American Lung Association Report Says U.S. at Tipping Point

(December 3, 2012)

Contact: Colleen Hermann-Franzen
(503) 718-6145

American Lung Association Report Says U.S. at Tipping Point for Policies that Help Smokers Quit
Oregon One of Nine States with Legislative or Regulatory Tobacco Cessation Standards

Portland, Ore. – The United States is at a tipping point when it comes to policies that help smokers quit, according to the American Lung Association’s “Helping Smokers Quit: Tobacco Cessation Coverage 2012” report. Released today, the annual report provides a comprehensive review of each state’s tobacco cessation coverage and an up-to-date look at federal coverage and requirements under the Affordable Care Act.

“Over the next year key decisions will be made by the federal government and the states about whether or not they will help save lives, prevent disease and reduce health costs,” said Renée Klein, President and CEO of the American Lung Association of the Mountain Pacific. “We know that the vast majority of smokers want to quit, but the complex web of state and federal coverage for effective quit smoking programs prevents too many from getting the help they need. States and the federal government can reduce the enormous health burden of tobacco use by providing access to these proven interventions.”

The American Lung Association report shows that the federal government has missed several key opportunities to improve access to quit smoking medications and counseling. The record for the states is mixed, but far too many fail to ensure coverage.

The report’s key findings are:

Medicaid Coverage:

 Two states provide comprehensive cessation coverage: Indiana and Massachusetts;
 Two states provide NO cessation coverage: Alabama and Georgia;
 Four states provided new counseling benefits for pregnant women in 2012: Colorado, Kansas, North Dakota, and South Dakota; and
 Connecticut and Tennessee announced new benefits for everyone in 2012 that are close to comprehensive.

State Employee Health Plan Coverage:

 Four states provide comprehensive coverage: Illinois, New Mexico, North Dakota, and Rhode Island;
 Zero states provide no coverage; and
 Florida, Georgia, Nebraska and New Jersey added new cessation benefits for state employees in 2012.
Investment in State Quitlines:

Telephone quitlines are also an essential part of any state’s tobacco cessation efforts. As more and more smokers want to quit, the majority of states are not providing adequate funding for their quitlines.

Only two states—Maine and South Dakota—currently invest in quitlines at or above the recommended amount ($10.53 per smoker or above). Oregon invests just $3.13 per smoker for its quitline. This is a lost opportunity for people who are trying to quit.

Federal Coverage:

On November 26, the U.S. Department of Health and Human Services (HHS) published a proposed rule that requires the Essential Health Benefit coverage mandated by the Affordable Care Act to cover preventive services, including tobacco cessation. However, because HHS has not yet defined what insurers must include as part of a tobacco cessation benefit, the Administration missed a crucial opportunity. Now, each state can choose its own benchmark plan, which will then serve as the Essential Health Benefit standard for plans in that state’s health insurance exchange. Until HHS officially defines a comprehensive tobacco cessation benefit, it has missed a crucial opportunity to provide many smokers with new access to help quitting, and to establish tobacco cessation as a truly essential health benefit for all health insurance coverage.

HHS’s failure to act provides an opportunity for states like Oregon, according to the report. Oregon policymakers can now help Oregonians who smoke quit by including comprehensive tobacco cessation benefits as they implement state health insurance exchanges and Medicaid expansions. Oregon has already shown leadership in this area by passing SB 734 in 2009, which requires all fully insured, private health insurance plans in the state to provide payment, coverage or reimbursement of at least $500 for a tobacco use cessation program for all plan enrollees at least 15 years old. 

Tobacco use is the leading preventable cause of death in the United States. The economic costs in the U.S. due to tobacco total $193 billion annually. Providing comprehensive quit-smoking treatments is crucial in both saving lives and curbing health costs – one recent study showed that providing this help has a 3-to-1 return on investment.

“Giving all people who smoke access to a comprehensive cessation benefit is not only the right thing to do, it’s the smart thing to do,” said Klein. “The bottom line is that quitting smoking saves lives and saves money.”

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Editor’s Note: Available as a standalone graphic is “Tobacco Cessation Treatment: What is covered?” This is the American Lung Association’s breakdown of what the biggest health insurance programs cover for tobacco cessation and how the Affordable Care Act changes coverage.

About the American Lung Association in Oregon
The American Lung Association in Oregon is a non-profit, voluntary public health organization, working to save lives by improving lung health and preventing lung disease in Oregon. Our programs focus on the areas of asthma, clean air, tobacco prevention and lung disease.

For more information about the American Lung Association in Oregon or to support the work it does, call (503) 924-4094 or visit:

Additional Resources:
Helping Benefit Oregon Smokers Collaborative: