home is where the health is · live smoke free: smoke-free housing program association for...
TRANSCRIPT
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Home is Where the Health Is
HUD’s Proposed Rule Restricting Smoking in Public Housing
December 14, 2015
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Tobacco Control Legal Consortium
A"orneys suppor,ng tobacco control policy change.
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Moderator
Darlene Huang Staff A"orney Public Health Law Center
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Agenda
• Smoke-‐Free Housing Movement • Overview of HUD’s Proposed Rule • Implementa,on of Policies • SubmiLng Comments • Q & A
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Smoke-Free Housing Movement
• Clean air movement
• Harms of secondhand smoke
• Good for health
• Good for business
• It’s legal
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Americans for Nonsmokers’ Rights
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Presenters
• Tara Radosevich U.S. Department of Housing and Urban
Development (HUD)
• Kara Skahen Associa,on for Nonsmokers-‐MN
• Mike Freiberg Public Health Law Center
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Tara Radosevich
Special Assistant Office of the Assistant Secretary for Public and Indian Housing, HUD
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Kara Skahen
Program Director Live Smoke Free, Associa,on for Nonsmokers-‐MN
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Mike Freiberg
Staff A"orney Tobacco Control Legal Consor,um, Public Health Law Center
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Overview of HUD’s Proposed Smoke-free Public Housing RuleTara J. RadosevichOffice of Public and Indian HousingU.S. Department of Housing and Urban Development
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Accessing the Proposed Rule • The PR and the Regulatory Impact Analysis were published on 11/17/15 on regulations.gov
• There’s a 60-day comment period for the PR with comments due on 1/19/16
• Link: http://www.regulations.gov/#!docketDetail;D=HUD-2015-0101
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Basic Requirements • Prohibits smoking of lit tobacco products in all indoor areas
of public housing properties, including administrative buildings.
• Applies to all housing types, including single family.
• Benefits identified in rule include improved IAQ, health benefits to residents and staff, reduced fire risk, and lower maintenance costs.
• Prohibition would extend to outdoor areas up to 25 ft. from buildings.
• Public housing authorities (PHAs) could add further restrictions (e.g., buffer around playgrounds, property-wide ban).
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Basic Requirements (2) • PHAs required to document policies in their annual plans
(includes plans for resident engagement, public meetings).
• The prohibition would be written into tenants’ leases either through an amendment or at the annual lease renewal.
• Requirement would become effective 18 months after publication of the final rule.
• PR does NOT cover: • Public housing units in mixed finance developments • Privately owned, federally subsidized multifamily housing (i.e.,
referred to as Project-based Section 8 housing)
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Questions Soliciting Comment in the PR • For PHAs: possible implementation barriers?....estimates on
costs of enforcement? • Does the PR adequately address the adverse effects of
smoking and SHS exposure on residents? • What are burdens, costs, or benefits to specific families,
children, persons with disabilities, owners, or the elderly? Impact of eviction?
• For PHAs that have implemented SF policies: • What exceptions to the policy have been granted based on tenants’
requests? • What experiences, lessons, or advice can you provide on implementation
or enforcement? • What cessation services did you offer residents?...did you partner with
outside organizations for this?
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Questions Soliciting Comment in the PR (2) • Are there particular areas of support that HUD could
provide that would be particularly helpful for implementation?
• Should the policy cover electronic nicotine delivery systems?
• Should the policy cover water pipes? Do these increase the risk of fire or property damage?
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Snapshot of Public Housing Residents Characteristic
Public Housing Residents (2014/15)
Comparison
Total Population
~ 2 Million
N/A
African American
45% (head of household)
13.2% of U.S.
Population Hispanic
25% (head of household)
17.4% of U.S.
population < 18 yrs old 37% 23.1% Income
95% of households are low to extremely low income
N/A (relative to local area median income)
19
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Prevalence of Public Housing Households with a Smoker (American Housing Survey, 2011)
Household Characteristic % With a Smoker
All households 25
With 1 or more children (< 18 yrs.) 25
With 1 or more seniors (65+) 10 With a disabled person 29 Householder: in excellent health 22
Householder: in poor health 35 Householder: difficulty walking or climbing stairs 30
Householder: difficulty remembering or concentrating 42
20
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Voluntary Adoption of SF Policies by PHAs • The estimate at the end of FY15 (no official reporting requirement) is that ~ 20% of PHAs (612 of 3058) have adopted SF policies in at least some of the properties that they manage, covering ~ 228,000 housing units
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Implementation of Smoke-Free Housing Policies
December 14, 2015
Kara Skahen MSW, MPP Program Director
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Benefits
Smoke-Free Housing Policies: • Reduce smoking-related fires. • Protect housing investments. • Encourage people who smoke to reduce their consumption or quit. • Save money for residents, property owners and taxpayers.
• Smoke-free subsidized housing would save $521 million a year. (Centers for Disease Control and Prevention, 2013)
• Promote equity: • Protect priority populations from second and third-hand smoke exposure. • Everyone deserves a healthy, clean, safe place to call home.
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What Makes for a Good Policy?
• Written in a lease or house rules.
• Clearly defines policy details, coverage area, and to who the policy applies.
• 100% of indoors are covered (outdoor areas are a plus!)
• No permanent grandfathering.
• Includes information on enforcement.
• Consequences for violations are defined.
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Getting Started
Reflect on the current situation -What is the current culture around smoking? -What rules currently exist on site? -What benefits and challenges do you anticipate?
Research -Are there colleagues who can share their experiences? -What local smoke-free laws exist? -What does HUD recommend for implementation?
Look For Community Partners -Which programs exist locally or nationally for support?
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Preparing for a Policy
1) Engage residents and staff. -Conduct a survey -Organize resident meetings -Speak to the Resident Council -Educate
2) Determine policy details and enforcement steps.
3) Create a time line.
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Preparing for a Policy
4) Obtain Board approval. -Public comment process
5) Notify residents. -Formal written notice -Resident meetings
6) Amend the PHA plan.
7) Schedule lease or House Rules signings. – During lease renewal or the recertification process
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Ready to Implement
• Prepare – Onsite staff and resident services – Notify Legal Aide
• Offer cessation resources – Linkages to services – On-site meetings
• Install permanent signage
• Distribute reminders • Celebrate!
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Enforcement
• Stay committed.
• Encourage residents and staff to notify management of infractions.
• Follow up with infractions promptly and uniformly.
• Enforce the same as any other policy.
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Tips for Success
• Give ample notice.
• Prepare everyone.
• Focus on vulnerable populations.
• Utilize culturally-appropriate messaging.
• Be positive and compassionate.
• Partner with community organizations.
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Cessation Resources
• Contact your local: • Public health department • Health clinic • American Lung Association
• National Network of Tobacco Cessation Quitlines – 1-800-QUIT-NOW
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HUD’s Smoke-Free Multifamily Housing Resource Bank
• CHANGE IS IN THE AIR: An Ac,on Guide for Establishing Smoke-‐Free Public Housing and Mul,family Proper,es
• Research • Guidance to get started • Archived webinars • Web-‐based resources • Sample implementa,on tools • HUD no,ces
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Implementation Toolkits
HUD’s Smoke-‐Free Housing Toolkits For Owners, Managers, and Residents
h"p://portal.hud.gov/hudportal/HUD
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Connect With a Smoke-Free Housing Program Near You!
Global Directory of Smoke-Free Housing Programs:
www.mnsmokefreehousing.org/organizations/Resources
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Kara Skahen MSW, MPP Program Director
Live Smoke Free: Smoke-Free Housing Program
Association for Nonsmokers-MN 2395 University Avenue West, Suite 310
St. Paul, MN 55114 [email protected]
Phone: 651-646-3005 x301 Fax: 651-646-0142
www.mnsmokefreehousing.org
Contact Information
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How to Submit Comments to a Federal Agency
Mike Freiberg, J.D.
“Home is Where the Health Is: HUD’s Proposed Rule Restricting Smoking in Public Housing” Webinar
December 14, 2015
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Timeline of a Regulation
No,ce of Proposed Rulemaking (NPRM)
Published • Federal Register No,ce
Comment Period • Docket opens at Regula,ons.gov • 60 to 90-‐day comment period which o^en is extended for an addi,onal 30 days or more
HUD Review of Comments • HUD considers all public comments
• No legal deadline for ac,on
OIRA Review of Final Rule • OIRA must approve or suggest changes to Final Rule
• No legal deadline for ac,on
Final Rule Published • Federal Register No,ce
Possible Li,ga,on Concerning Final Rule
• Possible challenge of Final Rule in the courts • A court may delay implementa,on of the rule during li,ga,on
PHA Implementa,on of Final Rule
• HUD’s proposed rule requires PHAs to adopt smoke-‐free policies within 18 months of effec,ve date of final rule.
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Commenting Is Important
“HUD strongly encourages commenters to submit comments electronically.”
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What to Include in Your Comment
• Rule Name: Ins,tu,ng Smoke-‐Free Public Housing
• Docket No: FR 5597-‐P-‐02 • Your interest in the rulemaking
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What Makes an Effective Comment
• Well organized • Clearly states support or opposi,on • Explains suggested changes • Supported by data, research, relevant
experiences, and analysis
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Possible topics
• Success stories and lessons learned • Health dispari,es • E-‐cigare"es • Hookah
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HUD Questions
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HUD Question #1
What barriers could PHAs encounter in implemen,ng smoke-‐free housing? What costs could PHAs incur? Are there any specific costs to enforcing such a policy?
• Barriers
• Costs
• Benefits
• Do benefits outweigh costs?
• Personal experience and stories
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HUD Question #2
Does the proposed rule adequately address the adverse effects of smoking and secondhand smoke on PHAs and PHA residents?
• Outdoor areas like playgrounds
• Buffer zone/set-‐back requirement
• Designated smoking areas
• Other federally-‐subsidized housing
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HUD Question #3
Does the proposed rule create burdens, costs, or confer benefits specific to families, children, persons with disabili,es, owners, or the elderly, par,cularly if any individual or family is evicted as a result of this policy?
• Health dispari,es
• Unique benefits, burdens, costs
• Do benefits outweigh costs?
• Personal experience and stories
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HUD Question #4
For those PHAs that have already implemented a smoke-‐free policy, what excep,ons to the requirements have been granted based on tenants’ requests?
• Personal experience and stories
• State if no excep,ons have been granted and why
• If excep,ons have been granted, what types of excep,ons and why
• Have any excep,ons been problema,c?
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HUD Question #5
For those PHAs that have already implemented a smoke-‐free policy, what experiences, lessons, or advice would you share based on your experiences with implemen,ng and enforcing the policy?
• Personal experience and stories
• Process and messaging for preparing residents
• Compliance and enforcement successes, difficul,es, and how difficul,es could have been avoided
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HUD Question #6
For those PHAs that have already implemented a smoke-‐free policy, what tobacco cessa,on services were offered to residents to assist with the change? Did you establish partnerships with external groups to provide or refer residents to these services?
• Personal experience and stories
• What resources, how were they provided, and what messaging was used?
• Helpful external resources or partnerships
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HUD Question #7
Are there specific areas of support that HUD could provide PHAs that would be par,cularly helpful in the implementa,on of the proposed rule?
• What types of training and resources for staff
• Messaging for residents
• What types of resources for residents
• Signage
• Personal experience and stories
• Helpful external resources or partnerships
![Page 55: Home is Where the Health Is · Live Smoke Free: Smoke-Free Housing Program Association for Nonsmokers-MN 2395 University Avenue West, Suite 310 St. Paul, MN 55114 kara@ansrmn.org](https://reader034.vdocuments.us/reader034/viewer/2022042305/5ed165ecc83e9e049c1a2799/html5/thumbnails/55.jpg)
HUD Question #8
Should the policy extend to electronic nico,ne delivery systems, such as e-‐cigare"es?
• Harmful to health
• Unproven safety and cessa,on claims
• Fire risk
• Property damage
• Enforcement complica,ons
• Reinforcement of tobacco-‐free norms
• Personal experience and stories
![Page 56: Home is Where the Health Is · Live Smoke Free: Smoke-Free Housing Program Association for Nonsmokers-MN 2395 University Avenue West, Suite 310 St. Paul, MN 55114 kara@ansrmn.org](https://reader034.vdocuments.us/reader034/viewer/2022042305/5ed165ecc83e9e049c1a2799/html5/thumbnails/56.jpg)
HUD Question #9
Should the policy extend to waterpipe tobacco smoking? Does suck smoking increase the risk of fire or property damage?
• Same health risks as smoking cigare"es
• High levels of toxins in smoke
• More smoke exposure from longer smoking sessions
• Fire risk
• Property damage
• Personal experience and stories
![Page 57: Home is Where the Health Is · Live Smoke Free: Smoke-Free Housing Program Association for Nonsmokers-MN 2395 University Avenue West, Suite 310 St. Paul, MN 55114 kara@ansrmn.org](https://reader034.vdocuments.us/reader034/viewer/2022042305/5ed165ecc83e9e049c1a2799/html5/thumbnails/57.jpg)
Sample Comments
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![Page 59: Home is Where the Health Is · Live Smoke Free: Smoke-Free Housing Program Association for Nonsmokers-MN 2395 University Avenue West, Suite 310 St. Paul, MN 55114 kara@ansrmn.org](https://reader034.vdocuments.us/reader034/viewer/2022042305/5ed165ecc83e9e049c1a2799/html5/thumbnails/59.jpg)
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Sample Comments
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Resources
www.PublicHealthLawCenter.org
Template comment coming soon!