In November 1998, the Attorneys General of 46 states, the District of Columbia and five U.S. territories signed an agreement with the five largest tobacco manufacturers, known as the Master Settlement Agreement (MSA). The MSA arose out of a number of separate state lawsuits against tobacco manufacturers seeking reimbursement for their Medicaid and other smoking-related health costs. States and communities have used MSA payments to support out-of-school time programs, literacy initiatives, and school health services; often linking these investments to broader state MSA priorities, such as tobacco control or health promotion. This policy brief provides an update on the use of MSA payments across the 46 states party to the agreement; highlights the unique opportunity provided by the increased payments under the Strategic Contribution Fund; and offers strategies for policymakers, community and program leaders to access MSA funds for youth programs. (Contains 5 figures and 21 footnotes.)