South Dakota
How does your state compare?
| Tobacco Prevention and Cessation Funding | Smokefree Air | Tobacco Taxes | Access to Cessation Services | Flavored Tobacco Products |
|---|---|---|---|---|
| F | B | F | D | F |
| Tobacco Prevention and Cessation Funding | F |
|---|---|
| Smokefree Air | B |
| Tobacco Taxes | F |
| Access to Cessation Services | D |
| Flavored Tobacco Products | F |
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:
- Increase the tax on cigarettes and other commercial tobacco products, including e-cigarettes;
- Fully fund South Dakotas tobacco control program; and
- Amend the state law that prevents the state Medicaid program from covering all medications to treat tobacco use.
South Dakota Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.
South Dakota Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.
Tobacco Prevention and Cessation Funding
| Overall Grade | F |
|---|---|
| FY2024 State Funding for Tobacco Control Programs: | $4,500,000 |
| FY2024 Federal Funding for State Tobacco Control Programs: | $1,046,792* |
| FY2024 Total Funding for State Tobacco Control Programs: | $5,546,792 |
| CDC Best Practices State Spending Recommendation: | $11,700,000 |
| Percentage of CDC Recommended Level: | 47.4% |
| State Tobacco-Related Revenue: | $80,300,000 |
*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 | F |
|---|---|
| FY2024 State Funding for Tobacco Control Programs: | $4,500,000 |
| FY2024 Federal Funding for State Tobacco Control Programs: | $1,046,792* |
| FY2024 Total Funding for State Tobacco Control Programs: | $5,546,792 |
| CDC Best Practices State Spending Recommendation: | $11,700,000 |
| Percentage of CDC Recommended Level: | 47.4% |
| State Tobacco-Related Revenue: | $80,300,000 |
*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 | B |
|---|---|
| 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 (tribal establishments not subject to state law) |
| Retail Stores: | Prohibited |
| E-Cigarettes Included: | Yes |
| Preemption/Local Opt-Out: | Yes |
Citation: S.D. CODIFIED LAWS §§ 34-46-1 & 34-46-13 to 34-46-19 (2019).
* If South Dakota repealed preemption of stronger local smokefree ordinances, the states grade would be an "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 ActionSmokefree Air
Overview of State Smoking Restrictions:
| Overall Grade | B |
|---|---|
| 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 (tribal establishments not subject to state law) |
| Retail Stores: | Prohibited |
| E-Cigarettes Included: | Yes |
| Preemption/Local Opt-Out: | Yes |
Citation: S.D. CODIFIED LAWS §§ 34-46-1 & 34-46-13 to 34-46-19 (2019).
* If South Dakota repealed preemption of stronger local smokefree ordinances, the states grade would be an "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: | $1.53 |
| 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 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: | $1.53 |
| 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 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 down for South Dakota for providing the worst cessation coverage for standard Medicaid enrollees in the country.
Access to Cessation Services
Overview of State Cessation Coverage:
| Overall Grade | D |
|---|---|
| State Medicaid Program: | |
| Medications: | Minimal medications are covered |
| Counseling: | Minimal counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| Medicaid Expansion: | Yes |
| State Employee Health Plan(s): | |
| Medications: | Covers all 7 medications |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $19.46; the median investment per smoker is $1.93 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | No provision |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See South 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 | D |
|---|---|
| State Medicaid Program: | |
| Medications: | Minimal medications are covered |
| Counseling: | Minimal counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| Medicaid Expansion: | Yes |
| State Employee Health Plan(s): | |
| Medications: | Covers all 7 medications |
| Counseling: | Some counseling is covered |
| Barriers to Coverage: | Some barriers exist to access care |
| State Quitline: | |
| Investment Per Smoker: | $19.46; the median investment per smoker is $1.93 |
| Other Cessation Provisions: | |
| Private Insurance Mandate: | No provision |
| Tobacco Surcharge: | No prohibition or limitation on tobacco surcharges |
Citation: See South 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