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Did YOUR state make the grade? MARYLAND

  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • D

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Tobacco 21

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

  1. Increase the age of sale for tobacco products to 21 years of age;
  2. Create parity between the tax on cigarettes and other tobacco products; and
  3. Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention-recommended level.

Tobacco Prevention and Cessation Funding

  • FY2019 State Funding for Tobacco Control Programs: $10,475,581
  • FY2019 Federal Funding for State Tobacco Control Programs: $2,324,036*
  • FY2019 Total Funding for State Tobacco Control Programs: $12,799,617
  • CDC Best Practices State Spending Recommendation: $48,000,000
  • Percentage of CDC Recommended Level: 26.7%
  • State Tobacco-Related Revenue: $525,000,000

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

Overall Grade:

F

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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: MD. CODE ANN., HEALTH-GEN. §§ 24-501 to 24-511 (2008) & MD. CODE ANN., LAB. & EMPLOY. §§ 5-101 & 5-608 (2008).

Overall Grade:

A

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Tobacco Taxes

$2.00

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

Overall Grade:

D

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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: Counseling coverage varies by plan
  • Barriers to Coverage: No barriers exist to access care

State Quitline:

  • Investment Per Smoker: $3.39; 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 Maryland Tobacco Cessation Coverage page for specific sources.

Overall Grade:

B

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Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18

Overall Grade:

F

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Thumbs down for Maryland for failing to pass a law to increase the tobacco sales age to 21.

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