Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • C

    Access to Cessation Services

  • F

    Flavored Tobacco Products


The American Lung Association calls for the following actions to be taken by Kentucky's elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Repeal state preemption of local tobacco control authority;
2. Restore funding for the Kentucky Tobacco Prevention and Cessation Program to $3.3 million and ensure that funding is spent according to CDC's Best Practices for Comprehensive Tobacco Control Programs; and
3. Support and defend local comprehensive smokefree laws, including e-cigarettes.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $2,000,000
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,625,654*
  • FY2021 Total Funding for State Tobacco Control Programs: $3,625,654
  • CDC Best Practices State Spending Recommendation: $56,400,000
  • Percentage of CDC Recommended Level: 6.4%
  • State Tobacco-Related Revenue: $503,300,000

*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 (prohibited in state government buildings)
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: No provision
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: No provision
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: No
  • Preemption/Local Opt-Out: No

Citation: KY REV. STAT. ANN. §§ 61.165 (2006), 61.167 (2004), 438.050 (1988) & EXEC. ORDER 2014-0747 (2014).

*Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Kentucky has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 34.9% of the state's population.

Overall Grade:

F

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Tobacco Taxes

Cigarette Taxes

  • $1.10
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: No
  • Tax on Dissolvable Tobacco Products: Equalized: No; Weight-Based: No

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: All 3 types of counseling are covered
  • Barriers to Coverage: No barriers exist to access coverage
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

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

State Quitline:

  • Investment Per Smoker: $0.73; the median investment per smoker is $2.28

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: Limits tobacco surcharges

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

C

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Thumbs Up

Thumbs up for Kentucky for providing comprehensive coverage for all tobacco cessation medications and types of counseling to Medicaid enrollees with no barriers.

Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • No state law or regulation

Overall Grade:

F

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