We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

The California Excise Tax on Cigarettes: The Tobacco Industry Profits From This Too

Deborah Parra-Medina, MPH; Erin Kenney, PhD, MPH; John Elder, PhD
JAMA. 1993;269(11):1387. doi:10.1001/jama.1993.03500110055031.
Text Size: A A A
Published online

To the Editor.  —With the passage of the voter-initiated Proposition 99 in the fall of 1988, the California state excise tax on cigarettes was increased by 25 cents per package. The initiative earmarked the new revenues for tobacco use control, medical care, and research activities. Traditionally, excise taxes have been used primarily to produce revenues for federal and state governments. More recently, excise taxes have received recognition as policy-based measures with potential public health benefits. Since the initiation of the tax, California cigarette purchases have fallen at a rate of 1.7% per quarter,1 and it is estimated that smoking prevalence has decreased 17%.2 The California tax increase experience has strengthened the argument that the cigarette excise tax increases make good health policy because they precipitate a drop in tobacco purchasing. Evidence from California suggests that a 5% to 7% decline in consumption may be attributed to the 1989


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.