Did your state make the grade?
  • C

    Tobacco Prevention and Cessation Funding

  • A

    Smokefree Air

  • F

    Tobacco Taxes

  • A

    Access to Cessation Services

  • F

    Flavored Tobacco Products


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 $0.44 per pack by $1.00 per pack or more; and
2. Increase funding for the state tobacco control program.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $5,441,500
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,042,482*
  • FY2021 Total Funding for State Tobacco Control Programs: $6,483,982
  • CDC Best Practices State Spending Recommendation: $9,800,000
  • Percentage of CDC Recommended Level: 66.2%
  • State Tobacco-Related Revenue: $52,100,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention.

Overall Grade:

C

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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 (tribal establishments exempt)
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

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

Overall Grade:

A

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Tobacco Taxes

Cigarette Taxes

  • 44 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: No; Weight-Based: Yes
  • Tax on pipe/RYO tobacco: Equalized: Yes; Weight-Based: No
  • Tax on Dissolvable Tobacco Products: Equalized: N/A; Weight-Based: N/A

Overall Grade:

F

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Thumbs Down

Thumbs down for North Dakota for having the third 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: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: Yes

State Employee Health Plan(s):

  • Medications: All 7 medications are covered
  • Counseling: All 3 types of counseling are covered
  • Barriers to Coverage: Some barriers exist to access care

State Quitline:

  • Investment Per Smoker: $8.85; 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:

A

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Thumbs Up

Thumbs up for North Dakota for removing substantial barriers for access to tobacco cessation medications under its state Medicaid program.

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