Did your state make the grade?
  • D

    Federal Regulation of Tobacco Products

  • D

    Cessation Coverage

  • F

    Tobacco Taxes

  • A

    Mass Media Campaigns

  • A

    Federal Minimum Age


The American Lung Association has identified four key actions for the Biden Administration and Congress to take in 2021 that will help ultimately eliminate the death and disease caused by tobacco use:

1. FDA must adhere to the Tobacco Control Act and reject product marketing applications (PMTAs) for any product that fails to prove it is appropriate for the protection of the public health, including all flavored products;

2. Congress and the U.S. Food and Drug Administration (FDA) must act to remove all flavored tobacco products from the marketplace, including menthol cigarettes, flavored cigars and e-cigarettes;

3. The U.S. Department of Health and Human Services (HHS) must clarify and ensure that all tobacco users have access to a comprehensive tobacco cessation benefit without barriers and cost-sharing, and Congress must pass the “Quit for COVID-19” Act; and

4. Congress must increase federal funding for the Centers for Disease Control and Prevention (CDC)’s Office on Smoking and Health to help states combat the youth e-cigarette epidemic and to further strengthen its “Tips from Former Smokers” Campaign.

Federal Regulation of Tobacco Products

Implementation of Rule Asserting Authority over All Tobacco Products: Rule partially implemented

Product Standards for Tobacco Products: Product standard to reduce cancer-causing chemical in smokeless tobacco proposed                                            

Graphic Cigarette Warning Labels: Warning labels finalized     

Flavored Tobacco Product Standard: No product standard proposed or finalized        

Funding for FDA Center for Tobacco Products: Full funding provided in FY2021           

Overall Grade:

D

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Cessation Coverage

Medicaid Coverage: Partially Required              

Medicare Coverage: Partially Covered               

TRICARE Coverage: Covered                            

Federal Employee Health Benefits Coverage: Covered   

State Health Insurance Exchanges: Partially Required

Overall Grade:

D

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Thumbs Down

Thumbs down for the Trump administration guidance undermining healthcare access to comprehensive tobacco cessation coverage. 

Tobacco Taxes

Cigarette Tax:

Tax rate per pack of 20:  $1.01

 

Other Tobacco Product Taxes:

Little Cigars: Equalized: Yes; Weight-Based: Yes

Large Cigars: Equalized: No; Weight-Based: No

Smokeless Tobacco: Equalized: No; Weight-Based: Yes

Pipe/RYO Tobacco: Equalized: No; Weight-Based: Yes

E-cigarettes: Equalized: N/A; Weight-Based: N/A

Overall Grade:

F

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Mass Media Campaigns

Tips from Former Smokers Media Campaign:

Reach: Meets Target

Duration: Under Target

Frequency: Meets Target

Promotion of Services: Meets Target

 

FDA "Real Costs" Media Campaign

Reach: Meets Target

Duration: Meets Target

Frequency: Meets Target

Promotion of Services: Under Target

Overall Grade:

A

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Federal Minimum Age

Minimum Age of Sale for Tobacco Products: 21

Overall Grade:

A

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