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    Cigarette Restitution Fund
    Cancer Prevention, Education, Screening and Treatment Program
    Local Public Health Component

    The Cancer Prevention, Education, Screening, and Treatment Program (CPEST) provides and administers grants to local health departments and academic centers to reduce cancer mortality and cancer disparities in Maryland.


    The Maryland Cigarette Restitution Fund (CRF) was established in 2000 by the Maryland General Assembly (SB896/HB4125) to reduce the cancer incidence and mortality in Maryland. The legislation required the establishment of a local public health component to coordinate efforts in each jurisdiction. The local public health component of the CRF is the Cancer Prevention, Education, Screening, and Treatment Program (CPEST).

    The purpose of the CPEST Program is to reduce cancer mortality in Maryland and to reduce disparities in cancer outcomes among whites and ethnic minorities. There are seven targeted cancers identified as priorities under the Maryland Cigarette Restitution Fund Program (CRFP). CRFP funds may be used to provide prevention, early detection, and/or treatment services for the targeted cancers. The seven-targeted cancers are lung and bronchus, colorectal, breast, cervical, prostate, skin (melanoma), and oral cancers.

    Program Description

    In 2000, legislation in Maryland directed that part of the Tobacco Settlement monies be distributed in Maryland according to each jurisdiction's incidence and mortality for cancer. These funds were for cancer prevention, education, screening, and treatment (CPEST). The Maryland Department of Health (MDH) identified seven 'targeted' cancers, one of which was colorectal cancer. Each jurisdiction in Maryland was required to form a Community Health Coalition that would formulate a cancer control plan and submit it to the MDH in application for funding.

    MDH convened a Colorectal Cancer Medical Advisory Committee in the fall of 2000, which formulated the initial Minimal Elements for Colorectal Cancer Screening, Diagnosis, Treatment, and Education. 

    23 of Maryland's 24 jurisdictions 'targeted' colorectal cancer (CRC) in their plans and were funded for CPEST activities by late spring 2001.

    Each of the 23 jurisdictions:

    • selected a CRC screening strategy for those at average risk (colonoscopy; FOBT with sigmoidoscopy; or FOBT alone),
    • determined eligibility for their programs,
    • began educating the public and providers about CRC screening,
    • began contracting with providers for medical screening services and treatment, and
    • began screening in the spring of 2001.

    Information about cancers targeted by the CRF

    Maryland Colorectal Cancer (CRC) Program Information
    Maryland Oral Cancer Program Information
    Maryland Prostate Cancer Program Information
    Maryland Skin Cancer Program Information

    Local Health Department Cancer Programs 

    Jurisdiction Contact Number​
    Allegany County
    Anne Arundel County
    Baltimore City - University of Maryland Medical
    Baltimore City - Medstar 410-350-8216
    Breast and Cervical Program
    University of Maryland Medical Group
    Baltimore County
    Calvert County
    Caroline County
    Carroll County
    Cecil County
    Charles County
    Dorchester County
    Frederick County
    Garrett County
    301-895-3111 (toll-free)
    Harford County
    Howard County
    Kent County
    Montgomery County
    Prince George's County
    Queen Anne's County
    St. Mary's County
    Somerset County
    Talbot County
    Washington County
    Wicomico County
    Worcester County

    Education and Training Materials
    Frequently Asked Questions