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Federal Grades

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Federal Government

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Tobacco use remains the leading cause of preventable death and disease in the United States. The American Lung Association has identified three key actions that federal policymakers must take to help ultimately eliminate the death and disease caused by tobacco use:

  1. The Obama Administration must finalize the regulation giving the Food and Drug Administration (FDA) authority over all tobacco products so that FDA can begin to protect our nation's youth and the public health from the dangers of e-cigarettes, cigars, hookah, little cigars and other tobacco products;
  2. FDA must issue product standards governing the design and content of tobacco products, including eliminating menthol as a characterizing flavor in cigarettes;
  3. Congress must increase and equalize taxes across all tobacco products.

Read Highlights…

Federal Grade Summary Methodology Take Action

Federal Grade Summary

Food and Drug Administration Regulation of Tobacco Products

  • Rule Asserting Authority over All Tobacco Products: Final rule pending
  • Product Standards for Tobacco Products: No product standard to reduce the toxicity, addictiveness and/or appeal of tobacco products issued
  • Graphic Cigarette Warning Labels: No warning labels re-proposed or finalized
  • TPSAC Menthol Report Implementation: No action taken to implement TPSAC menthol report recommendations
  • Funding for FDA Center for Tobacco Products: Full funding provided with no policy riders

*As of January 31, 2016, the Obama Administration had not yet given the U.S. Food and Drug Administration (FDA) oversight authority over all tobacco products. Given this pending final rule has concluded the 90 day review period at the Office of Management and Budget at the White House and could be released at any time, the federal government earns an “I” for Incomplete in this category.

Tobacco Taxes


Cigarette Tax:

  • Tax rate per pack of 20: $1.01

Other Tobacco Product Taxes:

  • Little Cigars: Equalized: Yes; Weight-Based: Yes
  • Large Cigars: Equalized: No; Weight-Based: No
  • Smokeless Tobacco: Equalized: No; Weight-Based: Yes
  • Pipe/RYO Tobacco: Equalized: No; Weight-Based: Yes
  • Dissolvable Tobacco: Equalized: No; Weight-Based: Yes

Access to Cessation Services


Overview of State Cessation Coverage

  • Medicaid Coverage: Partially Required
  • Medicare Coverage: Partially Covered
  • TRICARE Coverage: Covered
  • Federal Employee Health Benefits Coverage: Covered
  • State Health Insurance Exchanges: Partially Required

Mass Media Campaigns


Tips from Former Smokers Media Campaign:

  • Reach: Meets target
  • Duration: Under target
  • Frequency: Meets target
  • Promotion of Services: Meets target

FDA "Real Cost" Media Campaign:

  • Reach: Meets target
  • Duration: Meets Target
  • Frequency: Meets Target
  • Promotion of Services: Under Target

Did You Know?

Read More Facts »

By The Numbers

Wonder what diseases smoking causes that you didn't know about? Take a look at our top ten lists to find out.

View the Lists »

10 Year Road Map

Check out our road map to eliminate tobacco-caused death and disease.

View the Road Map »
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