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Did YOUR state make the grade?
Wyoming
Select a different stateF
Tobacco Prevention and Cessation Funding
F
Smokefree Air
F
Tobacco Taxes
D
Access to Cessation Services
F
Tobacco 21
F
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:
- Increase tobacco taxes by a $1.00 or more per pack;
- Maintain funding for tobacco prevention and cessation programs; and
- Pass additional local or state legislation eliminating smoking in public places and workplaces.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $3,045,522
- FY2019 Federal Funding for State Tobacco Control Programs: $835,432*
- FY2019 Total Funding for State Tobacco Control Programs: $3,880,954
- CDC Best Practices State Spending Recommendation: $8,500,000
- Percentage of CDC Recommended Level: 45.7%
- State Tobacco-Related Revenue: $40,200,000
*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
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
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: $10.13; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $3,045,522
- FY2019 Federal Funding for State Tobacco Control Programs: $835,432*
- FY2019 Total Funding for State Tobacco Control Programs: $3,880,954
- CDC Best Practices State Spending Recommendation: $8,500,000
- Percentage of CDC Recommended Level: 45.7%
- State Tobacco-Related Revenue: $40,200,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: $10.13; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Wisconsin
Select a different stateF
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:
- Protect and increase funding for the Tobacco Prevention and Control Program;
- Equalize the tax on little cigars (brown cigarettes) with regular cigarettes; and
- Pass legislation that places ALL tobacco products behind the counter or in a locked cabinet.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $5,300,000
- FY2019 Federal Funding for State Tobacco Control Programs: $2,687,204*
- FY2019 Total Funding for State Tobacco Control Programs: $7,987,204
- CDC Best Practices State Spending Recommendation: $57,500,000
- Percentage of CDC Recommended Level: 13.9%
- 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
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
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
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: All 7 medications are covered
- Counseling: Most counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.43; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $5,300,000
- FY2019 Federal Funding for State Tobacco Control Programs: $2,687,204*
- FY2019 Total Funding for State Tobacco Control Programs: $7,987,204
- CDC Best Practices State Spending Recommendation: $57,500,000
- Percentage of CDC Recommended Level: 13.9%
- 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.
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).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
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: All 7 medications are covered
- Counseling: Most counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.43; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
West Virginia
Select a different stateF
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:
- Restoration of West Virginia state funding for tobacco prevention and cessation;
- Protect smokefree air regulations as they currently exist throughout the state; and
- Increase the age of sale for all tobacco products to 21.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $0
- FY2019 Federal Funding for State Tobacco Control Programs: $1,837,400*
- FY2019 Total Funding for State Tobacco Control Programs: $1,837,400
- CDC Best Practices State Spending Recommendation: $27,400,000
- Percentage of CDC Recommended Level: 6.7%
- State Tobacco-Related Revenue: $238,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for West Virginia for spending no state money on tobacco prevention and cessation programs despite smoking costing the state over $1 billion in healthcare costs each year.
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 60.4% 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
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: All 7 medications are covered
- Counseling: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.04; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $0
- FY2019 Federal Funding for State Tobacco Control Programs: $1,837,400*
- FY2019 Total Funding for State Tobacco Control Programs: $1,837,400
- CDC Best Practices State Spending Recommendation: $27,400,000
- Percentage of CDC Recommended Level: 6.7%
- State Tobacco-Related Revenue: $238,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for West Virginia for spending no state money on tobacco prevention and cessation programs despite smoking costing the state over $1 billion in healthcare costs each year.
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 60.4% 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.
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: All 7 medications are covered
- Counseling: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.04; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Washington
Select a different stateF
Tobacco Prevention and Cessation Funding
A
Smokefree Air
C
Tobacco Taxes
F
Access to Cessation Services
F
Tobacco 21
F
Tobacco Prevention and Cessation Funding
A
Smokefree Air
C
Tobacco Taxes
F
Access to Cessation Services
F
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:
- Increase funding for tobacco prevention and cessations programs;
- Raise the sales age to 21 for tobacco products; and
- Defend smokefree workplace laws.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $1,527,607
- FY2019 Federal Funding for State Tobacco Control Programs: $2,740,647*
- FY2019 Total Funding for State Tobacco Control Programs: $4,268,254
- CDC Best Practices State Spending Recommendation: $63,600,000
- Percentage of CDC Recommended Level: 6.7%
- State Tobacco-Related Revenue: $552,600,000
*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
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
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Access to Cessation Services
Overview of State Cessation Coverage:
State Medicaid Program:
- Medications: Some 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: Most medications are covered
- Counseling: All three types of counseling are covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.43; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
Thumbs down for Washington for failing to pass legislation increasing the tobacco sales age to 21.
- FY2019 State Funding for Tobacco Control Programs: $1,527,607
- FY2019 Federal Funding for State Tobacco Control Programs: $2,740,647*
- FY2019 Total Funding for State Tobacco Control Programs: $4,268,254
- CDC Best Practices State Spending Recommendation: $63,600,000
- Percentage of CDC Recommended Level: 6.7%
- State Tobacco-Related Revenue: $552,600,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: Some 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: Most medications are covered
- Counseling: All three types of counseling are covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.43; the median investment per smoker is $2.21
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.
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
Thumbs down for Washington for failing to pass legislation increasing the tobacco sales age to 21.
Did YOUR state make the grade?
Virginia
Select a different stateF
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 in Virginia calls for the following actions to be taken by our elected officials to reduce tobacco use and exposure to secondhand smoke:
- Increase the cigarette excise tax by at least $1.00 per pack;
- Create parity between taxes on cigarettes and other tobacco products; and
- Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC)-recommended level.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $10,784,678
- FY2019 Federal Funding for State Tobacco Control Programs: $1,330,054*
- FY2019 Total Funding for State Tobacco Control Programs: $12,114,732
- CDC Best Practices State Spending Recommendation: $91,600,000
- Percentage of CDC Recommended Level: 13.2%
- State Tobacco-Related Revenue: $304,400,000
*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
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
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: 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: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.51; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $10,784,678
- FY2019 Federal Funding for State Tobacco Control Programs: $1,330,054*
- FY2019 Total Funding for State Tobacco Control Programs: $12,114,732
- CDC Best Practices State Spending Recommendation: $91,600,000
- Percentage of CDC Recommended Level: 13.2%
- State Tobacco-Related Revenue: $304,400,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Thumbs down for Virginia for having the second lowest cigarette tax in the country at 30 cents per pack.
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: Some 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: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.51; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Vermont
Select a different stateD
Tobacco Prevention and Cessation Funding
A
Smokefree Air
B
Tobacco Taxes
B
Access to Cessation Services
F
Tobacco 21
D
Tobacco Prevention and Cessation Funding
A
Smokefree Air
B
Tobacco Taxes
B
Access to Cessation Services
F
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:
- Enact legislation to raise the retail sales age of tobacco products to 21;
- Maintain past additional $1 million increase in tobacco control program funding; and
- Implement an excise tax on electronic cigarettes equal to cigarettes and other tobacco products.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $3,167,021
- FY2019 Federal Funding for State Tobacco Control Programs: $1,097,073*
- FY2019 Total Funding for State Tobacco Control Programs: $4,264,094
- CDC Best Practices State Spending Recommendation: $8,400,000
- Percentage of CDC Recommended Level: 50.8%
- 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
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
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: All 7 medications are covered
- Counseling: Most counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $4.58; the median investment per smoker is $2.21
Other Cessation Provisions:
- Private Insurance Mandate: Yes
- Tobacco Surcharge: Prohibits tobacco surcharges
Citation: See Vermont Tobacco Cessation Coverage page for specific sources.
Tobacco 21
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
Thumbs down for Vermont for failing to pass legislation to increase the tobacco sales age to 21.
- FY2019 State Funding for Tobacco Control Programs: $3,167,021
- FY2019 Federal Funding for State Tobacco Control Programs: $1,097,073*
- FY2019 Total Funding for State Tobacco Control Programs: $4,264,094
- CDC Best Practices State Spending Recommendation: $8,400,000
- Percentage of CDC Recommended Level: 50.8%
- 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.
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).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: All 7 medications are covered
- Counseling: Most counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $4.58; the median investment per smoker is $2.21
Other Cessation Provisions:
- Private Insurance Mandate: Yes
- Tobacco Surcharge: Prohibits tobacco surcharges
Citation: See Vermont Tobacco Cessation Coverage page for specific sources.
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
Thumbs down for Vermont for failing to pass legislation to increase the tobacco sales age to 21.
Did YOUR state make the grade?
Utah
Select a different stateF
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
D
Tobacco 21
F
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
D
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:
- Maintain or increase funding for state's tobacco prevention and control program;
- Increase the minimum legal sales age for tobacco products to 21; and
- Raise Utah's tobacco tax to encourage an even further reduction in tobacco use.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $7,006,800
- FY2019 Federal Funding for State Tobacco Control Programs: $1,074,415*
- FY2019 Total Funding for State Tobacco Control Programs: $8,081,215
- CDC Best Practices State Spending Recommendation: $19,300,000
- Percentage of CDC Recommended Level: 41.9%
- State Tobacco-Related Revenue: $141,900,000
*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
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
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: 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: $5.03; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 19
- FY2019 State Funding for Tobacco Control Programs: $7,006,800
- FY2019 Federal Funding for State Tobacco Control Programs: $1,074,415*
- FY2019 Total Funding for State Tobacco Control Programs: $8,081,215
- CDC Best Practices State Spending Recommendation: $19,300,000
- Percentage of CDC Recommended Level: 41.9%
- State Tobacco-Related Revenue: $141,900,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: All 7 medications are covered
- Counseling: Limited 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: $5.03; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Texas
Select a different stateF
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 Texas' elected officials to reduce tobacco use and exposure to secondhand smoke:
- Restore funding for tobacco prevention and cessation programs that was significantly cut in 2017;
- Continue to pass comprehensive local smokefree ordinances to builds towards a statewide smokefree law; and
- Increase the minimum sales age for tobacco products to 21.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $4,246,909
- FY2019 Federal Funding for State Tobacco Control Programs: $4,571,762*
- FY2019 Total Funding for State Tobacco Control Programs: $8,818,671
- CDC Best Practices State Spending Recommendation: $264,100,000
- Percentage of CDC Recommended Level: 3.3%
- State Tobacco-Related Revenue: $1,933,300,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for Texas for cutting funding for its state tobacco control program by close to $6 million this fiscal year compared to the previous two-year state budget.
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 45.2% of the state's population.
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.60; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $4,246,909
- FY2019 Federal Funding for State Tobacco Control Programs: $4,571,762*
- FY2019 Total Funding for State Tobacco Control Programs: $8,818,671
- CDC Best Practices State Spending Recommendation: $264,100,000
- Percentage of CDC Recommended Level: 3.3%
- State Tobacco-Related Revenue: $1,933,300,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for Texas for cutting funding for its state tobacco control program by close to $6 million this fiscal year compared to the previous two-year state budget.
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 45.2% of the state's population.
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: Some counseling is covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.60; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Tennessee
Select a different stateF
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:
- Restore funding in the 2019-2020 budget for statewide tobacco control programs
- Support legislation to remove local preemption language for smokefree laws; and
- Build momentum on the importance of raising the retail sales age of tobacco products to 21 years old.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $0
- FY2019 Federal Funding for State Tobacco Control Programs: $1,506,829*
- FY2019 Total Funding for State Tobacco Control Programs: $1,506,829
- CDC Best Practices State Spending Recommendation: $75,600,000
- Percentage of CDC Recommended Level: 2.0%
- State Tobacco-Related Revenue: $422,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for Tennessee for providing no state funding for tobacco prevention programs despite smoking costing the state close to $2.7 billion in healthcare costs each year.
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.
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.39; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $0
- FY2019 Federal Funding for State Tobacco Control Programs: $1,506,829*
- FY2019 Total Funding for State Tobacco Control Programs: $1,506,829
- CDC Best Practices State Spending Recommendation: $75,600,000
- Percentage of CDC Recommended Level: 2.0%
- State Tobacco-Related Revenue: $422,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Thumbs down for Tennessee for providing no state funding for tobacco prevention programs despite smoking costing the state close to $2.7 billion in healthcare costs each year.
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.
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $0.39; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
South Dakota
Select a different stateF
Tobacco Prevention and Cessation Funding
C
Smokefree Air
F
Tobacco Taxes
F
Access to Cessation Services
F
Tobacco 21
F
Tobacco Prevention and Cessation Funding
C
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:
- Increase the tax on cigarettes and other tobacco products by $1.00 or more per pack;
- Raise the age of sale for all tobacco products to 21 years old; and
- Fully fund South Dakota's tobacco control program.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $4,500,000
- FY2019 Federal Funding for State Tobacco Control Programs: $880,166*
- FY2019 Total Funding for State Tobacco Control Programs: $5,380,166
- CDC Best Practices State Spending Recommendation: $11,700,000
- Percentage of CDC Recommended Level: 46.0%
- State Tobacco-Related Revenue: $86,900,000
*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
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: No
- Penalties: Yes
- Enforcement: Yes
- Preemption/Local Opt-Out: Yes
Citation: S.D. CODIFIED LAWS §§ 34-46-13 to 34-46-19 (2010).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
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 care
- Medicaid Expansion: No
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: $15.07; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $4,500,000
- FY2019 Federal Funding for State Tobacco Control Programs: $880,166*
- FY2019 Total Funding for State Tobacco Control Programs: $5,380,166
- CDC Best Practices State Spending Recommendation: $11,700,000
- Percentage of CDC Recommended Level: 46.0%
- State Tobacco-Related Revenue: $86,900,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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: No
- Penalties: Yes
- Enforcement: Yes
- Preemption/Local Opt-Out: Yes
Citation: S.D. CODIFIED LAWS §§ 34-46-13 to 34-46-19 (2010).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
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 care
- Medicaid Expansion: No
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: $15.07; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
South Carolina
Select a different stateF
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:
- Increase the price of tobacco products to reduce tobacco use among youth and adults;
- Increase the number of comprehensive local smokefree air laws; and
- Increase funding for the state's tobacco prevention program.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $5,000,000
- FY2019 Federal Funding for State Tobacco Control Programs: $1,461,223*
- FY2019 Total Funding for State Tobacco Control Programs: $6,461,223
- CDC Best Practices State Spending Recommendation: $51,000,000
- Percentage of CDC Recommended Level: 12.7%
- State Tobacco-Related Revenue: $238,200,000
*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
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 36.6% of the state's population.
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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 care
- Medicaid Expansion: No
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: $5.63; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $5,000,000
- FY2019 Federal Funding for State Tobacco Control Programs: $1,461,223*
- FY2019 Total Funding for State Tobacco Control Programs: $6,461,223
- CDC Best Practices State Spending Recommendation: $51,000,000
- Percentage of CDC Recommended Level: 12.7%
- State Tobacco-Related Revenue: $238,200,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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 36.6% of the state's population.
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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 care
- Medicaid Expansion: No
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: $5.63; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Rhode Island
Select a different stateF
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:
- Raise the minimum age of sale for tobacco products from 18 to 21;
- Increase funding to the Rhode Island Department of Health's tobacco control program; and
- Increase the number of local ordinances that license and/or limit the sale or use of tobacco products.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $390,926
- FY2019 Federal Funding for State Tobacco Control Programs: $2,083,442*
- FY2019 Total Funding for State Tobacco Control Programs: $2,474,368
- CDC Best Practices State Spending Recommendation: $12,800,000
- Percentage of CDC Recommended Level: 19.3%
- State Tobacco-Related Revenue: $195,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: All 7 medications are covered
- Counseling: All three types of counseling are covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.00; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $390,926
- FY2019 Federal Funding for State Tobacco Control Programs: $2,083,442*
- FY2019 Total Funding for State Tobacco Control Programs: $2,474,368
- CDC Best Practices State Spending Recommendation: $12,800,000
- Percentage of CDC Recommended Level: 19.3%
- State Tobacco-Related Revenue: $195,000,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: All 7 medications are covered
- Counseling: All three types of counseling are covered
- Barriers to Coverage: Some barriers exist to access care
State Quitline:
- Investment Per Smoker: $1.00; the median investment per smoker is $2.21
Other Cessation Provisions:
- Private Insurance Mandate: Yes
- Tobacco Surcharge: Prohibits tobacco surcharges
Citation: See Rhode Island Tobacco Cessation Coverage page for specific sources.
Did YOUR state make the grade?
Pennsylvania
Select a different stateF
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 Pennsylvania's elected officials to reduce tobacco use and exposure to secondhand smoke:
- Increase the age of sale for all tobacco products to age 21;
- Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC)-recommended level; and
- Closing loopholes in Pennsylvania's Clean Indoor Air Act and make all public places and workplaces smokefree.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $15,539,000
- FY2019 Federal Funding for State Tobacco Control Programs: $2,992,001*
- FY2019 Total Funding for State Tobacco Control Programs: $18,531,001
- CDC Best Practices State Spending Recommendation: $140,000,000
- Percentage of CDC Recommended Level: 13.2%
- State Tobacco-Related Revenue: $1,688,200,000
*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
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
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Access to Cessation Services
Overview of State Cessation Coverage:
State Medicaid Program:
- Medications: Most 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: $1.47; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $15,539,000
- FY2019 Federal Funding for State Tobacco Control Programs: $2,992,001*
- FY2019 Total Funding for State Tobacco Control Programs: $18,531,001
- CDC Best Practices State Spending Recommendation: $140,000,000
- Percentage of CDC Recommended Level: 13.2%
- State Tobacco-Related Revenue: $1,688,200,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: Most 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: $1.47; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Oregon
Select a different stateF
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:
- Increasing funding for Oregon's Tobacco Prevention and Education program;
- Defending Oregon's Indoor Clean Air Act; and
- Increasing tobacco taxes by a significant amount.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $10,045,640
- FY2019 Federal Funding for State Tobacco Control Programs: $1,165,203*
- FY2019 Total Funding for State Tobacco Control Programs: $11,210,843
- CDC Best Practices State Spending Recommendation: $39,300,000
- Percentage of CDC Recommended Level: 28.5%
- State Tobacco-Related Revenue: $338,800,000
*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
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 (2017).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: Limited 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: $0.80*; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 21
- FY2019 State Funding for Tobacco Control Programs: $10,045,640
- FY2019 Federal Funding for State Tobacco Control Programs: $1,165,203*
- FY2019 Total Funding for State Tobacco Control Programs: $11,210,843
- CDC Best Practices State Spending Recommendation: $39,300,000
- Percentage of CDC Recommended Level: 28.5%
- State Tobacco-Related Revenue: $338,800,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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 (2017).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: Yes
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: Limited 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: $0.80*; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Oklahoma
Select a different stateD
Tobacco Prevention and Cessation Funding
D
Smokefree Air
D
Tobacco Taxes
B
Access to Cessation Services
F
Tobacco 21
D
Tobacco Prevention and Cessation Funding
D
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 Oklahoma's elected officials to reduce tobacco use and exposure to secondhand smoke:
- Maintain dedicated funding for tobacco prevention and cessation programs;
- Pass a comprehensive statewide smokefree law that protects all workers and patrons from secondhand smoke; and
- Increase the minimum age of sale for tobacco products to 21.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $21,289,167
- FY2019 Federal Funding for State Tobacco Control Programs: $1,259,463*
- FY2019 Total Funding for State Tobacco Control Programs: $22,548,630
- CDC Best Practices State Spending Recommendation: $42,300,000
- Percentage of CDC Recommended Level: 53.3%
- State Tobacco-Related Revenue: $525,600,000
*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
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
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
*On July 1, 2018, the cigarette tax increased from $1.03 to $2.03 per pack.
Thumbs up for Oklahoma for increasing its cigarette tax by $1.00 to $2.03 per pack.
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: All 7 medications are covered
- Counseling: Most types of counseling are covered
- Barriers to Coverage: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $11.50; the median investment per smoker is $2.21
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.
Tobacco 21
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $21,289,167
- FY2019 Federal Funding for State Tobacco Control Programs: $1,259,463*
- FY2019 Total Funding for State Tobacco Control Programs: $22,548,630
- CDC Best Practices State Spending Recommendation: $42,300,000
- Percentage of CDC Recommended Level: 53.3%
- State Tobacco-Related Revenue: $525,600,000
*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.
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).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
*On July 1, 2018, the cigarette tax increased from $1.03 to $2.03 per pack.
Thumbs up for Oklahoma for increasing its cigarette tax by $1.00 to $2.03 per pack.
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: All 7 medications are covered
- Counseling: Most types of counseling are covered
- Barriers to Coverage: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $11.50; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
Ohio
Select a different stateF
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
F
Tobacco 21
F
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
F
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:
- Pass laws to increase the minimum age of sale for tobacco products to 21 at the local or state level;
- Match the tax on non-cigarette forms of tobacco like spit tobacco, cigars and hookah to the cigarette tax; and
- Increase funding for tobacco prevention and cessation programs to 15 percent of the Centers for Disease Control and Prevention's recommendation for Ohio.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $13,000,000
- FY2019 Federal Funding for State Tobacco Control Programs: $1,805,544*
- FY2019 Total Funding for State Tobacco Control Programs: $14,805,544
- CDC Best Practices State Spending Recommendation: $132,000,000
- Percentage of CDC Recommended Level: 11.2%
- State Tobacco-Related Revenue: $1,292,500,000
*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
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 (2017).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: $1.25; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $13,000,000
- FY2019 Federal Funding for State Tobacco Control Programs: $1,805,544*
- FY2019 Total Funding for State Tobacco Control Programs: $14,805,544
- CDC Best Practices State Spending Recommendation: $132,000,000
- Percentage of CDC Recommended Level: 11.2%
- State Tobacco-Related Revenue: $1,292,500,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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 (2017).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
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: $1.25; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
North Dakota
Select a different stateC
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
F
Tobacco 21
C
Tobacco Prevention and Cessation Funding
A
Smokefree Air
F
Tobacco Taxes
C
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:
- Raise the state tobacco tax currently at 44 cents per pack; and
- Raise the sales age for all tobacco products to 21 years old.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $5,286,666
- FY2019 Federal Funding for State Tobacco Control Programs: $928,674*
- FY2019 Total Funding for State Tobacco Control Programs: $6,215,340
- CDC Best Practices State Spending Recommendation: $9,800,000
- Percentage of CDC Recommended Level: 63.4%
- State Tobacco-Related Revenue: $53,600,000
*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 North Dakota for eliminating the Center for Tobacco Prevention and Policy and reducing funding for tobacco control programs by over $3.2 million this year from the previous two-year state budget.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: Limited counseling is covered
- Barriers to Coverage: Significant 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: $8.38; the median investment per smoker is $2.21
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.
Tobacco 21
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $5,286,666
- FY2019 Federal Funding for State Tobacco Control Programs: $928,674*
- FY2019 Total Funding for State Tobacco Control Programs: $6,215,340
- CDC Best Practices State Spending Recommendation: $9,800,000
- Percentage of CDC Recommended Level: 63.4%
- State Tobacco-Related Revenue: $53,600,000
*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 North Dakota for eliminating the Center for Tobacco Prevention and Policy and reducing funding for tobacco control programs by over $3.2 million this year from the previous two-year state budget.
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).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
Thumbs down for North Dakota for having the fourth lowest cigarette tax in the country.
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: All 7 medications are covered
- Counseling: Limited counseling is covered
- Barriers to Coverage: Significant 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: $8.38; the median investment per smoker is $2.21
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.
Did YOUR state make the grade?
North Carolina
Select a different stateF
Tobacco Prevention and Cessation Funding
F
Smokefree Air
F
Tobacco Taxes
D
Access to Cessation Services
F
Tobacco 21
F
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 North Carolina's elected officials to reduce tobacco use and exposure to secondhand smoke:
- Restore funding for tobacco use prevention and cessation programs, including QuitlineNC;
- Increase the state cigarette tax to the national average of $1.78 per pack; and
- 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
- FY2019 State Funding for Tobacco Control Programs: $2,800,000
- FY2019 Federal Funding for State Tobacco Control Programs: $3,253,615*
- FY2019 Total Funding for State Tobacco Control Programs: $6,053,615
- CDC Best Practices State Spending Recommendation: $99,300,000
- Percentage of CDC Recommended Level: 6.1%
- State Tobacco-Related Revenue: $450,400,000
*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
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
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
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: Minimal 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: $3.16; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $2,800,000
- FY2019 Federal Funding for State Tobacco Control Programs: $3,253,615*
- FY2019 Total Funding for State Tobacco Control Programs: $6,053,615
- CDC Best Practices State Spending Recommendation: $99,300,000
- Percentage of CDC Recommended Level: 6.1%
- State Tobacco-Related Revenue: $450,400,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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).
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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No
Thumbs down for North Carolina for having the fifth lowest cigarette tax in the country.
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: All 7 medications are covered
- Counseling: Most counseling is covered
- Barriers to Coverage: Minimal 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: $3.16; the median investment per smoker is $2.21
Other Cessation Provisions:
- Private Insurance Mandate: No provision
- Tobacco Surcharge: Limits tobacco surcharges
Citation: See North Carolina Tobacco Cessation Coverage page for specific sources.
Did YOUR state make the grade?
New York
Select a different stateF
Tobacco Prevention and Cessation Funding
A
Smokefree Air
B
Tobacco Taxes
C
Access to Cessation Services
C
Tobacco 21
F
Tobacco Prevention and Cessation Funding
A
Smokefree Air
B
Tobacco Taxes
C
Access to Cessation Services
C
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:
- Raise the age of sale for tobacco products to 21;
- Increase funding to New York's Tobacco Control Program; and
- License and tax electronic cigarettes in New York.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $39,769,600
- FY2019 Federal Funding for State Tobacco Control Programs: $3,155,603*
- FY2019 Total Funding for State Tobacco Control Programs: $42,925,203
- CDC Best Practices State Spending Recommendation: $203,000,000
- Percentage of CDC Recommended Level: 21.1%
- State Tobacco-Related Revenue: $2,037,100,000
*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
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 (2017).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: Some medications are covered
- Counseling: Limited 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 $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
*New York has 75.8% of the state's population covered by Tobacco 21 ordinances/regulations. If a state has more than 50% of its population covered by local ordinances/regulations, the state is graded based on population covered by those local ordinances/regulations rather than the statewide law.
- FY2019 State Funding for Tobacco Control Programs: $39,769,600
- FY2019 Federal Funding for State Tobacco Control Programs: $3,155,603*
- FY2019 Total Funding for State Tobacco Control Programs: $42,925,203
- CDC Best Practices State Spending Recommendation: $203,000,000
- Percentage of CDC Recommended Level: 21.1%
- State Tobacco-Related Revenue: $2,037,100,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
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 (2017).
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes
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: Some medications are covered
- Counseling: Limited 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 $2.21
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.
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
*New York has 75.8% of the state's population covered by Tobacco 21 ordinances/regulations. If a state has more than 50% of its population covered by local ordinances/regulations, the state is graded based on population covered by those local ordinances/regulations rather than the statewide law.
Did YOUR state make the grade?
New Mexico
Select a different stateF
Tobacco Prevention and Cessation Funding
B
Smokefree Air
F
Tobacco Taxes
C
Access to Cessation Services
F
Tobacco 21
F
Tobacco Prevention and Cessation Funding
B
Smokefree Air
F
Tobacco Taxes
C
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:
- Raise the tax on cigarettes by $1.50 per pack and on other tobacco products including snuff, chew and cigarillos;
- Maintain or increase funding for state's tobacco prevention and control program; and
- Protect New Mexicans from secondhand smoke, including in multi-unit housing.
Additional Information
Tobacco Prevention and Cessation Funding
- FY2019 State Funding for Tobacco Control Programs: $5,684,500
- FY2019 Federal Funding for State Tobacco Control Programs: $947,463*
- FY2019 Total Funding for State Tobacco Control Programs: $6,631,963
- CDC Best Practices State Spending Recommendation: $22,800,000
- Percentage of CDC Recommended Level: 29.1%
- State Tobacco-Related Revenue: $131,500,000
*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
Overview of State Smoking Restrictions:
- Government Workplaces: Prohibited
- Private Workplaces: Prohibited (non-public workplaces with two or fewer employees exempt)
- 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: No
- Penalties: Yes
- Enforcement: Yes
- Preemption/Local Opt-Out: No
Citation: N.M. STAT. ANN. §§ 24-16-1 et seq. (2007).
Tobacco Taxes
Cigarette Taxes:
$1.66
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
Access to Cessation Services
Overview of State Cessation Coverage:
State Medicaid Program:
- Medications: Most 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: Limited medications are covered
- Counseling: Limited counseling is covered
- Barriers to Coverage: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $6.31; the median investment per smoker is $2.21
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
Minimum Age:
- Minimum Age of Sale for Tobacco Products: 18
- FY2019 State Funding for Tobacco Control Programs: $5,684,500
- FY2019 Federal Funding for State Tobacco Control Programs: $947,463*
- FY2019 Total Funding for State Tobacco Control Programs: $6,631,963
- CDC Best Practices State Spending Recommendation: $22,800,000
- Percentage of CDC Recommended Level: 29.1%
- State Tobacco-Related Revenue: $131,500,000
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Overview of State Smoking Restrictions:
- Government Workplaces: Prohibited
- Private Workplaces: Prohibited (non-public workplaces with two or fewer employees exempt)
- 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: No
- Penalties: Yes
- Enforcement: Yes
- Preemption/Local Opt-Out: No
Citation: N.M. STAT. ANN. §§ 24-16-1 et seq. (2007).
Cigarette Taxes:
$1.66
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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: No
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: Most 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: Limited medications are covered
- Counseling: Limited counseling is covered
- Barriers to Coverage: Limited barriers exist to access care
State Quitline:
- Investment Per Smoker: $6.31; the median investment per smoker is $2.21
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.
