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TOBACCO TAX INCREASES: PROs and CONs

Volume 28, Issue 497                                             August 6, 2007

Matthew Gever

Taxing tobacco has become a popular method for states to pay for health care. Earlier this year, for example, Indiana increased taxes by 99.5 cents per pack to help expand access to the uninsured. In its battle over the reauthorization of the State Children’s Health Insurance Program (SCHIP), Congress is considering a similar approach. On August 2nd, the Senate passed a bill (S 1893) to reauthorize SCHIP with funds coming from an increase in the federal tobacco tax from 39 cents per pack to $1. The Senate Finance Committee projects the increase would raise between $25 billion and $60 billion over 5 years. Meanwhile, the House passed a similar reauthorization (H 3162) that would increase per-pack taxes by 45 cents.

Advocates note that tax increases not only raise money for health care, but encourage more people to quit by making cigarettes more expensive. Some, however, argue that cigarette taxes hurt the very people that SCHIP is supposed to help. Data from the Department of Health and Human Services and the Heritage Foundation (see below) show that the majority of smokers have incomes below 200 percent of the federal poverty level. The Heritage study also points out that 22.4 million new smokers will be needed by 2017 to fund SCHIP at the proposed level. Additionally, a new study from the Tax Foundation indicates that the proposed federal tax would take more from poorer families than any other proposed tax to raise SCHIP funds.

graph 497

Chart taken from Heritage Foundation WebMemo #1458, published July 11, 2007. The memo can be found at http://www.heritage.org/Research/HealthCare/wm1548.cfm#_ftn2

Household Income Quintile

Taxes that Could Be Used to Raise $35 Billion to Fund S-CHIP Expansion (Average Tax Increase per Household in Quintile)

Cigarette Tax Increase

Alcohol Tax Increase

Gas Tax Increase

Air Transport Tax Increase

Corporate Income Tax Increase

Payroll Tax Increase

Individual Income Tax Increase

All Households

$309

$309

$309

$309

$309

$309

$309

Bottom 20 Percent

$249

$142

$100

$62

$39

$41

$7

Second 20 Percent

$330

$214

$199

$148

$143

$160

$62

Middle 20 Percent

$359

$312

$294

$236

$248

$297

$163

Fourth 20 Percent

$336

$423

$414

$423

$414

$469

$348

Top 20 Percent

$291

$589

$713

$901

$944

$806

$1,277

Source: Tax Foundation, Fiscal Facts: Options for Funding SCHIP Expansion: Cigarette Taxes Least Defensible Alternative, July 13, 2007, http://www.taxfoundation.org/publications/show/22476.html

© Copyright 2007, State Health Notes

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