 An estimated 6.6 million parents who smoke visit pediatric emergency departments PED annually. Up to 50 of these parental smokers are from low-income, raciallyethnically diverse households in which a variety of tobacco-related disparities TRD exist for both the parents and their children. The PED is an ideal setting in which to address these disparities, which include differences in tobacco use, pediatric second hand smoke exposure SHSe, quit rates, access to cessation resources, and morbidity such as cancer. The team has conducted the only two small-scale randomized control trials RCTs investigating the efficacy of providing smoking cessation counseling to parents in the PED setting. This previous research indicates that parental smokers who visit the PED are aware of the pediatric effects of SHSe, motivated to quit, eager to receive cessation counseling in this setting, and show trends towards quitting. 