Although the VA system has prioritized the implementation of smoking cessation interventions, introducing similar practices in other mental health systems remains a challenge. One surmountable barrier is the historical reluctance of mental health clinicians to provide smoking cessation interventions to their patients who smoke. This reluctance is often attributed to the belief that patients with mental illness are less likely to want to quit smoking than those without mental illness and that smoking cessation interventions are ineffective. Both of these beliefs are largely unfounded. Also, administrators of mental health clinics may be reluctant to encourage provision of such interventions because of concerns about limited resources, inadequate reimbursement, and competing demands on clinician time. Mitigating these factors are changes in the reimbursement structure that are included in the Affordable Care Act and free and accessible state-sponsored smoking cessation resources, such as telephone quit lines.