Kentucky Highlights
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Tobacco use remains the leading cause of preventable death and disease in the United States and in Kentucky. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Kentucky's elected officials:
- Require all establishments selling nicotine products to obtain licenses, provide for and fund specific enforcement measures and establish a meaningful penalty structure for underage sales violations;
- Increase funding for the state tobacco prevention and cessation program to $4 million, allocate Juul settlement funds program and ensure funding is spent according to the Centers for Disease Control and Prevention best practices; and
- Support and defend local comprehensive smokefree laws, including e-cigarettes.
Also during the 2024 session, the Lung Association and partner organizations led a strong effort to pass tobacco retail licensure legislation working closely with the University of Kentucky’s youth education program, #iCANendthetrend. The bill, House Bill 11, originally included language to create a database of retailers that sell nicotine products along with regular compliance checks and escalating penalties for retailers that repeatedly violate underage sales laws for nicotine products.
Two days prior to the legislature’s adjournment, the tobacco industry was successful in advancing a Senate committee substitute to HB 11 that passed through both chambers which substantially amended the bill. While the Lung Association remained neutral on the final bill language, it led partner organizations in a statement calling the final registry bill outcome a failed opportunity to protect Kentucky kids from underage sales of nicotine products. The law is scheduled to take effect in January 2025 subject to ongoing litigation.
At the local level, as of October 1, 2024, 60 communities had enacted and implemented ordinances that restrict smoking in public places and workplaces. Forty-four smokefree ordinances are comprehensive, covering 38.7% of Kentucky’s population. Forty-two of the 60 ordinances prohibit use of e-cigarettes in the same public places and/or workplaces.
Following a months-long battle in 2024 during which partners mounted a robust campaign – including a local petition and radio campaign led by the Lung Association - the Campbellsville City Council became the first community in Kentucky to weaken their 15-year-old comprehensive smokefree law. They voted 9-3 to allow smoking inside businesses that prohibit entry to patrons under 21 and that sell tobacco products.
Conversely, Louisville took action in 2024 to further clarify its zoning ordinance with clearer definitions and to ensure stronger compliance to Land Development Code requirements related to tobacco retailers.
As the legislature begins its work in 2025, the American Lung Association will leverage increased awareness and education among lawmakers from HB 11 as well as the award-winning youth-led education program to push for more policies to prevent and reduce tobacco use.
Kentucky Facts |
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Healthcare Costs Due to Smoking: | $1,926,976,238 |
Adult Smoking Rate: | 17.40% |
Adult Tobacco Use Rate: | N/A |
High School Smoking Rate: | 4.90% |
High School Tobacco Use Rate: | 22.50% |
Middle School Smoking Rate: | N/A |
Smoking Attributable Deaths per Year: | 8,860 |
Adult smoking data come from CDCs 2022 Behavioral Risk Factor Surveillance System. An adult tobacco use rate is not available for this state. High school smoking and tobacco use data come from the 2021 Youth Risk Behavior Surveillance System. A current middle school smoking rate is not available for this state.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
Kentucky Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.