Help with kicking the habit.

• Position: STATESTATS

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Tobacco use is the leading preventable cause of disease, disability and death in the United States, according to the Centers of Disease Control and Prevention. In a growing number of states, both Medicaid and state employee health programs have led the way toward reducing smoking and chewing tobacco by employees, enrollees and their families.

Some plans offer tobacco cessation programs within existing managed care insurance plans, while others have "carve-out" or stand-alone services. Cessation programs often include access to over-the-counter and prescription treatments at reduced or no cost. Some programs offer counseling services and support groups.

In state employee programs, at least six states provide an incentive to kick the habit by charging a higher premium to smokers.

All states and a few territories offer the general public resources to quit, which can be used by state employees or Medicaid enrollees who do not have their own specific health insurance or tobacco cessation programs.

For more information on these programs, please visit www. ncsl.org/programs/health/tobaccocess.htm

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MEDICAID COVERED TOBACCO-CESSATION PROGRAMS Some over-the- Some Therapy, State/Territory counter Rx counseling or products products social support Alabama * N N N Alaska * Y Y Y Arizona* N N...