Missouri
Does your state make the grade?
| Tobacco Prevention and Cessation Funding | Smokefree Air | Tobacco Taxes | Access to Cessation Services | Flavored Tobacco Products |
|---|---|---|---|---|
| F | F | F | D | F |
| Tobacco Prevention and Cessation Funding | F |
|---|---|
| Smokefree Air | F |
| Tobacco Taxes | F |
| Access to Cessation Services | D |
| Flavored Tobacco Products | F |
The American Lung Association calls for the following actions to be taken by Missouri's elected officials to reduce tobacco use and exposure to secondhand smoke:
- Protect and sustain funding for evidence-based tobacco prevention and cessation programs;
- Protect local solutions to address tobacco use and vaping by opposing statewide preemption; and
- Support 100% smokefree indoor air laws for all workplaces, bars, restaurants, casinos/gaming establishments - including vape aerosol and cannabis smoke - without loopholes.
Missouri Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.
Missouri Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.
Thumbs Up for Missouri for increasing funding for its tobacco prevention and control program by over $2.3 million this fiscal year
Tobacco Prevention and Cessation Funding
| Overall Grade | F |
|---|---|
| FY2026 State Funding for Tobacco Control Programs: | $5,425,000 |
| FY2026 Federal Funding for State Tobacco Control Programs: | $1,949,182* |
| FY2026 Total Funding for State Tobacco Control Programs: | $7,374,182 |
| CDC Best Practices State Spending Recommendation: | $72,900,000 |
| Percentage of CDC Recommended Level: | 10.1% |
| State Tobacco-Related Revenue: | $217,900,000 |
*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: | $5,425,000 |
| FY2026 Federal Funding for State Tobacco Control Programs: | $1,949,182* |
| FY2026 Total Funding for State Tobacco Control Programs: | $7,374,182 |
| CDC Best Practices State Spending Recommendation: | $72,900,000 |
| Percentage of CDC Recommended Level: | 10.1% |
| State Tobacco-Related Revenue: | $217,900,000 |
*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 | F |
|---|---|
| Government Workplaces: | Restricted |
| Private Workplaces: | Restricted |
| Schools: | Prohibited (public schools only) |
| Childcare Facilities: | Prohibited |
| Restaurants: | Restricted |
| Bars: | No provision |
| Casinos/Gaming Establishments: | No provision |
| Retail Stores: | Restricted |
| E-Cigarettes Included: | No |
| Preemption/Local Opt-Out: | No |
Citation: MO. REV. STAT. §§ 191.765 to 191.777 (1992).
Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Missouri has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 29.4% of the state's population.
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 | F |
|---|---|
| Government Workplaces: | Restricted |
| Private Workplaces: | Restricted |
| Schools: | Prohibited (public schools only) |
| Childcare Facilities: | Prohibited |
| Restaurants: | Restricted |
| Bars: | No provision |
| Casinos/Gaming Establishments: | No provision |
| Retail Stores: | Restricted |
| E-Cigarettes Included: | No |
| Preemption/Local Opt-Out: | No |
Citation: MO. REV. STAT. §§ 191.765 to 191.777 (1992).
Note: The Smokefree Air grade only examines state tobacco control law and does not reflect local smokefree ordinances. Missouri has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 29.4% of the state's population.
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 down for Missouri for having the lowest cigarette tax in the country at 17 cents per pack.
Tobacco Taxes
| Overall Grade | F |
|---|---|
| Cigarette Tax per pack of 20: | $0.17 |
| Tax on little cigars: | Equalized: Yes; Weight-Based: No |
| Tax on large cigars: | Equalized: Yes; Weight-Based: No |
| Tax on smokeless tobacco: | Equalized: Yes; Weight-Based: No |
| Tax on pipe/RYO tobacco: | Equalized: Yes; Weight-Based: No |
| Tax on E-Cigarettes: | Equalized: N/A; Weight-Based: N/A |
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 | F |
|---|---|
| Cigarette Tax per pack of 20: | $0.17 |
| Tax on little cigars: | Equalized: Yes; Weight-Based: No |
| Tax on large cigars: | Equalized: Yes; Weight-Based: No |
| Tax on smokeless tobacco: | Equalized: Yes; Weight-Based: No |
| Tax on pipe/RYO tobacco: | Equalized: Yes; Weight-Based: No |
| Tax on E-Cigarettes: | Equalized: N/A; Weight-Based: N/A |
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 to Missouri for covering a comprehensive cessation benefit for Medicaid enrollees with no barriers
Access to Cessation Services
Overview of State Cessation Coverage:
| Overall Grade | D |
|---|---|
| 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 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: | No barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $1.04; the median investment per smoker is $2.62 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | No provision |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See Missouri 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 | D |
|---|---|
| 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 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: | No barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $1.04; the median investment per smoker is $2.62 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | No provision |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See Missouri 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