This grade tells you how well your state is doing in helping tobacco users quit. Quitting is hard. Smokers usually must try several times before they finally stop. Their chances of quitting greatly increase if they can get medications and counseling to help them. States need to cover all medications and forms of counseling that are proven to help smokers quit, and they need to make sure all tobacco users have easy access to them. This is especially important for people on Medicaid, who smoke at rates over 50 percent higher than the general population. States also need to invest in services that help people quit tobacco use over the phone, called quitlines, at recommended levels.