Did your state make the grade?
  • F

    Tobacco Prevention and Cessation Funding

  • D

    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 Tennessee's elected officials to reduce tobacco use and exposure to secondhand smoke:
1. Restore state funding for the Tennessee Tobacco Program to $2 million and designate funding as a recurring line item in the annual budget;
2. Raise the tobacco tax by $1.50 and equalize the tax for all tobacco products including e-cigarettes; and
3. Close loopholes in the statewide law restricting smoking.

Tobacco Prevention and Cessation Funding

  • FY2021 State Funding for Tobacco Control Programs: $0
  • FY2021 Federal Funding for State Tobacco Control Programs: $1,637,971*
  • FY2021 Total Funding for State Tobacco Control Programs: $1,637,971
  • CDC Best Practices State Spending Recommendation: $75,600,000
  • Percentage of CDC Recommended Level: 2.2%
  • State Tobacco-Related Revenue: $405,600,000

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

Overall Grade:

F

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Thumbs Down

Thumbs down for Tennessee for eliminating all state funding for tobacco prevention programs this year despite smoking costing the state close to $2.7 billion in healthcare costs each year.

Smokefree Air

Overview of State Smoking Restrictions:

  • Government Workplaces: Prohibited
  • Private Workplaces: Prohibited (non-public workplaces with three or fewer employees exempt)
  • Schools: Prohibited
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted*
  • Bars: Restricted*
  • Casinos/Gaming Establishments: N/A
  • Retail Stores: Prohibited
  • Recreational/Cultural Facilities: Prohibited
  • E-Cigarettes Included: No
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption/Local Opt-Out: Yes

Citation: TENN. CODE ANN. §§ 39-17-1801 to 39-17-1810 (2008).

** Smoking is allowed in restaurants and bars that do not allow persons under 21 to enter at any time.

Overall Grade:

D

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Tobacco Taxes

Cigarette Taxes

  • 62 cents
Other Tobacco Product Taxes:
  • Tax on little cigars: Equalized: Yes; 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: Minimal counseling is covered
  • Barriers to Coverage: Some barriers exist to access care
  • Medicaid Expansion: No

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: $0.46; 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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Flavored Tobacco Products

Restrictions on Flavored Tobacco Products:

  • No state law or regulation

Overall Grade:

F

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