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State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
  • Share:
Did YOUR state make the grade?

Wyoming

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  • D

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

  • D

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Wyoming's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Raise tobacco taxes by $1.00 or more per pack;
  2. Increase funding for tobacco prevention and cessation programs; and
  3. Pass additional local or state legislation creating smokefree public places and workplaces.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $3,804,789
  • FY2020 Federal Funding for State Tobacco Control Programs: $895,566*
  • FY2020 Total Funding for State Tobacco Control Programs: $4,700,355
  • CDC Best Practices State Spending Recommendation: $8,500,000
  • Percentage of CDC Recommended Level: 55.3%
  • State Tobacco-Related Revenue: $39,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: D

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: No provision
  • Childcare Facilities: No provision
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: N/A
  • Penalties: No
  • Enforcement: No
  • Preemption/Local Opt-Out: No

Citation: Wyoming State Govt. Non-Smoking Policy (1989).

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

60 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: No counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $10.30; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Wyoming Tobacco Cessation Coverage page for specific sources.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: D

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $3,804,789
  • FY2020 Federal Funding for State Tobacco Control Programs: $895,566*
  • FY2020 Total Funding for State Tobacco Control Programs: $4,700,355
  • CDC Best Practices State Spending Recommendation: $8,500,000
  • Percentage of CDC Recommended Level: 55.3%
  • State Tobacco-Related Revenue: $39,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: No provision
  • Childcare Facilities: No provision
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: N/A
  • Penalties: No
  • Enforcement: No
  • Preemption/Local Opt-Out: No

Citation: Wyoming State Govt. Non-Smoking Policy (1989).

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

60 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: No counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $10.30; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Wyoming Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

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Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Wisconsin

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • D

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • D

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Wisconsin's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Ensure enforcement of the federal law that raises the legal age of sale for tobacco products to 21;
  2. Add e-cigarettes to the smokefree air law; and
  3. Require all tobacco products to be placed behind the counter or in a locked cabinet.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $5,300,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,827,190*
  • FY2020 Total Funding for State Tobacco Control Programs: $8,127,190
  • CDC Best Practices State Spending Recommendation: $57,500,000
  • Percentage of CDC Recommended Level: 14.1%
  • State Tobacco-Related Revenue: $757,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in existing tobacco bars)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Limited

Citation: WI STAT. ANN. § 101.123 (2010).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$2.52

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Overall Grade: D

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: No barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $2.14; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: Medicaid enrollees are subject to a tobacco surcharge

Citation: See Wisconsin Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $5,300,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,827,190*
  • FY2020 Total Funding for State Tobacco Control Programs: $8,127,190
  • CDC Best Practices State Spending Recommendation: $57,500,000
  • Percentage of CDC Recommended Level: 14.1%
  • State Tobacco-Related Revenue: $757,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in existing tobacco bars)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Limited

Citation: WI STAT. ANN. § 101.123 (2010).

Tobacco Taxes Tobacco Taxes
Overall Grade: D

Help fight tobacco use

Take Action

Cigarette Taxes:

$2.52

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: No barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $2.14; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: Medicaid enrollees are subject to a tobacco surcharge

Citation: See Wisconsin Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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West Virginia

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by West Virginia's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC)-recommended level; and
  2. Protect local control of smokefree air laws throughout the state.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $500,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,516,720*
  • FY2020 Total Funding for State Tobacco Control Programs: $2,016,720
  • CDC Best Practices State Spending Recommendation: $27,400,000
  • Percentage of CDC Recommended Level: 7.4%
  • State Tobacco-Related Revenue: $235,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Restricted
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: No
  • Preemption/Local Opt-Out: No

Citation: W. VA. CODE §§ 16-9A-4 (1987) & 31-20-5b (1997); WV Div. of Personnel Policy, Smoking Restrictions in the Workplace (2004); WV CSR §§ 64-21-10 (1997), 64-21-20 (1997) & 126-66-1 et seq. (1998).

*Note: West Virginia has 58.9% of the state's population covered by comprehensive local smokefree workplace regulations. If a state has more than 50% of its population covered by local smokefree ordinances/regulations, the state is graded based on population covered by those local ordinances/regulations rather than the statewide law.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$1.20

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See West Virginia Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $500,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,516,720*
  • FY2020 Total Funding for State Tobacco Control Programs: $2,016,720
  • CDC Best Practices State Spending Recommendation: $27,400,000
  • Percentage of CDC Recommended Level: 7.4%
  • State Tobacco-Related Revenue: $235,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Restricted
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: No
  • Preemption/Local Opt-Out: No

Citation: W. VA. CODE §§ 16-9A-4 (1987) & 31-20-5b (1997); WV Div. of Personnel Policy, Smoking Restrictions in the Workplace (2004); WV CSR §§ 64-21-10 (1997), 64-21-20 (1997) & 126-66-1 et seq. (1998).

*Note: West Virginia has 58.9% of the state's population covered by comprehensive local smokefree workplace regulations. If a state has more than 50% of its population covered by local smokefree ordinances/regulations, the state is graded based on population covered by those local ordinances/regulations rather than the statewide law.

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$1.20

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See West Virginia Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
  • Share:
Did YOUR state make the grade?

Washington

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • C

    Tobacco Taxes

  • F

    Access to Cessation Services

  • B

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • C

    Tobacco Taxes

  • F

    Access to Cessation Services

  • B

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Washington's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase state funding for tobacco prevention and cessation programs;
  2. Prohibit the sale of all flavored tobacco products, including electronic cigarettes; and
  3. Defend smokefree workplace laws.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $2,132,505
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,779,313*
  • FY2020 Total Funding for State Tobacco Control Programs: $4,911,818
  • CDC Best Practices State Spending Recommendation: $63,600,000
  • Percentage of CDC Recommended Level: 7.7%
  • State Tobacco-Related Revenue: $548,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: WASH. REV. CODE § 70.345.150 (2016).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$3.025

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Overall Grade: C

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Most medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: No barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.41; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Washington Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: B

Help fight tobacco use

Take Action

Thumbs up for Washington for increasing the tobacco sales age to 21.

Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $2,132,505
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,779,313*
  • FY2020 Total Funding for State Tobacco Control Programs: $4,911,818
  • CDC Best Practices State Spending Recommendation: $63,600,000
  • Percentage of CDC Recommended Level: 7.7%
  • State Tobacco-Related Revenue: $548,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: WASH. REV. CODE § 70.345.150 (2016).

Tobacco Taxes Tobacco Taxes
Overall Grade: C

Help fight tobacco use

Take Action

Cigarette Taxes:

$3.025

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Most medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: No barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.41; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Washington Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: B

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21

Thumbs up for Washington for increasing the tobacco sales age to 21.

State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
  • Share:
Did YOUR state make the grade?

Virginia

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • D

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • D

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Virginia's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Strengthen the existing Tobacco 21 law by removing the active military exemption and the purchase, use and possession penalties;
  2. Increase the cigarette tax by at least $1.00 per pack; and
  3. Fund tobacco prevention and cessation programs at the level recommended by the Centers for Disease Control and Prevention (CDC).
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $9,717,356
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,299,737*
  • FY2020 Total Funding for State Tobacco Control Programs: $11,017,093
  • CDC Best Practices State Spending Recommendation: $91,600,000
  • Percentage of CDC Recommended Level: 12.0%
  • State Tobacco-Related Revenue: $299,400,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Prohibited (excludes home-based child care providers)
  • Restaurants: Restricted
  • Bars: Restricted
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: Restricted
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: VA. CODE ANN. §§ 15.2-2820 to 15.2-2828 (2009).

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

30 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Thumbs down for Virginia for having the second lowest cigarette tax in the country at 30 cents per pack.

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: Some medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.42; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Virginia Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: D

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $9,717,356
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,299,737*
  • FY2020 Total Funding for State Tobacco Control Programs: $11,017,093
  • CDC Best Practices State Spending Recommendation: $91,600,000
  • Percentage of CDC Recommended Level: 12.0%
  • State Tobacco-Related Revenue: $299,400,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Prohibited (excludes home-based child care providers)
  • Restaurants: Restricted
  • Bars: Restricted
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: Restricted
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: VA. CODE ANN. §§ 15.2-2820 to 15.2-2828 (2009).

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

30 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A

Thumbs down for Virginia for having the second lowest cigarette tax in the country at 30 cents per pack.

Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: Some medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.42; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Virginia Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: D

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Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Vermont

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • B

    Access to Cessation Services

  • A

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • B

    Access to Cessation Services

  • A

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Vermont's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Prohibit the sale of all flavored tobacco products;
  2. Increase funding to Vermont's tobacco control program; and
  3. Minimize barriers to quit smoking treatment coverage.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $2,692,021
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,167,790*
  • FY2020 Total Funding for State Tobacco Control Programs: $3,859,811
  • CDC Best Practices State Spending Recommendation: $8,400,000
  • Percentage of CDC Recommended Level: 46.0%
  • State Tobacco-Related Revenue: $99,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: VT STAT. ANN. tit. 18, §§ 28-1421 to 28-1428 & 37-1741 et seq. (2016).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$3.08

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: Yes; Weight-Based: No
Overall Grade: B

Help fight tobacco use

Take Action

Thumbs up for Vermont for taxing e-cigarettes at the same rate as cigarettes/other tobacco products.

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Data Not Available*
  • Counseling: Data Not Available*
  • Barriers to Coverage: Data Not Available*

State Quitline:

  • Investment Per Smoker: $5.71; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See Vermont Tobacco Cessation Coverage page for specific sources.

* Data on state employee health plan coverage was unable to be obtained for Vermont after multiple requests. The state earned a "B� grade in this category in last year's report when all requested information was provided.

Overall Grade: B

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: A

Help fight tobacco use

Take Action

Thumbs up for Vermont for increasing the tobacco sales age to 21.

Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $2,692,021
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,167,790*
  • FY2020 Total Funding for State Tobacco Control Programs: $3,859,811
  • CDC Best Practices State Spending Recommendation: $8,400,000
  • Percentage of CDC Recommended Level: 46.0%
  • State Tobacco-Related Revenue: $99,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: VT STAT. ANN. tit. 18, §§ 28-1421 to 28-1428 & 37-1741 et seq. (2016).

Tobacco Taxes Tobacco Taxes
Overall Grade: B

Help fight tobacco use

Take Action

Cigarette Taxes:

$3.08

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: Yes; Weight-Based: No

Thumbs up for Vermont for taxing e-cigarettes at the same rate as cigarettes/other tobacco products.

Access to Cessation Services Access to Cessation Services
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Data Not Available*
  • Counseling: Data Not Available*
  • Barriers to Coverage: Data Not Available*

State Quitline:

  • Investment Per Smoker: $5.71; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See Vermont Tobacco Cessation Coverage page for specific sources.

* Data on state employee health plan coverage was unable to be obtained for Vermont after multiple requests. The state earned a "B� grade in this category in last year's report when all requested information was provided.

Tobacco 21 Tobacco 21
Overall Grade: A

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21

Thumbs up for Vermont for increasing the tobacco sales age to 21.

State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Utah

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Utah's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Maintain or increase funding for state's tobacco prevention and control program;
  2. Increase excise taxes on tobacco products by $1.00 per pack or more; and
  3. Strengthen state laws related to tobacco retailer licensing.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $7,026,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,173,545*
  • FY2020 Total Funding for State Tobacco Control Programs: $8,199,545
  • CDC Best Practices State Spending Recommendation: $19,300,000
  • Percentage of CDC Recommended Level: 42.5%
  • State Tobacco-Related Revenue: $139,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: UTAH CODE ANN. §§ 26-38-1 et seq. (2012).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$1.70

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $5.10; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Insurance Commissioner bulletin
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Utah Tobacco Cessation Coverage page for specific sources.

Overall Grade: B

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 19
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $7,026,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,173,545*
  • FY2020 Total Funding for State Tobacco Control Programs: $8,199,545
  • CDC Best Practices State Spending Recommendation: $19,300,000
  • Percentage of CDC Recommended Level: 42.5%
  • State Tobacco-Related Revenue: $139,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: UTAH CODE ANN. §§ 26-38-1 et seq. (2012).

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$1.70

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $5.10; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Insurance Commissioner bulletin
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Utah Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 19
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Texas

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • C

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • C

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Texas' elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Restore funding for tobacco prevention and cessation programs that was significantly cut in 2017;
  2. Continue to pass comprehensive local smokefree ordinances to build towards a statewide smokefree law; and
  3. Strengthen state laws related to tobacco retailer licensing.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $4,671,912
  • FY2020 Federal Funding for State Tobacco Control Programs: $4,460,843*
  • FY2020 Total Funding for State Tobacco Control Programs: $9,132,755
  • CDC Best Practices State Spending Recommendation: $264,100,000
  • Percentage of CDC Recommended Level: 3.5%
  • State Tobacco-Related Revenue: $1,902,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: No provision
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Prohibited
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: TEX. PENAL CODE ANN. § 48.01 (2015); TX EDUC. CODE § 38.006 (2015); and TX ADMIN. CODE tit. 40, Part 19, Subchapter S, Div. 1 §§ 746.3703(d) (1995) & 747.3503(d) (1990).

*Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Texas has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 44.9% of the state's population.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$1.41

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: Yes
  • Tax on large cigars: Equalized: No; Weight-Based: Yes
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.77; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Texas Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: C

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $4,671,912
  • FY2020 Federal Funding for State Tobacco Control Programs: $4,460,843*
  • FY2020 Total Funding for State Tobacco Control Programs: $9,132,755
  • CDC Best Practices State Spending Recommendation: $264,100,000
  • Percentage of CDC Recommended Level: 3.5%
  • State Tobacco-Related Revenue: $1,902,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: No provision
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Prohibited
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: TEX. PENAL CODE ANN. § 48.01 (2015); TX EDUC. CODE § 38.006 (2015); and TX ADMIN. CODE tit. 40, Part 19, Subchapter S, Div. 1 §§ 746.3703(d) (1995) & 747.3503(d) (1990).

*Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Texas has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 44.9% of the state's population.

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$1.41

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: Yes
  • Tax on large cigars: Equalized: No; Weight-Based: Yes
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.77; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Texas Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: C

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Did YOUR state make the grade?

Tennessee

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Tennessee's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase funding for the Tennessee Tobacco Program to $4 million and designate funding as a recurring line item in the annual budget;
  2. Close loopholes in the statewide law restricting smoking; and
  3. Repeal preemption of local tobacco control authority.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $2,000,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,488,071*
  • FY2020 Total Funding for State Tobacco Control Programs: $3,488,071
  • CDC Best Practices State Spending Recommendation: $75,600,000
  • Percentage of CDC Recommended Level: 4.6%
  • State Tobacco-Related Revenue: $424,000,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited (non-public workplaces with three or fewer employees exempt)
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted*
  • Bars: Restricted*
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: TENN. CODE ANN. §§ 39-17-1801 to 39-17-1810 (2008).

*Smoking is allowed in restaurants and bars that do not allow persons under 21 to enter at any time.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

62 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: 2.34$; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Tennessee Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $2,000,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,488,071*
  • FY2020 Total Funding for State Tobacco Control Programs: $3,488,071
  • CDC Best Practices State Spending Recommendation: $75,600,000
  • Percentage of CDC Recommended Level: 4.6%
  • State Tobacco-Related Revenue: $424,000,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited (non-public workplaces with three or fewer employees exempt)
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted*
  • Bars: Restricted*
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: TENN. CODE ANN. §§ 39-17-1801 to 39-17-1810 (2008).

*Smoking is allowed in restaurants and bars that do not allow persons under 21 to enter at any time.

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

62 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: 2.34$; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Tennessee Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

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Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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South Dakota

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • B

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • B

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by South Dakota's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase the tax on cigarettes and other tobacco products by a $1.00 per pack or more;
  2. Ensure compliance and enforcement of Tobacco 21; and
  3. Fully fund South Dakota's tobacco control program at Centers for Disease Control and Prevention recommended levels.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $4,500,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $936,847*
  • FY2020 Total Funding for State Tobacco Control Programs: $5,436,847
  • CDC Best Practices State Spending Recommendation: $11,700,000
  • Percentage of CDC Recommended Level: 46.5%
  • State Tobacco-Related Revenue: $78,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (smoking of certain tobacco products allowed in certain bars)
  • Casinos/Gaming Establishments: Prohibited
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: S.D. CODIFIED LAWS §§ 34-46-13 to 34-46-19 (2010).

Overall Grade: B

Help fight tobacco use

Take Action

Thumbs up for South Dakota for adding e-cigarettes to its smokefree workplace law.

Tobacco Taxes

Cigarette Taxes:

$1.53

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: Limited medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Covers all 7 medications
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $15.22; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See South Dakota Tobacco Cessation Coverage page for specific sources.

Overall Grade: F

Help fight tobacco use

Take Action

Thumbs down for South Dakota for providing the worst cessation coverage for Medicaid enrollees in the country.

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $4,500,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $936,847*
  • FY2020 Total Funding for State Tobacco Control Programs: $5,436,847
  • CDC Best Practices State Spending Recommendation: $11,700,000
  • Percentage of CDC Recommended Level: 46.5%
  • State Tobacco-Related Revenue: $78,800,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (smoking of certain tobacco products allowed in certain bars)
  • Casinos/Gaming Establishments: Prohibited
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: S.D. CODIFIED LAWS §§ 34-46-13 to 34-46-19 (2010).

Thumbs up for South Dakota for adding e-cigarettes to its smokefree workplace law.

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$1.53

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: Yes; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: Limited medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Covers all 7 medications
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $15.22; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See South Dakota Tobacco Cessation Coverage page for specific sources.

Thumbs down for South Dakota for providing the worst cessation coverage for Medicaid enrollees in the country.

Tobacco 21 Tobacco 21
Overall Grade: F

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Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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South Carolina

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by South Carolina's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase the price of tobacco products to reduce tobacco use among youth and adults and equalize tax for all tobacco products including e-cigarettes;
  2. Oppose all forms of preemption of state and local tobacco control authority; and
  3. Maintain funding for the state's tobacco prevention program and ensure funding is spent according to Centers for Disease Control and Prevention (CDC) Best Practices.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $5,000,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,156,149*
  • FY2020 Total Funding for State Tobacco Control Programs: $6,156,149
  • CDC Best Practices State Spending Recommendation: $51,000,000
  • Percentage of CDC Recommended Level: 12.1%
  • State Tobacco-Related Revenue: $247,100,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Prohibited
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: N/A (tribal casinos only)
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: S.C. CODE ANN. §§ 44-95-10 et seq. (2012).

*Note: The Smokefree Air grade only examines state law and does not reflect local smokefree ordinances. South Carolina has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 32.1% of the state's population.

Overall Grade: F

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

57 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 forms counseling are covered
  • Barriers to Coverage: Minimal barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Most medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $5.02; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See South Carolina Tobacco Cessation Coverage page for specific sources.

Overall Grade: B

Help fight tobacco use

Take Action

Thumbs up for South Carolina for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $5,000,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,156,149*
  • FY2020 Total Funding for State Tobacco Control Programs: $6,156,149
  • CDC Best Practices State Spending Recommendation: $51,000,000
  • Percentage of CDC Recommended Level: 12.1%
  • State Tobacco-Related Revenue: $247,100,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: F

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Prohibited
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: N/A (tribal casinos only)
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: S.C. CODE ANN. §§ 44-95-10 et seq. (2012).

*Note: The Smokefree Air grade only examines state law and does not reflect local smokefree ordinances. South Carolina has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 32.1% of the state's population.

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

57 cents

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 forms counseling are covered
  • Barriers to Coverage: Minimal barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Most medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $5.02; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See South Carolina Tobacco Cessation Coverage page for specific sources.

Thumbs up for South Carolina for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Rhode Island

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Rhode Island's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Prohibit the sale of all flavored tobacco products; and
  2. Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC) recommended level; and
  3. Ensure enforcement of the minimum age of sale of 21 for tobacco products.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $394,955
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,651,504*
  • FY2020 Total Funding for State Tobacco Control Programs: $2,046,459
  • CDC Best Practices State Spending Recommendation: $12,800,000
  • Percentage of CDC Recommended Level: 16.0%
  • State Tobacco-Related Revenue: $196,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Thumbs down for Rhode Island for spending little state money on tobacco prevention and cessation programs despite smoking costing the state close to $640 million in healthcare costs each year.

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in smoking bars)
  • Casinos/Gaming Establishments: Restricted
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: R.I. GEN. LAWS §§ 23-20.10-1 et seq. (2015).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$4.25

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: B

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See Rhode Island Tobacco Cessation Coverage page for specific sources.

Overall Grade: C

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $394,955
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,651,504*
  • FY2020 Total Funding for State Tobacco Control Programs: $2,046,459
  • CDC Best Practices State Spending Recommendation: $12,800,000
  • Percentage of CDC Recommended Level: 16.0%
  • State Tobacco-Related Revenue: $196,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Thumbs down for Rhode Island for spending little state money on tobacco prevention and cessation programs despite smoking costing the state close to $640 million in healthcare costs each year.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in smoking bars)
  • Casinos/Gaming Establishments: Restricted
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: R.I. GEN. LAWS §§ 23-20.10-1 et seq. (2015).

Tobacco Taxes Tobacco Taxes
Overall Grade: B

Help fight tobacco use

Take Action

Cigarette Taxes:

$4.25

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: C

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See Rhode Island Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
  • Share:
Did YOUR state make the grade?

Pennsylvania

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • I

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • I

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Pennsylvania's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase the age of sale for all tobacco products to age 21;
  2. Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC)-recommended level; and
  3. Close loopholes in Pennsylvania's Clean Indoor Air Act and make all public places and workplaces smokefree.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $15,146,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,767,838*
  • FY2020 Total Funding for State Tobacco Control Programs: $17,913,838
  • CDC Best Practices State Spending Recommendation: $140,000,000
  • Percentage of CDC Recommended Level: 12.8%
  • State Tobacco-Related Revenue: $1,706,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted
  • Bars: No provision
  • Casinos/Gaming Establishments: Restricted (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: 35 PA. STAT §§ 637.1 to 637.11 (2008).

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$2.60

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: N/A
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: Yes
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered.
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $1.30; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Pennsylvania Tobacco Cessation Coverage page for specific sources.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18

*Pennsylvania earns an I for Incomplete grade because it has passed Tobacco 21 legislation, but it does not take effect until July 1, 2020.

Overall Grade: I

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $15,146,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,767,838*
  • FY2020 Total Funding for State Tobacco Control Programs: $17,913,838
  • CDC Best Practices State Spending Recommendation: $140,000,000
  • Percentage of CDC Recommended Level: 12.8%
  • State Tobacco-Related Revenue: $1,706,500,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted
  • Bars: No provision
  • Casinos/Gaming Establishments: Restricted (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: 35 PA. STAT §§ 637.1 to 637.11 (2008).

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$2.60

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: N/A
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: Yes
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No
Access to Cessation Services Access to Cessation Services
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered.
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $1.30; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Pennsylvania Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: I

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18

*Pennsylvania earns an I for Incomplete grade because it has passed Tobacco 21 legislation, but it does not take effect until July 1, 2020.

State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Oregon

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • A

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • A

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Oregon's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Prohibit the sale of all flavored tobacco products, including electronic cigarettes;
  2. Increase state funding for tobacco prevention and cessation programs; and
  3. Defend Oregon's Clean Indoor Air Act.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $7,906,500
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,198,772*
  • FY2020 Total Funding for State Tobacco Control Programs: $9,105,272
  • CDC Best Practices State Spending Recommendation: $39,300,000
  • Percentage of CDC Recommended Level: 23.2%
  • State Tobacco-Related Revenue: $338,200,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited (allowed in smoke shops)
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: OR. REV. STAT. §§ 433.835 to 433.990 (2015).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$1.33

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: Yes; Weight-Based: Yes
Overall Grade: F

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Limited barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97*; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Oregon Tobacco Cessation Coverage page for specific sources.

*Investment per smoker amount does not include money contributed by Coordinated Care Organizations (CCOs) to the state quitline.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: A

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $7,906,500
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,198,772*
  • FY2020 Total Funding for State Tobacco Control Programs: $9,105,272
  • CDC Best Practices State Spending Recommendation: $39,300,000
  • Percentage of CDC Recommended Level: 23.2%
  • State Tobacco-Related Revenue: $338,200,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited (allowed in smoke shops)
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: OR. REV. STAT. §§ 433.835 to 433.990 (2015).

Tobacco Taxes Tobacco Taxes
Overall Grade: F

Help fight tobacco use

Take Action

Cigarette Taxes:

$1.33

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: Yes; Weight-Based: Yes
Access to Cessation Services Access to Cessation Services
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Limited barriers exist to access care

State Quitline:

  • Investment Per Smoker: $0.97*; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Oregon Tobacco Cessation Coverage page for specific sources.

*Investment per smoker amount does not include money contributed by Coordinated Care Organizations (CCOs) to the state quitline.

Tobacco 21 Tobacco 21
Overall Grade: A

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Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Oklahoma

Select a different state
  • D

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • D

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

  • D

    Tobacco Prevention and Cessation Funding

  • D

    Smokefree Air

  • D

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Oklahoma's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Maintain dedicated funding for tobacco prevention and cessation programs; and
  2. Pass a comprehensive statewide smokefree law that protects all workers and patrons from secondhand smoke.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $21,637,258
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,311,902*
  • FY2020 Total Funding for State Tobacco Control Programs: $22,949,160
  • CDC Best Practices State Spending Recommendation: $42,300,000
  • Percentage of CDC Recommended Level: 54.3%
  • State Tobacco-Related Revenue: $473,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: D

Help fight tobacco use

Take Action

Thumbs up for Oklahoma for constitutionally protecting its allocation of tobacco settlement dollars, so a consistent investment in tobacco prevention and cessation can be made.

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted (prohibited on state government property)
  • Private Workplaces: Restricted
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted
  • Bars: No provision
  • Casinos/Gaming Establishments: Restricted (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: OKLA. STAT. ANN. tit. 21, § 1247 & tit. 63, §§ 1-1521 et seq. (2015).

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$2.03

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Overall Grade: D

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Limited barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Data Not Available*
  • Counseling: Data Not Available*
  • Barriers to Coverage: Data Not Available*

State Quitline:

  • Investment Per Smoker: $11.52; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Oklahoma Tobacco Cessation Coverage page for specific sources.

* Data on state employee health plan coverage was unable to be obtained for Oklahoma after multiple requests. The state earned a "B� grade in this category in last year's report when all requested information was provided.

Overall Grade: D

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: D

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $21,637,258
  • FY2020 Federal Funding for State Tobacco Control Programs: $1,311,902*
  • FY2020 Total Funding for State Tobacco Control Programs: $22,949,160
  • CDC Best Practices State Spending Recommendation: $42,300,000
  • Percentage of CDC Recommended Level: 54.3%
  • State Tobacco-Related Revenue: $473,900,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Thumbs up for Oklahoma for constitutionally protecting its allocation of tobacco settlement dollars, so a consistent investment in tobacco prevention and cessation can be made.

Smokefree Air Smokefree Air
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted (prohibited on state government property)
  • Private Workplaces: Restricted
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted
  • Bars: No provision
  • Casinos/Gaming Establishments: Restricted (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: OKLA. STAT. ANN. tit. 21, § 1247 & tit. 63, §§ 1-1521 et seq. (2015).

Tobacco Taxes Tobacco Taxes
Overall Grade: D

Help fight tobacco use

Take Action

Cigarette Taxes:

$2.03

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
Access to Cessation Services Access to Cessation Services
Overall Grade: D

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Limited barriers exist to access care
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Data Not Available*
  • Counseling: Data Not Available*
  • Barriers to Coverage: Data Not Available*

State Quitline:

  • Investment Per Smoker: $11.52; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Oklahoma Tobacco Cessation Coverage page for specific sources.

* Data on state employee health plan coverage was unable to be obtained for Oklahoma after multiple requests. The state earned a "B� grade in this category in last year's report when all requested information was provided.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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Ohio

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • A

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • A

    Tobacco 21

The American Lung Association calls for the following actions to be taken by Ohio's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Match the tax on non-cigarette forms of tobacco like spit tobacco, cigars and hookah to the cigarette tax;
  2. Prohibit flavorings for all tobacco products, including e-cigarettes; and
  3. Increase funding for tobacco prevention and cessation programs to bring it closer to the Centers for Disease Control and Prevention's recommendation for Ohio.
    Additional Information

    Tobacco Prevention and Cessation Funding

    • FY2020 State Funding for Tobacco Control Programs: $12,255,358
    • FY2020 Federal Funding for State Tobacco Control Programs: $1,794,936*
    • FY2020 Total Funding for State Tobacco Control Programs: $14,050,294
    • CDC Best Practices State Spending Recommendation: $132,000,000
    • Percentage of CDC Recommended Level: 10.6%
    • State Tobacco-Related Revenue: $1,270,900,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Overall Grade: F

    Help fight tobacco use

    Take Action

    Smokefree Air

    Overview of State Smoking Restrictions:

    • Government Workplaces: Prohibited
    • Private Workplaces: Prohibited
    • Schools: Prohibited
    • Childcare Facilities: Prohibited
    • Restaurants: Prohibited
    • Bars: Prohibited
    • Casinos/Gaming Establishments: Prohibited
    • Retail Stores: Prohibited
    • Recreational/Cultural Facilities: Prohibited
    • E-Cigarettes Included: No
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: No

    Citation: OHIO REV. CODE ANN §§ 3794.01 to 3794.09 (2006).

    Overall Grade: A

    Help fight tobacco use

    Take Action

    Tobacco Taxes

    Cigarette Taxes:

    $1.60

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: No; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
    • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Access to Cessation Services

    Overview of State Cessation Coverage:

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: All 3 types of counseling are covered
    • Barriers to Coverage: Some barriers exist to access care
    • Medicaid Expansion: Yes

    State Employee Health Plan(s):

    • Medications: Some medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Some barriers exist to access care

    State Quitline:

    • Investment Per Smoker: $1.46; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: No provision
    • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

    Citation: See Ohio Tobacco Cessation Coverage page for specific sources.

    Overall Grade: D

    Help fight tobacco use

    Take Action

    Thumbs up for Ohio for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

    Tobacco 21

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 21
    Overall Grade: A

    Help fight tobacco use

    Take Action

    Thumbs up for Ohio for increasing its tobacco sales age to 21.

    Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
    Overall Grade: F

    Help fight tobacco use

    Take Action
    • FY2020 State Funding for Tobacco Control Programs: $12,255,358
    • FY2020 Federal Funding for State Tobacco Control Programs: $1,794,936*
    • FY2020 Total Funding for State Tobacco Control Programs: $14,050,294
    • CDC Best Practices State Spending Recommendation: $132,000,000
    • Percentage of CDC Recommended Level: 10.6%
    • State Tobacco-Related Revenue: $1,270,900,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Smokefree Air Smokefree Air
    Overall Grade: A

    Help fight tobacco use

    Take Action

    Overview of State Smoking Restrictions:

    • Government Workplaces: Prohibited
    • Private Workplaces: Prohibited
    • Schools: Prohibited
    • Childcare Facilities: Prohibited
    • Restaurants: Prohibited
    • Bars: Prohibited
    • Casinos/Gaming Establishments: Prohibited
    • Retail Stores: Prohibited
    • Recreational/Cultural Facilities: Prohibited
    • E-Cigarettes Included: No
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: No

    Citation: OHIO REV. CODE ANN §§ 3794.01 to 3794.09 (2006).

    Tobacco Taxes Tobacco Taxes
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Cigarette Taxes:

    $1.60

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: No; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
    • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
    Access to Cessation Services Access to Cessation Services
    Overall Grade: D

    Help fight tobacco use

    Take Action

    Overview of State Cessation Coverage

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: All 3 types of counseling are covered
    • Barriers to Coverage: Some barriers exist to access care
    • Medicaid Expansion: Yes

    State Employee Health Plan(s):

    • Medications: Some medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Some barriers exist to access care

    State Quitline:

    • Investment Per Smoker: $1.46; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: No provision
    • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

    Citation: See Ohio Tobacco Cessation Coverage page for specific sources.

    Thumbs up for Ohio for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

    Tobacco 21 Tobacco 21
    Overall Grade: A

    Help fight tobacco use

    Take Action

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 21

    Thumbs up for Ohio for increasing its tobacco sales age to 21.

State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
  • Share:
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North Dakota

Select a different state
  • C

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

  • C

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • D

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by North Dakota's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Raise the state tobacco tax currently at 44 cents per pack by a significant amount;
  2. Ensure the compliance and enforcement of Tobacco 21; and
  3. Restrict access to all flavored tobacco products.
    Additional Information

    Tobacco Prevention and Cessation Funding

    • FY2020 State Funding for Tobacco Control Programs: $5,441,500
    • FY2020 Federal Funding for State Tobacco Control Programs: $989,397*
    • FY2020 Total Funding for State Tobacco Control Programs: $6,430,897
    • CDC Best Practices State Spending Recommendation: $9,800,000
    • Percentage of CDC Recommended Level: 65.6%
    • State Tobacco-Related Revenue: $54,000,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Overall Grade: C

    Help fight tobacco use

    Take Action

    Smokefree Air

    Overview of State Smoking Restrictions:

    • Government Workplaces: Prohibited
    • Private Workplaces: Prohibited
    • Schools: Prohibited
    • Childcare Facilities: Prohibited
    • Restaurants: Prohibited
    • Bars: Prohibited
    • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
    • Retail Stores: Prohibited
    • Recreational/Cultural Facilities: Prohibited
    • E-Cigarettes Included: Yes
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: No

    Citation: N.D. CENT. CODE §§ 23-12-9 to 23-12-11 (2013).

    Overall Grade: A

    Help fight tobacco use

    Take Action

    Tobacco Taxes

    Cigarette Taxes:

    44 cents

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: Yes; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
    • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Thumbs down for North Dakota for having the fourth lowest cigarette tax in the country.

    Access to Cessation Services

    Overview of State Cessation Coverage:

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Minimal barriers exist to access care
    • Medicaid Expansion: Yes

    State Employee Health Plan(s):

    • Medications: All 7 medications are covered
    • Counseling: All 3 types of counseling are covered
    • Barriers to Coverage: Some barriers exist to access care

    State Quitline:

    • Investment Per Smoker: $0.60; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: Yes
    • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

    Citation: See North Dakota Tobacco Cessation Coverage page for specific sources.

    Overall Grade: D

    Help fight tobacco use

    Take Action

    Thumbs up for North Dakota for removing substantial barriers for access to tobacco cessation medications under its state Medicaid program.

    Tobacco 21

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 18
    Overall Grade: F

    Help fight tobacco use

    Take Action
    Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
    Overall Grade: C

    Help fight tobacco use

    Take Action
    • FY2020 State Funding for Tobacco Control Programs: $5,441,500
    • FY2020 Federal Funding for State Tobacco Control Programs: $989,397*
    • FY2020 Total Funding for State Tobacco Control Programs: $6,430,897
    • CDC Best Practices State Spending Recommendation: $9,800,000
    • Percentage of CDC Recommended Level: 65.6%
    • State Tobacco-Related Revenue: $54,000,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Smokefree Air Smokefree Air
    Overall Grade: A

    Help fight tobacco use

    Take Action

    Overview of State Smoking Restrictions:

    • Government Workplaces: Prohibited
    • Private Workplaces: Prohibited
    • Schools: Prohibited
    • Childcare Facilities: Prohibited
    • Restaurants: Prohibited
    • Bars: Prohibited
    • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
    • Retail Stores: Prohibited
    • Recreational/Cultural Facilities: Prohibited
    • E-Cigarettes Included: Yes
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: No

    Citation: N.D. CENT. CODE §§ 23-12-9 to 23-12-11 (2013).

    Tobacco Taxes Tobacco Taxes
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Cigarette Taxes:

    44 cents

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: Yes; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
    • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A

    Thumbs down for North Dakota for having the fourth lowest cigarette tax in the country.

    Access to Cessation Services Access to Cessation Services
    Overall Grade: D

    Help fight tobacco use

    Take Action

    Overview of State Cessation Coverage

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Minimal barriers exist to access care
    • Medicaid Expansion: Yes

    State Employee Health Plan(s):

    • Medications: All 7 medications are covered
    • Counseling: All 3 types of counseling are covered
    • Barriers to Coverage: Some barriers exist to access care

    State Quitline:

    • Investment Per Smoker: $0.60; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: Yes
    • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

    Citation: See North Dakota Tobacco Cessation Coverage page for specific sources.

    Thumbs up for North Dakota for removing substantial barriers for access to tobacco cessation medications under its state Medicaid program.

    Tobacco 21 Tobacco 21
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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North Carolina

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by North Carolina's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Restore funding for tobacco use prevention and cessation programs, including QuitlineNC;
  2. Raise the state cigarette tax to the national average of $1.81 per pack; and
  3. Resist attempts to weaken the smokefree restaurants and bars law and expand the law to include all public places and private worksites.
    Additional Information

    Tobacco Prevention and Cessation Funding

    • FY2020 State Funding for Tobacco Control Programs: $2,150,000
    • FY2020 Federal Funding for State Tobacco Control Programs: $3,222,165*
    • FY2020 Total Funding for State Tobacco Control Programs: $5,372,165
    • CDC Best Practices State Spending Recommendation: $99,300,000
    • Percentage of CDC Recommended Level: 5.4%
    • State Tobacco-Related Revenue: $455,700,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Overall Grade: F

    Help fight tobacco use

    Take Action

    Smokefree Air

    Overview of State Smoking Restrictions:

    • Government Workplaces: Restricted (prohibited in state government buildings)
    • Private Workplaces: No provision
    • Schools: Prohibited (public schools only)
    • Childcare Facilities: Restricted
    • Restaurants: Prohibited
    • Bars: Prohibited (allowed in cigar bars)
    • Casinos/Gaming Establishments: N/A (tribal casinos only)
    • Retail Stores: No provision
    • Recreational/Cultural Facilities: No provision
    • E-Cigarettes Included: No
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: Yes (private workplaces and other specific venues)

    Citation: N.C. GEN. STAT. §§ 130A-491 to 130A-498 (2010), 115C-407 (2007), 131D-4.4 (2007) & 131E-114.3 (2007).

    Overall Grade: F

    Help fight tobacco use

    Take Action

    Tobacco Taxes

    Cigarette Taxes:

    45 cents

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: Yes; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
    • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Thumbs down for North Carolina for having the fifth lowest cigarette tax in the country.

    Access to Cessation Services

    Overview of State Cessation Coverage:

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: Most counseling is covered
    • Barriers to Coverage: Some barriers exist to access coverage
    • Medicaid Expansion: No

    State Employee Health Plan(s):

    • Medications: All 7 medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Some barriers exist to access coverage

    State Quitline:

    • Investment Per Smoker: $1.76; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: No provision
    • Tobacco Surcharge: Limits tobacco surcharges

    Citation: See North Carolina Tobacco Cessation Coverage page for specific sources.

    Overall Grade: F

    Help fight tobacco use

    Take Action

    Tobacco 21

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 18
    Overall Grade: F

    Help fight tobacco use

    Take Action
    Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
    Overall Grade: F

    Help fight tobacco use

    Take Action
    • FY2020 State Funding for Tobacco Control Programs: $2,150,000
    • FY2020 Federal Funding for State Tobacco Control Programs: $3,222,165*
    • FY2020 Total Funding for State Tobacco Control Programs: $5,372,165
    • CDC Best Practices State Spending Recommendation: $99,300,000
    • Percentage of CDC Recommended Level: 5.4%
    • State Tobacco-Related Revenue: $455,700,000

    *Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

    Smokefree Air Smokefree Air
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Overview of State Smoking Restrictions:

    • Government Workplaces: Restricted (prohibited in state government buildings)
    • Private Workplaces: No provision
    • Schools: Prohibited (public schools only)
    • Childcare Facilities: Restricted
    • Restaurants: Prohibited
    • Bars: Prohibited (allowed in cigar bars)
    • Casinos/Gaming Establishments: N/A (tribal casinos only)
    • Retail Stores: No provision
    • Recreational/Cultural Facilities: No provision
    • E-Cigarettes Included: No
    • Penalties: Yes
    • Enforcement: Yes
    • Preemption/Local Opt-Out: Yes (private workplaces and other specific venues)

    Citation: N.C. GEN. STAT. §§ 130A-491 to 130A-498 (2010), 115C-407 (2007), 131D-4.4 (2007) & 131E-114.3 (2007).

    Tobacco Taxes Tobacco Taxes
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Cigarette Taxes:

    45 cents

    Other Tobacco Product Taxes:
    • Tax on little cigars: Equalized: Yes; Weight-Based: No
    • Tax on large cigars: Equalized: Yes; Weight-Based: No
    • Tax on smokeless tobacco: Equalized: Yes; Weight-Based: No
    • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
    • Tax on E-Cigarettes: Equalized: No; Weight-Based: Yes

    Thumbs down for North Carolina for having the fifth lowest cigarette tax in the country.

    Access to Cessation Services Access to Cessation Services
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Overview of State Cessation Coverage

    State Medicaid Program:

    • Medications: All 7 medications are covered
    • Counseling: Most counseling is covered
    • Barriers to Coverage: Some barriers exist to access coverage
    • Medicaid Expansion: No

    State Employee Health Plan(s):

    • Medications: All 7 medications are covered
    • Counseling: Some counseling is covered
    • Barriers to Coverage: Some barriers exist to access coverage

    State Quitline:

    • Investment Per Smoker: $1.76; the median investment per smoker is $2.14

    Other Cessation Provisions:

    • Private Insurance Mandate: No provision
    • Tobacco Surcharge: Limits tobacco surcharges

    Citation: See North Carolina Tobacco Cessation Coverage page for specific sources.

    Tobacco 21 Tobacco 21
    Overall Grade: F

    Help fight tobacco use

    Take Action

    Minimum Age:

    • Minimum Age of Sale for Tobacco Products: 18
State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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New York

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • A

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • A

    Tobacco 21

The American Lung Association calls for the following actions to be taken by New York's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Prohibit the sale of all flavored tobacco products;
  2. Increase funding to New York's Tobacco Control Program; and
  3. Increase tobacco taxes by significant amounts.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $39,769,600
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,571,022*
  • FY2020 Total Funding for State Tobacco Control Programs: $42,340,622
  • CDC Best Practices State Spending Recommendation: $203,000,000
  • Percentage of CDC Recommended Level: 20.9%
  • State Tobacco-Related Revenue: $1,968,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars and allows for an economic hardship waiver)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: N.Y. [PUB. HEALTH] LAW §§ 1399-n to 1399-x (2015).

Overall Grade: A

Help fight tobacco use

Take Action

Tobacco Taxes

Cigarette Taxes:

$4.35

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No
Overall Grade: B

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: Most medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Limited barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Minimal medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: No limits exist to access care

State Quitline:

  • Investment Per Smoker: $2.65; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Insurance commissioner guidance
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See New York Tobacco Cessation Coverage page for specific sources.

Overall Grade: C

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21
Overall Grade: A

Help fight tobacco use

Take Action

Thumbs up for New York for increasing its tobacco sales age to 21.

Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $39,769,600
  • FY2020 Federal Funding for State Tobacco Control Programs: $2,571,022*
  • FY2020 Total Funding for State Tobacco Control Programs: $42,340,622
  • CDC Best Practices State Spending Recommendation: $203,000,000
  • Percentage of CDC Recommended Level: 20.9%
  • State Tobacco-Related Revenue: $1,968,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: A

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars and allows for an economic hardship waiver)
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: N.Y. [PUB. HEALTH] LAW §§ 1399-n to 1399-x (2015).

Tobacco Taxes Tobacco Taxes
Overall Grade: B

Help fight tobacco use

Take Action

Cigarette Taxes:

$4.35

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No
Access to Cessation Services Access to Cessation Services
Overall Grade: C

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: Most medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Limited barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Minimal medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: No limits exist to access care

State Quitline:

  • Investment Per Smoker: $2.65; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Insurance commissioner guidance
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See New York Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: A

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 21

Thumbs up for New York for increasing its tobacco sales age to 21.

State of Tobacco Control 2018State of Tobacco Control 2018State of Tobacco Control 2018
 
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New Mexico

Select a different state
  • F

    Tobacco Prevention and Cessation Funding

  • B

    Smokefree Air

  • D

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

  • F

    Tobacco Prevention and Cessation Funding

  • B

    Smokefree Air

  • D

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by New Mexico's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Maintain or increase funding for state's tobacco prevention and control program;
  2. Pass statewide licensing of tobacco product, including e-cigarette retailers; and
  3. Remove statewide preemption for tobacco product sales laws.
Additional Information

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $5,488,699
  • FY2020 Federal Funding for State Tobacco Control Programs: $978,084*
  • FY2020 Total Funding for State Tobacco Control Programs: $6,466,783
  • CDC Best Practices State Spending Recommendation: $22,800,000
  • Percentage of CDC Recommended Level: 28.4%
  • State Tobacco-Related Revenue: $143,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Overall Grade: F

Help fight tobacco use

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars)
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: N.M. STAT. ANN. §§ 24-16-1 et seq. (2007).

Overall Grade: B

Help fight tobacco use

Take Action

Thumbs up for New Mexico for closing several loopholes and adding e-cigarettes to its smokefree law.

Tobacco Taxes

Cigarette Taxes:

$2.00

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No

*On July 1, 2019, the cigarette tax increased from $1.66 to $2.00 per pack.

Overall Grade: D

Help fight tobacco use

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $6.04; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See New Mexico Tobacco Cessation Coverage page for specific sources.

Overall Grade: B

Help fight tobacco use

Take Action

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
Overall Grade: F

Help fight tobacco use

Take Action
Tobacco Prevention and Cessation Funding Tobacco Prevention and Cessation Funding
Overall Grade: F

Help fight tobacco use

Take Action
  • FY2020 State Funding for Tobacco Control Programs: $5,488,699
  • FY2020 Federal Funding for State Tobacco Control Programs: $978,084*
  • FY2020 Total Funding for State Tobacco Control Programs: $6,466,783
  • CDC Best Practices State Spending Recommendation: $22,800,000
  • Percentage of CDC Recommended Level: 28.4%
  • State Tobacco-Related Revenue: $143,300,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Smokefree Air Smokefree Air
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars)
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: N.M. STAT. ANN. §§ 24-16-1 et seq. (2007).

Thumbs up for New Mexico for closing several loopholes and adding e-cigarettes to its smokefree law.

Tobacco Taxes Tobacco Taxes
Overall Grade: D

Help fight tobacco use

Take Action

Cigarette Taxes:

$2.00

Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on E-Cigarettes: Equalized: No; Weight-Based: No

*On July 1, 2019, the cigarette tax increased from $1.66 to $2.00 per pack.

Access to Cessation Services Access to Cessation Services
Overall Grade: B

Help fight tobacco use

Take Action

Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Limited counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $6.04; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See New Mexico Tobacco Cessation Coverage page for specific sources.

Tobacco 21 Tobacco 21
Overall Grade: F

Help fight tobacco use

Take Action

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18
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What is LUNG FORCE?

LUNG FORCE unites women and their loved ones across the country to stand together in the fight against lung cancer.

Get involved
Join the fight for healthy lungs and healthy air.
Donate Now.