RAISING THE TOBACCO EXCISE TAX BY $1.00

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Economic overview:


  • A $1.00 per pack increase in the state's tobacco excise tax would provide a stable revenue stream of more than $154 million annually for health reform and public health programs.
  • Smoking-caused costs in Massachusetts per taxed pack sold: $19.49
  • Average retail price per pack: $5.41 (state share from excise and sales taxes: $1.77).
  • Annual health care expenditures in Massachusetts directly caused by tobacco use: $3.54 billion.
  • Total state Medicaid program smoking costs each year: $1.0 billion.
  • 5-Year healthcare savings from fewer smoking-affected pregnancies & births: $7.3 million
  • 5-year healthcare savings from fewer smoking-caused heart attacks & strokes: $10.7 million
  • Long-term healthcare savings in state from adult & youth smoking declines: $1,053.8 million
  • Every state that has increased its cigarette tax has seen an increase in revenue, even while reducing smoking levels.


Public health impact:


  • Increasing the price of tobacco products decreases tobacco use, particularly among young people; raising tobacco taxes is one of the most effective tobacco prevention and control strategies.
  • Percent decrease in youth smoking: 12.6%
  • Increase in total number of kids alive today who will not become smokers: 46,100
  • Number of current adult smokers in the state who will quit: 26,000
  • Number of smoking-affected births avoided over next five years: 4,300
  • Number of current adult smokers saved from smoking-caused death: 6,800
  • Number of kids alive today saved from later premature smoking-caused death: 14,700
  • Pack sales decline in state by 18%