American Lung Association's "State of Tobacco Control 2015" Report Shows Michigan is failing to Save Lives

DETROIT MI (01/21/2015)(readMedia)-- Today (January 21), the American Lung Association released its 13th annual "State of Tobacco Control" report that found that in 2014 Michigan failed to enact tobacco control policies that will save lives and help end the tobacco epidemic.

The report finds most states and the federal government earn poor grades, and tobacco control progress is at a standstill.

Jim Harrington, Field Organizer for the American Lung Association in Michigan, said "The grades are disappointing, but expected. While Michigan has spent the funds it has appropriated well, it has failed to invest in solutions that work, like funding science-based tobacco prevention and cessation programs at appropriate levels and increasing tobacco taxes. We are also missing an opportunity to ensure that insurance companies are providing the best practices cessation services that they must provide to be in compliance the Affordable Care Act."

"State of Tobacco Control 2015" evaluates tobacco control policies at the federal and state level, and assigns grades based on whether laws protect citizens from the enormous toll tobacco use takes on lives.

The new report comes following the 50th anniversary of the 1964 Surgeon General's report, which first sounded the alarm on the dangers of smoking. Now 51 years later, tobacco use kills almost half a million Americans and causes up to $333 billion in healthcare costs and lost productivity each year.

In 2014, the American Lung Association and its partners called for immediate action on tobacco use by all levels of government to achieve three bold goals:

• Reduce smoking rates, currently at about 18 percent nationally (21.4% in Michigan), to less than 10 percent by 2024;

• Protect all Americans from secondhand smoke by 2019; and

• Ultimately eliminate the death and disease caused by tobacco use.

"The American Lung Association is urging Michigan legislators and the federal government to take needed steps to achieve these bold goals," said Harrington "It's no secret how to reduce tobacco use in the United States, our state and federal leaders need to muster the political will to implement these proven policies. Our nation cannot afford the health or financial consequences of their continued failure to act."

Grades for Michigan

"State of Tobacco Control 2015" finds state level progress on proven tobacco control policies all-but stalled in 2014. Michigan's failing grades reflects this trend of missed opportunities by our elected officials to pass proven policies that will reduce tobacco use and save lives.

• Tobacco Prevention and Control Program Funding – Grade F

The state of Michigan funds the tobacco prevention and cessation program with $1.5 million despite revenue from state tobacco taxes of $1.2 billion. The Center for Disease Control and Prevention recommends funding of $110 million to implement best practices for reducing tobacco use.

• Tobacco Taxes - Grade F

The tax on other tobacco products is much lower than the tax on cigarettes. The tax for all other tobacco products should be equalized to the tax on cigarettes. There is no tax on electronic cigarettes.

• Smokefree Air - Grade B

If preemption (allowing local government to pass stronger laws than the state law) were repealed, Michigan's grade would be an "A."

• Access to Cessation Services - Grade F

Michigan needs to provide consistent, quality cessation services without barriers so smokers have the services they need to quit.

Health insurance coverage to provide smokers access to all the tools proven to help them quit, was a hot topic again in 2014.

In accordance with the Affordable Care Act, most insurance companies must provide best practices cessation which includes the three forms of counseling (in-person, group, and phone) and all FDA-approved cessation medications. Unfortunately, few of Michigan's insurers are doing so. Michigan's insurance commissioner must make sure insurance plans, under their authority, are following the guidance on cessation treatments issued by the federal government in May 2014.

"This is a report card Michigan shouldn't be proud of," said Harrington. "Leaders in Michigan's state capital must step up to provide smokers with the support they need to quit and adequately fund prevention programs that help keep our kids off tobacco."

Overall, no state passed a comprehensive smokefree law or significantly increased tobacco taxes, and not a single state managed to earn an "A" grade for providing access to cessation treatments in this year's 'State of Tobacco Control 2015' report. Only two states are funding their state tobacco prevention programs at the updated levels recommended by CDC.

You can see how other states scored at www.stateoftobaccocontrol.org.

Limited Progress by Federal Government

The federal government took small steps forward this year, but still fell short in important areas, such as tobacco taxes and finalizing its regulatory authority over all tobacco products.

In April, the Food and Drug Administration (FDA) proposed to assert authority over all tobacco products including e-cigarettes, little cigars and other tobacco products. The American Lung Association also expressed strong opposition to the Obama Administration's proposal to exempt certain cigars from basic FDA oversight and that it failed to finalize the proposal by the end of 2014.

On the plus side the federal government issued an important policy clarification making it clear to insurance companies that all seven FDA-approved medications and all three forms of counseling should be covered to help smokers quit.

FDA also launched its youth prevention mass-media campaign, "The Real Cost" and CDC continued its highly successful "Tips from Former Smokers" campaign, which a study released in late 2014 shows has a significant impact with even current modest investments.

"The federal government and each state have a lot of work to do to improve upon this year's State of Tobacco Control report. I urge every Michigan citizen to join the American Lung Association in Michigan and help us tell our state and federal leaders to take action now to save lives," said Harrington.

"State of Tobacco Control 2015" uses updated methodology to reflect the updated 2014 CDC Best Practices for Comprehensive Tobacco Control Programs. It also incorporates other tobacco product taxes and tobacco cessation coverage under Medicaid expansion into the grades. Because of revisions to the methodology, all grades from State of Tobacco Control 2015 cannot be directly compared to grades from State of Tobacco Control 2014 or earlier reports.

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About the American Lung Association of the Midland States.

As the oldest voluntary health organization in the United States, the American Lung Association's mission is to save lives by improving lung health and preventing lung disease through Education, Advocacy and Research.

With the generous support of the public, we are "Fighting for Air." When you join the American Lung Association in the fight for healthy lungs and healthy air, you help save lives today and keep America healthy tomorrow.

As a charter member of the nationwide organization, the American Lung Association of the Midland States is committed to carrying out this mission in Kentucky, Michigan, Ohio and Tennessee. In communities throughout the Midland States region, the American Lung Association is working to improve life one breath at a time through education, advocacy and research.

The American Lung Association of the Midland States is funded by public donations, along with gifts and grants from corporations, foundations, government agencies and nongovernmental organizations.