Maryland
Does your state make the grade?
| Tobacco Prevention and Cessation Funding | Smokefree Air | Tobacco Taxes | Access to Cessation Services | Flavored Tobacco Products |
|---|---|---|---|---|
| F | A | B | B | F |
| Tobacco Prevention and Cessation Funding | F |
|---|---|
| Smokefree Air | A |
| Tobacco Taxes | B |
| Access to Cessation Services | B |
| Flavored Tobacco Products | F |
The American Lung Association calls for the following three actions to be taken by Maryland's elected officials to reduce tobacco use and exposure to secondhand smoke:
- Protect Maryland's Clean Indoor Air Act from exemptions;
- Defend and preserve the much-needed funding increase for tobacco prevention and cessation of $8.25 million; and
- Restore local control by overturning preemption in the state via legislation.
Maryland Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.
Maryland Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.
Thumbs down for Maryland for decreasing funding for its tobacco prevention and control program by close to $5 million this fiscal year.
Tobacco Prevention and Cessation Funding
| Overall Grade | F |
|---|---|
| FY2026 State Funding for Tobacco Control Programs: | $16,385,841 |
| FY2026 Federal Funding for State Tobacco Control Programs: | $1,694,510* |
| FY2026 Total Funding for State Tobacco Control Programs: | $18,080,351 |
| CDC Best Practices State Spending Recommendation: | $48,000,000 |
| Percentage of CDC Recommended Level: | 37.7% |
| State Tobacco-Related Revenue: | $546,400,000 |
*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 ActionTobacco Prevention and Cessation Funding
| Overall Grade | F |
|---|---|
| FY2026 State Funding for Tobacco Control Programs: | $16,385,841 |
| FY2026 Federal Funding for State Tobacco Control Programs: | $1,694,510* |
| FY2026 Total Funding for State Tobacco Control Programs: | $18,080,351 |
| CDC Best Practices State Spending Recommendation: | $48,000,000 |
| Percentage of CDC Recommended Level: | 37.7% |
| State Tobacco-Related Revenue: | $546,400,000 |
*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 ActionSmokefree Air
Overview of State Smoking Restrictions:
| Overall Grade | A |
|---|---|
| Government Workplaces: | Prohibited |
| Private Workplaces: | Prohibited |
| Schools: | Prohibited |
| Childcare Facilities: | Prohibited |
| Restaurants: | Prohibited |
| Bars: | Prohibited |
| Casinos/Gaming Establishments: | Prohibited |
| Retail Stores: | Prohibited |
| E-Cigarettes Included: | Yes |
| Preemption/Local Opt-Out: | No |
Citation: MD. CODE ANN., HEALTH-GEN. §§ 24-501 to 24-511 (2024) & MD. CODE ANN., LAB. & EMPLOY. §§ 5-101 (2008) & 5-608 (2024).
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 ActionSmokefree Air
Overview of State Smoking Restrictions:
| Overall Grade | A |
|---|---|
| Government Workplaces: | Prohibited |
| Private Workplaces: | Prohibited |
| Schools: | Prohibited |
| Childcare Facilities: | Prohibited |
| Restaurants: | Prohibited |
| Bars: | Prohibited |
| Casinos/Gaming Establishments: | Prohibited |
| Retail Stores: | Prohibited |
| E-Cigarettes Included: | Yes |
| Preemption/Local Opt-Out: | No |
Citation: MD. CODE ANN., HEALTH-GEN. §§ 24-501 to 24-511 (2024) & MD. CODE ANN., LAB. & EMPLOY. §§ 5-101 (2008) & 5-608 (2024).
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 ActionTobacco Taxes
| Overall Grade | B |
|---|---|
| Cigarette Tax per pack of 20: | $5.00 |
| 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: No |
| Tax on pipe/RYO tobacco: | Equalized: No; Weight-Based: No |
| Tax on E-Cigarettes: | Equalized: No; 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 ActionTobacco Taxes
| Overall Grade | B |
|---|---|
| Cigarette Tax per pack of 20: | $5.00 |
| 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: No |
| Tax on pipe/RYO tobacco: | Equalized: No; Weight-Based: No |
| Tax on E-Cigarettes: | Equalized: No; 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 ActionAccess to Cessation Services
Overview of State Cessation Coverage:
| Overall Grade | B |
|---|---|
| State Medicaid Program: | |
| Medications: | All 7 medications are covered |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Few barriers exist to access care |
| Medicaid Expansion: | Yes |
| State Employee Health Plan(s): | |
| Medications: | All 7 medications are covered |
| Counseling: | Some types of counseling are covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $4.11; the median investment per smoker is $2.62 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | Yes |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See Maryland Tobacco Cessation Coverage page for specific sources.
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 ActionAccess to Cessation Services
Overview of State Cessation Coverage:
| Overall Grade | B |
|---|---|
| State Medicaid Program: | |
| Medications: | All 7 medications are covered |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Few barriers exist to access care |
| Medicaid Expansion: | Yes |
| State Employee Health Plan(s): | |
| Medications: | All 7 medications are covered |
| Counseling: | Some types of counseling are covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $4.11; the median investment per smoker is $2.62 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | Yes |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See Maryland Tobacco Cessation Coverage page for specific sources.
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 ActionFlavored Tobacco Products
| Overall Grade | F |
|---|---|
| Restrictions on Flavored Tobacco Products: | No state law or regulation |
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 ActionFlavored Tobacco Products
| Overall Grade | F |
|---|---|
| Restrictions on Flavored Tobacco Products: | No state law or regulation |
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