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Did YOUR state make the grade? UNITED STATES

  • F

    Federal Regulation of Tobacco Products

  • D

    Access to Cessation Services

  • F

    Tobacco Taxes

  • A

    Mass Media Campaigns

  • A

    Federal Minimum Age

The American Lung Association has identified four key actions that federal policymakers must take in 2020 that will ultimately eliminate the death and disease caused by tobacco use:

  1. Congress and the U.S. Food and Drug Administration (FDA) must act to eliminate all flavored tobacco products from the marketplace, including menthol cigarettes, flavored cigars and e-cigarettes;
  2. FDA must adhere to the Tobacco Control Act and deny product marketing applications to any product that fails to meet the public health standard;
  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;
  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 proposed, but not finalized
  • Flavored Tobacco Product Standard: No product standard on flavored tobacco products proposed or finalized
  • Funding for FDA Center for Tobacco Products: Full funding provided for FY2020 without riders

Overall Grade:

F

Help fight tobacco use

Take Action
Thumbs Down

Thumbs down for the Trump Administration for issuing an inadequate guidance on flavored e-cigarettes that leaves thousands of flavored e-cigarettes on the market.

Access to Cessation Services

  • 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

Help fight tobacco use

Take Action
Thumbs Up

Thumbs up for the federal government for requiring health insurers offering plans as part of the Federal Employee Health Benefits to require coverage with minimal barriers and to promote the coverage to enrollees.

Tobacco Taxes

  • Tax rate per pack of 20: $1.01

Other Tobacco Product Taxes:

  • Tax on Little Cigars: Equalized: Yes; Weight-Based: Yes
  • 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: Yes
  • Tax on E-Cigarettes: Equalized: N/A; Weight-Based: N/A

Overall Grade:

F

Help fight tobacco use

Take Action

Mass Media Campaigns

  • 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

Help fight tobacco use

Take Action

Federal Minimum Age

  • Federal Minimum Age of Sale for Tobacco Products:21

Overall Grade:

A

Help fight tobacco use

Take Action
Thumbs Up

Thumbs Up for the federal government for passing legislation increasing the federal minimum age of sale for tobacco products to 21.

Better Breather Club | Riverside Shore Memorial Hospital
Nassawadox, VA | Mar 26, 2020
Better Breather Club | Riverside Tappahannock Hospital
Tappahannock, VA | Mar 26, 2020