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Did YOUR state make the grade? MISSOURI

  • 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 Missouri's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Increase state funding for tobacco prevention and cessation;
  2. Pass comprehensive smokefree laws and policies on the local and statewide levels; and
  3. Pass local laws that increase the tobacco sales age to 21.

Tobacco Prevention and Cessation Funding

  • FY2019 State Funding for Tobacco Control Programs: $48,500
  • FY2019 Federal Funding for State Tobacco Control Programs: $2,164,063*
  • FY2019 Total Funding for State Tobacco Control Programs: $2,212,563
  • CDC Best Practices State Spending Recommendation: $72,900,000
  • Percentage of CDC Recommended Level: 3.0%
  • State Tobacco-Related Revenue: $258,900,000

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

Overall Grade:

F

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Thumbs down for Missouri for providing little state funding for tobacco prevention and cessation programs despite smoking costing the state over $3 billion in healthcare costs each year.

Smokefree Air

Overview of State Smoking Restrictions:

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

Citation: MO. REV. STAT. §§ 191.765 to 191.777 (1992).

*Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Missouri has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 28.8% of the state's population.

Overall Grade:

F

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Tobacco Taxes

17 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

Overall Grade:

F

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Thumbs down for Missouri for having the lowest cigarette tax in the country at 17 cents per pack.

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: No 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: No 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 Missouri Tobacco Cessation Coverage page for specific sources.

Overall Grade:

F

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Thumbs up for Missouri for providing comprehensive coverage without barriers for all tobacco cessation medications and types of counseling to Medicaid enrollees.

Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18

Overall Grade:

F

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