Tobacco Use Prevention and Control

North Dakota State Facts

Economic Costs Due to Smoking:
Adult Prevalence:
High School Smoking Rate:
Middle School Smoking Rate:
Smoking Attributable Deaths:
Smoking Attributable Lung Cancer Deaths:
Smoking Attributable Respiratory Disease Deaths:


The American Lung Association in North Dakota continued to fight for increased state spending on tobacco control and prevention. Together with our partners and coalition members, we were unrelenting in emphasizing to the legislature its responsibility to fully fund the successful initiated ballot measure that appeared on the November 2008 ballot.


Tobacco Prevention Trust Fund

The initiated measure approved by voters in November 2008 required the North Dakota legislature to allocate the funds from North Dakota's strategic contribution payments from the tobacco Master Settlement Agreement to a Tobacco Prevention Trust Fund. During the 2009 legislative session, much debate took place questioning the vote itself and understanding of the electorate and the independence of the Tobacco Prevention Trust Fund. Attempts were made to change the language of the measure to place the funding and responsibility within the State Department of Health. There was real concern that the session would end without allocation of any dollars for their intended purpose.


North Dakota - Only State to Fully Fund Tobacco Control Programs

Local tobacco coalitions along with the Lung Association worked diligently to assure that the vote of the people was honored and the independence of the Trust Fund maintained. On the last day of the 2009 session, the funds were approved, and the administration of the funds remained as the people had voted. This makes North Dakota the only state to fully fund its state tobacco control program at or above the level recommended by the Centers for Disease Control and Prevention, at $9.3 million in fiscal year 2010. This could not have happened without the dedication of volunteers and advocates across the state who made their voices heard.

Clean Indoor Air Law

Legislation was introduced to strengthen the current clean indoor air law in North Dakota to include bars and casinos, but it failed in committee. Students led an effort to limit smoking when children under 16 years old are present in a vehicle; a bill was introduced, but later defeated, in the state House of Representatives.

The American Lung Association in North Dakota will continue to work with tobacco control advocates as they begin to adopt and implement a comprehensive tobacco control plan, based on best practices and with adequate resources to reduce the harm and destruction caused from tobacco and reduce exposure to secondhand smoke.


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