New Report: Missouri Earns Mostly Failing Grades for Tobacco Control Policies; Experts Recommend Focus on Tobacco Prevention and Control Funding

American Lung Association “State of Tobacco Control” report releases Missouri grades for tobacco control policies, outlines steps to reduce burden of tobacco

Today, the American Lung Association released the 22nd annual “State of Tobacco Control” report, which finds that Missouri received four F grades and one D grade for efforts to prevent and reduce tobacco use. This year’s report noted the need for Missouri policymakers to focus on strengthening the state smoke free policy and supporting local tobacco control policies.

The “State of Tobacco Control” report evaluates state and federal policies on actions taken to eliminate tobacco use and recommends proven-effective tobacco control laws and policies to save lives.

“Tobacco use is the leading cause of death in Missouri and across the country and takes the lives of 10,970 state residents each year. The tobacco industry will do anything to protect their profits at the expense of Missouri lives, so we must push forward in our efforts to prevent and reduce tobacco use,” said Laura Turner, Director of Advocacy at the American Lung Association in Missouri. “This year, we are working with state policymakers to focus on maintaining current funding for tobacco prevention and quit smoking programs and planning for ongoing increases in funding. Despite receiving $263,200,000 from tobacco settlement payments and tobacco taxes, Missouri only funds tobacco control efforts at 5.8% of the level recommended by the Centers for Disease Control and Prevention (CDC). The Lung Association urges Governor Parson and the legislature to increase funding for this critical program.

“Additionally, we are calling on Missouri legislators to oppose policies that restrict the ability of local governments to enact tobacco control policies that are best for their communities. When state and local governments cooperate, local governments can have the ability to strengthen tobacco policies informed by their communities.”

Missouri’s Grades
The “State of Tobacco Control” report grades states and the District of Columbia in five areas that have been proven to prevent and reduce tobacco use and save lives. In the 2024 report, Missouri received the following grades:

  1. Funding for State Tobacco Prevention Programs – Grade F
  2. Strength of Smokefree Workplace Laws – Grade F
  3. Level of State Tobacco Taxes – Grade F
  4. Coverage and Access to Services to Quit Tobacco – Grade C
  5. Ending the Sale of All Flavored Tobacco Products – Grade F

Federal Grades Overview
This year’s report focuses on recent federal actions, including President Biden’s failure to finalize rules to end the sale of menthol cigarettes and flavored cigars, as well as FDA’s overdue review of all applications for e-cigarette products, including flavors that are popular among youth. Because of the delay on the federal rules to end the sale of menthol cigarettes and flavored cigars, it is even more important for states to enact laws to end the sale of all flavored tobacco products.

The 2024 “State of Tobacco Control” report grades the federal government in five areas:

  • Federal Government Regulation of Tobacco Products – Grade C
  • Federal Coverage of Quit Smoking Treatments – Grade D
  • Level of Federal Tobacco Taxes – Grade F
  • Federal Mass Media Campaigns to Prevent and Reduce Tobacco Use – Grade: A
  • Federal Minimum Age of Sale for Tobacco Products to 21 – Incomplete*

*FDA remains grossly overdue in publishing the final Tobacco 21 regulations as required by statute, which is why it earns an “incomplete.” 

The Lung Association calls on the White House to urgently finalize rules to end the sales of menthol cigarettes and flavored cigars in the U.S. to save lives now. Send an email to President Biden at to insist these rules be finalized urgently. To learn more about this year’s “State of Tobacco Control” grades and take action, visit

*State Funding for Tobacco Prevention Programs grades in “State of Tobacco Control” reflect actions taken by elected officials and do not reflect on the hard work of state tobacco control programs or advocates.

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For more information, contact:

Janye Killelea
[email protected]

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