Tobacco Prevention and Control Program Sustainability Strategies
Rural tobacco prevention and control programs sustain program funding through:
Contributions from partner organizations – Partner organizations can contribute
funding, in-kind time, staff/volunteers, or space for meetings and classes
Funding from grants and contracts – For example, The Truth Initiative or the
Foundation for Rural Service, and
the W.K. Kellogg Foundation
Funding from state agencies – For example, state departments of human services and
departments of health
Funding from the Master
Settlement Agreement (MSA)
In 2008, North Dakota voters passed a measure to use MSA dollars to fund and administer the Center for Tobacco Control Policy (BreatheND), which
which conducted tobacco prevention and control activities. This program ended in 2017.
More information on state tobacco prevention spending and state tobacco revenues is available
through the Campaign for
Funding from federal agencies
Reimbursement from insurance programs – The American Lung Association describes
how different insurance plans cover tobacco cessation services for beneficiaries. States may be able
to secure Medicaid
funding for services provided through tobacco quitlines. Program planners should determine
which non-physician personnel are eligible to provide tobacco counseling in their state and which
major insurance programs will cover counseling.
The Rural Community Health Toolkit also provides information about general Sustainability
Strategies and Sustainability
Strategies for Specific Issues.
Resources to Learn More
Smoking Cessation Therapy: A Healthcare Practitioner's Guide
Reimbursement is a complicated process and this guide walks through many of those considerations and
understand the regulating legislation. The guide explains different payers and stakeholders,
available resources, and coding for billing. This was produced before the Affordable Care Act, so
users should verify current legislation in addition to the information included.
Organization(s): Professional Assisted Cessation Therapy (PACT)
State Funding For Tobacco Control
This report explores the importance of state support to sustain tobacco control program and the
current state of states' investment in tobacco control programs.
Organization(s): Centers for Disease Control and Prevention, National Center for Chronic
Disease Prevention and Health Promotion, Office on Smoking and Health