There are many factors that impact whether people smoke--and how likely they are to be able to quit. Environment, stress, tobacco industry targeting, mental health status, and access to cessation services and medicines are some of the many factors.
Because of these factors, adults who are insured by MassHealth are twice as likely to smoke (20.5%) than privately insured adults in Massachusetts (10%). (MA BRFSS 2019)
In 2019, the percentage of smokers insured by MassHealth who self-reported poor mental health was 37.7%. (MA BRFSS 2019) To best reach these smokers, it's essential to let behavioral health providers provide smoking cessation services through MassHealth.