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Marguerite E. Burns, MA, Timothy W. Bosworth, PhD and Michael C. Fiore, MD, MPH

Marguerite E. Burns is with the Center for Tobacco Research and Intervention and the Department of Population Health Sciences, University of Wisconsin Medical School, Madison. Timothy W. Bosworth is with the Center for Tobacco Research and Intervention, University of Wisconsin Medical School, Madison. Michael C. Fiore is with the Center for Tobacco Research and Intervention and the Department of Medicine, University of Wisconsin Medical School, Madison.

Correspondence: Requests for reprints should be sent to Marguerite E. Burns, MA, Center for Tobacco Research and Intervention, University of Wisconsin Medical School, 1930 Monroe St, Suite 200, Madison, WI 53711 (e-mail: meburns{at}ctri.medicine.wisc.edu).

Public health experts recommend that health insurance include coverage for smoking cessation treatment as an evidence-based strategy to reduce smoking. As employers, states can implement this policy for more than 5 million individuals nationwide. This study identified the extent to which states require smoking cessation treatment insurance coverage for their employees; of 45 states, 29 required coverage for at least 1 US Public Health Service (PHS)–recommended treatment, and only 17 of 45 provided coverage that was fully consistent with PHS recommendations.

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