


State of Tobacco Control 2019:
Proven Policies to Prevent and Reduce Tobacco Use

Did YOUR state make the grade?
State of Tobacco Control
The 17th 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 must do to eliminate the death and disease caused by tobacco use. This year's report focuses on the failure of states and the federal government to act to fight tobacco use, and the consequences of this, including an epidemic of youth e-cigarette use.
Did YOUR state make the grade?
Key Findings

Read the executive summary to learn about how the failure of states and the federal government to act are placing the lung health and lives of Americans at risk.
Learn moreState Grades

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

The federal government is graded in four key areas where federal policymakers must take action to prevent and reduce tobacco use and save lives.
Learn moreBy the Numbers

See lists of the impacts from tobacco use and secondhand smoke, from 10 of the worst diseases smoking causes to the most appalling facts about tobacco, including e-cigarette, company misdeeds.
Learn moreFor the Media

Journalists can access press releases, experts available for interview, b-roll, the full "State of Tobacco Control" report and more.
Learn moreHelp Fight Tobacco Use

Join our efforts to eliminate tobacco-caused death and disease. By taking action to prevent and reduce tobacco use in your state, you are standing with the American Lung Association to advance the fight against lung disease.
Take ActionTobacco Control Milestones

View some of our victories and milestones in the American Lung Association's and our country's efforts to fight tobacco use.
Learn more