U.S. government and smoking cessation

Policy coherence in US tobacco control: beyond FDA regulation describes the widespread involvement of the U.S. Federal Government in issues of smoking cessation and makes proposals for improving the interaction between the agencies involved.

Many departments of the U.S. Federal Government play a role in smoking cessation.{{cite journal

| pmid=19440534

| title=Policy coherence in US tobacco control: beyond FDA regulation

| doi=10.1371/journal.pmed.1000079

| volume=6

| issue=5

| pmc=2677110

|date=May 2009

| journal=PLOS Med.

| pages=e1000079

| last1=Yang

| first1=Joshua S.

| last2=Novotny

| first2=Thomas E.

| doi-access=free

}}

Health and Human Services (HHS): The most prominent role of the US Government comes under the authority of several agencies within the Department of Health and Social Services.

• Food and Drug Administration (FDA): H.R. 1256: Family Smoking Prevention and Tobacco Control Act was signed into law as Public Law No:111-31, on June 22, 2009.{{cite web

| url=http://www.govtrack.us/congress/bill.xpd?bill=h111-1256

| title=H.R. - Summary: Family Smoking Prevention and Tobacco Control Act (GovTrack.us)

| accessdate=2010-02-22

}}{{cite web

| url=http://www.govtrack.us/congress/bill.xpd?bill=h111-1256&tab=summary

| title=H.R. - Summary: Family Smoking Prevention and Tobacco Control Act (GovTrack.us)

| accessdate=2010-02-22

}} This law grants the Secretary of HHS and the FDA extensive powers to regulate production, marketing and use of tobacco products. The 2010 case Sottera, Inc v. Food & Drug Administration found that electronic cigarettes are a type of tobacco product, not a "drug" or "device" or combination product, and, therefore, fall under the Tobacco Control Act.{{cite web|title=E-Cigarette Regulation: A Burning Legal Question|url=http://www.mytopecigarettes.com/e-cigarette-regulations/|publisher=MTC|accessdate=4 October 2013}}{{cite web|url=http://changelabsolutions.org/tobacco-control/question/are-e-cigarettes-regulate|title=Are E-Cigarettes Regulated by the FDA?|last=|first=|date=|website=|publisher=changelabsolutions|accessdate=4 October 2013}} The Act grants the FDA the power to collect and record information concerning contents of cigarettes and to disseminate that information to the public.{{cite web|title=Regulation of E-Cigarettes and Other Tobacco Products|url=https://www.fda.gov/newsevents/publichealthfocus/ucm252360.htm|publisher=FDA.gov|accessdate=4 October 2013}}

• National Institutes of Health (NIH): through its National Institute on Drug Abuse (NIDA): supports grants for research on drug abuse, including nicotine addiction. Some of these grants study cessation programs. NIDA also publishes non-technical reports of this research for benefit of the public, as well as publications that summarize what is known about nicotine addiction and tobacco cessation programs.
• Office of the Surgeon General: Publishes in print and on the web, a variety of materials related to smoking health issues and cessation of smoking.{{cite web

| url=http://www.surgeongeneral.gov/tobacco

| title=Tobacco Cessation - You can quit now

| accessdate=2010-02-22

}}

• Centers for Disease Control and Prevention (CDC): through its Office of Smoking and Health (OSH) is the lead federal agency for comprehensive tobacco prevention and control.
• Centers for Medicare and Medicaid Services (CMS): reimburses costs for limited counseling by physicians and other healthcare providers. Medicare will pay for certain approved prescription drugs, and not for over-the-counter treatments such as nicotine patches or gum, under Medicare Part D coverage.{{cite web

| url=http://www.cms.gov/SmokingCessation/

| title=Overview Smoking Cessation

}}

• Agency for Healthcare Research and Quality (AHRQ): through its Evidence-based Practice Center (EPC) published a report in 2005, "Tobacco Use: Prevention, Cessation and Control", based on a systematic review of literature using data from the Surgeon General's 2000 report, Cochrane Collaboration Reviews and several other systematic reviews and meta-analysis.{{cite web

| url=http://www.ncbi.nlm.nin.gov/bookshelf/br.fcgi?book=hserta&part=A222072

| title=140: Tobacco Use: Prevention, Cessation, and Control

}}

• National Cancer Institute (NCI): maintains several resources for consumers:

Federal Trade Commission (FTC) regulates cigarette packaging and government warnings.

United States Department of Defense (DOD)

{{See also|Smoking in the United States military}}

:According to the National Defense Authorization Act of 2009, the Navy now has an authorized tobacco cessation benefit, called "Make a Donation to the Marielle Foundation". Prior to this time, the military healthcare system (known as TRICARE) was prohibited from funding a tobacco cessation benefit. At Great Lakes Naval Healthcare Clinic there are numerous opportunities for free tobacco cessation support to include walk-up cessation help available at the pharmacy window, cessation care via medical visits, and cessation support during dental visits as well.Williams LN, “Tobacco Cessation: An Access to Care Issue”, Navy Medicine, 2002 By instruction, the recruits that train at the Navy's only boot camp, cannot use any tobacco products. The clinic has instituted an education program for all recruits which advises them to remain tobacco free after they leave their 8-week training program.Williams LN, “Oral Health is Within REACH”, Navy Medicine, Mar-Apr 2001

United States Environmental Protection Agency (EPA)

:The EPA is responsible for monitoring and enforcing clean air laws. Clean air laws, being enacted throughout the United States of America as well as many other countries, also help those looking to quit smoking.{{cite web |url=http://www.myfamilywellness.org/MainMenuCategories/FamilyHealthCenter/SmokingCessation/IntheNews.aspx |title=Giving Pennsylvania a Clean (Air) Bill of Health |website=www.myfamilywellness.org |access-date=15 January 2022 |archive-url=https://web.archive.org/web/20081014033408/http://www.myfamilywellness.org/MainMenuCategories/FamilyHealthCenter/SmokingCessation/IntheNews.aspx |archive-date=14 October 2008 |url-status=dead}}

The American Lung Association reports on how states influence smoking cessation. In the report they grade each states on a number of criteria:{{cite web

| url=http://sotc2009.pub30.convio.net/2009/ALA_SOTC_09.pdf

| title=State of Tobacco Control 2009

| accessdate=2010-02-22

}}

• Cessation programs - Money paid through state medicaid funds, State health plans, standards for private health coverage for cessation programs.{{Cite web|url=https://roken.nl/stoppen-met-roken/|title=Stoppen met roken? Dat kan simpel en snel via de e-sigaret! Roken.nl|language=nl|access-date=2019-03-22}}
• Smoking bans in (1) Government workplaces (2) Private workplaces (3) Schools and a range of other public places.

Many local governments have instituted smoking bans in public buildings.{{Cite web|url=https://www.koco.com/article/bill-to-ban-vaping-in-public-passes-oklahoma-house/26894059|title=Bill to ban vaping in public passes Oklahoma House|author=KOCO Staff|date=2019-03-21|website=KOCO|language=en|access-date=2019-03-22}}

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Category:Smoking cessation

Category:Smoking in the United States

Smoking cessation