State of Tobacco Control 2023

Proven Policies to Prevent and Reduce Tobacco Use

lungs illustration

How does your state compare?

The 20th 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 recognizes the progress that has been made toward reducing tobacco use over the past 20 years and how youth vaping and flavored tobacco products threaten that progress. The report also outlines the federal, state and local policy actions that are necessary to put the country on a path to end tobacco use and eliminate health inequities made worse by tobacco use over the next 20 years.

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. This year we are asking President Biden to finalize important rules proposed in 2022 to end the sale of menthol cigarettes and flavored cigars.

Methodology and Sources

Discusses in detail how federal and state grades for “State of Tobacco Control” are calculated and where information in the report is obtained from.

For the Media

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