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California
Did your state make the grade?
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B
Tobacco Prevention and Cessation Funding
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A
Smokefree Air
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B
Tobacco Taxes
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C
Access to Cessation Services
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B
Flavored Tobacco Products
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.
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).
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
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.
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
Thumbs up for California for passing a law prohibiting the sale of most flavored tobacco products.