Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Flavored Tobacco Products


The American Lung Association calls for the following actions to be taken by Alabama's elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Increase funding for the Alabama tobacco prevention and control program;
2. Pass a comprehensive statewide smokefree law that protects all workers and patrons from secondhand smoke; and
3. Increase Alabama's taxes on cigarettes and other tobacco products and establishing a tax on electronic cigarettes.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $1,512,812
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,623,055*
  • FY2021 Total Funding for State Tobacco Control Programs: $3,135,867
  • CDC Best Practices State Spending Recommendation: $55,900,000
  • Percentage of CDC Recommended Level: 5.6%
  • State Tobacco-Related Revenue: $289,600,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention.

Overall Grade:

F

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Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Restricted
  • Restaurants: No provision
  • 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: ALA. CODE §§ 22-15A-1 et seq. (2003).

*Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Alabama has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 13.2% of the state's population.

Overall Grade:

F

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Tobacco Taxes

Cigarette Taxes

  • 67.5 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: Yes
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: Yes
  • Tax on Dissolvable Tobacco Products: Equalized: N/A; Weight-Based: N/A

Overall Grade:

F

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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: Substantial barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Substantial barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $1.05; the median investment per smoker is $2.28

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

F

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Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • No state law or regulation

Overall Grade:

F

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Take Action
LUNG FORCE Expo
, | Jun 24, 2021