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Tobacco use remains the leading cause of preventable death and disease in the United States and in Rhode Island. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Rhode Island’s elected officials:

  1. Ensure all Rhode Islanders have a smokefree workplace by establishing smokefree casinos;
  2. Establish tax parity for all tobacco products and fund tobacco control programs at the Centers for Disease Control and Prevention (CDC)-recommended level; and
  3. Establish pharmacists prescribing authority for U.S. Food and Drug Administration (FDA)-approved cessation medication.
During the 2024 Rhode Island legislative session the American Lung Association weighed in on several tobacco-related bills. The General Assembly passed a fiscal year 2025 state budget that allowed menthol e-cigarettes to once again be for sale in Rhode Island after four years of being off the market. The budget provisions related to tobacco also included a $0.25 increase to the cigarette excise tax with no additional investment to tobacco control and prevention (bringing the cigarette tax to $4.50 per pack). It moved the regulatory authority of ENDS from the Rhode Island Dept. of Health to the Dept. of Revenue (DOR), including licensing, the weakened flavor restriction, and funded enforcement. It created a centralized tobacco licensing and enforcement structure at DOR as well as created a two-tiered ENDS excise tax that equates to far less than parity with other tobacco products. This disappointing move was fueled by tobacco industry interference in the form of misinformation and intense lobbying of members of the General Assembly. On the final day of session, the House Finance Committee voted favorably on the smokefree casinos legislation; albeit too late in session to make any more progress before session adjourned later that day.

Tobacco Free Rhode Island (TFRI), a grant funded through the Department of Health and administered by the Lung Association, led Rhode Island’s statewide youth tobacco movement by empowering individuals aged 12-21 to become Tobacco Free Ambassadors. In 2024, TFRI co-hosted a statewide vaping conference for educators and school administrators to focus on evidence-based prevention and policy solutions to address nicotine use in RI schools. TFRI also helped launch a new ‘menthol and health disparities’ workgroup that meets monthly, working to build capacity to address tobacco-related health disparities.

In May 2024, the Lung Association led a Day of Action alongside state partners at the Rhode Island State House. The day started with a day-long training of youth advocates and ended with more than 60 advocates gathering at the State House for a press conference with medical professionals, legislator champions, and youth speakers. Following the press conference, advocates found their legislators on the House and Senate floor to educate them on the importance of smokefree casinos and adequately funding tobacco control and prevention.

Looking ahead to 2025, the American Lung Association calls on Rhode Island policy makers now more than ever, to adequately fund tobacco control efforts at or above the CDC-recommended level to ensure all Rhode Islanders are protected from a lifetime of tobacco dependence and disease.

Rhode Island Facts
Healthcare Costs Due to Smoking: $639,604,224
Adult Smoking Rate: 9.50%
Adult Tobacco Use Rate: 15.20%
High School Smoking Rate: 3.00%
High School Tobacco Use Rate: 17.50%
Middle School Smoking Rate: 1.60%
Smoking Attributable Deaths per Year: 1,780
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 and tobacco use data come from the 2021 Youth Risk Behavior Surveillance System. Middle school smoking rate is taken from the 2019 Rhode Island Youth Risk Behavior 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.

Rhode Island Information

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