February 2025

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February 2025

The Ohio Health Value Review is a quarterly electronic update from the Health Policy Institute of Ohio designed to provide evidence-informed resources and highlight opportunities for sectors to work together to improve health value in our state. If you have questions about the newsletter or have suggested tools or resources you would like to see included in future editions, please contact Nick Wiselogel, HPIO’s Vice President of Communications and Design.


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Included in Gov. Mike DeWine’s recently released biennial budget plan is a proposal to increase the state cigarette tax to $3.10 per pack, up from the current rate of $1.60. According to 2023 data in HPIO’s Health Value Dashboard, Ohio ranks 29th in cigarette tax rate, compared to the other 49 states and D.C., as displayed below. The new proposed tax rate would move Ohio into the top 10 highest, compared to the most-recent data available for other states. 

The Dashboard found that “Nicotine dependence and tobacco are leading drivers of poor health outcomes, such as cancer, heart disease and stroke, and contribute to higher healthcare spending.” 

According to the American Lung Association’s State of Tobacco Control 2025 report, “Increasing taxes on all tobacco products, including e-cigarettes, is one of the most effective ways to reduce tobacco use, especially among youth. Multiple studies have shown that every 10% increase in the price of cigarettes reduces consumption by about 4% among adults and about 7% among youth.” 

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Health value resources

The resources below, organized by the domains in HPIO’s Health Value Dashboard, can be used to help improve health value in Ohio.

Population health and healthcare spending

Social and economic environment

Physical environment

Access to care

Healthcare system

Public health and prevention

Health equity


Past editions of Ohio Health Value Review