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

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

  1. Provide funding to implement the law removing all flavored tobacco products from the market;
  2. Fund tobacco prevention and cessation programs at the level recommended by the Centers for Disease Control and Prevention (CDC); and
  3. Improve the city's Medicaid coverage for tobacco cessation treatments to be comprehensive and consistent across plans.

District of Columbia Information

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

District of Columbia Information

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

Highlights Laws & Policies
Tobacco Prevention and Cessation Funding

Tobacco Prevention and Cessation Funding

Overall Grade F
FY2022 City Funding for Tobacco Control Programs:$1,900,000
FY2022 Federal Funding for City Tobacco Control Programs:$1,031,660*
FY2022 Total Funding for City Tobacco Control Programs:$2,931,660
CDC Best Practices City Spending Recommendation:$10,700,000
Percentage of CDC Recommended Level:27.4%
State Tobacco-Related Revenue:$63,100,000

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

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

Tobacco Prevention and Cessation Funding

Overall Grade F
FY2022 City Funding for Tobacco Control Programs:$1,900,000
FY2022 Federal Funding for City Tobacco Control Programs:$1,031,660*
FY2022 Total Funding for City Tobacco Control Programs:$2,931,660
CDC Best Practices City Spending Recommendation:$10,700,000
Percentage of CDC Recommended Level:27.4%
State Tobacco-Related Revenue:$63,100,000

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

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
Smokefree Air

Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade A
Government Workplaces:Restricted
Private Workplaces:Prohibited
Schools:Prohibited
Childcare Facilities:Prohibited
Restaurants:Prohibited
Bars:Prohibited (allowed in cigar bars and allows for an economic hardship waiver)
Casinos/Gaming Establishments:N/A
Retail Stores:Prohibited
Recreational/Cultural Facilities:Prohibited
E-Cigarettes Included:Yes
Penalties:Yes
Enforcement:Yes
Preemption/Local Opt-Out:No

Citation: D.C. CODE ANN. tit. 7 §§ 7-741.01 to 7-741.07 (2017).

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

Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade A
Government Workplaces:Restricted
Private Workplaces:Prohibited
Schools:Prohibited
Childcare Facilities:Prohibited
Restaurants:Prohibited
Bars:Prohibited (allowed in cigar bars and allows for an economic hardship waiver)
Casinos/Gaming Establishments:N/A
Retail Stores:Prohibited
Recreational/Cultural Facilities:Prohibited
E-Cigarettes Included:Yes
Penalties:Yes
Enforcement:Yes
Preemption/Local Opt-Out:No

Citation: D.C. CODE ANN. tit. 7 §§ 7-741.01 to 7-741.07 (2017).

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
Tobacco Taxes

Tobacco Taxes

Overall Grade A
Cigarette Tax per pack of 20:$4.50
Other Tobacco Product Taxes:
Tax on Little Cigars:Equalized: Yes; Weight-Based: No
Tax on Large Cigars:Equalized: No; Weight-Based: N/A
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

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

Tobacco Taxes

Overall Grade A
Cigarette Tax per pack of 20:$4.50
Other Tobacco Product Taxes:
Tax on Little Cigars:Equalized: Yes; Weight-Based: No
Tax on Large Cigars:Equalized: No; Weight-Based: N/A
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

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
Thumbs Up

Thumbs up for the District of Columbia for having the highest cigarette tax in the country.

Access to Cessation Services

Access to Cessation Services

Overview of State Cessation Coverage:

Overall Grade C
City Medicaid Program:
Medications:All 7 medications are covered
Counseling:Limited counseling is covered
Barriers to Coverage:Minimal barriers exist to access coverage
Medicaid Expansion:Yes
City Employee Health Plan(s):
Medications:No data provided
Counseling:No data provided
Barriers to Coverage:No data provided
City Quitline:
Investment per Smoker:$5.72; the median investment per smoker is $2.41
Other Cessation Provisions:
Private Insurance Mandate:No provision
Tobacco Surcharge:Prohibits tobacco surcharges

Citation: See District of Columbia Tobacco Cessation Coverage page for specific sources.

*The District of Columbia earned zero points in the City Employee Health Plan tobacco cessation coverage category for failing to provide city employee health plan data after multiple requests.

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

Access to Cessation Services

Overview of State Cessation Coverage:

Overall Grade C
City Medicaid Program:
Medications:All 7 medications are covered
Counseling:Limited counseling is covered
Barriers to Coverage:Minimal barriers exist to access coverage
Medicaid Expansion:Yes
City Employee Health Plan(s):
Medications:No data provided
Counseling:No data provided
Barriers to Coverage:No data provided
City Quitline:
Investment per Smoker:$5.72; the median investment per smoker is $2.41
Other Cessation Provisions:
Private Insurance Mandate:No provision
Tobacco Surcharge:Prohibits tobacco surcharges

Citation: See District of Columbia Tobacco Cessation Coverage page for specific sources.

*The District of Columbia earned zero points in the City Employee Health Plan tobacco cessation coverage category for failing to provide city employee health plan data after multiple requests.

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

Flavored Tobacco Products

Overall Grade F*
Restrictions on Flavored Tobacco Products: No city law or regulation in effect

** DC has approved a law prohibiting the sale of almost all flavored tobacco products but needs to allocate funding in the city budget to cover the cost for it to take effect.

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 F*
Restrictions on Flavored Tobacco Products: No city law or regulation in effect

** DC has approved a law prohibiting the sale of almost all flavored tobacco products but needs to allocate funding in the city budget to cover the cost for it to take effect.

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
Thumbs Up

Thumbs up for the District of Columbia for passing a law prohibiting the sale of almost all flavored tobacco products in the city.