Did your state make the grade?
  • B

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • B

    Flavored Tobacco Products


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. Prohibit the sale of all flavored tobacco products, including menthol;
2. Expand protections against secondhand smoke in multi-unit housing, outdoor dining and recreation areas; and
3. Ensure parity between taxation on tobacco products and e-cigarettes.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $238,372,000
  • FY2021 Federal Funding for State Tobacco Control Programs: $3,518,041*
  • FY2021 Total Funding for State Tobacco Control Programs: $241,890,041
  • CDC Best Practices State Spending Recommendation: $347,900,000
  • Percentage of CDC Recommended Level: 69.5%
  • State Tobacco-Related Revenue: $2,817,600,000

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

Overall Grade:

B

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Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: Prohibited (tribal establishments exempt)
  • 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).

Overall Grade:

A

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Tobacco Taxes

Cigarette Taxes

  • $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 Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No

Overall Grade:

B

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Access to Cessation Services

Overview of State Cessation Coverage:

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: $3.04; the median investment per smoker is $2.28

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: Prohibits tobacco surcharges

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

C

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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

Restrictions on Flavored Tobacco Products:

  • Most flavored tobacco products prohibited

Overall Grade:

B

Help fight tobacco use

Take Action
Thumbs Up

Thumbs up for California for passing a law prohibiting the sale of most flavored tobacco products.

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