State of Tobacco Control 2023
Proven Policies to Prevent and Reduce Tobacco Use
How does your state compare?
The 21st 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. In the report, the Lung Association assigns letter grades, A through F, to the state and federal policies best proven to prevent and reduce tobacco use.
This year's report highlights the states with the best and worst policies to prevent and reduce tobacco use and finds dramatic differences between the strength of states’ tobacco control laws. The new report also shows new steps taken at the federal level to prevent youth tobacco use, including new proposed rules to end the sale of menthol cigarettes and flavored cigars and new action from Congress giving the Food and Drug Administration (FDA) authority over tobacco products made with synthetic nicotine.
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.
By 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 and company misdeeds.
Get quick stats and key facts about tobacco control.
Tobacco Control Milestones
View some of our victories and milestones in the American Lung Association's efforts to end tobacco use.
Tobacco Policy Reports and Resources
Take a look at the American Lung Association's reports and websites on various tobacco control policy topics.
12-Point Plan to End Tobacco Use
View the American Lung Association’s Bold 12-Point Advocacy Plan to eliminate tobacco use, including vaping.
Lung Association E-Cigarette Resources
View American Lung Association information and resources to help end the youth vaping epidemic.