Massachusetts Highlights
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Tobacco use remains the leading cause of preventable death and disease in the United States and in Massachusetts. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Massachusetts’ elected officials:
- Increase comprehensive tobacco control program funding for prevention and cessation to the level recommended by the U.S. Centers for Disease Control and Prevention (CDC);
- Increase the tobacco tax by a minimum of $1.00 per pack and tax non-cigarette tobacco products at a comparable rate; and
- Prevent rollbacks to tobacco control funding, statewide flavor restrictions and other tobacco prevention laws.
Upon first introduction, the Governor’s Budget did not specifically earmark funding to the Massachusetts Tobacco Control Program (MTCP). Thanks to advocacy from the Lung Association and our state partners, Senator Keenan introduced an amendment that restored and increased the MTCP budget to $6.2 million, roughly $15,000 up from the prior fiscal year. Even with this budget increase, the Commonwealth of Massachusetts severely underfunds the MTCP based on the recommendations of the CDC. The Lung Association was thrilled to support the April youth advocacy day hosted by the 84 Movement, Massachusetts premier youth tobacco prevention program.
In 2024, communities across the Commonwealth worked to pass numerous “Nicotine-Free Generation” birthdate policies following the Massachusetts Supreme Court upholding the Brookline, MA policy that restricts the sale of tobacco products to anyone born on or after January 1, 2000. The American Lung Association signed on to an amicus brief to the courts along with other tobacco control partners outlining the important role municipalities have in tobacco control and prevention. A number of local Boards of Health across the Commonwealth have followed Brookline’s lead and many more are in the process of moving forward similar policies and are already experiencing tobacco industry intimidation.
The American Lung Association will continue to work with our state coalition partners to advance tobacco control and prevention efforts and defend our successful programs and smokefree policies against rollbacks. As the Massachusetts Legislature begins its work in 2025, the Lung Association and tobacco control partners will continue to grow our coalition to educate policymakers, business leaders and the media of the importance of the Lung Association’s goals to reduce tobacco use and protect public health.
Massachusetts Facts |
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Healthcare Costs Due to Smoking: | $4,080,690,302 |
Adult Smoking Rate: | 9.80% |
Adult Tobacco Use Rate: | 15.50% |
High School Smoking Rate: | 3.50% |
High School Tobacco Use Rate: | N/A |
Middle School Smoking Rate: | 0.80% |
Smoking Attributable Deaths per Year: | 9,300 |
Adult smoking and tobacco use data come from CDC’s 2023 Behavioral Risk Factor Surveillance System; adult tobacco use includes cigarettes, smokeless tobacco and e-cigarettes. High school smoking data comes from CDCs 2021 Youth Risk Behavior Surveillance System. Middle school smoking rate is taken from the 2017 Massachusetts Youth Health Survey.
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.
Massachusetts Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.