State of Tobacco Control 2022

Proven Policies to Prevent and Reduce Tobacco Use

How does your state compare?

The 19th annual American Lung Association "State of Tobacco Control" report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The report serves as a blueprint for what state and federal leaders need to do to eliminate the death and disease caused by tobacco use. This year's report focuses on the importance of ending tobacco use amid the pandemic, as smoking is a risk factor for the most severe COVID symptoms. This is especially important for those populations and communities most impacted overall by tobacco use and secondhand smoke, who are also facing a disproportionate burden from the pandemic. The report also discusses the actions the new Biden Administration and states need to take to prevent and reduce tobacco use.

State Grades

Grades for state report cards are based on five areas that have been proven to prevent and reduce tobacco use and save lives.
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Key Findings

The American Lung Association State of Tobacco Control Key Findings discusses federal and state efforts to prevent and reduce tobacco use in 2021 and what policies need to be enacted in 2022.
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Federal Grades

See how the federal government scored in this year's State of Tobacco Control report.
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Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. By taking action to prevent and reduce tobacco use in your state, you are standing with the American Lung Association to prevent and reduce lung disease.

Methodology and Sources

How the data is compiled and compared to show how lung cancer burden varies from state to state, and an overview of sources.


For the Media

Journalists can access press releases, experts available for interview, b-roll, downloadable print report, infographics, images and more.