Tobacco Prevention Control and Spending
- FY2013 State Funding for Tobacco Control Programs: $4,151,958
- FY2013 Federal Funding for State Tobacco Control Programs: $2,591,344*
- FY2013 Total Funding for State Tobacco Control Programs: $6,743,302
- CDC Best Practices State Spending Recommendation: $90,000,000
- Percentage of CDC Recommended Level: 7.5%
*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention and U.S. Food and Drug Administration.
Overview of State Smoking Restrictions
- Government Workplaces: Prohibited
- Private Workplaces: Prohibited
- Schools: Prohibited
- Childcare Facilities: Prohibited
- Restaurants: Prohibited
- Bars: Prohibited (allowed in smoking bars)
- Casinos/Gaming Establishments: Prohibited
- Retail Stores: Prohibited
- Recreational/Cultural Facilities: Prohibited
- Penalties: Yes
- Enforcement: Yes
- Preemption: No
Citation: MASS. GEN. LAWS ch. 270, § 22 (2004).
- Tax rate per pack of 20:
Overview of State Cessation Coverage
State Medicaid Program:
- Medications: Covers all 7 recommended cessation medications*
- Counseling: Covers individual, phone and group counseling
- Barriers to Coverage: Prior authorization required for some medications and minimal co-payments required
State Employee Health Plan(s):
- Medications: All health plans cover Varenicline (Chantix); coverage of NRT Gum, NRT Patch, NRT Nasal Spray, NRT Inhaler, NRT Lozenge and Bupropion (Zyban) varies by health plan
- Counseling: Coverage of individual, group and phone counseling varies by health plan
- Barriers to Coverage: Barriers to coverage vary by health plan**
- Investment Per Smoker: $1.84; 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.
*The 7 recommended cessation medications are: NRT Gum, NRT Patch, NRT Nasal Spray, NRT Inhaler, NRT Lozenge, Varenicline (Chantix) and Bupropion (Zyban).
**Barriers could include: Limits on duration, annual 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.
Thumbs up for Massachusetts for providing comprehensive coverage of all tobacco cessation medications and types of counseling to Medicaid enrollees.