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Missouri

Recent updates! – Tobacco 21 Progress

Missouri currently has an above average rate of high school and adult smoking. These rates would eventually result in the premature death of 128,000 children now under the age of 18, with 3,100 children becoming daily smokers each year.

The direct health care costs of tobacco amount to $3.03 billion annually, and lost productivity due to smoking amounts to $3.04 billion. Despite this, the state only spends 3.0% of the CDC recommended amount on tobacco prevention. The state also has the lowest per pack tax in the nation, at $0.17.

There is no preemption language present in state law keeping localities from raising the Minimum Legal Sales Age (MLSA) to 21. The state law permits local governments to impose stricter regulations regarding youth access to tobacco. Columbia became the first municipality in the state to raise their tobacco and nicotine age to 21 in 2014, largely thanks to the work of local advocate Ginny Chadwick. Now, 24 municipalities have passed Tobacco 21, with a strong coalition around Kansas City and St. Louis.

Local governments are free to enact ordinances to better protect their kids from addiction. It has been our experience that the most powerful incentive for the state legislature to act is the initiative of local citizens and governmental leaders. Statewide, California, Hawaii, New Jersey, Maine, Oregon and Massachusetts’ laws all began at the local level where powerful tobacco industry lobbyists have little sway. Local champions have largely driven this movement in non-preempted states. Constituents are an impetus for change at the community and statewide levels.

Recent Updates

  • 5/2019 – Smithville passes a Tobacco 21 policy! There are now 21 local Tobacco 21 policies representing 38.3% of the state population.

  • 4/2019 – Hallsville (effective April 8,2019) passes a Tobacco 21 policy! There are now 20 local T21 policies representing 38.1% of the state population.

  • 3/2019 – Eldon passes a Tobacco 21 bill (Effective March 27, 2019)! There are now 19 local T21 policies representing 30.1% of the state population.

  • 09/2018 – Peculiar becomes the 18th community in Missouri to adopt Tobacco 21 (effective August 2, 2018)

  • 07/2018 – Raymore becomes the 17th community in Missouri to adopt Tobacco 21

  • 4/1/18 – Oak Grove becomes the 16th community to adopt Tobacco 21

  • 11/1/17 – Parkville becomes the 15th community to adopt Tobacco 21

  • 5/17/17 – Excelsior Springs becomes the 14th community to adopt Tobacco 21

  • 4/24/17 – Des Peres becomes the 13th community to adopt Tobacco 21

  • 4/17/17 – Jefferson City becomes 12th community to adopt Tobacco 21

  • 1/1/17 – Jackson County becomes 11th community to adopt Tobacco 21, covers all unincorporated portions of the county

  • 12/1/16 – St. Louis County becomes the 10th community to adopt Tobacco 21

  • 12/1/16 – Lee's Summit becomes the 9th community to adopt Tobacco 21

  • 11/29/16 – St. Louis becomes the 8th community to adopt Tobacco 21

Show All Updates

Missouri In The News

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For More Information, Please Contact:

  • Scott Hall
  • Kansas City Chamber of Commerce
  • Senior Vice President, Civic and Community Initiatives
  • Hall@Kcchamber.Com

Other Helpful Resources:

Tobacco Free Kids Missouri

The Campaign for Tobacco-Free Kids is a leading force in the fight to reduce tobacco use and its deadly toll in the United States and around the world. Our vision: A future free of the death and disease caused by tobacco.

American Lung Association State Report Card

The ALA ‘State of Tobacco Control’ report tracks progress on key tobacco control policies at the state and federal levels, and assigns grades based on tobacco control laws and regulations in effect as of January 2, 2014.

SLATI State Information Missouri

SLATI (State Legislated Actions on Tobacco Issues) is an extensively researched and invaluable source of information on tobacco control laws and policy, and is the only up-to-date and comprehensive summary of state tobacco control laws


The Preventing Tobacco Addiction Foundation and the Campaign For Tobacco Free Kids support these four principles for Tobacco 21 ordinances:

  1. Include all tobacco and nicotine products, specifically e-cigarettes. The only exceptions would be FDA recognized nicotine replacement products (gum, patch, etc.) intended for cessation.
  2. Include significant enforcement provisions against illegal sales as research shows that consistent enforcement is of critical importance.
  3. Not include any pre-emption against local authority in more stringent regulation of tobacco or other nicotine product sales, secondhand smoke, or e-cigarette vapor.
  4. Ideally not include possession, usage, or purchase (PUP) penalties that result in criminal records, and instead place the onus on the purveyors of these addictive products.

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