Missouri Healthy Future Trust Fund, Amendment 3 (2006)

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The Missouri Healthy Future Trust Fund Amendment, also known as Amendment 3, was on the November 7, 2006 ballot in Missouri as an initiated constitutional amendment, where it was defeated. The measure would have created the Healthy Future Trust Fund which would have been used to reduce and prevent tobacco use, increase funding for healthcare access, increase treatment of low-income individuals and Medicaid recipients and cover administrative costs. The measure would have been funded by a tax of four cents per cigarette and a 20% tax on other tobacco products.[1][2]

Election results

Missouri Amendment 3 (2006)
Defeatedd No1,083,28651.46%
Yes 1,021,636 48.54%

Election results via: University of Missouri Institute for Public Policy

Text of measure

The question on the ballot appeared as:[2]

Shall the Missouri Constitution be amended to create a Healthy Future Trust Fund which will:

1. be used to reduce and prevent tobacco use, to increase funding for healthcare access and treatment for eligible low-income individuals and Medicaid recipients, and to cover administrative costs;

2. be funded by a tax of four cents per cigarette and twenty percent on other tobacco products; and

3. be kept separate from general revenue and annually audited?

Additional taxes of four cents per cigarette and twenty percent of the manufacturer's invoice price on other tobacco products generates an estimated $351 - $499 million annually for tobacco control programs, healthcare for low income Missourians, and payments for services provided to Missouri Medicaid beneficiaries and uninsured Missourians. Local governmental fiscal impact is unknown. [3]


After the sponsoring group turned in its signatures to qualify the measure for the November 2006 ballot, it was notified by the Missouri Secretary of State's office that it would not be eligible for the ballot, finding that it fell 274 signatures short of the required number in the Fifth Congressional District. The initiative's sponsors filed a signature recovery lawsuit, Committee for a Healthy Future v. Carnahan, challenging this determination. The plaintiffs prevailed, and the measure was ordered onto the ballot.

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