Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Flavored Tobacco Products


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:
1. Override the veto which would increase the cigarette tax by $1.75 and increase much needed funding for tobacco prevention and cessation by $8.25 million;
2. Overturn the preemption court ruling in the state via legislative action; and
3. Address the youth e-cigarette epidemic by removing flavored tobacco products from the market.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $10,835,979
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,616,371*
  • FY2021 Total Funding for State Tobacco Control Programs: $12,452,350
  • CDC Best Practices State Spending Recommendation: $48,000,000
  • Percentage of CDC Recommended Level: 25.9%
  • State Tobacco-Related Revenue: $501,000,000

*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: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited
  • Casinos/Gaming Establishments: Prohibited
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: MD. CODE ANN., HEALTH-GEN. §§ 24-501 to 24-511 (2008) & MD. CODE ANN., LAB. & EMPLOY. §§ 5-101 & 5-608 (2008).

Overall Grade:

A

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Tobacco Taxes

Cigarette Taxes

  • $2.00
Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; 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 Dissolvable Tobacco Products: Equalized: N/A; Weight-Based: N/A

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: Some counseling is covered
  • Barriers to Coverage: Minimal barriers exist to access care
  • 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 care

State Quitline:

  • Investment Per Smoker: $3.74; the median investment per smoker is $2.28

Other Cessation Provisions:

  • Private Insurance Mandate: Yes
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

B

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Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • No state law or regulation

Overall Grade:

F

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LUNG FORCE Expo
, | Jun 24, 2021