California Highlights
How does your state compare?
Tobacco use remains the leading cause of preventable death and disease in the United States and in California. To address this enormous toll, the American Lung Association calls for the following actions to be taken by California's elected officials:
- Fund tobacco prevention and cessation programs at the Centers for Disease Control and Prevention (CDC) recommended levels.
- Enact smokefree laws, particularly limitations on secondhand smoke exposure.
A broad coalition, including advocates, researchers, pharmacists and pharmacy school students worked tirelessly to educate lawmakers on Assembly Bill 957, which would prohibit pharmacies from selling tobacco products. Although the bill was held in committee, it will be reconsidered in 2026. The Lung Association will continue to work with partners to advance the bill.
Assembly Bill 455 (Ortega) was signed into law, making California the first state to require sellers of residential properties to disclose known tobacco or nicotine residue and any history of smoking or vaping on the property. The new law adds information on thirdhand smoke to the environmental hazards chapter of homebuyer materials.
Assembly Bill 988 (Hadwick) would classify vape pens confiscated in schools as household hazardous waste to ensure proper handling and disposal. This bill was held in committee and will be reconsidered in 2026.
In addition to state laws enacted, localities continued to adopt tobacco control policies addressing tobacco product waste, retailer density, smoke-free multi-unit housing, smoke-free outdoor spaces, and smoke shops. These efforts at the local level collectively move California closer to the state's goal of ending the tobacco epidemic by 2035.
Notably, Marin County became the first county in the state to prohibit the sale of heated tobacco products and established a minimum price of $12 per pack for most tobacco products, with scheduled increases every two years. The towns of Ross and Tiburon joined Beverly Hills and Manhattan Beach in implementing a prohibition on the sale of almost all tobacco products. Santa Cruz County will become the first in the state to prohibit the sale of filtered cigarettes beginning in 2027.
As California continues to be a leader in passing tobacco control policies at the local level, we continue to see tobacco industry interference and misinformation about nicotine harm reduction.
In 2026, the American Lung Association and its partners will continue educating lawmakers, advocating for sustainable funding for the California Tobacco Control Program, and advancing policies that protect public health and move the state closer to ending the commercial tobacco epidemic by 2035.
California Facts |
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|---|---|
| Healthcare Costs Due to Smoking: | $13,292,359,950 |
| Adult Smoking Rate: | 8.50% |
| Adult Tobacco Use Rate: | 13.80% |
| High School Smoking Rate: | 1.20% |
| High School Tobacco Use Rate: | 6.60% |
| Middle School Smoking Rate: | 0.40% |
| Smoking Attributable Deaths per Year: | 39,950 |
Adult smoking and tobacco use data come from CDC's 2023 Behavioral Risk Factor Surveillance System; adult tobacco use includes cigarettes, smokeless tobacco and e-cigarettes. High school (10th and 12th grade only) smoking and tobacco use and middle school (8th grade only) smoking data come from the 2022 California Youth Tobacco Survey. High school tobacco use includes cigarettes, cigars, smokeless tobacco, and electronic vapor products, as well as hookah and heated tobacco products, making it incomparable to other states.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
Health impact information is taken from the Smoking-Attributable Mortality, Morbidity and Economic Costs (SAMMEC) software. Smoking-attributable deaths reflect average annual estimates for the period 2005-2009 and are calculated for persons aged 35 years and older. Smoking-attributable healthcare expenditures are based on 2004 smoking-attributable fractions and 2009 personal healthcare expenditure data. Deaths and expenditures should not be compared by state.
California Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.