Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • F

    Smokefree Air

  • F

    Tobacco Taxes

  • B

    Access to Cessation Services

  • F

    Flavored Tobacco Products


The American Lung Association calls for the following actions to be taken by South Carolina's elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Defend state funding of $5 million for tobacco control programs and ensure that funding is spent according to Centers for Disease Control and Prevention (CDC)'s Best Practices for Comprehensive Tobacco Control Programs;
2. Support the licensing of all tobacco retailers, including electronic cigarette retailers; and
3. Oppose all forms of preemption of state and local tobacco control authority.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $5,000,000
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,614,267*
  • FY2021 Total Funding for State Tobacco Control Programs: $6,614,267
  • CDC Best Practices State Spending Recommendation: $51,000,000
  • Percentage of CDC Recommended Level: 13.0%
  • State Tobacco-Related Revenue: $229,700,000

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

Overall Grade:

F

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Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Restricted
  • Private Workplaces: No provision
  • Schools: Restricted
  • Childcare Facilities: Prohibited
  • Restaurants: No provision
  • Bars: No provision
  • Casinos/Gaming Establishments: N/A (tribal casinos only)
  • Retail Stores: No provision
  • Recreational/Cultural Facilities: Restricted
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: No

Citation: S.C. CODE ANN. §§ 44-95-10 et seq. (2012).

*Note: The Smokefree Air grade only examines state law and does not reflect local smokefree ordinances. South Carolina has made great strides in protecting people from secondhand smoke by passing comprehensive local smokefree ordinances that cover 32.1% of the state's population.

Overall Grade:

F

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Tobacco Taxes

Cigarette Taxes

  • 57 cents
Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: No; Weight-Based: No
  • Tax on large cigars: Equalized: No; Weight-Based: No
  • Tax on smokeless tobacco: Equalized: No; Weight-Based: No
  • Tax on pipe/RYO tobacco: Equalized: No; Weight-Based: No
  • Tax on Dissolvable Tobacco Products: Equalized: N/A; Weight-Based: N/A

Overall Grade:

F

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Access to Cessation Services

Overview of State Cessation Coverage:

State Medicaid Program:

  • Medications: All 7 medications are covered
  • Counseling: All 3 forms counseling are covered
  • Barriers to Coverage: Minimal barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Some medications are covered
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $5.29; the median investment per smoker is $2.28

Other Cessation Provisions:

  • Private Insurance Mandate: No provision
  • Tobacco Surcharge: No prohibition or limitation on tobacco surcharges

Citation: See Tobacco Cessation Coverage page for specific sources.

Overall Grade:

B

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Thumbs Up

Thumbs up for South Carolina for providing comprehensive coverage for all tobacco cessation medications and types of counseling with minimal barriers to Medicaid enrollees.

Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • No state law or regulation

Overall Grade:

F

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