Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • B

    Smokefree Air

  • F

    Tobacco Taxes

  • F

    Access to Cessation Services

  • F

    Flavored Tobacco Products


The American Lung Association calls for the following actions to be taken by South Dakota's elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Increase the tax on cigarettes and other tobacco products;
2. Fully fund South Dakota's tobacco control program; and
3. Amend the state law that prevents the state Medicaid program from covering all tobacco cessation medications.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $4,500,000
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,027,355*
  • FY2021 Total Funding for State Tobacco Control Programs: $5,527,355
  • CDC Best Practices State Spending Recommendation: $11,700,000
  • Percentage of CDC Recommended Level: 47.2%
  • State Tobacco-Related Revenue: $82,100,000

*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: Prohibited
  • Private Workplaces: Prohibited
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Prohibited
  • Bars: Prohibited (smoking of certain tobacco products allowed in certain bars)
  • Casinos/Gaming Establishments: Prohibited
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: Yes
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: S.D. CODIFIED LAWS §§ 34-46-13 to 34-46-19 (2019).

Overall Grade:

B

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Tobacco Taxes

Cigarette Taxes

  • $1.53
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: 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: Minimal medications are covered
  • Counseling: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage
  • Medicaid Expansion: No

State Employee Health Plan(s):

  • Medications: Covers all 7 medications
  • Counseling: Some counseling is covered
  • Barriers to Coverage: Some barriers exist to access coverage

State Quitline:

  • Investment Per Smoker: $15.48; 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:

F

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Thumbs Down

Thumbs down for South Dakota for providing the worst cessation coverage for Medicaid enrollees in the country.

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