How does your state compare?

Tobacco Prevention and Cessation Funding Smokefree Air Tobacco Taxes Access to Cessation Services Flavored Tobacco Products
B A F A F
Tobacco Prevention and Cessation Funding B
Smokefree Air A
Tobacco Taxes F
Access to Cessation Services A
Flavored Tobacco Products F

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

  1. Raise the state tobacco tax currently at .44 per pack; and
  2. Restrict access to flavored tobacco products.

North Dakota Information

Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.

North Dakota Information

Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.

Highlights Laws & Policies Historical Data
Tobacco Prevention and Cessation Funding

Tobacco Prevention and Cessation Funding

   
Overall Grade B
FY2024 State Funding for Tobacco Control Programs:$6,056,884
FY2024 Federal Funding for State Tobacco Control Programs:$1,055,244*
FY2024 Total Funding for State Tobacco Control Programs:$7,112,128
CDC Best Practices State Spending Recommendation: $9,800,000
Percentage of CDC Recommended Level: 72.6%
State Tobacco-Related Revenue: $51,600,000

*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 Action

Tobacco Prevention and Cessation Funding

   
Overall Grade B
FY2024 State Funding for Tobacco Control Programs:$6,056,884
FY2024 Federal Funding for State Tobacco Control Programs:$1,055,244*
FY2024 Total Funding for State Tobacco Control Programs:$7,112,128
CDC Best Practices State Spending Recommendation: $9,800,000
Percentage of CDC Recommended Level: 72.6%
State Tobacco-Related Revenue: $51,600,000

*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 Action
Smokefree Air

Smokefree 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 (tribal establishments not subject to state law)
Retail Stores: Prohibited
E-Cigarettes Included: Yes
Preemption/Local Opt-Out: No

Citation: N.D. CENT. CODE §§ 23-12-9 to 23-12-11 (2013).

Help Fight Tobacco Use

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Smokefree 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 (tribal establishments not subject to state law)
Retail Stores: Prohibited
E-Cigarettes Included: Yes
Preemption/Local Opt-Out: No

Citation: N.D. CENT. CODE §§ 23-12-9 to 23-12-11 (2013).

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.

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Tobacco Taxes
Thumbs Up

Thumbs down for North Dakota for having the third lowest cigarette tax in the country.

Tobacco Taxes

Overall Grade F
Cigarette Tax per pack of 20:$0.44
Tax on little cigars:Equalized: Yes; Weight-Based: No
Tax on large cigars:Equalized: Yes; Weight-Based: No
Tax on smokeless tobacco:Equalized: No; Weight-Based: Yes
Tax on pipe/RYO tobacco:Equalized: Yes; Weight-Based: Yes
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.

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Tobacco Taxes

Overall Grade F
Cigarette Tax per pack of 20:$0.44
Tax on little cigars:Equalized: Yes; Weight-Based: No
Tax on large cigars:Equalized: Yes; Weight-Based: No
Tax on smokeless tobacco:Equalized: No; Weight-Based: Yes
Tax on pipe/RYO tobacco:Equalized: Yes; Weight-Based: Yes
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
Access to Cessation Services

Access to Cessation Services

Overview of State Cessation Coverage:

         
Overall Grade A
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:Some medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Minimal barriers to access care
State Quitline:
Investment Per Smoker:$9.46; the median investment per smoker is $1.93
Other Cessation Provisions:
Private Insurance Mandate:Yes
Tobacco Surcharge:No prohibition or limitation on tobacco surcharges

Citation: See North Dakota 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.

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Access to Cessation Services

Overview of State Cessation Coverage:

         
Overall Grade A
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:Some medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Minimal barriers to access care
State Quitline:
Investment Per Smoker:$9.46; the median investment per smoker is $1.93
Other Cessation Provisions:
Private Insurance Mandate:Yes
Tobacco Surcharge:No prohibition or limitation on tobacco surcharges

Citation: See North Dakota 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 Action
Flavored Tobacco Products

Flavored 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

Flavored 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