CO-SPONSORSHIP AGREEMENT BETWEEN OFFICE OF THE SURGEON GENERAL AND NATIONAL COUNCIL ON SKIN CANCER PREVENTION This co-sponsorship agreement is between the Office of the Surgeon General (OSG) and The National Council on Skin Cancer Prevention (NCSCP). The purpose of this agreement is to establish terms and conditions to support skin cancer prevention activities and the Surgeon General’s Call to Action to Prevent Skin Cancer follow-up, specifically pertaining to Goal 4 of the Call to Action: Reduce the Risks Associated with Indoor Tanning, through an Indoor Tan-Free College Campus Initiative. The Initiative intends to recognize and award campuses that demonstrate a continued commitment to public health, skin cancer prevention, continued outreach following the Call to Action, and messaging as described in this co-sponsorship agreement. 1. Background The purpose of this agreement is to promote skin cancer prevention and reduce risks associated with indoor tanning as part of the Surgeon General’s vision to reduce the burden of skin cancer in the United States, as outlined in the Call to Action to Prevent Skin Cancer. The Surgeon General’s Call to Action highlights “Reduce the Harms Associated with Indoor Tanning” as a key priority. Indoor tanning significantly increases an individual’s risk for melanoma and nonmelanoma skin cancers. This risk is believed to be increased for individuals who begin indoor tanning at a young age. The addiction potential of indoor tanning is also believed to be exacerbated for young indoor tanners. A recent study by Pagoto et al. demonstrated that 48% of the top 125 colleges in the US had indoor tanning facilities either on campus or in off-campus housing, and 14% of colleges allow campus cash cards to be used to pay for tanning. Prior studies have suggested that proximity to an indoor tanning salon significantly increases participating in indoor tanning behaviors for adolescents and young adults. A movement to remove indoor tanning availability on college campuses is consistent with the Surgeon General’s Goal to “Reduce the Harms Associated with Indoor Tanning” and the movement to focus on skin cancer as a major public health crisis in our country. (a) The Office of the Surgeon General is committed to improving the health of the Nation and reducing the risk of illness and injury. The OSG provides the best scientific information available on how to live healthier lives. In 2014, the NCSCP – OSE Agreement - DRAFT Page 1 of 71 Surgeon General released a Call to Action to Prevent Skin Cancer, a science-based document to stimulate action nationwide to solve the public health crisis of skin cancer in our country. One of the goals of this document is to find ways to “Reduce the burden associated with indoor tanning” and specifically to “Support organizational policies that discourage indoor tanning by adolescents and young adults.” (b) The National Council on Skin Cancer Prevention is a national coalition of 501(c)(3) nonprofit organizations and federal liaisons dedicated to skin cancer prevention. The NCSCP is building a diverse and powerful coalition to be a strong and united voice to reduce skin cancer incidence, morbidity, and mortality through awareness, prevention, early detection, research, and advocacy. The major goals of the NCSCP are to: (1) share skin cancer prevention information, best practices, resources, and research findings; (2) advocate for the importance of skin cancer prevention and support prevention initiatives at local, state, and national levels; (3) speak as one voice with skin cancer prevention messages to represent the common views of its members ; and (4) increase awareness of skin cancer and skin cancer prevention behaviors among all populations. (c) The Indoor Tan-Free College Campus Initiative aims to decrease the incidence, morbidity, and mortality of skin cancer in the United States by reducing the availability of indoor tanning facilities on college campuses. The Indoor Tan-Free College Campus Initiative has more than 30 partners and is growing. Composed of partners from public, private, non-profit, and community sectors, the Initiative is committed to increasing skin cancer prevention efforts and reducing the harms caused by indoor tanning. The Initiative uses grassroots engagement and social media tools to decrease the availability of indoor tanning beds on and near college campuses. By doing so, the Initiative seeks to raise awareness about the skin cancer risk from excessive UV exposure in the general public and targeted sectors. The partners are disseminating the message and recommending specific opportunities to act, and the NCSCP provides the organizational leadership and staffing to lead the Indoor Tan-Free College Campus Initiative. (d) Public-private sector collaboration is important to effectively identify and implement strategies to improve skin cancer prevention, specifically those that can reduce the harms associated with indoor tanning and thus improve health outcomes for Americans. Working to decrease rates of indoor tanning, particularly among adolescents and young adults, is a common goal of the NCSCP and the OSG. Their commitment to collaborate on this effort can be a model for future public health NCSCP – OSE Agreement - DRAFT Page 2 of 72 collaboration with the private sector. The OSG and the NCSCP will promote their shared goals through two main types of activities: (1) Convening to decrease the availability of indoor tanning on college campuses. The Indoor Tan-Free College Campus Initiative partners are experts in skin cancer prevention. Through this agreement, phone meetings will be organized to exchange information in order to decrease the availability of indoor tanning on US college campuses. Through these discussions, stakeholders will work to further develop a national indoor tan-free college campus movement. Meetings are tentatively scheduled for Winter and Spring 2014-2015. (2) Participating in other activities to improve nationwide education on skin cancer prevention. The NCSCP may coordinate other activities that directly engage the OSG, such as organized local meetings, and the OSG will provide input on these activities. The Surgeon General will make public appearances at selected public activities organized by Initiative partners. 2. Responsibilities of each Party The Office of the Surgeon General will: Assign one staff person to serve as a consultant on this project. Coordinate activities relating to the Surgeon General serving as the key spokesperson on the Indoor Tan-Free College Campus Initiative. Provide feedback on the lists of college campuses put forth by the NCSCP to receive Indoor Tan-Free College Campus Initiative recognition Develop a letter and award to celebrate college campuses who meet criteria. Provide feedback on website design, award title, recognition awards and campus events. Provide feedback on and approval of agendas and background materials for activities in which the Surgeon General will participate. Participate in selected public activities on behalf of the Initiative. Provide quotations for inclusion in campaign press releases and provide final approval for co-branded press releases. Promote the campaign through selected and accurate press and social media releases. Provide final approval for public appearances by the Surgeon General. NCSCP – OSE Agreement - DRAFT Page 3 of 73 The National Council on Skin Cancer Prevention will: Assign one key contact person to assist with this project. Continue to work on connecting and collecting key stakeholders to help in launching this project. Assume responsibility for preliminary approval of campuses to be recognized by the Indoor Tan-Free College Campus Initiative by ensuring that that each campus meets the requirements of the award. Work with the University of Massachusetts School of Medicine as the School of Medicine develops and maintains a website dedicated to the Initiative. Create lists of potential invitees and moderators for tan-free college campus launches. Develop a letter and award to give to college campuses who meet the tan-free college campus criteria. Create and collect resources to help campuses become tan-free and provide these materials to participants in advance of a campus launch. Provide to the OSG invitations to speak or appear at activities and campaign events. Provide to the OSG draft press releases quoting the Surgeon General for review and approval prior to release. Highlight the Surgeon General’s involvement in the campaign among NCSCP constituency through web messaging, conferences, and/or other communication channels. Work with Tan-Free College Campus Initiative partners to seek funding for expenses related to activities and events as deemed necessary and mutually agreed upon and jointly sponsored. Such expenses may include costs associated with procurement and creation of awards, letters of recognition, background documents, agendas, and other materials; food and drink provided at any activity or event; travel/lodging scholarships for participants who could not otherwise attend; holding the meetings described above. Planning and completion of activities, and related expenses will depend on successful procurement of funds from Initiative partners and others. The NCSCP is not responsible for funding these activities and materials. 3. Fees and Other Charges There will be no registration fees for activities. Materials pertaining to the activities will be provided at no charge and shall not be sold. NCSCP – OSE Agreement - DRAFT Page 4 of 74 4. Independently Sponsored Portions of Event These activities do not include any discrete portions that might be sponsored independently by either the OSG or NCSCP or by the Indoor Tan-Free College Campus Initiative. This co-sponsorship agreement is not exclusive and does not preclude any activities promoting skin cancer prevention that might be sponsored independently by either the OSG or NCSCP. 5. Fundraising As described in paragraph 2, the NCSCP and partners will seek funding to cover necessary expenses related to all activities and events associated with the Collaborative, as deemed necessary and mutually agreed upon and jointly sponsored. In any solicitation for funds to cover its share of the event costs, the NCSCP will make clear, that it, not the OSG, is asking for the funds. The NCSCP will not imply that the OSG endorses any fundraising activities in connection with the campaign. The NCSCP will make clear to donors that any gift will go solely toward defraying the operational and collaborative expenses of the NCSCP, not the OSG. 6. Promotional Activity The NCSCP will not use the activities outlined in this co-sponsorship agreement as a vehicle to sell or promote products or services. The NCSCP will ensure that any incidental promotional activity does not imply that the OSG endorses any products or services. Any promotional activity for events related to the Indoor Tan-Free College Campus Initiative will center exclusively on the campaign and its events themselves. 7. Publicity and Endorsements The NCSCP will not use the name of HHS or any of its components, except in factual publicity specific to the Indoor Tan-Free College Campus Initiative and Initiative events and activities. Factual publicity includes dates, times, locations, NCSCP – OSE Agreement - DRAFT Page 5 of 75 purposes, agendas, fees, and speakers involved with Indoor Tan-Free Campus Initiative events. Such factual publicity shall not imply that the involvement of the OSG in the event serves as an endorsement of the general policies, activities, or products of the NCSCP ; where confusion could result, publicity should be accompanied by a disclaimer to the effect that no endorsement is intended. The NCSCP will clear all publicity materials pertaining to the Surgeon General with the OSG to ensure compliance with this paragraph. Any use of the HHS and/or the OSG logo(s) must be reviewed and approved by the OSG. 8. Records Records concerning the involvement of the Surgeon General in the campaign shall account fully and accurately for the financial commitments and expenditures of the OSG and the NCSCP. Such records shall reflect, at a minimum, the amounts, sources, and uses of all funds related to the Surgeon General’s involvement. 9. Public Availability This co-sponsorship agreement, as well as the financial records described in paragraph 8, shall be publicly available. 10. Co-sponsorship Guidance The OSG and NCSCP will abide by a legal memorandum, "Co-Sponsorship Guidance," issued by the HHS Designated Agency Ethics Official. NCSCP – OSE Agreement - DRAFT Page 6 of 76 11. Signatures ____________________________________________ ______________________ RDML Boris Lushniak, MD, MPH Acting U.S. Surgeon General ____________________________________________ ______________________ Michon Kretschmaier Executive Officer Office of the Assistant Secretary for Health Date Date ____________________________________________ ______________________ Date John Antonishak Executive Director National Council on Skin Cancer Prevention NCSCP – OSE Agreement - DRAFT Page 7 of 77