Tobacco use in Maryland 2018

Cigarette use: Maryland*

• In 2016, 13.7 percent of adults smoked. Nationally, the rate was 17.1 percent.¹
• In 2017, 8.2 percent of high school students smoked on at least one day in the past 30 days. Nationally, the rate was 8.8 percent.²

Other tobacco product use: Maryland

• In 2015, 2.2 percent of adults used e-cigarettes and 2.2 percent smoked cigars.³
• In 2017, 13.3 percent of high school students used e-cigarettes, 6.2 percent used smokeless tobacco and 9.0 percent smoked cigars on at least one day in the past 30 days. Nationally, the rates were 13.2 percent, 5.5 percent and 8.0 percent, respectively.²

Economics of tobacco use and tobacco control

• Maryland received $538.3 million (estimated) in tobacco settlement payments and taxes in fiscal year 2018.⁴
• Of this, the state allocated $10.6 million in state funds to tobacco prevention in fiscal year 2018, 22 percent of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-related health care costs: $2.71 billion per year⁴
• Smoking-related losses in productivity: $2.22 billion per year⁵

Maryland tobacco laws

Tobacco taxes

• Maryland is ranked 15th in the U.S. for its cigarette tax of $2.00 per pack (enacted January 2008), compared with the national average of $1.73. (Connecticut and New York have the highest tax at $4.35 and Missouri has the lowest at 17 cents.)⁶ ⁷ ⁸
• Cigars are taxed at 70 percent of the wholesale price and premium cigars are taxed at 15 percent of the wholesale price. All other tobacco products are taxed at 30 percent of the manufacturer’s list price.⁶ ⁷

Clean indoor air ordinances

• Smoking is prohibited in all government and private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments, retail stores and recreational/cultural facilities.⁷

Youth access laws

• The minimum age of sale for tobacco products in Maryland is 18.⁶
• Minors are prohibited from buying electronic smoking devices, including e-cigarettes.⁶ ⁷

Quitting statistics and benefits

• The CDC estimates that 51.8 percent of daily adult smokers in Maryland quit smoking for one or more days in 2016.⁹
• In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.⁷**
• Maryland’s state quit line invests $3.05 per smoker, compared with the national average investment per smoker of $2.10.⁷
• Maryland does have a private insurance mandate provision for quitting tobacco.⁷

Notes and references

Updated June 2018

*National and state-level prevalence numbers reflect the most recent data available. This may differ across state fact sheets.

**The seven recommended quitting medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban). Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service: May 2008.

1. CDC, Behavioral Risk Factor Surveillance System, 2016.
2. CDC, Youth Risk Behavior Surveillance System, 2017.
3. CDC, State-Specific Prevalence of Tobacco Product Use Among Adults - United States, 2014-2015, MMWR.
4. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 19 Years Later FY2018, 2017.
5. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States, 2018.
6. American Lung Association, SLATI State Reports, 2017.
7. American Lung Association, State of Tobacco Control, 2018.
8. Campaign for Tobacco-Free Kids, State Cigarette Excise Tax Rates & Rankings, 2018.
9. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2016.