Louisiana Highlights
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Tobacco use remains the leading cause of preventable death and disease in the United States and in Louisiana. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Louisiana's elected officials:
- Increase tobacco prevention and quit tobacco funding to account for uncertainty at the federal level;
- Increase retail license fees and provide funding for increased tobacco prevention and control to ensure enforcement of regulations to stop the illegal sale of tobacco and nicotine to youth; and
- Strengthen the existing statewide smokefree law to include bar and casino worker protections.
House Bill 412 allows synthetic nicotine products to be sold in Louisiana in accordance with the e-cigarette directory passed in 2023. The bill was amended in committee to increase tobacco retail license fees and forbid the sale of vapor and alternative nicotine products directly to the consumer via mail or the internet. The Lung Association supported the aspects of the bill that promoted increased tobacco control and prevention but the bill was ultimately amended to remove the positive provisions and approved by the legislature.
House Bills 398 and 517 were sponsored by champion Ken Brass who worked with the Lung Association and partners within the Tobacco-Free Louisiana Coalition. Both bills dealt with increasing taxes on vapor and alternative nicotine products and a dedication of those funds to proven cessation and control programs already working in Louisiana. Unfortunately, both bills failed to make it through the legislative process. However, Representative Brass introduced House Resolution 374, which created the Youth Tobacco and Nicotine Cessation Task Force to study the effects and impacts of nicotine use by persons under 21 years of age and to recommend policy solutions to the nicotine epidemic in Louisiana.
The influence of the tobacco industry was very apparent in many of the bills during the 2025 legislative session, especially House Bill 669. The bill would have defined heat-not-burn tobacco products and reduced the tax on them by 33% before they even were sold on the market. Thankfully, at the last moment, a Senate floor amendment, supported by the Lung Association and partners, stripped the bill of its tax cut and now allows the products to be sold in Louisiana under our current cigarette tax.
There continues to be support within local municipalities for public health protections from secondhand smoke. The towns of Winnfield and Gibson passed comprehensive smokefree air ordinances since our last State of Tobacco Control report. Bar workers in these communities are now protected from the dangers of secondhand smoke exposure.
In 2026, the American Lung Association will join our tobacco control partners to educate state legislators about the health and economic benefits of strong tobacco control policies, including well-funded tobacco prevention and control programs. The Lung Association will also continue to work with partners in the Coalition for a Tobacco Free Louisiana to ensure successful passage and preservation of comprehensive local smokefree ordinances.
Louisiana Facts |
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|---|---|
| Healthcare Costs Due to Smoking: | $1,891,666,196 |
| Adult Smoking Rate: | 15.70% |
| Adult Tobacco Use Rate: | 25.40% |
| High School Smoking Rate: | 7.00% |
| High School Tobacco Use Rate: | 25.50% |
| Middle School Smoking Rate: | 3.80% |
| Smoking Attributable Deaths per Year: | 7,210 |
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 smoking and tobacco use rates are taken from the 2021 Youth Risk Behavior Surveillance System. Middle school smoking rate is taken from the 2017 Youth Tobacco Survey.
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.
Louisiana Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.