31, 2019 Income Dividend Income 14,805,194.65 14,399,549.90 27,213,272.12 Interest Income 7,132,591.77 6,970,020.64 17,178,079.48 Securities Lending Income 62,115.71 74,178.60 147,739.21 Total Income 21,999,902.13 21,443,749.14 44,539,090.81

Realized Gains 60,909,864.72 13,196,712.59 27,133,759.50 Realized Losses (20,005,170.03) (6,398,757.62) (22,285,502.39) Net Gains 40,904,694.69 6,797,954.97 4,848,257.11

Total Income with Net Gains 62,904,596.82 28,241,704.11 49,387,347.92

Total Investment Expenses Investment Expenses (included in investment activity at managers) 1,019,407.31 1,284,183.74 4,242,027.02 Investment Manager Fees (estimated due to pending invoices) 1,856,086.14 1,727,142.96 3,280,672.90 Investment Manager Consulting Fees 66,785.89 68,601.92 137,096.43 Custodial Fees 109,281.40 100,229.49 190,322.10 Audit Fees 33,000.00 31,500.00 31,500.00 Legal Fees 11,744.12 6,302.50 12,605.00 Advertising/Publication Fees 1,990.00 2,158.00

Total Investment Expenses 3,098,294.86 3,217,960.61 7,896,381.45

Available for Certification (Okla . Const. Art. X, § 40) 59,806,301.96 25,023,743.50 41,490,966.47

Use of Reserve from Settlement Agreement 0.00 0.00 0.00

LESS: Reserve Reserve - Audited Financials (500,000.00) (500,000.00)

Estimated Earnings Available to BOD for FY21 (12-31-2020) 59,306,301.96 Item # 9 24,523,743.50 41,490,966.47

Ending Market Value per BOK Consolidated Stmt (December 31 2020) 1,512,568,145.91 Previous certified earnings within the fund as of Dec 31, 2020 102,029,147.74 Current Year's estimated earnings within the fund as of Dec 31, 2020 59,306,301.96 Fund balance net of previous certified earnings 1,351,232,696.21

Beginning Reserve Fund Balance 42,898,847.22 FY 12 Certification (7,620,258.54) FY 13 Certification (1,041,808.05) FY 14 Certification 0.00 FY 15 Certification (84,186.47) FY 16 Certification (18,789,437.64) FY 17 Certification (13,104,185.81) FY 18 Certification 0.00 FY 19 Certification 0.00 FY 20 Certification (2,258,970.71) Ending Reserve Fund Balance ( net of previous certifications 0.00 including current year)

Notes: Monroe Capital and SJCs 12/31/2020 Financials were not included.

FY21 Earnings Est (12.31.2020).xlsx OKLAHOMA TOBACCO SETTLEMENT ENDOWMENT TRUST BOARD OF DIRECTORS

Debit (Certified) Total Withdrawal BOI Exps BOD Exps Balance Cash Withdrawal 07/25/18 5,876,812.28 127,118.81 5,749,693.47 104,578,251.75 Cash Withdrawal 08/07/18 1,402,479.54 393,479.35 1,009,000.19 103,569,251.56 Cash Withdrawal 09/21/18 4,456,377.70 319,940.09 4,136,437.61 99,432,813.95 Cash Withdrawal 10/19/18 4,624,236.47 163,787.55 4,460,448.92 94,972,365.03 Cash Withdrawal 11/19/18 5,075,037.45 199,887.10 4,875,150.35 90,097,214.68 Cash Withdrawal 12/27/18 5,325,303.84 637,580.17 4,687,723.67 85,409,491.01 Cash Withdrawal 02/06/19 5,065,150.00 312,953.53 4,752,196.47 80,657,294.54 Cash Withdrawal 03/06/19 5,294,434.98 452,520.74 4,841,914.24 75,815,380.30 Cash Withdrawal 04/15/19 4,697,264.47 4,697,264.47 71,118,115.83 Cash Withdrawal 05/15/19 4,900,471.24 419,483.92 4,480,987.32 66,637,128.51 Cash Withdrawal 06/26/19 5,881,162.02 448,938.63 5,432,223.39 61,204,905.12 61,204,905.12 FY 19 Certification 60,209,777.58 121,414,682.70

Certification from Reserve Fund 0.00 121,414,682.70

Cash Withdrawal 08/14/19 4,938,429.15 741,461.90 4,196,967.25 117,217,715.45 Cash Withdrawal 10/24/19 4,367,569.15 355,039.80 4,012,529.35 113,205,186.10 Cash Withdrawal 11/21/19 5,582,944.03 521,776.04 5,061,167.99 108,144,018.11 Cash Withdrawal 12/18/19 4,845,562.55 398,180.68 4,447,381.87 103,696,636.24 Cash Withdrawal 1/23/2020 4,565,876.10 34,200.09 4,531,676.01 99,164,960.23 Cash Withdrawal 2/24/2020 5,172,965.53 628,311.47 4,544,654.06 94,620,306.17 Cash Withdrawal 4/1/2020 4,973,396.04 306,884.43 4,666,511.61 89,953,794.56 Cash Withdrawal 5/14/2020 4,510,168.05 316,687.41 4,193,480.64 85,760,313.92 Cash Withdrawal 6/11/2020 4,359,559.92 397,002.29 3,962,557.63 81,797,756.29 Cash Withdrawal 6/23/2020 2,234,192.34 106,669.74 2,127,522.60 79,670,233.69 FY 20 Certification 41,490,966.47 121,161,200.16

Certification from Reserve Fund 2,258,970.71 123,420,170.87

Cash Withdrawal 08/05/20 4,263,033.90 263,175.98 3,999,857.92 119,420,312.95 Cash Withdrawal 09/15/20 4,768,100.37 0.00 4,768,100.37 114,652,212.58 Cash Withdrawal 10/29/20 4,429,935.62 63,197.63 4,366,737.99 110,285,474.59 Cash Withdrawal 11/29/20 4,306,249.65 4,306,249.65 105,979,224.94 Cash Withdrawal 12/23/20 3,950,077.20 3,950,077.20 102,029,147.74 Distribution of Master Settlement Payments to State Funds

Tobacco Settlement General Revenue 200 AG's 700 AG's Evidence Tobacco Settlement Total Payment Date of Deposit Total MSA Payment Endowment Trust Fund Revolving Fund Fund Fund (000/300) Allocation Fund (092/305) Total FY-2010 80,951,769.41 0.00 0.00 2,564,676.22 17,673,266.13 60,713,827.06 80,951,769.41 4/15/2011 71,968,371.62 1,765,312.45 16,226,780.46 53,976,278.71 71,968,371.62 4/19/2011 3,971,588.88 744,672.92 248,224.30 2,978,691.66 3,971,588.88 Total FY-2011 75,939,960.50 0.00 0.00 2,509,985.37 16,475,004.76 56,954,970.37 75,939,960.50 4/16/2012 74,560,520.18 13,980,097.54 4,660,032.50 55,920,390.14 74,560,520.18 4/18/2012 2,856,743.92 535,639.49 178,546.49 2,142,557.94 2,856,743.92 Total FY-2012 77,417,264.10 0.00 0.00 14,515,737.03 4,838,578.99 58,062,948.08 77,417,264.10 4/15/2013 64,759,202.87 4,047,450.17 12,142,350.54 48,569,402.16 64,759,202.87 4/17/2013 38,591,661.89 2,411,978.87 7,235,936.60 28,943,746.42 38,591,661.89 4/24/2013 10,058,875.68 628,679.73 1,886,039.19 7,544,156.76 10,058,875.68 Total FY-2013 113,409,740.44 0.00 0.00 7,088,108.77 21,264,326.33 85,057,305.34 113,409,740.44 4/17/2014 74,129,862.95 4,633,116.43 13,899,349.31 55,597,397.21 74,129,862.95 4/17/2014 3,052,810.51 190,800.66 572,401.97 2,289,607.88 3,052,810.51 Total FY-2014 77,182,673.46 0.00 0.00 4,823,917.09 14,471,751.28 57,887,005.09 77,182,673.46 4/16/2015 60,875,773.03 3,804,735.82 11,414,207.44 45,656,829.77 60,875,773.03 4/17/2015 15,984,627.43 999,039.21 2,997,117.64 11,988,470.58 15,984,627.43 Total FY-2015 76,860,400.46 0.00 0.00 4,803,775.03 14,411,325.08 57,645,300.35 76,860,400.46 4/19/2016 76,009,297.64 4,750,581.10 14,251,743.31 57,006,973.23 76,009,297.64 No 2nd Pmt in 2016 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total FY-2016 76,009,297.64 0.00 0.00 4,750,581.10 14,251,743.31 57,006,973.23 76,009,297.64 4/19/2017 77,953,044.84 4,872,065.30 14,616,195.91 58,464,783.63 77,953,044.84 No 2nd Pmt in 2017 0.00 Total FY-2017 77,953,044.84 0.00 0.00 4,872,065.30 14,616,195.91 58,464,783.63 77,953,044.84 4/19/2018 71,663,336.98 4,478,958.56 13,436,875.68 53,747,502.74 71,663,336.98 No 2nd Pmt in 2018 0.00 Total FY-2018 71,663,336.98 0.00 0.00 4,478,958.56 13,436,875.68 53,747,502.74 71,663,336.98 4/18/2019 69,766,822.69 4,360,426.42 13,081,279.25 52,325,117.02 69,766,822.69 not expecting 2nd Pmt 0.00 Total FY-2019 69,766,822.69 0.00 0.00 4,360,426.42 13,081,279.25 52,325,117.02 69,766,822.69 4/17/2020 46,626,165.00 2,914,135.31 8,742,405.94 34,969,623.75 46,626,165.00 4/22/2020 19,654,581.05 1,228,411.31 3,685,233.95 14,740,935.79 19,654,581.05 Total FY-2020 66,280,746.05 0.00 0.00 4,142,546.62 12,427,639.89 49,710,559.54 66,280,746.05

Total 1,607,498,200.16 45,313,044.26 107,715.04 76,590,134.35 397,347,637.80 1,088,139,668.71 1,607,498,200.16 Some rows are hidden FY21 Budget to Actual - Operating BOD

3rd Qtr AS OF After Remaining % budget Budget Category Budget Amount 1st Qtr 2nd Qtr 02/28/2021* 4th Qtr July 1 Total Budget used

FY 2021 Budget To Actual - Operating

Personnel $1,102,916 $236,896 $252,762 $159,883 $649,541 $453,374 59% Travel $7,500 $499 $1,375 $777 $2,651 $4,849 35% Office Furniture & Equipment $28,500 $2,326 $4,781 $2,605 $9,712 $18,788 34% Professional Services $407,440 $9,426 $79,541 $67,597 $156,564 $250,876 38% General Operating and Administrative $180,750 $18,785 $50,883 $18,938 $88,605 $92,145 49% Expenses Operating Budget Totals $1,727,106 $267,931 $389,342 $249,800 $0 $0 $907,073 $820,033 53%

FYI only: Budget to Actual - Board of Investors $4,053,129 $57,326 $944,714 $414,108 $1,416,148 $2,636,981 35% FY21 Budget to Actual - Programs BOD

3rd Qtr AS OF After Budget Line Item FY21 1st Qtr 2nd Qtr 4th Qtr 7/1/20 Total Remaining Budget % Budget used 02/28/2021* 20 FY 2021 Budget to Actual - Programs Personnel Totals $1,444,508 $336,625 $337,998 $223,143 $897,766 $546,742 62% Travel Totals $8,000 $1,936 $1,816 $12 $3,764 $4,236 47% Program & Grant Management Support $1,728,692 $47,210 $121,027 $294,519 $0 $0 $462,756 $1,265,936 27% Wellness TA, Training and Consultation 1,537,692 $14,088 $69,879 $278,548 $0 $0 $362,515 $1,175,177 24% OSDH 1,115,103 $0 $0 $218,704 $218,704 $896,399 20% ChangeLab 250,000 $14,088 $31,981 $14,219 $60,288 $189,713 24% Emory University (PHAO) 172,589 $0 $37,898 $45,625 $83,524 $89,065 48% Program Consultation Wellness (board consultation) 143,000 12,364 42,090 $11,815 $0 $0 $66,269 $76,731 46% Onside partners 120,000 $12,364 $34,953 $10,803 $58,119 $61,881 48% Tigris LLC 23,000 0 7,138 1,013 8,150 $14,850 35% Grant Reviewers (program and financials) 20,000 $17,100 $0 $400 $17,500 $2,500 0% Meeting Zone (conference calls) 10,000 $0 $2,826 $607 $3,433 $6,567 34% Galt Temps 15,000 $2,852 $5,486 $3,148 $11,486 $3,514 77% Memberships and Subscriptions, conf room rental, BOD retreat 3,000 $806 $746 $0 $1,552 $1,448 52% Direct Program Grants $42,453,602 $1,511,727 $8,466,212 $6,990,851 $0 $0 $16,968,789 $25,484,813 40% Statewide Grants 8,233,826 $349,761 $726,640 $1,412,292 $0 $0 $2,364,077 $3,687,749 29% Oklahoma Tobacco Helpline (OTRC) 3,900,000 $0 $564,885 $771,879 $1,336,765 $2,563,235 34% OK Tobacco Helpline oversight (OTRC) (OUHSC) 287,451 $0 $31,071 $88,344 $119,415 $168,036 42% Health Systems Initiatives 1,864,375 349,761 116,891 441,245 0 0 $907,897 $956,478 49% Ok Hospital Assoc 593,126 $79,770 $80,688 $83,431 $243,890 $349,236 41% Mental Health & Substance Abuse 584,788 $23,899 $0 $253,874 $277,773 $307,015 47% OHCA - SoonerQuit Health Promotions 270,231 $13,088 $26,203 $57,297 $96,588 $173,643 36% PMTC 416,230 $233,003 $10,000 $46,644 $289,647 $126,584 70% Emerging Opportunities 2,182,000 0 13,791 110,824 0 0 124,615 2,057,385 6% Innovation 5,000 0 0 0 0 5,000 0% Spur the Growth in Active Living & Healthy Eating 425,000 0 0 0 0 425,000 0% Covid-19 grants - Enhancing Food Systems 1,000,000 0 13,791 110,824 124,615 875,385 12% Youth Advocacy & Education Program 332,000 0 0 0 0 332,000 0% ODOT Project 420,000 0 0 0 0 420,000 0% Health Communications 12,365,798 $397,219 $3,694,930 $2,131,051 $0 $0 $6,223,200 $6,142,598 50% Tobacco Stops With Me 3,800,000 $89,463 $1,045,407 $862,447 $1,997,317 $1,802,683 53% Oklahoma Tobacco Helpline Promotional Support 2,000,000 148,610 498,255 294,547 941,412 1,058,588 47% After Budget Line Item FY21 1st Qtr 2nd Qtr 3rd Qtr AS OF 4th Qtr 7/1/20 Total Remaining Budget % Budget used 02/28/2021* 20 Health Comm cost share - TC with VI 2,000,000 $0 $376,722 $707,796 $1,084,519 $915,481 54% Health Comm cost share - TC with OHCA 2,000,000 $0 $0 $74,305 $74,305 $1,925,695 4% Reimbursed from OHCA -4,000,000 $0 $0 -$804,920 -$804,920 -$3,195,080 20% Shape Your Future 3,300,000 $129,609 $805,798 $790,433 1,725,841 1,574,159 52% Youth Education Campaign 2,500,000 $3,469 844,655 105,515 0 0 953,639 1,546,361 38% HC - TC Youth 15,000 $0 $0 $0 $0 $15,000 0% HC Grantee special requests and fulfillment center 305,798 $26,069 $28,547 $31,650 $86,266 $219,532 28% HC Outreach 445,000 $0 $95,544 $69,277 $164,822 $280,178 37% Community-Based Grants 7,600,228 $547,710 $917,815 $1,285,635 $0 $0 $2,751,160 $4,849,068 36% HCIG/HSIG Incentive Grants 950,000 $0 $63,000 $83,500 $146,500 $803,500 15% TSET Healthy Living Program 6,650,228 $547,710 $854,815 $1,202,135 $2,604,660 $4,045,568 39% Grantee Defined 237,750 $24,521 $42,975 $25,167 $0 $0 $92,662 $145,088 39% RSCG - Free the Night 213,750 $24,521 $39,725 $21,667 $85,912 $127,838 40% Conference Sponsorships 24,000 $0 $3,250 $3,500 $6,750 $17,250 28% Evaluation 1,585,000 $95,861 $380,869 $120,648 $0 $0 $597,378 $987,622 38% Evaluation - Wellness 1,585,000 $95,861 $380,869 $120,648 $597,378 $987,622 38% Research 12,431,000 $96,656 $2,702,983 $2,016,058 $0 $0 $4,815,696 $7,615,304 39% Oklahoma Tobacco Research Center 3,686,000 $0 $321,272 $654,310 $975,582 $2,710,418 26% TSET Cancer Research Program 5,335,000 $0 $1,860,224 $546,048 $2,406,272 $2,928,728 45% Oklahoma Center for Adult Stem Cell Research OMRF Fy20 contract 500,000 $96,656 $261,691 $137,898 $496,244 $3,756 99% extension Oklahoma Center for Adult Stem Cell Research OMRF 2,910,000 $0 $259,796 $677,802 $937,598 $1,972,402 32% Programs Budget Grand Totals $45,634,802 $1,897,498 $8,927,053 $7,508,524 $0 $0 $18,333,075 $27,301,727 40% Funds other than TSET funds: $0 $0 $376,722 -$22,819 $0 $0 $353,904 -$353,904 0% Health Comm cost share - TC with VI $2,000,000 $0 $376,722 $707,796 $1,084,519 $915,481 54% Health Comm cost share - TC with OHCA $2,000,000 $0 $0 $74,305 $74,305 $1,925,695 4% Reimbursed from OHCA -$4,000,000 $0 $0 -$804,920 -$804,920 -$3,195,080 20% TSET Funds Only $45,634,802 $1,897,498 $8,550,331 $7,531,343 $0 $0 $17,979,172 $27,655,630 39% FY21 Operating Budget Revision BOD

Revision Revision 3 Revisi Revisi Revisi Final after Revisions Budget Line Item FY21 1 Revision 2 on 4 on 5 on 6 FY21 Operating Budget Personnel Totals $1,109,916 $0 $0 -$7,000 $0 $0 $0 $1,102,916 Travel & Training Totals $17,500 $0 $0 -$10,000 $0 $0 $0 $7,500 Office Furniture and Equipment Totals $33,500 $0 $0 -$5,000 $0 $0 $0 $28,500 Professional Services Totals $405,440 $0 $0 $2,000 $0 $0 $0 $407,440 General Operating and Admin Expenses Totals $180,750 $0 $0 $0 $0 $0 $0 $180,750 Operating Budget Grand Totals $1,747,106 $0 $0 -$20,000 $0 $0 $0 $1,727,106

Programs Budget Grand Totals - All Funds $44,772,802 $0 $907,000 -$45,000 $45,634,802

Total Combined Budget - All Funds $46,519,908 $0 $907,000 -$65,000 $0 $0 $0 $47,361,908

FYI only: TSET Board of Investors $4,053,129 $0 0 0 0 0 $4,053,129 FY21 Programs Budget Revision BOD

Revision 2 January Revision 3 March Revisi Revisi Revisi FY21 Final after Budget Line Item FY21 Revision 1 BOD BOD meeting on 4 on 5 on 6 Revisions % of whole meeting FY 2021 Programs Budget Personnel Totals $1,444,508 $0 $0 $0 $0 $0 $0 $1,444,508 3.17% subtotal salaries $952,788 $0 $0 $0 $0 $0 $0 $952,788 subtotal fringe $491,720 $0 $0 $0 $0 $0 $0 $491,720 Travel Totals $48,000 $0 $0 -$40,000 $0 $0 $0 $8,000 0.02% Local travel - staff 13,000 -8,000 $5,000 0.01% Out of State travel - staff, board, study group 17,500 -16,000 $1,500 0.00% Conf and training registration fees ( Board and staff) 17,500 -16,000 $1,500 0.00% Program & Grant Management Support $1,710,692 $23,000 $0 -$5,000 $0 $0 $0 $1,728,692 3.79% Wellness TA, Training and Consultation 1,562,692 0 0 -25,000 0 0 0 $1,537,692 3.37% OSDH 1,140,103 -25,000 $1,115,103 2.44% ChangeLab 250,000 $250,000 0.55% Emory University (PHAO) 172,589 $172,589 0.38% Program Consultation Wellness 95,000 23,000 0 25,000 0 0 0 143,000 0.31% Onside Partners 95,000 25,000 $120,000 0.26% Tigris LLC 0 23,000 $23,000 Board consultation 0 $0 Grant Reviewers (program and financials) 30,000 -10,000 $20,000 0.04% WebEx (conference calls) 10,000 $10,000 0.02% Galt Temps 10,000 5,000 $15,000 0.03% Memberships and Subscriptions 3,000 $3,000 0.01% Direct Program Grants $41,569,602 -$23,000 $907,000 $0 $0 $0 $0 $42,453,602 93.03% Statewide Grants 7,901,826 0 332,000 0 0 0 0 $8,233,826 18.04% Oklahoma Tobacco Helpline 3,900,000 $3,900,000 8.55% OK Tobacco Helpline oversight (OTRC) (and 211) 287,451 $287,451 0.63% Health Systems Initiatives 1,864,375 0 0 0 0 0 0 $1,864,375 4.09% Emerging Opportunities 1,850,000 0 332,000 0 0 0 0 2,182,000 4.78% Innovation 425,000 -420,000 $5,000 0.01% Spur the Growth in Active Living & Healthy Eating 425,000 $425,000 0.93% Incubate Systems Change 0 $0 0.00% Covid-19 grants - Enhancing Food Systems 1,000,000 $1,000,000 2.19% Youth Advocacy & Education Program 332,000 $332,000 0.73% Revision 2 January Revision 3 March Revisi Revisi Revisi FY21 Final after Budget Line Item FY21 Revision 1 BOD BOD meeting on 4 on 5 on 6 Revisions % of whole meeting ODOT project 420,000 $420,000 0.92% Health Communications 11,685,000 50,000 630,798 0 0 0 0 12,365,798 27.10% Tobacco Stops With Me 3,300,000 500,000 $3,800,000 8.33% Oklahoma Tobacco Helpline Promotional Support 2,000,000 $2,000,000 4.38% Health Comm cost share - TC with VI 2,000,000 $2,000,000 4.38% Health Comm cost share - TC with OHCA 2,000,000 $2,000,000 4.38% Reimbursed from OHCA -4,000,000 -$4,000,000 -8.77% Shape Your Future 3,300,000 $3,300,000 7.23% Youth Education Campaign 2,500,000 $2,500,000 5.48% HC - TC Youth 15,000 $15,000 0.03% HC Grantee special requests and fulfillment 200,000 50,000 55,798 $305,798 0.67% HC Outreach 370,000 75,000 $445,000 0.98% Community-Based Grants 7,729,026 -73,000 -55,798 0 0 0 0 $7,600,228 16.65% HCIG/HSIG Incentive Grants 1,000,000 -50,000 $950,000 2.08% TSET Healthy Living Program 1.0/2.0 6,729,026 -23,000 -55,798 $6,650,228 14.57% Grantee Defined 237,750 0 0 0 0 0 0 $237,750 0.52% RSCG - Free the Night 213,750 $213,750 0.47% Conference Sponsorships 24,000 $24,000 0.05% Evaluation 1,585,000 0 0 0 0 0 0 $1,585,000 3.47% Evaluation - Wellness 1,585,000 $1,585,000 Research 12,431,000 0 0 0 0 0 0 $12,431,000 27.24% Oklahoma Tobacco Research Center 3,686,000 $3,686,000 8.08% TSET Cancer Research Program 5,335,000 $5,335,000 11.69% Oklahoma Center for Adult Stem Cell Research OMRF (FY20 500,000 $500,000 1.10% contract extension) Oklahoma Center for Adult Stem Cell Research OMRF 2,910,000 $2,910,000 6.38% Programs Budget Grand Totals $44,772,802 $0 $907,000 -$45,000 $0 $0 $0 $45,634,802 100% Funds other than TSET funds: $0 $0 $0 $0 $0 $0 $0 $0 Health Comm cost share - TC with VI $2,000,000 $2,000,000 Health Comm cost share - TC with OHCA $2,000,000 $2,000,000 Reimbursed from OHCA -$4,000,000 -$4,000,000 TSET Funds Only $44,772,802 $0 $907,000 -$45,000 $0 $0 $0 $45,634,802

Operating Budget Grand Totals $1,747,106 $0 $0 -$20,000 $0 $0 $0 $1,727,106 Total Combined Budget - All Funds $46,519,908 $0 $907,000 -$65,000 $0 $0 $0 $47,361,908 Onside Partners Scope of Services FY 21 Augmentation

Onside Partners requests an augmentation to their FY 21 contract providing strategic support for the Tobacco Settlement Endowment Trust (TSET) and its Healthy Living Program (HLP) partners. Below is a description of services and budget for the period of March-June 2021, in addition to those in their current FY 21 contract.

Services for HLP

Technical Assistance • Based on HLP grantee interest and demand for the physical activity and nutrition strategies listed below, begin planning for HLP grantee cohort technical assistance, focused on helping grantees to prioritize nutrition and physical activity strategies based on the results of their CCNA data. The focus will be on selecting strategies that are a good fit for community readiness and existing policies. Emphasis will be on curriculum planning, recruitment and may also include up to 2 cohort Zoom sessions. (Expected to continue in FY22)

a. Healthy food access i. Healthy Retail in Brick and Mortar Settings ii. Healthy Options in Food Assistance Programs iii. Healthy Food Options in Restaurant Settings iv. Healthy Food Systems Resolutions v. Farmer’s Markets b. Physical activity: active transportation and land use planning i. Comprehensive Plans ii. Active Transportation Plans iii. Parks and Open Space Master Plans iv. Complete Street Policy and Implementation v. Safe Routes to Schools Policies and Implementation vi. Wayfinding

Product Development • Begin to develop strategy implementation guidance documents for guidance teams and/or grantees that provide helpful tips on how to implement strategies with fidelity and sustain them over time. (Expected to continue into FY22) • Assist with the refinement of Performance Measures, Success Measures and any other measures created under the TSET HLP to ensure the measures align with best and promising practices. (Expected to continue into FY22)

Budget The requested augmentation is for $25,000. This augmentation represents the completion of the additional deliverables above and increases the average monthly capacity from 40.4 hours to 51 hours. FY22 Proposed Budget DRAFT BOD

Budget Line Item FY21 budget FY22 proposed Comments Total budgeted 46,921,908 49,953,724 6.5% increase from FY21 budget

Operating Budget 1,737,106 1,888,908 Personnel Totals $1,079,916 $1,099,573 subtotal salaries $714,093 $730,014 subtotal fringe $365,823 $369,559 Travel & Training Totals $17,500 $27,500 Local travel - staff 2,500 2,500 Local travel - Board of Directors 2,000 2,000 Local travel - Board of Investors 3,000 3,000 Out of state travel - staff and board 5,000 10,000 Possible out of state conference travel Conf and training registration fees (staff and board) 5,000 10,000 Possible out of state conference fees Office furniture and equipment Totals $33,500 $33,500 Professional Services Totals $425,440 $541,985 Contract Board of Investors Support 154,490 156,035 1 % increase annually TSET Website redesign 0 110,000 Grant mgmt/contact mgmt 75,000 75,000 Project mgmt - Smartsheet 25,000 25,000 Financial Mgmt (OMES) 64,000 64,000 Legal Services (OAG) 19,150 19,150 Website and Gov Delivery 11,000 11,000 Graphic design (Schroder) 5,000 7,000 Galt Temp 20,000 23,000 Supports intern salaries. Additional interns expected in FY22. Executive Consultation 25,000 25,000 OMES HR Fees & FICA 22,800 22,800 based on 25 FTE ($80/month per employee) + FICA OMES Transaction fees 1,000 1,000 Risk Mgmt fees 2,000 2,000 Finley & Cook - grantee and contractor audits 1,000 1,000 General Operating and Admin expenses Totals $180,750 $186,350 Lease 60,000 60,000 Conference room rental 5,000 5,000 Staff retreat 1,000 5,000 in-person staff retreat with paid speaker/trainer Professional development 1,000 2,600 two people for CPM program Budget Line Item FY21 budget FY22 proposed Comments Postage, interagency mail and FedEx 1,750 1,750 Telephone Services 34,000 34,000 Internet, IT Svcs, PeopleSoft, Adobe, Hosting Svcs 48,000 48,000 Memberships and subscriptions 15,000 15,000 Printing services 5,000 5,000 Office supplies 10,000 10,000

Programs Budget Personnel Totals $1,444,508 $1,413,479 subtotal salaries $952,788 $933,435 subtotal fringe $491,720 $480,044 Travel Totals $48,000 $50,500 Local travel - staff 13,000 13,000 Out of State travel - staff 17,500 18,750 Conf and training registration fees - staff 17,500 18,750 Program & Grant Management Support $1,710,692 $1,847,692 Wellness TA, Training and Consultation $1,562,692 $1,562,692 OSDH 1,140,103 990,103 Consultation 150,000 Will allow for direct contracting for technical assistance; reallocated from other contracts. Not an increase. ChangeLab 250,000 250,000 Emory University (PHAO) 172,589 172,589 Program Consultation Wellness $95,000 $95,000 Onside Partners 95,000 95,000 Additional Consultation 0 0 Grant Reviewers (program and financials) $30,000 $30,000 Program development $125,000 Supports research into development of new programs WebEx (conference calls) $10,000 $10,000 Galt Temps $10,000 $22,000 Supports additional hours for interns Memberships and Subscriptions $3,000 $3,000 Direct Program Grants $41,981,602 $44,753,145 Statewide Grants $8,233,826 $8,548,145 Oklahoma Tobacco Helpline & oversight $4,187,451 $4,250,000 350,000 requested for oversight Health Systems Initiatives $1,864,375 $2,048,145 Ok Hospital Assoc 593,126 593,126 Budget Line Item FY21 budget FY22 proposed Comments Mental Health & Substance Abuse 584,788 584,788 OHCA - SoonerQuit 270,231 270,231 PMTC 416,230 600,000 increased funding for increased reimbursement for participating doctors. Final number pending. OSU Medical Residencies 0 0 Emerging Opportunities $2,182,000 $2,250,000 Innovation 5,000 0 Spur the Growth in Active Living & Healthy Eating 425,000 425,000 Incubate Systems Change 0 0 Covid-19 grants - Enhancing Food Systems 1,000,000 400,000 Youth Advocacy & Education Program 332,000 1,000,000 Phase 2 youth program in full implementation ODOT Project 420,000 425,000 Proposed assistance for built environment improvements that promote walkability Health Communications $12,315,000 $12,135,000 Tobacco Stops With Me $3,800,000 $3,450,000 FY21 TSWM included $500,000 for maskup campaign OTH Promotional Support $2,000,000 $2,000,000 Health Comm cost share - TC with VI $2,000,000 $2,000,000 Health Comm cost share - TC with OHCA $2,000,000 $2,000,000 Reimbursed from OHCA -$4,000,000 -$4,000,000 Shape Your Future $3,300,000 $3,450,000 Youth Education campaign $2,500,000 $2,500,000 HC- TC Youth $15,000 $15,000 HC Grantee special requests and fulfillment center $250,000 $250,000 HC Outreach & Promotion $450,000 $470,000 Community-Based Grants $7,679,026 $10,150,000 HCIG/HSIG Incentive Grants $950,000 $950,000 Healthy Living Program 2.0 $6,729,026 $9,000,000 Built environment planning partnership 200,000 Proposed new partnership to support walkability Grantee Defined $237,750 $35,000 RSCG - Free the Night $213,750 $0 Conference Sponsorships $24,000 $35,000 Evaluation $1,585,000 $1,585,000 Evaluation - Wellness $1,585,000 $1,585,000 Research $11,931,000 $12,300,000 Oklahoma Tobacco Research Center $3,686,000 $3,800,000 TSET Cancer Research Program $5,335,000 $5,500,000 Oklahoma Center for Adult Stem Cell Research OMRF $2,910,000 $3,000,000 Programs Budget Grand Totals $45,184,802 $48,064,816 Budget Line Item FY21 budget FY22 proposed Comments Funds other than TSET funds: 0 0 OTH Promotional Support (VI) 2,000,000 2,000,000 OTH Promotional Support costshare OHCA 2,000,000 2,000,000 Cost share reimbursement from OHCA -4,000,000 -4,000,000 TSET Funds Only $45,184,802 $48,064,816

Total Combined Budget - All Funds $46,921,908 $49,953,724

Purpose The mission of the TSET Health Promotion Research Center (HPRC), formerly the Oklahoma Tobacco Research Center (OTRC), is to reduce the burden of disease in Oklahoma by addressing modifiable health risk factors such as tobacco use, sedentary lifestyle, poor diet, and risky alcohol and other substance use through research, novel intervention development, and dissemination of research findings. In addition, understanding and addressing health disparities among Oklahomans is emphasized. The HPRC serves as a primary driver of cancer prevention research for the Stephenson Cancer Center (SCC), OUHSC, and the state of Oklahoma, and helps to sustain the SCC’s status as an NCI designated cancer center. Rationale According to the 2020 United Health Foundation rankings, Oklahoma ranks 40th in adult smoking, 47th in obesity, and 50th in exercise and nutrition. TSET’s targeted attention has resulted in significant reductions in the prevalence of smoking in Oklahoma (e.g., the smoking rate in Oklahoma has declined from 23.7% in 2010 to 18.9% in 2019). However, substantial work remains to be done to address modifiable health risk factors like smoking, obesity, and poor nutrition/exercise - the primary drivers of the leading causes of death and disease in Oklahoma (i.e., cancer, heart disease, and stroke). Funding In FY21, the HPRC was funded at $3,686,000. The HPRC is currently in year one of a three-year TSET grant. FY20: $3,800,000 FY19: $3,800,000 FY18: $3,800,000 FY17: $3,800,000 Overall Highlights National Recognition • The HPRC was pivotal in supporting the SCC in its attainment of the NCI designation. HPRC Productivity Highlights • The HPRC employs >50 people to support >30 research studies. • Over 35 faculty affiliates from OU, OSU, and other colleges and universities across Oklahoma work with HPRC faculty members to accomplish its mission. • Faculty research is presented in the media, bringing public attention to Oklahoma health disparities. • Faculty serve as leaders and advocates at the national level through their roles at the NIH and public health organizations. Researchers/Research • Nationally recognized for their expertise in tobacco cessation intervention, health disparities, tobacco regulatory science, and mobile health, 7 primary faculty and 2 postdoctoral fellows conduct research focused on understanding and reducing the disease burden of tobacco use and other modifiable health risk factors. Three new faculty members began work at the HPRC in August 2020, and two additional faculty members will begin Spring /Summer 2021. • In FY20/21, a total of 3,601 Oklahomans was enrolled into HPRC research studies focused on smoking cessation, e-cigarettes, menthol, cancer, homelessness, breastfeeding, HPV vaccine uptake, and medical cannabis. In addition, 1,237 tissue samples and charts were reviewed for lab-based research studies. • TSET support has led to an additional $56 million in grant funding to HPRC investigators since 2016, and three additional large NIH grants are expected to be funded within the next several months, bringing over $8 million in additional grant dollars to Oklahoma.

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• HPRC faculty have published more than 60 peer-reviewed manuscripts in FY20 and FY21. HPRC Resources • The HPRC has 4 main resources: The Tobacco Treatment Research Program (TTRP), the Mobile Health Shared Resource, the Training Program, and the Tobacco Regulatory Science Lab. Highlights for each resource are provided below. • Since inception in 2017, the TTRP has provided cessation services to more than 1,400 Oklahomans seeking smoking cessation treatment and supported recruitment for >10 tobacco-related research studies. Many of these studies test novel smoking cessation interventions for underserved Oklahomans – with the aim of reducing high smoking rates in Oklahoma. Notably, those who enroll in clinical trials tend to have better smoking cessation outcomes than those who receive standard care. • TTRP referrals come from OUHSC/SCC clinics through the electronic medical record system, and from the community through social media, internet, telephone, email, fax, and walk-in. • The HPRC adapted to the COVID-19 pandemic by shifting to remote data collection methods across studies and within the TTRP, capitalizing on HPRC expertise in mobile health technology. • The mHealth Shared Resource has become a national leader in health-related smartphone application development, supporting over 55 research studies with over $50 million in grant funding that have focused on smoking cessation, alcohol cessation, marijuana cessation, medication adherence, e-cigarette use, and reducing sedentary behavior. • Recently, the mHealth shared resource created a COVID-19 “Symptom Tracker” app which is currently being deployed to up to 500 cancer patients. The app assesses symptoms consistent with COVID-19 infection daily and rapidly links cancer patients to healthcare providers when symptoms are detected. • The HPRC Training Program led by Dr. Amy Cohn provides training to develop the next generation of scientists, including graduate students, postdoctoral fellows, junior faculty members, staff, and faculty affiliates, through monthly seminars focusing on faculty research, grant writing and career development awards, data analysis, institutional research support services, preparing for tenure, scientific manuscript writing, community outreach, conducting literature reviews, and other relevant topics. • Dr. Cohn is developing new relationships with trainees and institutions of higher learning across Oklahoma (e.g., College of Nursing, Rose State College). The program is currently serving more than 15 trainees. • Dr. Lurdes Queimado (a previous TSET Scholar) is the new Director of the Tobacco Regulatory Science Laboratory. The lab now supports 4 NIH-funded research studies. • Community Partnerships • HPRC faculty members continue to develop and deploy community-based research initiatives with primarily underserved groups of Oklahomans including expanding partnerships with the Regional Food Bank of Oklahoma, Homeless Alliance, ReMerge (an incarceration diversion program), and the Choctaw Nation. Other community partners include: Ebenezer Baptist Church, Freedom Oklahoma, Harold Hamm Diabetes Center, Lottie House, National Alliance on Mental Illness-OK Chapter, Oklahoma City-County Health Department, Oklahoma City Indian Clinic, Oklahoma Heart Hospital (North & South), Oklahoma Psychological Association, Oklahoma State Department of Mental Health, Oklahoma State University, Oklahoma Tobacco Helpline, Red Rock Behavioral Health Services, Rose State College, Stephenson Cancer Center, University of Central Oklahoma, and The University of Oklahoma-Norman Campus. Return on Investment • For every TSET dollar awarded since 2016, $2.56 in additional grant funding has been obtained by HPRC investigators to support the HPRC mission.

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1. OCASCR Recruiting Efforts: The availability of local funding sources—such as OCASCR—helps to recruit new scientists to our state. The following nine scientists were recruited to Oklahoma during FY20: • Ann Chiao, Ph.D.: Recruited to OMRF from University of Washington (Seattle, WA) • Jed Friedman, Ph.D.: Recruited to OUHSC from University of Colorado Anschutz Medical Campus (Denver, CO) • Jacquelyn Gorman, Ph.D. Recruited to OMRF from University of Washington (Seattle, WA) • Catherine Hunter, M.D.: Recruited to OUHSC from Children’s Hospital Los Angeles (Los Angeles, CA) • Chi Fung Lee, Ph.D.: Recruited to OMRF from University of Washington (Seattle, WA) • Michael Rudolph, Ph.D.: Recruited to OUHSC from University of Colorado Anschutz Medical Campus (Denver, CO) • Peter Vitiello, Ph.D.: Recruited to OUHSC from Sanford Research (Sioux Falls, SD) • Elizabeth Wellberg, Ph.D.: Recruited to OUHSC from University of Colorado Anschutz Medical Campus (Denver, CO) • Meng Zhao, Ph.D.: Recruited to OMRF from La Jolla Institute for Immunology (La Jolla, CA) 2. OCASCR Awardees Leveraging TSET Funding: Since 2010 OCASCR grantees have leveraged ~$25M in TSET funds to earn over $175M in additional grants, including over $16.8M in FY20. Some sources of additional funding include: • Federal agencies: National Institutes of Health, Department of Veterans Affairs, Department of Defense, Department of Energy, National Science Foundation • Private foundations: Arthritis National Research Foundation, American Heart Association, Pew Charitable Trusts • Local agencies: Oklahoma Center for the Advancement of Science and Technology (OCAST), Presbyterian Health Foundation 3. OCASCR Scientists’ Publications: During FY20, 18 OCASCR grantees published 73 peer-reviewed manuscripts with an average Impact Factor of 5.2. Among these, the five journals with the highest impact factors were: • Cell Stem Cell (20.8) • Nature Reviews Rheumatology (18.5) • Annals of Rheumatic Diseases (16.1) • Journal of Cachexia, Sarcopenia and Muscle (12.5) • Current Biology (9.6) 4. Cost-Sharing on OCASCR Equipment Grants: In FY20, OCASCR awarded $541,451 in grants that was matched by an additional $333,499 from awardee institutions to purchase the following equipment: • 2 specialized microscopes • 1 mass spectrometer for identifying compounds in tissue samples • 1 system for imaging proteins run on gels • 1 system for measuring vision in mice 5. Translating Research into Medical Best Practice In 2018, Drs. Lijun Xia and Patrick Gaffney identified a gene (MBTPS1) harboring a mutation that caused skeletal abnormalities and cataracts in an Oklahoma child. Since publishing their discovery, another Oklahoma child plus eight other patients around the world have emerged with similar symptoms and mutations in the same gene. Drs. Xia and Gaffney are working to identify even more patients in order to initiate a clinical trial to test a drug that could alleviate this syndrome: https://omrf.org/mbtps-related-disorders-research-group/

825 NE 13th Street, Oklahoma City, OK 73104 405-271-7473 [email protected] www.ocascr.org

Stephenson Cancer Center Impact and Return on Investment of TSET Research Funding The Oklahoma Tobacco Settlement Endowment Trust (TSET) plays a critical role in advancing the Stephenson Cancer Center’s mission of eliminating cancer in Oklahoma and beyond.

Cancer takes a terrible toll in our state. One in two men and one in three women in Oklahoma will be diagnosed with cancer during their lives. This year more than 20,500 Oklahomans will hear the words “You have cancer” and over 8,400 Oklahomans will die from this terrible disease. Our state has the fourth highest cancer mortality rate in the nation per 100,000 residents. Unfortunately, our large American Indian and rural populations suffer from significantly higher cancer incidence and mortality rates than state and national averages. In 2001, the State Legislature passed bipartisan-supported legislation (HB 1072) that created the Stephenson Cancer Center (SCC) with a statewide mission of: 1) addressing Oklahoma’s heavy cancer burden through research, treatment, education and outreach; and 2) seeking to achieve National Cancer Institute (NCI) Designation – the highest national accreditation for cancer centers. The SCC has worked hard to fulfill this legislative mandate by providing Oklahoma cancer patients with outstanding, patient- centered care, conducting innovative research, and engaging with community partners. Over the past five years, we have provided treatment for 15,786 newly diagnosed cancer patients, both adults and children. Annually we see patients from all 77 Oklahoma counties and now care for more than 1 in 6 Oklahomans diagnosed with cancer – more than any other center in the state. TSET’s crucial support of the SCC through the TSET Cancer Research Program and the TSET Health Promotion Research Program grants directly supports and advances the SCC’s mission of eliminating cancer in Oklahoma and beyond. As the highlights below demonstrate, the Return on Investment (ROI) of TSET support has been very significant, both for the health of our citizens and our state’s economy:

• With TSET support, the SCC has recruited 64 new faculty researchers to Oklahoma since 2012. These new investigators are located at multiple institutions, including the OU Health Sciences Center, OU Norman, Oklahoma State University, and the Oklahoma Medical Research Foundation.

• These 64 new investigators brought $34,793,601 in extramural grant funding to Oklahoma. Since arriving, they have received an additional $110,549,058 in new grant funding (as of 12/31/20). This totals $145,342,659 in new grant and contract dollars to Oklahoma between 2012 and 2020.

• With TSET support, the SCC has developed into one of the nation’s leading cancer clinical trials centers. Major pharmaceutical companies – including Amgen, Astrazeneca, Bayer Health, Eli Lilly, GlaxoSmithKline, Merck, Novartis, Roche and Pfizer – now choose Oklahoma and the SCC as a site for conducting their clinical trials. Since 2012, this activity has brought $78,350,542 in pharma industry dollars to Oklahoma.

o Notably, many of these industry-sponsored clinical trials were offered to Oklahomans through the TSET Phase I Center, which is recognized nationally as a leading site for early-phase clinical trials. Since 2012, more than 1,700 patients from Oklahoma and 17 other states have participated in early-phase clinical trials open through the TSET Phase I Center.

• When the above dollars are combined, TSET support has directly contributed to leveraging $223,693,201 in new extramural research grant and industry contract dollars between 2012 and 2020. If a standard 3:1 economic impact multiplier is applied, these dollars translate to $671,079,603 in economic impact for our state.

• The SCC is a statewide entity, with 279 research members at nine different Oklahoma institutions, including OUHSC, OU Norman, OU Tulsa, OMRF, OSU, SWOSU, OSU-HSC (Tulsa), NSU, UCO and Cherokee Nation. These investigators come together at the SCC’s Annual Cancer Research Symposium, the state’s premier cancer research meeting, which TSET has supported since 2012.

• With TSET support, the SCC coordinates a Statewide Clinical Trials Network that provides Oklahomans from across the state with access to NCI-sponsored clinical trials. Affiliate partners and clinic locations include:

o Oklahoma Cancer Specialists and Research Institute – Tulsa, Bartlesville, McAlester o Integris Health – Oklahoma City o Cancer Centers of Southwest Oklahoma – Lawton, Duncan, Altus, Chickasha

• TSET support has allowed the SCC to expand its nationally recognized clinical trials program, which provides patients with access to new and promising cancer therapies. Since 2012, 7,744 Oklahomans have participated in interventional clinical trials at our center, both adult and pediatric patients. This includes patients from all 77 Oklahoma counties. Notably, nearly half (47%) of these patients come from outside Oklahoma and Cleveland Counties.

• Thanks to TSET support, the SCC is now the #1 ranked cancer center in the nation for the number of patients participating in clinical trials sponsored by the NCI’s National Clinical Trials Network (NCTN), the nation’s largest oncology clinical trials organization. Patient participation in these trials at the SCC exceeds that of major cancer centers such as MD Anderson (Houston), Dana-Farber (Boston), Cleveland Clinic / Case Western Reserve (Cleveland) and Memorial Sloan Kettering (New York City).

• With TSET support, in 2020 the SCC achieved a major strategic goal when it joined the NCI’s Experimental Therapeutics Clinical Trials Network (ETCTN), the nation’s premier network for early- phase clinical trials. With this award, the SCC joins a select group of 28 NCI-Designated Cancer Centers across the nation that provide patients access to a NCI-sponsored early-phase trials.

In 2018, the SCC achieved its legislatively mandated goal of attaining NCI Designation – the highest accreditation a cancer center can attain. There are only 71 NCI-Designated Cancer Centers nationally, and now we have one to serve all Oklahomans. Data from a study done at Duke University shows that patients treated at NCI-Designated Cancer Centers have up to 25% better outcomes one year after treatment. Not only was TSET funding essential in achieving NCI Designation for Oklahoma, it will be essential in maintaining it. We must re-compete for NCI Designation every five years (application for the next cycle is due 2022), and every five years the bar to maintain this important accreditation is raised. We thank TSET for its continued and profoundly impactful support. Oklahoma State University Center for Health Sciences Oklahoma Hospital Residency Training

Purpose of Program: To develop community-based, primary care residency programs in underserved communities and health professional shortage areas (HPSA). Rural residencies are training programs that place physician residents in rural locations for greater than 50 percent of their training and focus on producing physicians who will practice in rural communities. The project’s overall goal is to increase the number of rural physicians by increasing accredited rural physician residency training opportunities.

Update: Recent meetings between OSU-CHS and Stillwater Medical Center (SWMC) have resulted in a proposal to TSET for a rural internal medicine residency program at SWMC.

The SWMC in collaboration with OSU-CHS has submitted an Accreditation Council Graduate Medical Education (ACGME) application for accreditation to allow recruitment in 2021 to begin the first class in July 1, 2022. Stillwater, although it is the home to Oklahoma State University is still a larger rural community with a population of 45,688. For purposes of residency expansion, it is west of Tulsa and will help promote training in a more west/northwest region of the state.

The TSET Program committee discussed working with OSU to add a requirement that rural residents also commit to practicing medicine in a rural or underserved area upon completion of training.

Request: The OSU-CHS seeks the approval of the TSET Board of Directors to make available the remaining balance of $2,391,294 for a residency program that will span three years, five residents per year, with a total capacity of 15 residents at the end of three years. TSET funding will be used to pay resident salaries and other expenses of the program. The total cost of the program is $6,132,544, so support of $1,516,400 by OSU-CHS and $2,224,850 by SWMC (or 61% of the program’s total expenses) is provided by OSU- CHS/SWMC.

The OSU-CHS request is for a three-year period beginning in FY23 (July 1, 2022) and running through FY25 (June 30, 2025). The OSU-CHS seeks TSET Board’s approval of future funding for the program at SWMC as a pre-requisite to moving forward with necessary planning activities between now and the end of FY22 (June 30, 2022) to be ready the programs for implementation on July 1, 2022. The allocation of TSET funding across fiscal years is projected as the following: FY23--$464,164 FY24--$793,194 FY25--$1,133,936

Funding Sources by Academic Year (July 1st to June 30th) Budget Item TSET OSU-CHS SWMC % Salary Academic Total Support Support Support Supported Year Resident Salaries PGY I x 5 $318,180 100% 2022-23 $318,180 PGY I, II x 10 $647,210 100% 2023-24 $647,210 PGY I, II, III x15 $987,950 100% 2024-25 $987,950

Faculty/Staff Salaries Program Director (PD) $122,200 *50% 2021-22 $122,200 $122,200 2022-23 $122,200 $122,200 2023-24 $122,200 Oklahoma State University Center for Health Sciences Oklahoma Hospital Residency Training

Funding Sources by Academic Year (July 1st to June 30th) Budget Item TSET OSU-CHS SWMC % Salary Academic Total Support Support Support Supported Year $122,200 2024-25 $122,200 Associate PD $118,200 *50% 2022-23 $118,200 $118,200 2023-24 $118,200 $118,200 2024-25 $118,200 Core Faculty x 4 $344,100 *37.5% 2022-23 $344,100 $344,100 2023-24 $344,100 $344,100 2024-25 $344,100 Program Coordinator $65,760 100% 2022-23 $65,760 $65,760 2023-24 $65,760 $65,760 2024-25 $65,760

Additional $80,224 $509,600 2022-23 $589,824 Educational Expenses $80,224 $509,600 2023-24 $589,824 $80,224 $509,600 2024-25 $589,824

In-Kind Contributions $379,100 2021-22 $379,100 $379,100 2022-23 $379,100 $379,100 2023-24 $379,100 $379,100 2024-25 $379,100 **Total at Maturation $2,391,294 $1,516,400 $2,224,850

Total Requested TSET Funding by Academic Year 2022-2023 $464,164 2023-2024 $793,194 2024-2025 $1,133,936 Figure 4: Funding by Academic Year *indicates 50% Non-Clinical time to support the residency program for the PD, APD, and, 37.5% for the Core Faculty with the remainder of their time as clinical/hospital. **Following the three year start up period, SWMC will be fully self-sustainable with Medicare cost reimbursement and OSU-CHS in-kind contributions.

Commitment from the Authority: 1. The original grant required a match of funding. The OSU-CHS has calculated the amount of in- kind match being dedicated to the start-up and implementation of the program in the way of resident salaries and operations. The total in-kind on an annual basis is estimated at $1,516,400 or roughly 24.7% of TSET dollars being requested. 2. The OSU-CHS has provided a roadmap of planning year activities and major milestones to be completed to ensure the start-up and implementation of the program by July 1, 2022 and has agreed to enter into a Memorandum of Agreement with TSET supporting the roadmap.

3. The OSU-CHS has agreed to submit an updated proposal for TSET board consideration in the spring of 2022 requesting funding for FY23-25.

Background: Oklahoma State University Center for Health Sciences Oklahoma Hospital Residency Training

The current five-year OSU grant began in FY16 runs through FY21. The TSET Board of Directors approved $3,817,956 and the OSU agreed to provide a match of $5,630,535 using Dean’s Graduate Medical Education federal funding dollars. GME federal funding ended in FY17 by the federal Center for Medicaid and Medicare Services. In FY18, the Authority relied on state dollars in the OSU budget as matching funds along with TSET dollars to fund the start-up and implementation of the Norman Regional Health Systems medical residency program of 24 slots.

Between FY16 and FY18, 54 medical residency slots were funded, 33 are in the pre-graduation phase of training and 21 residents graduated. Half of all graduate residents were from the OSU College of Medicine and 13 remained in Oklahoma. Of those, six continue to practice in rural areas. In FY19, without Medicare matching dollars and a residency program ready for implementation, the Authority did not ask TSET for dollars.

Since that time the OSU has submitted two proposals for board consideration. One was in May 2019 for a hospital residency program in Enid, Oklahoma, at Saint Mary’s Hospital and Integris Bass Baptist Medical Center for 15 family medicine resident slots for a three-year period beginning in FY21 (July 1, 2020) and running through FY23 (June 30, 2023). That proposal was withdrawn when the Saint Mary’s Hospital’s parent organization, United Health Systems (UHS) desired full control of the program. By early December, the OSU-CHS was looking into other venues for a residency program and asked for a January meeting with TSET’s leadership.

A second proposal requested a larger amount to support programs at the Jane Phillips Medical Center in Bartlesville and Great Plains Federally Qualified Health Center in Cherokee. This proposal was presented to the TSET Program Committee on April 30, 2020. The Program Committee discussed the possibility of funding a given number of annual residency slots at a cost of $157,682 per slots but did not make any commitment on the request. TSET’s remaining commitment to OSU through FY21 is $2,391,294.

University of Oklahoma Health Sciences Center Oklahoma Tobacco Helpline Oversight and Services Service Agreement Renewal Request FY22

Purpose of Program: This service agreement with the University of Oklahoma Health Sciences (OUHSC) provides local staff to oversee and service the daily operations of the Oklahoma Tobacco Helpline, as well as funding to OUHSC for the development, execution, and management of a subcontract with Optum, the vendor that provides Helpline services to Oklahomans who want to quit tobacco use. Additionally, OUHSC will collaborate with the TSET Health Promotion Research Center (HPRC), formerly the Oklahoma Tobacco Research Center, to support a postdoctoral fellow to develop research opportunities between HPRC and the Oklahoma Tobacco Helpline.

The purpose of the Oklahoma Tobacco Helpline is to reduce tobacco use in Oklahoma by providing a full array of services including quit coaching, patches, lozenges or gum, and two- week nicotine replacement therapy (NRT) starter kits to all callers who are commercially insured and enroll in the text or email support, mailed materials, and telephone-based or web- based coaching program. Uninsured callers are eligible for enrollment in a multi-call coaching program and may receive up to eight weeks of free combination NRT. The Helpline also provides support for pregnant women, allowing 10 proactive calls and assistance with physician override for NRT.

The Oklahoma Tobacco Helpline serves a statewide audience. During FY20, 28,547 tobacco users registered for services from the Oklahoma Tobacco Helpline. Funding requested will allow the Helpline to serve up to 40,000 callers annually. A slight budget increase is requested to continue to partially fund the Oklahoma City and Tulsa 211 call lines and to promote the youth cessation program, My Life My Quit.

FY22 Oversight Funding Requested: $349,015

FY22 Service Funding Requested: $4,000,000 Healthy Incentive Grant Program for Districts

March FY21 Board Report

Organization County Intended Use of Funds Recommended Amount Cave Springs Public Schools Adair Funds will be used for updates to existing playground including a walking trail. $15,000.00 Whitefield Public School Haskell Funds will be used for a greenhouse, hydroponic system and water bottle filling $3,000.00 station. Newcastle Public Schools McClain Funds will be used to purchase AED’s, health assessment equipment and water $7,000.00 bottle filling stations. Glencoe Public Schools Payne Funds will be used to purchase tables, chairs, and table markers to increase $8,000.00 social distancing measures. Marietta Public Schools Love Funds will be used to invest in playground improvements, protective awnings, a $14,000.00 school garden, and health assessment equipment. Maud Public Schools Pottawatomie Funds will be used to purchase water bottle filling stations. $12,000.00 Battiest Public Schools McCurtain Funds will be used to purchase playground equipment. $12,000.00 Kingston Public Schools Marshall Funds will be used to purchase hydration stations, playground equipment, and $20,000.00 nutrition activities. Howe Public Schools LeFlore Funds will be used to purchase climb and play playground equipment. $11,500.00 Darlington Public School Canadian Funds will be used to purchase fitness equipment. $8,000.00 Oktaha Public Schools Muskogee Funds will be used to purchase new playground equipment, install shading and $20,000.00 a walking path. Heavener Public Schools LeFlore Funds will be used for hands free filtered water stations. $20,000.00 Glover Public School McCurtain Funds will be used for physical education and activity equipment. $15,000.00 Total $165,500.00 Healthy Incentive Grant Program for Schools

March FY21 Board Report

Organization County Intended Use of Funds Recommended Amount Jay Elementary School Delaware Funds will be used to purchase hydration stations. $4,000.00 Quail Creek Elementary Oklahoma Funds will be used purchase pedometers and hydration stations. $4,000.00 Will Rogers Elementary Payne Funds will be used to purchase recess equipment. $4,000.00 Stillwater Middle School Payne Funds will be used to provide a fitness/wellness room for middle school staff $5,000.00 members. Westville Public Schools Adair Funds will be used to purchase a cafeteria oven and warmer. $6,000.00 Ravia Public School Johnston Funds will be used to create a fitness path around the playground perimeter of $2,000.00 our playground. Comanche Middle School Stephens Funds will be used to purchase equipment for physical education classes, $2,000.00 playground supplies, and dance class equipment. Allen Elementary Pontotoc Funds will be used to purchase playground equipment. $3,000.00 Waurika High/Middle School Jefferson Funds will be used to upgrade cafeteria equipment. $3,000.00 Bennington High School Bryan Funds will be used to purchase high school physical education equipment. $2,000.00 Porter Junior and High School Wagoner Funds will be used to purchase a Basketball Shoot-A-Way machine. $4,500.00 Porter Elementary School Wagoner Funds would be used to purchase Action-Based Sensory Learning Lab $4,500.00 materials. Bennington Elementary Bryan Funds will be used to purchase new elementary physical education exercise $3,000.00 equipment. Total $47,000.00 Healthy Incentive Grant Program for Communities

March FY21 Board Report

Organization County Intended Use of Funds Recommended Amount City of Guthrie Logan Funds will be used to install shade space at Banner Park. $70,000.00 Town of Carney Lincoln Funds will be used to repair existing sidewalks and install new sidewalks to $14,000.00 connect to an existing walking trail. Town of Meeker Lincoln Funds will be used to purchase swing sets, playground equipment, landscaping, $14,000.00 plants, trees, shrubs & gravel City of Miami Ottawa Funds will be used to purchase playground equipment for the Route 66 splash $24,000.00 pad site. Town of Central High Stephens Funds will be used to install trail lighting and electricity to the pavilion. $10,000.00 City of Perry Noble Funds will be used to purchase materials including plumbing, concrete, water $25,000.00 play features, electric, picnic tables, and shade structures for a splash pad project. City of Anadarko Caddo Funds will be used to increase the access to exercise equipment in the city park. $10,000.00 City of Yale Payne Funds will be used to develop a regulation disc golf course and a walking trail. $10,000.00 Town of Talala Rogers Funds will be used to purchase a basketball goal, post and concrete pad; $10,000.00 covered bench seating; and concrete pads for picnic tables. City of Comanche Stephens Funds will be used to install a pavilion at the farmers market and improvements $36,000.00 at the community garden. Total $223,000.00 FY21 Food Systems Impact Grant Summaries

Overview: TSET seeks to address long-term needs for prevention and better health outcomes for Oklahomans by funding projects that aim to improve food access and distribution systems in Oklahoma, increase availability of fresh fruits, vegetables, and nutritious foods, as well as supporting incentive programs for retailers to increase access to nutritious foods and for citizens to increase consumption of fresh fruits and vegetables.

In 2019, the TSET Board of Directors approved a resolution in support of removing barriers to healthy foods. To assist in this effort, the TSET Board of Directors authorized the expenditure of up to $1 million in support of Food Systems Impact Grants. The purpose of the request for proposals was to identify immediate needs for funding support for the state’s food systems in an effort to increase access to healthy, nutritious foods for Oklahomans.

At the August 2020 Board of Directors meeting, seven proposals were recommended for funding at a total of $1 million dollars. Each award resulted in a 12-month agreement between TSET and the applicant organization. Funding for the grants was captured from a FY20 lapse.

As of March 2021, grantees will have hit their mid-year mark. During the last week of February 2021, all grantees took the opportunity to speak with TSET Executive Director to update on their progress. While it has been made clear to all grantees, this is single year funding, asking them what another of funding could do was a good indicator of sustainability and impact.

The grantees are:

• Boys and Girls Clubs of Ottawa County • Hunger Free Oklahoma • Urban Strategies, Inc. • Regional Food Bank of Oklahoma • RSVP Enid • Harper County Development Authority • Gateway to Prevention and Recovery

Summaries:

Boys and Girls Club of Ottawa County, $36,072

Project: Expand and enhance the snack/dinner program (CACFP), hire a food coordinator and invest in commercial grade kitchen equipment. The Boys and Girls Club which typically serves a snack for their afterschool program, has shifted from serving 500 grab-and-go meals per week with a residential stove to serving 1500 meals per week (breakfast, lunch, after school snack and dinner) to meet the needs of the families they are serving in a pandemic environment. The Boys and Girls Club’s programming has been expanded to serve children all day to accommodate virtual learning and fluctuating family schedules. The TSET grant has allowed for a conversion from a residential kitchen to an industrial commercial kitchen. With the upgrade, the Boys and Girls Club is now able to feed the growing demand of families. Planning for the future, the club will be able to service additional programming or organizations that may want to rent the commercial kitchen. By June, they expect to have the capability to serve hot meals in-house. The grant has allowed for building organizational capacity to begin feeding programs (CACFP) by August 2021. A food program coordinator was hired in January which as aided in logistics with supplier and has bolstered efficiency. The families served have said that the Boys’ and Girls’ Club are filling the gap as sourcing food has been challenging during the pandemic. There is a Walmart and one grocery store in Miami. Future plans include sourcing fresh fruits and vegetables from the spring/summer farmers markets for summer feeding, and continued collaboration with the Quapaw Processing Plant. Current barriers include the ever-changing environment and staff fatigue due to the pandemic. If the Boys and Girls Club were to obtain another year of funding, they anticipate building capacity and possibly acquiring a secondary feeding site.

Hunger Free Oklahoma, $408,504.75

Project: Expansion of the Double Up Oklahoma program to increase access to fruits and vegetables for low-income and food-insecure Oklahomans.

HFO’s Double Up Oklahoma program (DUO) helps address food insecurity while also incentivizing healthy choices by matching SNAP dollars used for eligible items, dollar for dollar, up to $20 per day. The TSET grant has allowed HFO to expand the DUO program from participating farmers markets to four grocery stores, with the possibility of expanding to seven stores.

The point of sale pilot program at the Okemah Homeland saw a 23% redemption rate ($3000/week) which is 13 points higher than comparable program rates and national averages. The program estimates that $28,911 in DUO vouchers were redeemed in the first 10 weeks of the pilot. More than 850 families were served in January 2021. The success in Okemah has prompted changes in how produce is ordered for the store and additional produce is being ordered and stocked, thereby increasing availability for all shoppers.

The next phase of the project will include expansion to Jay, Altus, and Bartlesville, as well as, health marketing and outreach. The DUO program is being evaluated by OU College of Public Health with methods such as in-store observations, manager and staff interviews and literature reviews. Challenges have included a compliance issue (where no cash is exchanged) and a convenience issue involving combining coupons. Those complications have been resolved as the project moves to expand to additional sites. Another challenge is the number of stores that desire to participate in the program. The Okemah store has been so successful that other locations in the Homeland system want access to the program that is still in the rollout phase. With another year of funding, HFO could sustain the program in ten stores accommodating both rural areas and urban areas. They are also interested in the possibility of measuring health outcomes as data can be collected at point of sale and a possible partnership with a Homeland store being planned for Northeast Oklahoma City, which has been a widely publicized food desert.

Urban Strategies, $50,850

Project: Tulsa’s River West/Eugene Field Community The goals of this program are to provide health education to adults and children to increase knowledge about healthy nutrition through educational materials, one-on-one education and support, group classes for chronic health condition management, and health-focused community events; ensure residents have access to nutritious food options through a promotion of and transportation to utilize Double Up Food Bucks, the Fresh EBT app, rebates for using SNAP benefits, and a partnership with Tulsa Public Schools; create a community defined Sustainable Food System Blueprint and community garden action plan.

Urban Strategies’ mission is to ensure the stability of low-income residents during a physical revitalization/relocation process. After securing the TSET grant, they created a multi-level action plan regarding expansion of food access and how to impact food choices within the community. From September through December 2020, Urban Strategies focused on collecting baseline data for 320 households (approx. 1000 individuals) relating to health and wellness. Using that data, Urban Strategies kicked off their “Reaching Your True Potential” incentive program in January 2021. The program allows residents to collect points each for participation in health and wellness activities. Those points may then be exchanged for small kitchen appliances, gift cards for produce or cookware. Health and wellness topics and activities may include family health, Double Up Bucks, exercise, etc. Residents also engage with a case manager, so that Urban Strategies can track who is enrolled and how to best assist. Currently, Urban Strategies is working on a sustainable food system action plan. In March, Urban Strategies will launch a “Community is Medicine” program comprised of two cohort with 30 residents each. The goal of the program is to focus on holistic community health and engagement of community. Current barriers for Urban Strategies include digital literacy, which is needed for families to fully utilize programs. In addition, continued changes within the ever-changing school system schedule and transportation have also been challenging. Stress for families will often cause disengagement. If Urban Strategies were to receive another year of funding, they would continue work on a sustainable food blueprint (opportunities to grow fresh food within the community).

Regional Food Bank of Oklahoma, $96,544

Project: Expand Senior Servings Program

The Senior Servings Program targets food-insecure seniors living independently and receiving meals at an Oklahoma City congregate feeding site on weekdays but are food insecure over the weekends. The program provides frozen meals, prepared by the Regional Food Banks Hope’s Kitchen, so the seniors can easily heat in an oven or microwave and enjoy nutritious meals during the weekend. Over the course of the grant period, 12 partner agencies will be recruited to participate in the Senior Servings Program. During September through December 2020, RFBO researched the barriers and needs of seniors to access nutritious food, then developed meals and easy-open packaging to accommodate those needs. The determinant for the number meals that seniors receive are based on dexterity, strength and cognition limitations evaluated during an intake process. Special provisions for senior meals are diabetic diet, low sodium diet, easy to follow cooking instructions, space to store food. Currently, the Senior Servings program is available at four partner agencies and serves 58 individuals monthly. To date, 2,029 meals total have been distributed. This program is expected to grow as the Food Bank is acquiring seven new partners each month. RFBO is also working with the OKC Housing Authority on a brick and mortar certified healthy, senior pantry for low-income seniors. Challenges have been a national shortage of commercial freezers resulting in limited space that pantries can store senior meals. This shortage in available freezer space has meant an increase in deliveries to partner agencies. With another year of funding, the program would continue to expand and add partner agencies.

RSVP Enid, $125,680.64

Project: Increase Mobile Meal program for seniors The Mobile Meals program at RSVP Enid serves as a referral source for many other types of services in and around Enid including home health, Elder Abuse Multidisciplinary Team, minor home repairs, transport for vaccinations and Homebound Counseling Program through St. Mary’s Regional Medical Center. RSVP of Enid has seen a 38% increase in demand for services year over year. The TSET grant has allowed RSVP Enid to increase the number of Mobile Meals distributed, allowing referrals to services mentioned earlier. It is estimated that RSVP Enid serves 1,000 seniors per week in various ways, with a network of 423 volunteers. Barriers include navigating within the parameters of the SNAP program, a pandemic environment and funding. Additional funding would enable the program to continue to meet existing or increasing need for home-delivered meals for seniors and access to additional services.

Harper County Development Authority, $40,394.51

Project: Laverne Food Security Co-op; Connected Roots

The goal of this project is to connect producers and vendors with consumers in a rural area to address food insecurity as well as, to increase economic development by selling locally made products. The creation of Connected Roots, seeks to house a farmers’ market and vendors selling locally made products. The TSET grant has allowed for the hire of a part-time food coordinator that facilitated the opening of a storefront for producers and vendors, the building of a website and brand development for producer products. The food coordinator has also worked on the development of a food policy council (estimated September), SNAP acceptance at the market and getting fresh fruits and veggies in the hands of Early Head Start students and teachers. Connected Roots has also been able to partner with the Regional Food Bank to serve 125 families per month and 12 individuals at the senior center. During the opening two days of the storefront, the market made $2,400 in sales of locally produced products. The grantee stated that funding from TSET has improved access to fresh fruits and vegetables and options for distribution of products. If HCDA were to receive another year of funding they could sustain part- time food coordinator and increase producer and vendor participation.

Gateway to Prevention and Recovery, $250,000

Project: Mobile Food Market to serve rural areas of Seminole, Pottawatomie and Hughes counties

The goal of this project is to dispatch a mobile food market to transport food to high-need areas in targeted counties, geared toward alleviated immediate hunger. The mobile market, which is a semi- trailer that clients can walk through to select items, has not been deployed to date due to COVID restrictions but Gateway has been successful in delivering commodity boxes utilizing a drive-thru delivery system. Future plans include expansion of program into neighboring county, development of a food policy council for Seminole County and possible health screening at the launch of the Mobile Market. HEALTHY FOOD, HEALTHY ECONOMIES, AND HEALTHY COMMUNITIES: DUO WINS IN RURAL OKLAHOMA

DUO is Making a Difference

In Okemah, which has only one full-service grocery store and some of Oklahoma’s worst health statistics, $3,000 a week in fresh produce for families is fulfilling a need. Double Up Oklahoma is having an outsized effect on produce accessibility and affordability in this small rural town – so much so that initially the store couldn’t keep up with demand. “Weekly produce sales have doubled since DUO… I buy more produce and a wider variety than I ever could before because I know it will sell. [Before DUO] I could never sell things like asparagus and eggplant, but now it won’t stay on the shelves.” - Terry, Okemah Homeland Produce Manager

While still in its early days, this is a good indicator that DUO is increasing the amount of produce available to the community and the amount of produce bought and eaten by Okemah residents.

Early Returns Data from the first 10 weeks of piloting in the Okemah location is very promising.

$28,911 23% average in DUO redeemed for fresh redemption rate 850 FAMILIES fruits and vegetables SERVED 13 POINTS in January 2021 HIGHER THAN COMPARABLE PROGRAM RATES Nationwide, produce incentive programs make an impact

MORE BETTER HEALTH STRONGER PRODUCE ECONOMY 304,000 26% cardiovascular Up to $2.90 increase in fruit and vegetable events prevented Generated for the state economy for consumption amongst participants by participation in incentive programs every $1 in nutrition incentives spent

1 head of cabbage 4 lbs of Idaho potatoes

5 Gala apples 2 lbs of baby carrots 4 lbs of oranges 7 Roma tomatoes 2 pints of blueberries $ GOES A LONG WAY: INSIDE 20 A DUO SHOPPER’S BASKET

$ $ DUO currently operates in 16 farmers markets 1 = 1 and 1 grocery store with plans for up to 11 stores this year and statewide expansion as About DUO funding is available. Double Up Oklahoma incentivizes fresh fruit and vegetable purchases by matching each dollar spent in SNAP with one dollar in DUO bucks that can be used to buy fresh fruits and vegetables (up to $20 per EBT card per day).

Pilot Status Hunger Free Oklahoma launched the pilot at a Homeland in Okemah, Oklahoma on November 22, 2020. We are currently fine tuning the technology for earning and redeeming DUO bucks, developing a Phase 2 program with expanded outreach and health promotion, and preparing to rapidly expand into up to 10 more stores once the technology improvements are finalized. In March, HFO is expecting to expand to three more stores in Jay, Altus, and Bartlesville.

HungerFreeOK.org | DoubleUpOklahoma.org

The Double Up Oklahoma Grocery Store Pilot made possible through of generous support from the Tobacco Settlement Endowment Trust and Blue Cross and Blue Shield of Oklahoma. TSET HEALTH COMMUNICATION MARCH 2021 BOARD PACKET Q1 2021 UPDATES/Q2 2021 UPCOMING

HC PARTNERSHIP AND SPONSORSHIP UPDATES • Partnerships · Oklahoma Health Care Authority - Ongoing support of OTH/SoonerCare efforts - OTH provided content for OHCA Dental and Provider Newsletters · Building Healthy Military Communities - Monthly Brand Ads • Paid Partnerships · SYF, OU/TU Culinary and KJRH-TV partnership - Launched September - 1 video per week aired twice a week and used in social/ digital content · Healthy Schools Oklahoma and SYF - Spring Break Physical Activity Content with PE teachers across OK · SYF Scissortail and OSU-OKC Farmers Market Chef Videos and Farmers Market - Monthly videos wrapped on Jan 5. - Permanent Signage and ongoing recognition at park/market - Looking at opportunities for 2021 Farmers Market • Conference Sponsorships · OK Dental Hygienists Association - OTH CE Credit Video – emailed to membership in January 2021 - March Madness Conference Sponsorship • Facecbook Frames · Tobacco Stops With Me recently created Facebook profile frames that can be applied to a user’s Facebook profile photos. Profile frames are used to celebrate important moments, to cheer teams on to victory and to show support for special causes. In this case, our frames help staff, partners and advocates show support for Tobacco Stops With Me and for a tobacco-free Oklahoma. • 2021 Oklahoma Addy Awards · Bronze - Television Advertising – Not OK – Oklahoma Standard · Bronze - Television Advertising – SYF Power of One – TV · Bronze - Online/Interactive Campaign - SYF Talk To Your Kids · Bronze - Illustration - SYF Talk To Your Kids · Silver - Cross Platform: Integrated Campaigns - SYF Power of One · Silver - Animation, Special Effects or Motion Graphics - SYF Power of One

HEALTH COMMUNICATION BRAND OVERVIEWS

FY21 HC BUDGET UPDATE FY21 Budget = $12,290,798 FY21 Billings = $7,057,071 (July - Jan, without all of Jan media) OKLAHOMA TOBACCO HELPLINE HC UPDATE

BUDGET UPDATE FY21 Budget: $4,000,000 FY21 Billings: $2,552,722 (July - Jan, without all of Jan media)

OKLAHOMA TOBACCO HELPLINE CALL VOLUME Call Volume (July – February 21, 2021): 13,875 registrants (42% of 33,000 registrant goal)

BRAND UPDATE Oklahoma Tobacco Helpline

Through With Chew Week, Feb 21-27 • A week-long initiative designed to reduce the use of smokeless tobacco. OTH is supporting the event with a statewide and grantee press release in addition to social media posts. The Helpline is reminding Oklahomans of some common triggers and helpful alternatives to smokeless tobacco. You can find the release here. One Talk. Life-Changing Print and Out-of-Home Resolutions. Current tobacco users are more likely to quit when encouraged by their health care provider.

• February print appearances: Native Oklahoma, Oklahoma Dental Introduce your patients to the Oklahoma Tobacco Helpline. Plus, by quitting tobacco, your patient is taking a major step in defending against Association Journal, Oklahoma State Medical Association (OSMA) serious symptoms of COVID-19. Journal, OK Nurse, Oklahoma Academy of Pediatrics E-newsletter and FREE Benefits Include: Oklahoma Nursing Times

At least a two-week Access to 24/7 phone, supply of patches, Quit Coaching web or text • March print appearances: The Journal of the Oklahoma Osteopathic gum or lozenges support Association - Oklahoma DO, Oklahoma Dental Association Journal, FREE Materials Oklahoma State Medical Association (OSMA) Journal and Oklahoma Visit OKhelpline.com to order free Now, 13-to-17-year-olds can receive free promotional materials for your office. help to quit through live text, phone or You can get brochures, pens, posters, Academy of Pediatrics e-newsletter. web chat. Visit MyLifeMyQuit.com or tip cards and more. text “Start MyQuit” to 855-891-9989. - One conversation can change everything for someone wanting to quit tobacco. This ad promotes free Helpline materials health care providers can use to inform their patients about the Helpline. • The statewide pharmacy and gas station campaign continued in February and March with stand-up displays at 50 pharmacies and gas pump toppers/ nozzle sign displays at 150 locations.

Helpline TV, Cable and Radio • TV traffic to include: Shaun Testimonial, Ronnie Testimonial, Overview – 450,000 Oklahomans • Radio traffic to include: Overview, Reasons to Quit Financial, Ronnie Testimonial - Flight 5 (TV, Radio) – Jan 25 – Feb 7 - Flight 6 (TV, Radio) – Feb 22 – Mar 8 • Spanish Radio to Include: Gus, Gloria - Spanish Radio – March 1-7 • All OTH testimonials and videos are available on our YouTube channel. Digital and Social • OTH is running a digital campaign promoting the Helpline’s additional benefits to SoonerCare members, running through April 4 • Digital video and interactive online ads are providing these individuals with information to connect them to Helpline services for a quit attempt. • Also running through April 4, the Stay Quit campaign will be promoted on social media. • The OTH Remarketing Campaign continues through April 4. This targets individuals who visited the OTH website without registering. • Feb/Mar Various Promoted Social Media Posts and Web Click Ads: - Reasons to Quit Website Click Ads (Feb. 1-8) - Mental Health Promoted Posts (Feb. 10-17) - Smokless/Male Through with Chew Promoted Posts (Feb. 21-27) - Habits of Former Smokers Promoted Posts (March 1-8) - St. Patrick’s Themed Website Click Ads (March 10-17) - Reasons Facebook Video Ad Poll Video (March 22-29)

Website • The OTH website makeover continues! Phase II of OKhelpline.com will allow us to follow up with website visitors who didn’t complete signup. Other changes include fresh testimonial blogs, additional Spanish language options, updates to interactive quizzes, a media room refresh and an easier way to order materials! Stay tuned for these updates.

OTH EVALUATION SUMMARY Progress Summary The Oklahoma Tobacco Helpline Media Fatigue Survey measures awareness and exposure to the Oklahoma Tobacco Helpline campaign messages as well as receptivity to the campaign message.

A new online version of the OTH Media Tracking Survey was launched in January and data collection was complete in early February. The survey targets smokers and people who live with smokers to measure their awareness and opinions of recent OTH media.

We delivered a final report to TSET in March, 2020.

To learn more about the Oklahoma Tobacco Helpline and to explore the new website, visit OKhelpline.com. You can also connect with the Helpline through social media by liking the Oklahoma Tobacco Helpline on Facebook or following @OKhelpline on Twitter and Instagram. TOBACCO STOPS WITH ME HC UPDATE

BUDGET UPDATE (an additional $500k will be added for COVID buy) FY21 Budget: $3,315,000 FY21 Billings: $2,110,394 (July - Jan, without all of Jan media)

BRAND UPDATE Tobacco Stops With Me

Website and Email • NEW on the website: Interactive Tobacco Policy Quiz - Myth v. Fact: Clean Indoor Air Edition - When it comes to protecting the health of Oklahomans, policy is the first line of defense. Without common-sense tobacco policy, innocent Oklahomans — including kids — will continue to suffer. Learning how tobacco policy affects us means cutting through myths to find the truth. By breaking through Big Tobacco’s lies, you can help us build a state of better health. • Jan Email - In January, TSWM introduced an article about how tobacco preemption keeps Big Tobacco in power across our state, giving communities no ability to better protect themselves from secondhand smoke. We also shared ways you can motivate someone to quit tobacco use, provided a case for taxing vape products and shared resources for teens from My Life My Quit. • Feb Email - In February, TSWM shared a recent report finding vaping’s negative impact on cancer treatment, we also explored topics such as tobacco interference in policy, the dangers of smokeless tobacco and how tobacco use affects your heart health.

Print and Out-of-Home • In February and March, the Not OK print campaign continues with rotations in the following publications: The Oklahoman, Tulsa World, Black Chronicle, Tulsa Oklahoma Eagle, Native Oklahoma, Mvskoke News, The Oklahoma Publisher, Journal Record, Oklahoma Senior News, Oklahoma Living, plus CNHI and rural publications. • Ending in February is Tobacco Stops With Me’s educational messaging for audiences at cinemas and doctors’ offices throughout Oklahoma. The “Defenseless” message - focusing on the dangers of vaping weakening the lungs’ ability to fight off viruses - will be rotated into more than 119 waiting room locations statewide, as well as cinemas in rural and metro communities across Oklahoma. TV, Cable and Radio • TSWM Flight Feb 8-21 • TV traffic to include: Oklahoma Standard, Clean Indoor Air, Defenseless • Radio traffic to include: Oklahoma Standard, Not OK Health Mod Radio, Clean Indoor Air • All TSWM video spots and more are viewable on TSWM’s YouTube.

Digital and Social • February: - Two promoted posts highlighting Black History Month discuss Big Tobacco’s long history with maliciously targeting African Americans. We’ll hear Josiah’s story about his experience with tobacco and his reactions to the industry’s attack on his community. - TSWM brought back a popular campaign known as Corrective Statements. • In 2006, the US District Court for the District of Columbia ruled that tobacco companies were guilty of breaking civil racketeering laws, marketing to children and minority populations, and lying to the public about the dangers of smoking. • This campaign highlights those “corrective statements” and helping people read between the lines. - Paid social messages will communicate the addictiveness of smokeless tobacco. The key takeaway from the campaign focuses on the fact that smokeless doesn’t mean harmless as dip is just as addictive as cigarettes. • March: - In March, two page-like ads will use our Myth vs. Fact and Protecting Oklahoma themes to encourage people to follow our social media channels. - In recognition of Women’s History Month (March), we revisit the Big Tobacco Targets Women - Kaylene’s Story video. • Big Tobacco’s strategy? Profits over people, no matter the cost. In this video you’ll hear Big Tobacco’s chilling plot against women — in their own words. - Also in March, we will run a paid promotion to educate people about the dangers of hookah. • Hookah consistently ranks as one of the top keywords driving traffic to StopsWithMe.com. • This promotion seeks to show readers that hookah isn’t harmless. • Big Tobacco Targets Flight 2 began Jan. 4 and ran through Feb. 14 highlighting the tobacco industry’s decades of malicious targeting of minority populations to create generations of addicted users. • Not OK Social and Digital Flight 3 kicked off Feb. 15 and runs through April 4. - Not OK messaging stays consistent with policy updates and where Oklahoma could see stronger tobacco preventions. - New with Not OK flight 3 is a quiz about Oklahoma tobacco policies, gauging people’s understanding of the current landscape.

TSWM EVALUATION SUMMARY Progress Summary The TSWM Cross-sectional Survey gathers information on Oklahoman’s knowledge, attitudes, and behaviors regarding tobacco. The survey also collects information to measure awareness and exposure to the TSWM campaign messages as well as receptivity to the campaign message. Survey respondents (n=1000) are Oklahoma adults. Data was collected for the 2020 TSWM Cross-sectional Survey February – March 2020 (n=1006). The report was completed and delivered to TSET in May 2020.

The next TSWM Cross-sectional Survey will began data collection in January 2021. The full report will be delivered in May 2021.

To learn more about Tobacco Stops With Me and to explore the website, visit StopsWithMe.com. You can also connect with Tobacco Stops Wtih Me through social media by liking Tobacco Stops With Me on Facebook or following @StopsWithMe on Twitter. SHAPE YOUR FUTURE HC UPDATE BUDGET UPDATE FY21 Budget: $3,300,000 FY21 Billings: $1,936,301 billed (July - Jan, without all of Jan media)

BRAND UPDATE Shape Your Future

Power of One Campaign • We’re powering through with a robust campaign for Power of One. We’ve completed all initial creative, which is rolling out currently. PLUS, two additional spots have been developed. One focuses on swapping sugar-sweetened beverages for water, and the other highlights benefits of living tobacco free.

Sugar Cheat Sheet • Kids may be sweet, but they don’t need added sugar in their diets. This can be more easily said than done when it comes to sneaky sugar in breakfast cereals or yogurt. How much is too much, and what should you look for? Grab the new Shape Your Future Sugar Cheat Sheet the next time you visit the grocery store. We’ve done the hard work to make low-sugar shopping simple.

KJRH Cooking Videos • From starters to desserts, Chef Valarie Carter has a full menu of veggie- based meal ideas in the Shape Your Future Healthy Kitchen. - Weekly recipe demos in February include a tangy and refreshing Brussels sprout salad, delicious chocolate chip black bean muffins, and a warming sweet potato peanut stew. - You can watch all Shape Your Future Healthy Kitchen cooking demos on our YouTube playlist. And be sure to check the video descriptions for links to the printable recipes!

Website and Email • A February e-blast connects Oklahomans to simple tools to help them along their New Year’s health journey. • The February Shape Your Future General Email shares some of our favorite recipes that support a healthy heart. Plus, find plenty of fun and healthy ideas for Valentine’s Day. • The Shape Your Future Teacher Email on Feb. 11 shared healthy and active tips for a tiptop Valentine’s Day that will keep students engaged. And there are details on a student poster contest about the dangers of vaping. • March general email will share information on getting enough sleep, seasonal spring recipes and downloads from our partnership with Healthy Schools OK. Print and Out-of-Home

• The weather’s warming up, and Shape Your Future is helping kids and SPRING GAMES FOR KIDS? their families put a spring in their step. NOW YOU’RE CHALKING! 3 FUN & EASY WAYS TO STAY ACTIVE - Our March print ad provides three fun and easy ways to be active this season. And you’ll love how the activities integrate learning and creativity. - Look for it in Metro Family and Tulsa Kids magazines. You can also

HOP-TO LEARN: Write the alphabet. download the full ad to share. Call out a letter for them to hop over to. Keep the game going with sight words or numbers.

THE GROUND IS LAVA: Draw flowing rivers of red-hot lava. Include some chunks of safe and cool rocks. In a daring rescue, have your kids hop TV, Cable and Radio from one safe rock to safety!

OFF TO THE RACES: Draw a series of objects or animals. Spaceships? Giraffes? Dream big! Name • Shape Your Future TV, cable and radio was flighted Feb. 15-22. Power of the object for your kids to run to. Off they go!

This spring, adventure starts right outside your door! To find more socially distant physical activities, One ads will run this flight focused on nutrition and physical activity. healthy recipes and more, visit

Digital and Social • February social media posts focused on How to Talk to Your Kids About Drinking Water. The posts feature a fun, colorful character and messaging similar to those found on our Shape Your Future Healthy Kid poster. • Simple solutions for better sleep and limiting sugary drinks will be featured in instant articles on social media. Instant articles allow us to share interactive content with our audience without them having to leave the platform. • The Shape Your Future Civically Engaged digital flight was pushed from February to March. - This campaign aims to build support for healthy policies around obesity prevention in Oklahoma. - Flight runs through March 31 • Monthly Content - Schools will be taking a break soon, but that’s no excuse for students to slow down. In our second collaboration of fiscal year ‘21, Shape Your Future and Healthy Schools Oklahoma (HSOK) are producing fun physical activity videos to keep kids (and their families) feeling fine through Spring Break. - Physical education teachers (and Oklahoma students) will lead and demonstrate engaging ways to move more, which energizes the muscles ... and the mind! - Miss the first round of videos? You can find them on the HSOK partnership webpage. Use them to help you reach your daily activity goal (30 minutes for adults, 60 minutes for kids). The new videos will be added to this webpage when they are completed. SYF EVALUATION SUMMARY Progress Summary The SYF Cross-sectional Survey gathers information on Oklahoman’s knowledge, attitudes, and behaviors regarding physical activity, nutrition, and overall wellness among Oklahoma adults with children living in their home. A mixed mode (telephone and online) survey was launched in April 2020 and completed in October (n=900). A full report delivered in November.

Key Outcomes:

• Sleep among children: · 48% of school-aged kids are not getting the recommended amount of sleep · Younger kids (<13) are less likely than older kids to get enough sleep · 64% of parents of children who don’t get enough sleep, think that their kids are getting the right amount of sleep

% Meeting Age Category Sleep Recommendation Recommendation

5 year old 10-13 (including naps) 50.3%

6-12 year old 9-12 hours 58.6%

6-12 year old 8-10 hours 67.8%

All Children ages 5-17 62.1%

• Sleep among adults: · Only half of adults (50%) are getting the recommended amount of sleep · Most adults (72%) who don’t get enough sleep, recognize that they don’t get the right amount of sleep

% Meeting Age Category Sleep Recommendation Recommendation

Younger Adults (18-24 years) 7-9 hours 53.8%

Adults (25-64 years) 7-9 hours 49.4%

Older Adults (65+ years) 7-8 hours 50.7%

All Adults 50.0%

To learn more about Shape Your Future and to explore the website, visit ShapeYourFutureOK.com. You can also connect with Shape Your Future through social media by liking Shape Your Future on Facebook or following @ShapeFutureOK on Twitter, Pinterest and Instagram. Public Health Academy of Oklahoma - OK In The Know March 2021

Continued Activity in the Training Center Updates Training Center 4 New Trainings Added The OK In the Know (OKITK) Training in January Center ensures TSET Healthy Living Program grantees are up to speed on what

they need to know. logged in per Since its launch in July, 64 trainings have 110 month on been added to the Training Center and an Users average from Aug - Jan average of 110 users log in each month.

Peer Discussions The opportunity to connect with peers and Why Start a Discussion? share best practices, success stories, and SUPPORTIVE lessons learned has been limited due to the SAFE conversations SPACE COVID-19 pandemic. TSET grantees have for sharing inside tips and practices NETWORKING looked to OKITK as a resource for connecting opportunity with each other during this time. The OKITK Creative SHARE team is providing logistical support to virtual Ideas CHALLENGES discussions led by peers, for peers around brought by other and best practices attendees various topics of interest to grantees. As of February 2021, three peer discussions have PEER-TO-PEER taken place, during which grantees focused LEARNING on topics such as, hosting successful World in a conversational format Café community discussions, data analysis, and completing planning strategy checklists. Forum Posts - Monthly Increased Activity in the Forum 50 With conferences and trainings moved to virtual platforms due to COVID-19, there are fewer opportunities for networking. 0 The OK In The Know Forum serves as a useful Jul - 20 tool to quickly disseminate effective approaches Aug - 20 Sep - 20 Oct - 20 Nov - 20 Dec - 20 Jan - 21 Forum posts, overall, past month to improve community health. Starting in November 2020, TSET staff helped New Forum Posts lead the charge to reinvigorate the Forum and empower grantees to lean on their peer networks. January 2021 42 Declines are typical around the holidays and January 2020 19 December’s decrease in activity was expected. % Change 121 %

Annual Objectives (July 2020 - January 2021)

OKITK Annual Objectives & Success Measures Status

Ongoing communications are relayed 1. Enhance state-local relationships and collaboration: Monthly communications each month via email and web between OLC Managers and the Community Council meetings 2. Capture best / promising practices for all to see on OKITK: Identify and post local stories in the Oklahoma Spotlight section of OKITK 2 “Bright Spots” posted

3. Promote peer engagement (Forum, Announcements): Add new forum / Average of 36 posts added per announcement posts to OKITK month

4. Develop content that first serves members of the site (i.e. grantees): Create new or Average of 13 public-facing posts update existing resource posts added or updated per month

5. Connect users, build on peer networking, establish/strengthen collaborative Held 1 peer discussion; 2 more relationships (LIVE discussions): Host virtual gatherings that are open to all OKITK scheduled in February

About PHAO and OK In The Know

The Public Health Academy of Oklahoma's (PHAO) coordinated knowledge management system, OK In The Know, was established as a cost-efficient platform to provide learning and professional development opportunities to Oklahoma's public health workforce.

OK In The Know is designed for key staff of organizations that receive grant funding from the three PHAO Lead Agencies: 1) Tobacco Settlement Endowment Trust (Program Lead); 2) Oklahoma State Department of Health; 3) Oklahoma Department of Mental Health and Substance Abuse Services, Prevention Services.

The two key components of OK In the Know are: 1) Online Learning Community(OLC)that serves as a virtual meeting ground that offers resources, an events calendar, and a peer forum, among other features. 2)Training Center that provides a menu of free online courses on a range of topics. COVID-19 #MaskUp Media Placement Report:

o The TSET / OSDH COVID campaign had traditional media coverage in 75 of our 77 counties. o The Mask Up campaign achieved an 80% video completion rate, meaning that 80% of users who were served the ad chose to watch it in its entirety. This performance accounts for a 14% increase from our KPI of 70% video completion rate. o The Mask Up digital campaign reached 2,991,889 unique devices in Oklahoma. While we would like to say that is 75% of the Oklahoma population, people have many devices, so we can’t define a true population reach. o We received an estimated $231,000 in bonus spots, with 16,599 total bonus spots delivered. o More than 55.8 million traditional impressions were delivered statewide. o The digital video campaign had an excellent statewide presence with video completion rates above our KPI throughout the state’s regions. (Breakdown of top cities in report document)

TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

TSET AND OSDH SUPPORT THE 3 W’S • TSET, in partnership with the Oklahoma State Department of Health, is disseminating messaging to all Oklahomans over the next month that encourages the use of the 3 W’s – wear a mask, wash your hands and watch your distance. Toolkits were created for state agencies and TSET partners to encourage sharing the videos on social media.

:30 GENERAL - https://f.io/AJ0Y_9mo Post Copy: There’s nothing Oklahomans can’t overcome. For a healthier tomorrow for all of us, wear a mask, wash your hands and watch your distance. #MaskUpOK

:30 RURAL - https://f.io/V7r2juDB Post Copy: The fight to end this pandemic isn’t over. Let’s work together for a stronger, healthier tomorrow. Wear a mask. Wash your hands. Watch your distance. #MaskUpOK

:15 RURAL - https://f.io/nC3k99cY Post Copy: Our small businesses, schools and neighbors need us now more than ever. Let’s do more to stop the spread of COVID-19. Wear a mask. Wash your hands. Watch your distance. #MaskUpOK

:30 SPANISH - https://f.io/mP_6CLbW Post Copy: La familia lo es todo. Protege a tus seres queridos contra el COVID-19. Usa tu mascarilla, lávate las manos y mantén tu distancia. TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

MEDIA BUDGET: $500,000 TARGET AUDIENCE: Oklahoma Adults, 18+

OKC - Broadcast TV Coverage

Tulsa - Broadcast TV Coverage

Wichita Falls, Lawton - Broadcast TV Coverage

Sherman, Ada - Broadcast TV Coverage

Rural Radio

Metro Radio

Cable TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

MEDIA BUDGET: $500,000 CABLE: 12/23/20-1/24/21 TARGET AUDIENCE: Oklahoma Adults, 18+ • Number of cable systems statewide: 19, for example: Sallisaw, Ponca City, Miami, Broken Bow, Ardmore, Dish/DirectTV, which provides increased rural coverage for the Oklahoma City and Tulsa BROADCAST TV: 12/23/20-1/24/21 DMAs • Markets include Oklahoma City, Tulsa, Sherman/ • Total spots: 16,186 Ada, Wichita Falls • Estimated GRPs: Average 357 Statewide • Total number of spots 2,691 with an estimated • Cable Coverage: 1,688 Statewide GRPs • Sallisaw (Sequoyah) and Poteau (LeFlore) • Average Reach is 95% with an estimated (falls into the Ft. Smith, AR mkt) AverageFrequency of 19 • Miami (Ottawa) (Joplin mkt) • Broken Bow and Idabel (McCurtain County) (Shreveport mkt) METRO AND STATEWIDE RADIO: 12/23/20-1/24/21 • Ardmore (Carter, Johnson, Marshall)/Ada • Markets: Lawton, Oklahoma City, Tulsa and (Pontotoc) /Antlers (Pushmataha)/Texoma Zone Statewide Radio networks (Bryan, Pontotoc, Coal) (Sherman/Ada mkt) • Total number of spots 6,384 with an estimated • Lawton (Comanche)(Wichita Falls/Lawton mkt) 1,500 Statewide GRPs (*Includes Statewide and • Tulsa DMA: Tulsa Cox, DirectTV, Dish, Lake Hispanic Radio numbers.) Country, Muskogee (Lake Country system • Counties covered by metro radio: provides coverage in Cherokee, Craig, Creek, Delaware, Haskell, Hughes, Latimer, Mayes, • Tulsa, Rogers, Wagoner, Okmulgee, Creek, McIntosh, Muskogee, Nowata, Pittsburg, Rogers, Pawnee, Osage, Oklahoma, McClain, Canadian, Wagoner counties) Cleveland, Lincoln, Logan, Comanche, Cotton, Stephens, Tillman • OKC DMA: OKC Cox, DirectTV, ATT Uverse, Dish, Shawnee, Elk City, Ponca City, Suddenlink OKC

Zone (Suddenlink OKC Zone provides coverage in Weatherford, Anadarko, Stillwater, Woodward, RURAL RADIO: 12/23/20-1/10/21 Chickasha, Enid, Perry, Seminole, Purcell, Pauls • Total spots: 7,640 Valley, Alva) • Number of stations: 44 statewide • Rural Radio provided coverage in the following counties: Garfield, Carter, Jefferson, Kay, Grady, SPANISH TV: 12/23/20-/1/10/21 Seminole, Pontotoc, Atoka, Coal, Payne, Texas, • Hispanic networks purchased in Oklahoma City Bryan, Murray, Pottawatomie, Beckahm, and Tulsa: Telemundo and Univision Whashita, Greer, Woodward, Jackson, Mccrutain, • Total spots: 539x Muskogee, Nowata, LeFlore, Haskell, Sequoyah, Pittsburg, Washington, Delaware, Cherokee, McIntosh, Okfuskee, Pushmataha, Choctaw, Stephens, Garvin

TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

#MASKUPOK SOCIAL PERFORMANCE

HASHTAG USAGE SOCIAL SENTIMENT 11/16/20-12/20/21 SSENTIMENTentiment TSET + OSDH Social Campaign • Pre-flight: 53 • Positive: 18% 18% • Negative: 73% 12/21/20-1/24/21 • Neutral: 9% • In-flight: 23 9% Paid social ran on 12/23 for 3 hours, 1/25/21-2/5/21 generating 6 comments, 10 shares and • Post-flight: 4 15,317 engagements. Organic posts ran from TSET Brand account throughout the 73% flight generating another 5 comments for a The in-flight decrease in total volume of 11. A majority were negative. hashtag usage period over period is likely due in large part to the holiday season. GENERAL HASHTAG USE Positive Neutral Negative In terms of supporting mask-wearing, sentiment of those using the hashtag was almost unanimously positive. Negative sentiment surrounded lack of statewide response and a Travel OK ad.

MASK UP DIGITAL VIDEO PERFORMANCE OVERVIEW

CAMPAIGN OVERVIEW PERFORMANCE BY GEOGRAPHIC LOCATION • Amount Spent: $67,538.10 Imps. Completion City Clicks • Impressions: 3,858,809 Won Rate • Reach: 2,991,889 unique devices Oklahoma City 754,238 2,158 79.78% • Video Completions: 3,070,163 Tulsa 581,193 1,565 80.81%

KPI: 70% Video Completion Rate Edmond 318,773 1,002 79.31% Actual: 80% Video Completion Rate Broken Arrow 226,464 738 79.50%

Norman 174,330 451 80.18%

Yukon 107,662 330 75.65%

Lawton 87,440 192 78.80%

Stillwater 67,001 202 79.28%

Owasso 65,924 223 77.81%

Bartlesville 57,088 153 82.18% TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

MASK UP DIGITAL VIDEO PERFORMANCE OVERVIEW CONTINUED

PERFORMANCE BY DOMAIN Top 5 Websites/Apps Sorted By Impressions Delivered

App/Domain Name Imps. Won Clicks Completion Rate

newsweek.com 215,607 774 80.17%

Pluto TV 144,940 0 98.48%

aol.com 143,702 1 85.05%

thegatewaypundit.com 135,757 14 83.02%

dailymail.co.uk 124,032 618 76.89%

MASK UP SOCIAL VIDEO PERFORMANCE OVERVIEW

CAMPAIGN OVERVIEW • Amount Spent: $474.77 • Campaign only ran for 3 hours due to ad disapprovals • Impressions: 43,526 • Reach: 40,896 people • Video Views: 15,168 • Video Completions: 3,239 • 21% Video Completion Rate

KPI: 35% Video View Rate Actual: 35% Video View Rate

SOCIAL ENGAGEMENTS • Post Reactions: 54 • Post Shares: 10 • Post Comments: 6 • All post comments and shares came from those who are 45+ TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

Oklahoma Tobacco Settlement Endowment Trust TSET COVID-19 MASK MEDIA PLANTSET-21-01 C-18 Mask Media Plan Prepared by VI Marketing and Branding - Confidential - January 11, 2021 December January CPP/ Medium Frequency Total 30 7 14 21 28 4 11 18 25 Avg. CPS Demo: A18+, Oklahomans DIGITAL/SOCIAL Video $80,000.00

RADIO (:15, avg. 265 GRPs/wk) Oklahoma City 600 $75.00 $55,880.00 Tulsa 600 $60.00 $30,747.00 Lawton 600 $15.00 $7,030.00 State Radio Networks 3 $6,500.00 $15,750.00 RURAL Radio 3 $20,000.00 $73,207.00

TV (:30, avg. 200 GRPs/wk) Oklahoma City 575 $75.00 $74,285.00 Tulsa 575 $65.00 $59,415.00 Sherman/Ada 575 $25.00 $31,605.00 Lawton/Wichita Falls 575 $25.00 $30,075.00 Spanish TV OKC/Tulsa $15,170.00 Total Quarterly GRPs: 175 400 575 Est. Quarterly TV Impressions: 4,375,000 10,000,000 14,375,000

CABLE ( :30, avg. 100x/wk) Oklahoma City (Cox Interconnect) 300 $85.00 $22,234.00 Oklahoma City (Dish) 300 $25.00 $7,053.00 Shawnee (Lincoln. Major, Okfuskee, Pottawatomie Cos.) 300 $10.00 $3,092.00 Elk City/Hobart (Greer, Beckham, Kiowa, Custer Cos.) 300 $20.00 $5,610.00 Ponca City (Kay Co.) 300 $10.00 $3,009.00 Suddenlink OKC Zone 300 $15.00 $5,014.00 Tulsa (Cox Interconnect) 300 $85.00 $23,018.00 Tulsa (Dish) 300 $25.00 $7,495.00 Viamedia Lake Country* 300 $10.00 $3,026.00 Muskogee ( Muskogee Co.) 300 $10.00 $2,970.00 Lawton (Comanche Co.) 300 $10.00 $3,234.00 Ardmore (Carter, Johnston, Marshall Counties) 300 $15.00 $4,400.00 Ada (Pontotoc Co.) 300 $10.00 $3,800.00 Antlers (Pushmataha Co.) 300 $10.00 $2,475.00 Texoma Zone (Bryan, Pontotoc, Coal Cos.) 300 $15.00 $4,015.00 Sallisaw (Sequoyah Co.) 300 $10.00 $3,010.00 Poteau (LeFlore Co.) 300 $10.00 $2,800.00 Idabel (McCurtain Co.) 300 $10.00 $2,925.00 Broken Bow (McCurtain Co.) 300 $10.00 $2,925.00 Miami (Ottawa Co.) 300 $10.00 $2,960.00 Combined Quarterly TV & Cable GRPs: 325 600 1,075

Planning costs are subject to change. Low CPP due to bonus. Cox Interconnect includes Cox cable, DirecTV & ATTUverse systems *Lake Country Counties: Cherokee, Craig, Creek, Delaware, Haskell, Hughes, TOTAL $588,229.00 Latimer, Mayes, McIntosh, Muskogee, Nowata, Pittsburg, Rogers, Wagoner +All radio markets include African American stations. LESS 15% $499,994.65 *Suddenlink OKC Zone: Weatherford, Anadarko, Stillwater, Woodward, Chickasha, TSET HEALTH COMMUNICATION FEBRUARY 2021 BOARD PACKET COVID-19 3W’S CAMPAIGN SUMMARY

GLOSSARY OF MEDIA TERMS:

• Click, or Click-through - A click is when a visitor • Impressions - An impression is the single clicks on an ad and is directed to the advertiser’s appearance of an ad on a web page. Each time an website or landing page. ad loads onto a user’s screen, the ad server may count that loading as one impression. You can have repeat impressions for the same person. • DMA – geographic area defined by Niesen based on the areas of primary television viewing. • KPI – key performance indicator - a metric utilized to define performance of an ad unit or campaign. • Flight – schedule that runs within set dates.

• Reach – number of different people in the target • Frequency – the number of times a person is audience exposed to a schedule. exposed to a message within a schedule.

• GRPs – gross rating points, the total ratings achieved by a schedule. Program General Overview, Year 1 of 3:

TSET Team Rescue Team ● Kelli Brodersen: Health Communication ● Allyson Grand: Account Manager, Manager Vaping/Tobacco ● Sjonna Paulson: Director of Health ● Kathleen Thomas: Account Supervisor, Communication Obesity Prevention ● Allie Rubinoff, MPH: Account Director

Budget: ● Total Contract Amount: $1.5 million ● Spent to Date: $860,999.36

General Updates: ● The Healthy Youth Initiative website has been updated to include the Swap Up campaign as well as new press releases ● The Healthy Youth Initiative YouTube page has been updated to include the new Swap Up video ● Both Behind the Haze and Down And Dirty have launched their second campaigns ● My Life, My Quit campaign completed, report to come ● Swap Up has launched the first of three message packages

Tobacco Campaigns

Findings from message testing were used to determine the next wave of creative to run for both Down And Dirty and Behind the Haze. The ads began running on 2/24 and will wrap up on 3/10. Information about each of the campaigns is outlined below.

Down And Dirty “Common Sense” Campaign Overview: Common Sense connects living tobacco free with having the common sense to avoid obvious dangers and physical damage that dip and other tobacco products can cause. The main concept for this campaign is “I live tobacco free because I have enough common sense to know dip and vapes will do me damage”. Flighting: 2/24/21 - 4/22/21 Why we chose it: Our research shows that rural teens are the most at-risk for smokeless tobacco use, so in an effort to continue to warn these teens about the dangers of vaping without eliminating messaging related to other tobacco products, Rescue made creative updates to an existing campaign that takes a more holistic approach to tobacco prevention. Additionally, Common Sense has tested very well in other states that have implemented Down And Dirty. Sample Creative:

Behind The Haze “Test Your Luck” Campaign Overview: Test Your Luck displays a group of friends socializing inside an arcade as they walk past a sign that beckons them to play a machine to test their luck. As one vaping teen plays the game, the concept shows him ‘winning’ lung disease and brain damage. The concept ends by saying that “when you vape, every hit is a risk” Why we chose it: Teens that saw this ad during message testing thought that the tone of this concept was particularly teen friendly. They felt that the interactions between the friends seemed authentic and most participants found the arcade setting to be relatable and somewhere they could see Oklahoma teens hanging out. Flighting: 2/24/21 - 4/22/21 Sample Creative: My Life My Quit

An 8-week digital campaign promoting My Life, My Quit TM ran from 12/21/20 - 2/8/21. The mid-campaign report, which gave insight on the success of the campaign at the halfway point, was delivered to TSET on 1/21/21. Below are some key takeaways from the report: ● The campaign has contributed to 4 of 9 signups on the My Life My Quit website. ● The campaign is exceeding expectations on the Awareness Video (+768%) and Promoted Posts (+33%) ● The campaign has received a total of 2,750,912 impressions at the halfway point. Now that the campaign has ended, Rescue is working to develop the final report for the entire campaign and will be delivering it to TSET within the next few weeks.

Obesity Prevention Campaign:

Message Package 1: Fuel for Football The Fuel for Football message package launched on February 11 with advertisements on Facebook, Instagram, YouTube and Snapchat as well as television and radio spots. This particular campaign features a teen being held back by the sugar crash of a large slushie during football practice whose coach tells him that he needs to drink more water and skip the sugary drinks to perform at his best level. The spot ends with the running player, now energized by water, chasing the slushie, while a voiceover directs viewers to the newly created website: SwapUpOK.com.

Fuel for Football was the most well received during Oklahoma teenage message testing, with a perceived effectiveness score of 3.85; over 3 is considered to be likely to stimulate thought or action from viewers. An urban female stated "I like this one. I think it was realistic and I liked how he was pulling the slushie. I thought that was kind of funny. And it was a good metaphor that the slushie is making it hard for him. And it was tying him down." Swap Up Website The Swap Up website is now live and includes several interactive modules. On the ‘How Food Affects You’ page, users can drag junk food items to an individual to learn about the negative side effects each item may be likely to cause and vice versa, they can move fruits and veggies around to learn about how these foods energize one’s body. On the ‘Simple Swaps’ page (shown below), users have the ability to click on common snack choices they would make at gas stations, school, or fast food locations to turn the snack into a healthier ‘swap’ suggestion.

The ‘Eat Healthier at Home’ page allows users to click through options for breakfast, lunch, and dinner, with tips like “cut apple slices to dip in peanut butter for a snack at home” as well as tricks to drink more water and less sugar sweetened beverages. For example, storing any sugar sweetened beverages behind water in the refrigerator. Legislative Session, March 2021

Key Legislation

• SB0089, by Sen. John Haste, R-Broken Arrow, creates the Health Education Act, ensuring that health education is taught several times from pre-K through 12th grade. o Passed the Senate 42-1. Will move to the House. • HB1054, by Rep. Randy Randleman, R-Eufaula, modifies the definition of "tobacco products" to include electronic smoking devices. It establishes a tax rate for electronic smoking devices at 44% of the wholesale price. o Not heard in committee • HB1114, by Rep. Rick West, R-Heavner, allows designated outdoor smoking areas for inmates in institutions and facilities under the jurisdiction of the Department of Corrections. o Voted down in the House of Representatives. The idea cannot be considered again this session or next. • HB1893, by Rep. Jeff Boatman, R-Tulsa, repeals language related to preemption of tobacco restrictions by agencies or other political subdivisions. o Not heard in committee • HB2876, by Rep. Kevin Wallace, creates the Vapor Products Tax Code, it levies an excise tax of $0.10 per milliliter on all e-liquids imported or manufactured for sale, use or distribution. o Failed to meet deadline • HB2292, by Rep. Dustin Roberts, R-Durant, creates the Tobacco Products Tax Enforcement Act of 2021. It authorizes the establishment of the Tobacco Products Tax Enforcement Unit by Oklahoma Tax Commission and enumerates its duties. It requires the submission of an annual report containing information specified therein. It establishes specified requirements and procedures for the remittance and reporting of tobacco products tax by a wholesaler. o Passed the House 84-7. Will move to the Senate.

TSET-Related:

• SJR0013, by Sen. Robert Standridge, R-Norman, proposes a vote of the people on a constitutional amendment that lowers the percentage of money received by the state from tobacco manufacturers that is deposited in the Tobacco Settlement Endowment Trust Fund from 75 percent to 63.75% and SB0813, by Sen. Robert Standridge, R-Norman, creates the Tobacco Settlement Taxpayer Relief Revolving Fund in the State Treasury, a revolving fund for the Oklahoma Tax Commission. o Did not get heard in committee. • SB0922, by Sen. Chuck Hall, R-Perry, creates the “Invest In Oklahoma Act”. It requires the Department of Commerce to an “Invest In Oklahoma” Fund program to provide entities funds in the state with opportunities to invest in Oklahoma-based venture capital funds and venture capital funds that make substantial investments in this state (TSET may invest no greater than 5% of its principal into the “Invest In Oklahoma Fund.” o Passed the Senate 44-3. Will move to the House.

Updated: 3/12/2021

Other Mission Related Bills

• HB1933, by Rep. Ryan Martinez, R-Edmond, removes as a condition for employment requiring that any employee or applicant for employment abstain from smoking or using tobacco products during non-working hours. o Not heard in committee • HB2128, by Rep. Marcus McEntire, R-Duncan, increases penalties for retailers selling tobacco to minors and requires a person under 21-years old who breaks Oklahoma state law in relation to tobacco to select a penalty, either a minimum 10 hours of community service or completion of an education or tobaccos cessation program approved by the Oklahoma State Department of Health. o Not heard in committee • HB2301, by Rep. Dustin Roberts, R-Durant, prohibits smoking of tobacco or marijuana in any public park, whether indoors or outdoors, whether owned or operated by the state or any political subdivision. o Not heard in committee • HB2381, by Rep. Danny Sterling, R-Tecumseh, requires school districts to conduct an annual fitness assessment each school year for students in grades three through 12. o Passed the House 57-37. Will move to the Senate. • HB2511, by Rep. Chris Kannady, R-Oklahoma City, requires every manufacturer of a product that is sold in Oklahoma to attest to the ABLE Commission that the vapor product was available for purchase in the United States as of August 8, 2016, and the manufacturer has applied to the FDA for a marketing order for the vapor product. o Passed the House 94-0. Will move to the Senate. • SB0862, by Sen. Lonnie Paxton, R-Tuttle, prohibits smoking tobacco or marijuana at any building, property or portion of any building or property owned or operated by a county or municipal government or any trust or authority with a county or municipal government as the beneficiary. o Passed the Senate 44-1. Will move to the House. • SB0986, by Sen. Carri Hicks, D-Oklahoma City, adds vaping in public places to the list of acts prohibited under the Smoking in Public Places Act. o Not heard in committee Agency Related Bills

• HB1103, by Rep. Mark Vancuren, R-Owasso, directs the Department of Mental Health and Substance Abuse Services and the State Education Department to create a set of guidelines and provide directions to schools in order to survey every public and private school student in grades 6,8,10 and 12 with the Oklahoma Prevention Needs Assessment Survey. o Passed the House 78-19. Will move to the Senate. • SJR0004, by Sen. John Haste, R-Broken Arrow, proposes a vote of the people on a constitutional amendment that would increase the vote required to pass an initiative or referendum petition from a simple majority to a 60% vote of the electors voting on the petition. o Not heard in committee

Updated: 3/12/2021

• SB0445, by Sen. Lonnie Paxton, R-Tuttle, modifies language related to county and municipal governments' designation of certain property as non-smoking. o Passed the Senate 37-8. Will move to the House. • SB0581, by Sen. Nathan Dahm, R-Broken Arrow, includes elected and nonelected government official, any appointed member of a state board or commission in those who are liable and subject to impeachment. o Not heard in committee • SB1031, by Sen. Greg Treat, R-Oklahoma City, allows a public body to hold meetings by videoconference until the Governor declares a state of emergency be terminated. o Signed into law 2/10/21 • SB1032, by Sen. Greg Treat, R-Oklahoma City, allows a public body that maintains a website and utilizes a high-speed internet connection to stream live all meetings on such website and posted on the website after the meeting during a state of emergency declared by the Governor. o Passed the Senate 47-0. Will move to the House.

Updated: 3/12/2021

TSET BRAND BOARD PACKET MARCH 2021

ACTION ON SMOKING AND HEALTH NATIONAL WEBINAR · On January 28, Julie Bisbee was asked to participate in a webinar series hosted by Action on Smoking and Health. Bisbee was one of four panelists, alongside leaders at the Truth Initiative and Campaign for Tobacco-Free Kids, who spoke on how to educate the public and lawmakers about tobacco industry interference in government. · Bisbee provided a number of materials from TSET programs, such as Tobacco Stops With Me, through a post-webinar landing page available to attendees to download resources on the subject. · The post-webinar landing page saw 26 downloads of resources.

TSET IMPROVES FOOD ACCESS BRANDINSIGHT ARTICLE · On March 7, TSET published an article in The Oklahoman’s BrandInsight section about the TSET Food Systems Impact Grants awarded in August 2020. · The article focused on the quick action taken by TSET to address hunger and food insecurity, long-standing issues in Oklahoma worsened by the COVID-19 pandemic. · The story featured quotes from three of the grant recipients – the Regional Food Bank of Oklahoma, RSVP Enid and Hunger Free Oklahoma – discussing how their grants are being used to help Oklahomans gain access to healthier, nutritious foods.

EDUCATIONAL LEGISLATIVE WEBINAR · On February 18, TSET hosted a webinar for grantees and partners to identify and explain bills in this legislative session with connections to TSET’s mission and its programs. · TSET staff provided guidance on how to properly engage with legislators and community members on legislative issues. · 66 of attendees participated in the webinar.

405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee TSET BRAND BOARD PACKET MARCH 2021

LEGISLATIVE OUTREACH · TSET staff continues to meet with legislators to discuss bills related to TSET’s mission, it’s work as a state agency and about the LOFT inquiry. · Letters have been sent to legislators informing them of recent and ongoing TSET grants in their districts. · TSET’s local impact pages are available at TSET.OK.GOV and will be distributed to legislators. The local impact pages illustrate TSET’s impact in individual legislative districts and counties, including grants awarded, Oklahoma Tobacco Helpline callers served, patients treated at Stephenson Cancer Center and more.

PREVENTION AND TSET AWARENESS MEDIA · The second flight of TSET’s paid media began January 25 with social and digital tactics focusing on TSET’s work in preventative health measures, resources and education. These messages inform the public about unhealthy behaviors that can lead to disease and death, and about the TSET programs that are helping to change those behaviors to improve health in Oklahoma. · Alongside TSET’s prevention media messaging, a series of paid social and digital tactics are running to increase the awareness of TSET across the state. These tactics feature state and national leaders highlighting the importance of TSET’s work and effectiveness of our grants and programs. · Flight two of TSET’s paid media is scheduled to end March 28.

405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee TSET BRAND BOARD PACKET MARCH 2021

TSET FY20 ANNUAL REPORT · The TSET annual report is available on the TSET website. FY2020 highlights covered in the report include: · Created by voters in 2000 and reaffirmed in 2020, TSET’s work is critical to reducing preventative death in Oklahoma. · The second round of TSET Healthy Living Program grants were awarded to 35 new organizations serving 37 counties. · $1 million invested in Food System Impact Grants to reduce food insecurity and prevent hunger. · TSET launched the Healthy Youth Initiative aimed at helping teens prevent tobacco use and obesity. · The Oklahoma Tobacco Helpline achieved a 95% satisfaction rate with 28,547 registered users in FY20. · TSET hosted the Southern Obesity Summit in Oklahoma City, bringing hundreds of people to learn best practices about encouraging healthy habits and preventing obesity in their communities.

COMMUNITY35 GRANTS COVERING

COUNTIES37

405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee NEWSLETTER DATA NEWSLETTER OPTIMIZATIONS The TSET newsletter is averaging a 15% open A subscriber survey launched in June 2020 rate with a 2% clickthrough rate year over year. to help understand how users are finding The industry standard is a 24% open rate with the TSET Newsletter. We received 123 results a 3% clickthrough rate. with feedback on content, timing and format of the newsletter. Plans to revitalize the TSET Newsletter will be incorporated in Q3.

TSET BRAND CURRENT BUDGET UPDATE Total budget: $370,000 Total expenditures: $187,223.57 (51%) spent (July – January)

405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee TSET BRAND NEWS CLIPPINGS – FY21 Q3* Total number of clippings: 107 compared to 608 in Q3 2020 Total number of publications: 157 compared to in 144 Q3 2020 Total number of stories: 60 compared to 297 in Q3 2020 Total number of ads: 0 compared to 311 in Q3 2020 *Clippings pulled from January 1, 2021 – February 24, 2021

405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee 405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee 405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee 405.521.3888 | TSET.OK.GOV Board of Directors Chair Michelle Stephens Executive Director Julie Bisbee MEDIA TRACKER FY21 INCLUDES HEALTH COMMUNICATIONS AND PIO EFFORTS January 1, 2021 - February 24, 2021

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2 MEDIA TRACKER FY21 INCLUDES HEALTH COMMUNICATIONS AND PIO EFFORTS January 1, 2021 - February 24, 2021

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1 MEDIA TRACKER FY21 EARNED January 1, 2021 - February 24, 2021

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MEDIA TRACKER HEAT MAP January 1, 2021 - February 24, 2021 Media Tracker Broadcast and Publications List

Adair County Dewey County Logan County Pontotoc County The Westville Reporter...... 1 The Dewey County Record...... 2 The Logan County Courier...... 1 Ada News...... 2 Alfalfa County Ellis County Love County Pottawatomie County Atoka County Garfield County Major County The Shawnee News-Star...... 1 Beaver County Enid News & Eagle...... 4 The Newcastle Pacer...... 1 Pushmataha County Beckham County Garvin County The Purcell Register...... 3 Clayton Today...... 3 Blaine County Grady County Marshall County Roger Mills County Bryan County Minco-Union City Times...... 1 Mayes County The Cheyenne Star...... 6 Caddo County The Blanchard News...... 3 McIntosh County Democrat...... 1 Rogers County The Anadarko Daily News...... 3 The Express-Star...... 3 The Eufaula Indian Journal...... 1 Claremore Daily Progress...... 7 The Apache News...... 1 Tuttle Times...... 1 McClain County Inola Independent...... 1 The Carnegie Herald...... 1 Grant County McCurtain County Oologah Lake Leader...... 2 The Cyril News...... 1 Greer County McIntosh County The Chelsea Reporter...... 4 Canadian County Harmon County The Paper...... 5 Seminole County El Reno Tribune...... 2 Harper County Murray County Seminole Producer...... 1 Mustang News...... 1 Buffalo Weekly News...... 1 Muskogee County The Wewoka Times...... 1 Mustang Times...... 1 The Harper County Leader...... 2 Muskogee Phoenix...... 3 Sequoyah County Carter County Haskell County Noble County Eastern Times Register...... 4 The Ardmoreite...... 3 Stigler News Sentinel...... 1 Perry Daily Journal...... 1 Sequoyah County Times...... 7 The Healdton Herald...... 1 Hughes County Nowata County Vian Tenkiller News...... 4 The Wilson Post-Democrat...... 1 Jackson County Nowata Star...... 1 Stephens County Cherokee County Altus Times...... 1 Okfuskee County The Comanche Times...... 1 Tahlequah Press...... 6 Jefferson County Oklahoma County The Duncan Banner...... 3 Choctaw County Johnston County KFOR ...... 1 The Marlow Review...... 2 Cimarron County Kay County Oklahoma Observer...... 1 Texas County The Boise City News...... 4 The Ponca City News...... 2 Oklahoma Publisher...... 2 Guymon Daily Herald...... 2 Cleveland County  The Tonkawa News...... 3 The Black Chronicle...... 4 Tillman County Cleveland American...... 3 Kingfisher County The Journal Record...... 10 The Frederick Press-Leader...... 1 The Norman Transcript...... 3 The Kingfisher Times & Free Press...... 3 The Oklahoman...... 7 Tulsa County Coal County Kiowa County Okmulgee County Public Radio Tulsa...... 1 Comanche County Kiowa County Democrat...... 1 Osage County Sapulpa Herald...... 1 KSWO...... 1 Mountain View News...... 1 Bartlesville Examiner-Enterprise...... 1 The Oklahoma Eagle...... 6 The Lawton Constitution...... 3 The Hobart Democrat Chief...... 3 Pawhuska Journal-Capital...... 2 Tulsa Beacon...... 2 Cotton County Latimer County The Hominy News-Progress...... 4 Tulsa World...... 6 Craig County Latimer County News-Tribune...... 3 Ottawa County Wagoner County Vinita Daily Journal...... 2 LeFlore County The American...... 1 Wagoner American Tribune...... 2 Creek County Heavener Ledger...... 1 The Miami News-Record...... 2 Washington County Custer County Poteau Daily News...... 2 Pawnee County Washita County The Clinton Daily News...... 1 Talihina American...... 5 The Pawnee Chief...... 2 Woods County Delaware County Lincoln County Payne County Woods County Enterprise...... 1 The Delaware County Journal...... 3 Monthly New Era...... 1 Stillwater NewsPress...... 8 Woodward County The Grove Sun...... 2 The Lincoln County News...... 2 Pittsburg County Woodward News...... 1 The Prague Times-Herald...... 3 McAlester News-Capital...... 3

0 1-15 16-30 Saxum update The Saxum team prepared an action plan detailing their public affairs work over the next few months. After internal review, TSET staff met with Saxum to refocus their efforts on a few legislative priorities and events. Saxum was asked to rework the plan to focus on: • Supporting legislation this session that increases health education in public schools; • Develop a plan looking ahead to next session that would support the repeal of state preemption of local tobacco control laws; • Develop strategies looking ahead to next session to enact a meaningful tax on vaping products in Oklahoma; • Work to educate lawmakers this session about detrimental tobacco policies. Saxum will also work on developing an event with a focus on food insecurity. Possible participants include Oklahoma Secretary of Education Ryan Walters and First Lady Sarah Stitt. Saxum is moving forward with executing the revised plan and starting outreach to groups who may share our legislative goals. Saxum will develop an organizational template and other materials to support increased board engagement with office holders and with the public.

TSET Sponsorship and Training Grants

Applicant Event Name Event Date Grant Award

Oklahoma Healthy Statewide Tai-Chi-A-Thon 8/7/2020 $750 Aging Initiative

Public Health 23rd Annual Turning Point Conference 8/25/2020 $750 Institute of and Policy Day Oklahoma

Oklahoma Public Oklahoma Public Health Association 9/22/2020-9/23/2020 $1750 Health Association Annual Conference

Oklahoma Senior Oklahoma Senior Games 09/03/2020- $1750 Games 10/31/2020

Oklahoma Caring Champions of Health Gala 09/29/2020 $750 Foundation

Oklahoma Institute Fall Policy Forum 11/16/2020- $1750 for Child Advocacy 11/19/2020

National Association 46th Annual State Conference 3/12/2021-3/19/2021 $1500 of Social Workers— Oklahoma

Indian Nations Unraveling Inequity in Our Streets 5/14/2021 $500 Council of Conference Governments

Muskogee Parks Muskogee Senior Games 6/19/2021-6/26/2021 $1750 and Recreation Department

FY20 budgeted: $24,000 FY20 earmarked: $11,250 (46.88%)

Upcoming Events

Oklahoma Dental Association Annual Meeting (virtual) April 9-10, 2021

Hot Topics in Pediatrics in the Era of COVID-19 (virtual) April 9, 2021

Tribal Public Health Conference (virtual) April 20-22, 2021

Oklahoma Osteopathic Association 120th Virtual Annual Meeting (virtual) April 23-25, 2021

Grantmakers in Health Conference (virtual) June 8, 2021

2021 GIH Annual Conference on Health Philanthropy, Miami, FL June 8-10, 2021

Legislative Deadlines Second Committee Deadline: April 8, 2021 Third Reading, Opposite House Deadline: April 22, 2021 Sine Die May 28, 2021