Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • B

    Tobacco Taxes

  • C

    Access to Cessation Services

  • A

    Flavored Tobacco Products


The American Lung Association calls for the following actions to be taken by Massachusetts elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Increase comprehensive tobacco control program funding for prevention and cessation to the level recommended by the U.S. Centers for Disease Control and Prevention (CDC);
2. Increase the tobacco tax by a minimum of $1.00 per pack; and
3. Prevent rollbacks to tobacco control funding, smokefree and tobacco prevention laws.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $5,118,115
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,836,521*
  • FY2021 Total Funding for State Tobacco Control Programs: $6,954,636
  • CDC Best Practices State Spending Recommendation: $66,900,000
  • Percentage of CDC Recommended Level: 10.4%
  • State Tobacco-Related Revenue: $793,900,000

*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 (allowed in smoking bars)
  • Casinos/Gaming Establishments: Prohibited
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: MASS. GEN. LAWS ch. 270, § 22 (2018).

Overall Grade:

A

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Tobacco Taxes

Cigarette Taxes

  • $3.51
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: Yes; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on Dissolvable Tobacco Products: Equalized: Yes; Weight-Based: No

Overall Grade:

B

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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: Minimal barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: Most medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $1.25; the median investment per smoker is $2.28

Other Cessation Provisions:

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

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

C

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Thumbs Up

Thumbs up for Massachusetts for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • All flavored tobacco products prohibited in virtually all locations

Overall Grade:

A

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Thumbs Up

Thumbs up for Massachusetts for fully implementing its law prohibiting the sale of all flavored tobacco products.

LUNG FORCE Expo
, | Jun 24, 2021