Grade Summary: California

Grade: F

Tobacco Prevention Control and Spending

  • FY2013 State Funding for Tobacco Control Programs: $62,095,000
  • FY2013 Federal Funding for State Tobacco Control Programs: $6,532,450*
  • FY2013 Total Funding for State Tobacco Control Programs: $68,627,450
  • CDC Best Practices State Spending Recommendation: $441,900,000
  • Percentage of CDC Recommended Level: 15.5%

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.

Grade: A

Smokefree Air

Overview of State Smoking Restrictions

  • Government Workplaces: Prohibited
  • Private Workplaces: Restricted
  • Schools: Prohibited (public schools only)
  • Childcare Facilities: Prohibited
  • Restaurants: Restricted
  • Bars: Restricted
  • Casinos/Gaming Establishments: Restricted (tribal establishments exempt)
  • Retail Stores: Restricted
  • Recreational/Cultural Facilities: Restricted
  • Penalties: Yes
  • Enforcement: Yes
  • Preemption: No

Citation: CA LABOR CODE § 6404.5 (2007); CA GOVT. CODE §§ 7596 to 7598 (2007); CA EDUC. CODE §§ 48900 & 48901 (1986); & CA HEALTH & SAFETY CODE § 1596.795 (1993).

Grade: D

Cigarette Tax

  • Tax rate per pack of 20: 87 cents

Grade: F


Overview of State Cessation Coverage

State Medicaid Program:

  • Medications: All health plans cover NRT Patch, Bupropion (Zyban) and Varenicline (Chantix); coverage of NRT Gum, NRT Lozenge, NRT Nasal Spray and NRT Inhaler varies by health plan
  • Counseling: Coverage of group, phone and individual counseling varies by health plan
  • Barriers to Coverage: Barriers to coverage vary by health plan*

State Employee Health Plan(s):

  • Medications: All plans cover NRT Patch, NRT Nasal Spray, NRT Inhaler, Varenicline (Chantix) and Bupropion (Zyban); coverage of NRT Gum and NRT Lozenge varies by health plan
  • Counseling: Coverage of individual, group, phone and online counseling varies by health plan
  • Barriers to Coverage: All plans have an annual limit on quit attempts and require co-payments; some plans have limits on duration and/or require use of counseling to get medications

State Quitline:

  • Investment Per Smoker: $2.40; CDC recommends an investment of $10.53/smoker

Other Cessation Provisions:

  • Private Insurance Mandate: No provision

Citation: See State Tobacco Cessation Coverage page for specific sources.

*Barriers could include: Limits on duration, annual or lifetime limits on quit attempts, requiring prior authorization, requiring co-payments, requiring using one or more cessation treatments before using others and/or requiring the use of counseling to receive medications.

State at a Glance: ca

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To get involved with the American Lung Association, please contact:

American Lung Association in California
424 Pendleton Way
Oakland, CA 94621
510 638 5864