Did your state make the grade?
Tobacco Prevention and Cessation Funding Smokefree Air Tobacco Taxes Access to Cessation Services Flavored Tobacco Products
B A B B I*
Tobacco Prevention and Cessation Funding B
Smokefree Air A
Tobacco Taxes B
Access to Cessation Services B
Flavored Tobacco Products I*

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

  1. End the sale of all flavored tobacco products via the 2022 referendum;
  2. Continue to pass restrictions on the sale of flavored tobacco on the local level; and
  3. Enact stronger tobacco control laws throughout the state, particularly limitations on secondhand smoke and tobacco sales.

California Information

Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.

California Information

Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.

Highlights Laws & Policies Local Grades Report
Tobacco Prevention and Cessation Funding

Tobacco Prevention and Cessation Funding

Overall Grade B
FY2022 State Funding for Tobacco Control Programs:$251,250,081
FY2022 Federal Funding for State Tobacco Control Programs:$3,571,588*
FY2022 Total Funding for State Tobacco Control Programs:$254,821,669
CDC Best Practices State Spending Recommendation:$347,900,000
Percentage of CDC Recommended Level:73.2%
State Tobacco-Related Revenue:$2,838,500,000

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

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Tobacco Prevention and Cessation Funding

Overall Grade B
FY2022 State Funding for Tobacco Control Programs:$251,250,081
FY2022 Federal Funding for State Tobacco Control Programs:$3,571,588*
FY2022 Total Funding for State Tobacco Control Programs:$254,821,669
CDC Best Practices State Spending Recommendation:$347,900,000
Percentage of CDC Recommended Level:73.2%
State Tobacco-Related Revenue:$2,838,500,000

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

Help Fight Tobacco Use

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Smokefree Air

Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade A
Government Workplaces:Prohibited
Private Workplaces:Prohibited
Schools:Prohibited (public schools only)
Childcare Facilities:Prohibited
Restaurants:Prohibited
Bars:Prohibited
Casinos/Gaming Establishments:Prohibited (tribal establishments not subject to state law)
Retail Stores:Prohibited
Recreational/Cultural Facilities:Prohibited
E-Cigarettes Included:Yes
Penalties:Yes
Enforcement:Yes
Preemption/Local Opt-Out:No

Citation: CA LABOR CODE § 6404.5; CA GOVT. CODE §§ 7596 to 7598; CA EDUC. CODE §§ 48900(h) & 48901; & CA HEALTH & SAFETY CODE § 1596.795 (2016).

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Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade A
Government Workplaces:Prohibited
Private Workplaces:Prohibited
Schools:Prohibited (public schools only)
Childcare Facilities:Prohibited
Restaurants:Prohibited
Bars:Prohibited
Casinos/Gaming Establishments:Prohibited (tribal establishments not subject to state law)
Retail Stores:Prohibited
Recreational/Cultural Facilities:Prohibited
E-Cigarettes Included:Yes
Penalties:Yes
Enforcement:Yes
Preemption/Local Opt-Out:No

Citation: CA LABOR CODE § 6404.5; CA GOVT. CODE §§ 7596 to 7598; CA EDUC. CODE §§ 48900(h) & 48901; & CA HEALTH & SAFETY CODE § 1596.795 (2016).

Help Fight Tobacco Use

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Tobacco Taxes

Tobacco Taxes

Overall Grade B
Cigarette Tax per pack of 20:$2.87
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 E-Cigarettes:Equalized: Yes; Weight-Based: No

Help Fight Tobacco Use

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Tobacco Taxes

Overall Grade B
Cigarette Tax per pack of 20:$2.87
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 E-Cigarettes:Equalized: Yes; Weight-Based: No

Help Fight Tobacco Use

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Access to Cessation Services

Access to Cessation Services

Overview of State Cessation Coverage:

Overall Grade B
State Medicaid Program:
Medications:All 7 medications are covered
Counseling:All counseling is covered
Barriers to Coverage:Minimal barriers exist to access coverage
Medicaid Expansion:Yes
State Employee Health Plan(s):
Medications:Some medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Some barriers exist to access coverage
State Quitline:
Investment per Smoker:$4.18; the median investment per smoker is $2.41
Other Cessation Provisions:
Private Insurance Mandate:No provision
Tobacco Surcharge:Prohibits tobacco surcharges

Citation: See California Tobacco Cessation Coverage page for specific sources.

Help Fight Tobacco Use

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Access to Cessation Services

Overview of State Cessation Coverage:

Overall Grade B
State Medicaid Program:
Medications:All 7 medications are covered
Counseling:All counseling is covered
Barriers to Coverage:Minimal barriers exist to access coverage
Medicaid Expansion:Yes
State Employee Health Plan(s):
Medications:Some medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Some barriers exist to access coverage
State Quitline:
Investment per Smoker:$4.18; the median investment per smoker is $2.41
Other Cessation Provisions:
Private Insurance Mandate:No provision
Tobacco Surcharge:Prohibits tobacco surcharges

Citation: See California Tobacco Cessation Coverage page for specific sources.

Help Fight Tobacco Use

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Thumbs Up

Thumbs up for California for providing comprehensive coverage for all tobacco cessation medications and types of counseling to Medicaid enrollees.

Flavored Tobacco Products

Flavored Tobacco Products

Overall Grade I*
Restrictions on Flavored Tobacco Products: Most flavored tobacco products prohibited (law not in effect)

** California gets an I for Incomplete because a successful referendum petition was filed against the law prohibiting the sale of flavored tobacco products, and a vote on the referendum will occur in November 2022.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Flavored Tobacco Products

Overall Grade I*
Restrictions on Flavored Tobacco Products: Most flavored tobacco products prohibited (law not in effect)

** California gets an I for Incomplete because a successful referendum petition was filed against the law prohibiting the sale of flavored tobacco products, and a vote on the referendum will occur in November 2022.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action