The North Dakota Center for Tobacco Prevention and Control Policy, also known as BreatheND, is a division of the Tobacco Prevention and Control Executive Committee. In 2008, North Dakota voters passed an initiated measure requiring that a portion of the funds the state receives from tobacco settlement dollars (a portion called the Strategic Contribution Fund) is to be dedicated to reduce tobacco use through science-based tobacco prevention and control programs. The Center, along with the North Dakota Department of Health, local public health units and other partners, is charged with implementing North Dakota’s comprehensive state tobacco prevention plan: Saving Lives – Saving Money.

North Dakota’s comprehensive tobacco prevention goals are to significantly reduce tobacco use and its health and economic consequences by using policies and programs proven to keep kids from starting to use tobacco, help tobacco users quit, and protect everyone from secondhand smoke. The state’s comprehensive tobacco prevention plan, Saving Lives, Saving Money, is based on proven best practices established by the Centers for Disease Control and Prevention (CDC).

Tobacco Settlement Agreement
Beginning in the mid 1990s, more than 40 states and some localities sued tobacco companies, alleging that the industry violated antitrust and consumer protection laws, withheld information about the adverse health effects of tobacco, manipulated nicotine levels to keep smokers addicted, and conspired to hold back less risky and less addictive tobacco products from the market.

In November 1998, four of the nation's largest tobacco companies -- Philip Morris Incorporated, R.J. Reynolds Tobacco Company, Brown & Williamson Tobacco Corporation, and Lorillard Tobacco Company (referred to as the "original participating manufacturers") -- negotiated an agreement with the attorneys general of 46 states, including North Dakota; thereby settling a number of lawsuits. This agreement is known as the Master Settlement Agreement.

Tobacco Prevention and Control Advisory Committee
The advisory board consists of nine North Dakota residents appointed by the governor for three year terms as follows: a. A practicing respiratory therapist familiar with tobacco related diseases; b. Four non-state employees that have demonstrated expertise in tobacco prevention and control; c. A practicing medical doctor familiar with tobacco related diseases; d. A practicing nurse familiar with tobacco related diseases; e. A youth between the ages of 14 and 21; f. A member of the public with a previously demonstrated interest in fostering tobacco prevention and control.

Measure 3 Law
Measure 3 requires that the money North Dakota receives from tobacco settlement dollars is used to build a comprehensive statewide tobacco prevention and control program using Centers for Disease Control Best Practices, prevent tobacco use, assist smokers who want to quit and prevent tobacco companies from targeting youth.

Tobacco Prevention and Control Audit Reports
Once every two years, as a statutory responsibility, the State Auditor audits or reviews each state agency. The Tobacco Prevention and Control Audit Reports are available online.