Highlights: North DakotaThe American Lung Association in North Dakota has been a strong leader and partner in the work to reduce the harm and destruction from tobacco use in the state. North Dakota's tobacco control framework, one of only two in the country that is fully funded to the Center for Disease Control recommendations, is based on best practices - including eliminating exposure to secondhand smoke, increasing the price of tobacco products and preventing initiation among young people.
During the 2013 legislative session advocates focused on keeping the new smokefree law strong and maintaining full funding for the comprehensive tobacco control program. Legislators passed three bills that did slightly change the smokefree law, but did not weaken it in any way. House Bill 1253 requires the Center for Tobacco Prevention and Control Policy to provide smokefree signage upon request. House Bill 1292 removed vehicle signage requirements. Many vehicles are used in undercover work and the legislators felt this put those in a position of danger. A similar bill that came out of the Senate (Senate Bill 2117) removed the smokefree signage requirement on official state vehicles due to cost concerns.
A resolution was introduced in the state House of Representatives House Concurrent Resolution 3033 that would require Legislative Management to study "harm reduction" and how it could be encouraged with a report and recommendation due by the beginning of the next legislative session in 2015. The resolution was approved by the House, but members of the Senate voted down the resolution after receiving intense education on harm reduction by the Lung Association and our coalition partners. The study was then attached to another bill, but was thankfully successfully removed.
While the coalition was successful in opposing the "harm reduction" study this time, continued education on electronic cigarettes will be necessary in North Dakota as use of the product is increasing. Electronic cigarettes cannot be used in public places and workplaces in North Dakota thanks to the 2012 smokefree air ballot initiative approved overwhelmingly by voters.
The Center for Tobacco Prevention and Control Policy was fully funded with an appropriation of over $15.8 million in the fiscal year 2014 and 2015 two-year budget. This is the biggest success of the 2013 legislative session for the American Lung Association in North Dakota as it provides the funding needed to continue with current tobacco control efforts.
North Dakota State Facts
|Economic Cost Due to Smoking:||$442,053,000|
|Adult Smoking Rate:||21.2%|
|High School Smoking Rate:||19.4%|
|Middle School Smoking Rate:||5.8%|
|Smoking Attributable Deaths:||877|
|Smoking Attributable Lung Cancer Deaths:||259|
|Smoking Attributable Respiratory Disease Deaths:||245|
Adult smoking rate is taken from CDC's 2012 Behavioral Risk Factor Surveillance System. High school smoking rate is taken from the 2011 Youth Risk Behavioral Surveillance System. Middle school smoking rate is taken from the 2011 Youth Tobacco Survey.
To Get Involved, Contact:
- American Lung Association in North Dakota
212 N. 2nd St.
Bismarck, ND 58501
- 701 223 5613
See How Other States Compare
Did You Know
2014 is the 50th anniversary of the historic 1964 Surgeon General’s report on smoking and health, which linked smoking to lung cancer and other deadly diseases for the first time.
A recent article in the Journal of the American Medical Association found that about 8 million lives have been saved through tobacco control efforts since 1964, including 800,000 lung cancer deaths between 1975 and 2000.
Smoking is the number one preventable cause of death in the U.S., killing over 1,200 people per day.
Secondhand smoke kills almost 50,000 people each year.
28 states and Washington DC have passed laws prohibiting smoking in almost all public places and workplaces, including restaurants and bars.
New York has the highest cigarette tax in the country at $4.35 per pack.
Missouri has the lowest cigarette tax in the country at 17 cents per pack.
The average of all state plus the District of Columbia cigarette taxes is $1.53 per pack.
Alaska and North Dakota are the only two states that fund their tobacco control programs at or above the CDC-recommended level (in Fiscal Year 2014).
Massachusetts and Minnesota approved cigarette tax increases large enough to impact public health in 2013.
2 states – Indiana and Massachusetts – offer a comprehensive cessation benefit to tobacco users on Medicaid.
2 states – Alabama and Georgia – offer virtually no help with quitting to most tobacco users on Medicaid.
In 2009, the American Lung Association played a key role in the passage of the Family Smoking Prevention and Tobacco Control Act, which gives the U.S. Food and Drug Administration authority over tobacco products.
The American Lung Association played a key role in airplanes becoming smokefree in the 1990s.
40 states and Washington DC spend less than half of what the CDC recommends on their state tobacco prevention programs.
States spend less than two cents of every dollar they get in tobacco-related revenue to fight tobacco use.
Each day, almost 3,900 kids under 18 try their first cigarette and more than 1,000 kids become new, regular smokers.
Each day, 3,000 kids try their first cigar.
Smoking costs the U.S. economy $263 million in direct health care costs and $266 million in lost productivity each day.
The five largest cigarette companies spent over $22.9 million dollars a day marketing their products in 2011.
The American Lung Association has been fighting smoking and tobacco use since the 1950s.
Smoking rates for Medicaid recipients are over 50 percent higher than the general population.
Only 4 states – Maine, North Dakota, South Dakota and Wyoming – fund their quitlines at or above CDC-recommended levels.
A 2013 study of California’s tobacco prevention program shows that the state saved $55 in healthcare costs for every $1 invested from 1989 to 2008.
A 2012 study of Massachusetts’ comprehensive Medicaid quit smoking benefit found that Massachusetts saved $3 for every $1 spent helping smokers quit in just over a year.
Spread the Word
The American Lung Association’s annual "State of Tobacco Control" report was released nationwide on Wednesday, January 22, 2014.Learn More
Surgeon General’s Report
Despite the great progress of the past, in the last few years, tobacco control efforts have slowed and in some areas, even stalled.Learn More