Under the Affordable Care Act, states have the option of allowing health plans participating in online insurance marketplaces to charge smokers than non-smokers. This provision, however, is not required, and some states and the District of Columbia are . In addition, California, Massachusetts, New Jersey, New York, Rhode Island, Vermont and D.C. have declared they will not charge smokers higher premiums, .聽There is no provision in the ACA for charging overweight individuals more.

Attitudes toward smokers聽have changed little since 2003, when 65 percent said a higher rate is justifiable because of higher health costs. Smokers, not surprisingly, are聽less likely to agree with being charged more,聽the new聽poll found. Of those who had smoked cigarettes within a week of being surveyed, only 28 percent think聽higher rates are a good idea, while 65 percent of non-smokers support聽 higher premiums.

that charging smokers more for health insurance will discourage them from smoking. Some think the higher rates will cause smokers to drop their coverage altogether and some , akin to pricing health insurance differently based on gender or medical conditions.

The poll, part of the annual Consumption Habits survey, surveyed 2,027 adults in all 50 states and D.C. from July 10-14 and has a margin of error of +/- 3 percentage points.

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