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Did YOUR state make the grade? NORTH CAROLINA

  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Tobacco 21

The American Lung Association calls for the following actions to be taken by North Carolina's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Restore funding for tobacco use prevention and cessation programs, including QuitlineNC;
  2. Raise the state cigarette tax to the national average of $1.81 per pack; and
  3. Resist attempts to weaken the smokefree restaurants and bars law and expand the law to include all public places and private worksites.

Tobacco Prevention and Cessation Funding

  • FY2020 State Funding for Tobacco Control Programs: $2,150,000
  • FY2020 Federal Funding for State Tobacco Control Programs: $3,222,165*
  • FY2020 Total Funding for State Tobacco Control Programs: $5,372,165
  • CDC Best Practices State Spending Recommendation: $99,300,000
  • Percentage of CDC Recommended Level: 5.4%
  • State Tobacco-Related Revenue: $455,700,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

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: Prohibited (public schools only)
  • Childcare Facilities: Restricted
  • Restaurants: Prohibited
  • Bars: Prohibited (allowed in cigar bars)
  • Casinos/Gaming Establishments: N/A (tribal casinos only)
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: No provision
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes (private workplaces and other specific venues)

Citation: N.C. GEN. STAT. §§ 130A-491 to 130A-498 (2010), 115C-407 (2007), 131D-4.4 (2007) & 131E-114.3 (2007).

Overall Grade:

F

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Tobacco Taxes

45 cents

Other Tobacco Product Taxes:
  • 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 Dissolvable Tobacco Products: Equalized: No; Weight-Based: Yes

Overall Grade:

F

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Thumbs Down

Thumbs down for North Carolina for having the fifth lowest cigarette tax in the country.

Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: Most counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage
  • Medicaid Expansion: No

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: $1.76; the median investment per smoker is $2.14

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: Limits tobacco surcharges

Citation: See North Carolina Tobacco Cessation Coverage page for specific sources.

Overall Grade:

F

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Tobacco 21

Minimum Age:

  • Minimum Age of Sale for Tobacco Products: 18

Overall Grade:

F

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