biostudies-literatureKennedy ANCI NIH HHS807-17https://www.ebi.ac.uk/biostudies/studies/S-EPMC3325324biostudies-literatureUnknown102(5)Florida's Tobacco Pilot Program (TPP; 1998-2003), with its edgy Truth media campaign, achieved unprecedented youth smoking reductions and became a model for tobacco control programming. In 2006, 3 years after the TPP was defunded, public health groups restored funding for tobacco control programming by convincing Florida voters to amend their constitution. Despite the new program's strong legal structure, Governor Charlie Crist's Department of Health implemented a low-impact program. Although they secured the program's strong structure and funding, Florida's nongovernmental public health organizations did not mobilize to demand a high-impact program. Implementation of Florida's Amendment 4 demonstrates that a strong programmatic structure and secure funding are insufficient to ensure a sucAmerican journal of public healthStrong tobacco control program requirements and secure funding are not enough: lessons from Florida.PMC3325324CA-61021R01 CA061021-18R01 CA061021-17R01 CA061021-19R01 CA061021-16R01 CA061021Sullivan SGlantz SKennedy ABarnes RHendlin YfalseStrong tobacco control program requirements and secure funding are not enough: lessons from Florida.Florida's Tobacco Pilot Program (TPP; 1998-2003), with its edgy Truth media campaign, achieved unprecedented youth smoking reductions and became a model for tobacco control programming. In 2006, 3 years after the TPP was defunded, public health groups restored funding for tobacco control programming by convincing Florida voters to amend their constitution. Despite the new program's strong legal structure, Governor Charlie Crist's Department of Health implemented a low-impact program. Although they secured the program's strong structure and funding, Florida's nongovernmental public health organizations did not mobilize to demand a high-impact program. Implementation of Florida's Amendment 4 demonstrates that a strong programmatic structure and secure funding are insufficient to ensure a suc2012-01-01T00:00:00Z2012 May2025-04-04T02:37:42.474Z2019-03-27T00:52:15ZS-EPMC33253242242081310.2105/ajph.2011.30045910.2105/AJPH.2011.300459