Tobacco use in New York 2019

• In 2017, 14.1% of adults smoked. Nationally, the rate was 17.1%.¹
• In 2017, 5.5% of high school students in New York smoked cigarettes on at least one day in the past 30 days. Nationally, the rate was 8.8%.²

• In 2017, 3.8% of adults used e-cigarettes and 2.5% used smokeless tobacco.³
• In 2017, 14.5% of high school students in New York used electronic vapor products on at least one day in the past 30 days. Nationally, the rate was 13.2%.²
• In 2017, 4.6% of high school students in New York used chewing tobacco, snuff or dip on at least one day in the past 30 days. Nationally, the rate was 5.5%.²
• In 2017, 7.7% of high school students in New York smoked cigars, cigarillos or little cigars on at least one day in the past 30 days. Nationally, the rate was 8.0%.²

• New York received $2.0371 billion (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.⁴
• Of this, the state allocated $39.3 million in state funds to tobacco prevention in fiscal year 2019, 19.6% of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-caused health care costs: $10.39 billion per year.⁴
• Smoking-caused losses in productivity: $7.33 billion per year.⁵

Tobacco taxes

• New York is ranked 2nd in the U.S. for its cigarette tax of $4.35 per pack (enacted July 2010), compared to the national average of $1.81. (The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.)^6-8
• Little cigars weighing less than four pounds per thousand are taxed at 21.75 cents per cigar. Snuff is taxed at $2 per ounce and a proportionate rate on fractional parts of an ounce, provided that cans or packages of snuff with a net weight less than one ounce are taxed at the equivalent rate of cans or packages weighing one ounce. All other tobacco products are taxed at 75% of the wholesale price.^6,7

Clean indoor air ordinances

• Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, bars (allowed in cigar bars and allows for an economic hardship waiver), casinos/gaming establishments (tribal establishments exempt), retail stores and recreational/cultural facilities.^6,7
• E-cigarettes are included in the state’s clean indoor air law.⁹

Youth access laws

• The minimum age to purchase tobacco products in New York is 21. In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately.
• Establishments are required to post signs stating that sales to minors are prohibited and will be penalized.^6,7
• In stores where admission is not restricted to individuals 21 and older, tobacco products for sale must be store behind the counter or in a locked container.^6,7

Local tobacco laws

• New York City:
  • Prohibits the sale of flavored tobacco products, except e-cigarettes, with a characterizing flavor other than menthol, mint or wintergreen, except in certain “tobacco bars”¹¹
  • Prohibits the sale of tobacco products in pharmacies¹²
  • Prohibits the use of all tobacco products at all ticketed sporting events, including at Citi Field and Yankee Stadium¹¹
  • Prohibits retailers from redeeming coupons, multi-pack deal, buy-one-get-one deals, or any other price reduction promotions¹¹
  • Requires that cigarettes and little cigars not be sold at retail for less than $13 per 20-pack, including sales tax¹³
  • Requires cigars that cost less than $3 individually be sold in packs of four or more¹¹
  • Requires little cigars be sold in packs of 20¹⁴
• New York City, Albany County, Erie County, Rockland County and Suffolk County prohibit the sale of tobacco products in pharmacies.¹²

• The CDC estimates 50.4% of daily adult smokers in New York quit smoking for one or more days in 2017.³
• In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.^7**
• New York’s state quit line invests $2.34 per smoker, compared to the national average of $2.21.⁷
• The state’s insurance commissioner issued guidance instructing most insurance plans to be in compliance with Affordable Care Act guidance on tobacco cessation as a preventative service.⁷

Updated April 2019

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

**The seven recommended cessation 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, 2017.

2. CDC, Youth Risk Behavior Surveillance System, 2017.

3. CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2017.

4. Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 20 Years Later FY2019, 2018.

5. Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States.

6. American Lung Association, State Legislated Actions on Tobacco Issues (SLATI).

7. American Lung Association, State of Tobacco Control, 2019.

8. Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings.  https://www.tobaccofreekids.org/assets/factsheets/0097.pdf.

9. Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review.  http://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review.

10. Campaign for Tobacco-Free Kids. States and Localities that have Raised the Minimum Legal Sales Age for Tobacco Products to 21.  https://www.tobaccofreekids.org/assets/content/what_we_do/state_local_issues/sales_21/states_localities_MLSA_21.pdf.

11. New York City Department of Health and Mental Hygiene. Smoking and Tobacco Control Laws.  https://www1.nyc.gov/site/doh/business/food-operators/smoking-legislation.page.

12. Americans Nonsmokers' Rights Foundation. Municipalities with Tobacco-Free Pharmacy Laws.  http://no-smoke.org/pdf/pharmacies.pdf.

13. New York City Council. Int 1544-2017: A Local Law to amend the administrative code of the city of New York, in relation to the regulation of retail dealers of tobacco products and of electronic cigarettes, the establishment of price floors and minimum package sizes for tobacco products and shisha, and the establishment of a tax on tobacco products other than cigarettes. 2017; http://legistar.council.nyc.gov/LegislationDetail.aspx?ID=3013584&GUID=2CF281E1-5407-4AB5-8340-E16098EF7F85&FullText=1

14. New York City Department of Health and Mental Hygiene. New Laws Governing Cigar Sales in New York City Tobacco Retail Stores: What You Need to Know.  https://www1.nyc.gov/assets/doh/downloads/pdf/smoke/cigar-sales-faq.pdf.