Grade Summary: Massachusetts

Grade: F

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.


Grade: A

Smokefree Air

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).


Grade: B

Cigarette Tax

  • Tax rate per pack of 20:

    $2.51


Grade: D

Cessation

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**

State Quitline:

  • 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

Thumbs up for Massachusetts for providing comprehensive coverage of all tobacco cessation medications and types of counseling to Medicaid enrollees.

State at a Glance: ma

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

American Lung Association in Massachusetts
460 Totten Pond Road, Suite 400
Waltham, MA  02451
781 890 4262
www.lung.org/massachusetts