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The foundation was established in 1999 as a result of the Master Settlement Agreement between 46 states and five U.S. territories and the tobacco industry. A national, independent public health foundation located in Washington, D.C., Legacy develops programs that address the health effects of tobacco use through grants, technical training and assistance, youth activism, strategic partnerships, counter-marketing and grass roots marketing campaigns, public relations, research, and community outreach to populations disproportionately affected by the toll of tobacco.