North Dakota
How does your state compare?
| Tobacco Prevention and Cessation Funding | Smokefree Air | Tobacco Taxes | Access to Cessation Services | Flavored Tobacco Products |
|---|---|---|---|---|
| C | A | F | A | F |
| Tobacco Prevention and Cessation Funding | C |
|---|---|
| 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:
- Raise the state tobacco tax currently third lowest in the country at 44 cents per pack;
- Restrict access to flavored tobacco products; and
- Classify electronic nicotine delivery systems as tobacco products, including licensing.
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.
Tobacco Prevention and Cessation Funding
| Overall Grade | C |
|---|---|
| FY2023 State Funding for Tobacco Control Programs: | $5,684,000 |
| FY2023 Federal Funding for State Tobacco Control Programs: | $1,055,244* |
| FY2023 Total Funding for State Tobacco Control Programs: | $6,739,244 |
| CDC Best Practices State Spending Recommendation: | $9,800,000 |
| Percentage of CDC Recommended Level: | 68.8% |
| State Tobacco-Related Revenue: | $51,000,000 |
*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 | C |
|---|---|
| FY2023 State Funding for Tobacco Control Programs: | $5,684,000 |
| FY2023 Federal Funding for State Tobacco Control Programs: | $1,055,244* |
| FY2023 Total Funding for State Tobacco Control Programs: | $6,739,244 |
| CDC Best Practices State Spending Recommendation: | $9,800,000 |
| Percentage of CDC Recommended Level: | 68.8% |
| State Tobacco-Related Revenue: | $51,000,000 |
*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 | 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 |
| 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).
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 | 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 |
| 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).
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 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: 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: | $0.44 |
| 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: 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 for North Dakota for providing comprehensive coverage for all tobacco cessation medications and types of counseling to Medicaid enrollees with minimal barriers.
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: | All 7 medications are covered |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $9.94; the median investment per smoker is $2.37 |
| 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 ActionAccess 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: | All 7 medications are covered |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $9.94; the median investment per smoker is $2.37 |
| 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 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