Strengthen America Strengthen America A 21st-Century Compact

§ Legislative Act Policy

Public Health Revenue

Current Status

Existing Law: Federal excise taxes on tobacco under 26 U.S.C. § 5701 (cigarette tax $1.01/pack since 2009). Alcohol taxes under 26 U.S.C. §§ 5001-5061 (rates unchanged since 1991). No federal excise on recreational cannabis, sugar-sweetened beverages, or sports betting.

Current Authority: TTB (Alcohol and Tobacco Tax and Trade Bureau) administers tobacco and alcohol taxes. No federal cannabis taxation authority exists. States regulate gambling.

Existing Limitations: Tobacco tax rate unchanged since 2009 ($1.01/pack), eroded 30%+ by inflation. Alcohol tax rates unchanged since 1991, eroded 50%+ by inflation. Recreational cannabis legal in 24 states with $4B state tax revenue but zero federal tax. Sports betting legal in 38 states generating $2B+ state taxes but zero federal revenue. Sugar-sweetened beverages face no federal tax despite $300B+ annual healthcare costs from obesity and diabetes.

Problem

Specific Harm: Vice products impose significant social costs not captured in price: tobacco causes 480,000 deaths annually¹ with $300B+ healthcare costs. Alcohol causes 140,000 deaths annually². Sugar-sweetened beverages contribute to obesity epidemic affecting 42% of adults. Gambling addiction affects 2-3% of population. Current taxes fail to internalize these costs or effectively deter consumption.

Who is Affected: All Americans bear healthcare costs of vice-related illness. Low-income communities disproportionately targeted by marketing. Families affected by addiction. Healthcare system strained by preventable conditions.

Gaps in Current Law: Tobacco and alcohol taxes frozen at nominal rates for 15-33 years. No federal cannabis taxation despite expanding legalization. No federal gambling tax despite rapid sports betting expansion. Sugar-sweetened beverages entirely untaxed despite documented health harms.

Accountability Failures: TTB lacks authority to adjust rates for inflation. Congress has not modernized vice taxation in decades. No coordination between federal and state vice taxation.

Proposed Reform

Primary Policy Change: Modernize federal vice taxation across tobacco ($3.00/pack), alcohol (proportional increases), cannabis (10% federal), gambling (2% of handle), and sugar-sweetened beverages (1.5¢/oz), generating approximately $60 billion annually while internalizing social costs.

New Requirements: Inflation indexing for all vice taxes. Federal cannabis tax coordination with state systems. Gambling operator reporting. Cannabis businesses remitting federal tax shall have access to federally-insured banking services. Treasury shall report annually on revenue by category and estimated consumption effects.

New Prohibitions: None (behavioral taxation, not prohibition).

Enforcement: TTB administration for tobacco/alcohol. IRS for cannabis/gambling/sugar. Banking access for compliant cannabis businesses. Taxes collected from licensed operators and remitted monthly.

Definitions:

  • Sugar-sweetened beverages: Beverages with added caloric sweeteners including soft drinks, energy drinks, sports drinks, sweetened teas and coffees, and fruit drinks with added sugar

  • SSB Exclusions: Beverages where sole added sweetener is 100% fruit juice. Milk and milk alternatives. Beverages for medical purposes. Beverages with zero added caloric sweeteners

Specific Tax Rates:

  • Tobacco: Cigarettes at $3.00 per pack of 20. Other tobacco products taxed proportionally on per-milligram-of-nicotine basis. Electronic nicotine delivery systems and vaping liquids at $1.00 per milliliter

  • Alcohol: Distilled spirits at $16.00 per proof gallon. Wine at $1.50 per wine gallon (≤14% ABV) with proportional increases for higher-alcohol wines. Beer at $21.00 per barrel. Small producer credits preserved but adjusted proportionally

  • Cannabis: 10% on cannabis and cannabis products sold at retail in states where lawful. Collected from licensed retailers monthly

  • Gambling: 2% on handle for sports betting and online casino through licensed operators. 5% on entry fees for daily fantasy sports contests. Tribal gaming under IGRA exempt³

  • Sugar-Sweetened Beverages: 1.5 cents per fluid ounce. Tax imposed on manufacturers or importers upon first sale

What Changes

Before: Cigarette tax $1.01/pack (2009 rate, inflation-eroded). Alcohol taxes at 1991 rates (inflation-eroded 50%+). No federal cannabis tax. No federal gambling tax. No sugar-sweetened beverage tax. Vice social costs externalized.

After: Cigarette tax $3.00/pack (inflation-indexed). Alcohol taxes modernized and indexed. 10% federal cannabis tax coordinated with states. 2% gambling handle tax. 1.5¢/oz sugar tax. Banking access for compliant cannabis businesses. $60B annual revenue.

ROI

Costs:

Item 10-Year
Administrative expansion $2.0 billion

Savings:

Item Gross Capture Net
Vice tax revenue $600.0 billion 100% $600.0 billion

Societal Benefits:

Benefit Annual NPV (3%) NPV (7%)
Healthcare cost savings $15.0 billion $128.8 billion $107.5 billion
Productivity gains $5.0 billion $42.9 billion $35.8 billion

Summary:

Category 10-Year Notes
Net Revenue $598.0 billion $60B annually minus $200M admin costs
Health Benefits $164.6 billion NPV at 3% discount rate
Total Value $762.6 billion Revenue plus societal benefits

Federal Budget Impact

$60 billion annual revenue from modernized vice taxation. Administrative costs $200 million annually for TTB expansion and IRS coordination. Net federal budget impact +$59.8 billion annually.

Societal Benefits

Reduced consumption of harmful substances through price signals. Tobacco consumption reduction ~5% from price increase. Alcohol consumption reduction ~3% from price increase. Sugar consumption reduction ~10% from price increase⁴. Healthcare cost savings estimated $10-20 billion annually from reduced consumption.

Summary

Net impact +$59.8 billion annually to federal budget. Societal health benefits through internalization of social costs. Modernizes 1990s-era tax structure with inflation indexing.

References

  1. CDC MMWR Tobacco-Related Mortality (2024) (480,000 annual deaths)
  2. NIAAA Alcohol Facts and Statistics (140,000 annual deaths)
  3. Indian Gaming Regulatory Act, 25 U.S.C. § 2701 et seq.
  4. Lancet meta-analysis on SSB taxation effectiveness (2019); Mexico SSB tax (1 peso/liter, 6% consumption reduction)
  5. 26 U.S.C. § 5701 (Tobacco Tax)
  6. 26 U.S.C. §§ 5001-5061 (Alcohol Tax)
  7. Rudd Center Sugar-Sweetened Beverage Tax Studies
  8. UK tobacco duty (£6.55/20 cigarettes, ~$8.20)
  9. Philadelphia SSB tax (1.5¢/oz, implemented 2017)
  10. Canada cannabis excise (federal-provincial coordination model)
  11. NBER Working Papers on tobacco tax elasticity

Change Log

Complete Revision (November 2025): Consolidated vice taxation into single framework with modernized rates.

Section 2(a): Set cigarette tax at $3.00/pack.

Section 4(d): Added banking access for compliant cannabis businesses.

Section 5(e): Exempted tribal gaming.

Section 6: Established 1.5¢/oz SSB tax.

2025-12-07 - Legislative Language Removal: Merged unique provisions into Proposed Reform; deleted Legislative Language section.

2025-12-07 - Inline Citations: Added superscript citations; standardized References section.

2025-12-07 - Template Standardization: Converted ROI to table format. Removed redundant Change Log details. Added spacing between bullet points.