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San Francisco Marin Medical Society Blog

The AMA Officially Opposes Prop C

AMA/CMA Endorse No on Prop C

SFMMS leaders were pleased to announce at a recent press conference that in addition to the California Medical Association (CMA), the American Medical Association (AMA) now officially opposes Proposition C, the San Francisco ballot measure submitted by Juul, the e-cigarette company. This has been a long process that started when San Francisco Supervisor Walton and City Attorney Herrera first wrote city legislation prohibiting e-cigarette sales until the FDA completes its evaluation of e-cigarettes as medical devices. City supervisors subsequently passed the legislation unanimously and it was signed by Mayor Breed.

Juul then submitted a pre-emptive measure that became Proposition C. SFMMS wrote a resolution supporting Supervisor Walton's legislation and submitted it to the CMA. The CMA Council review recommended weakening of the original language but with intensive lobbying, we were able to preserve the original language and the CMA has now endorsed No on Proposition C. The AMA initially declined endorsing No on Proposition C, but again with persistent efforts by the SFMMS, we were able to persuade them to reconsider.

This is an illustration of the important influence of the SFMMS Delegation on building health policy. SFMMS Delegate Zarah Iqbal, MD said, “I’m so proud to be part of SFMMS, an organization that is always leading the way in public health!”

Read the AMA’s letter at

Below are photos from the Health and Chinatown Leaders Stand Against Prop C Press Conference on September, 19, 2019.

Pictured from left to right: Assemblymember Phil Ting, Senator Scott Wiener, Supervisor Shamann Walton, Supervisor Sandra Lee Fewer, Supervisor Norman Yee


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