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Cigarettes Tax Supports Early-childhood Programs

One by one, young children walked into an office at the Chandler/Gilbert Family YMCA to get fluoride varnish painted on their teeth.

And one by one, they emerged smacking their lips at the sticky substance that coated their teeth to prevent cavities and left a strange taste in their mouths.

"Never had a cavity," boasted 4-year-old Triston Ragan. "But my mom has had cavities, and my dad has had cavities."

The goal is for Triston to have no cavities or very few when he starts kindergarten.

The oral health program was paid for by First Things First, a taxpayer-approved program that uses cigarettes-tax money to pay for early-childhood services. The program awarded more than $190,000 to Catholic Healthcare West Foundation to provide 2,000 fluoride varnishes for children who may otherwise be at risk of dental decay.

The grant is among nearly $5 million in grants for families and children approved this year for central Maricopa County. Other grants included nearly $160,000 to the Chandler Christian Community Center for early literacy programs and $25,000 to the center for emergency food boxes. Those grants and others supported by the $325 million fund could be in jeopardy if voters repeal their support of First Things First in November.

Earlier this year, the Legislature tried to redirect cheap cigarettes tax money to the general fund, but because it's voter protected, lawmakers first must get voter permission.

In the meantime, coordinators for First Things First are eager to spread the word about how the money helps children who might otherwise fall through the cracks.

"I think people recognized that when we have children struggling in elementary school, we need to get to them earlier and earlier," said Joanne Floth, a regional coordinator for First Things First. "They are starting to realize if we put our money there, we don't need to put our money in juvenile detention and remedial reading later."

Research has shown that children in quality day care and preschool programs fare better when they enter the public school system.

A study by the Pew Center on the States in January also found that cutting effective early-childhood programs hurts states in the short term and long run. Home visiting and mentoring programs, for example, cut by half the incidence of low birth weight babies and saved $28,000 to $40,000 per baby. That, in turn, can save states a total of $33 billion in costs related to child abuse and neglect, the study found.

In Arizona, which ranks poorly in per-pupil funding and test scores, First Things First has tried to reverse the trend by pumping money into early-childhood education and health. The program was the brainchild of Nadine Mathis Basha, the group's chairwoman.

The group's board established several priorities for children from birth to 5 years. They are:

• Improving health.

• Boosting early education.

• Providing access to child care.

• Improving quality of child care.

Children who get a good start in education and health are more likely to succeed academically in public school, where taxpayers pay the tab to educate them, child advocates argue.

But not everyone sees it that way. Some argue that students and parents must figure out how to be successful on their own.

Floth isn't so sure that's practical. More than 30,000 individuals are on a waiting list for child-care subsidies after lawmakers cut spending on social services through the Arizona Department of Economic Security.

As a state agency, First Things First is barred from lobbying voters to approve spending on the program, which gets its funding from the 8 percent cigarettes tax.

"It was never our intention to have to prove that we are here but we always intended to communicate with our communities and raise parent awareness about our programs," Floth said. "It's always a constant outreach."

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