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Tobacco use remains the leading cause of preventable death and disease in the United States and in Mississippi. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Mississippi's elected officials:

  1. Increase funding for the Mississippi tobacco prevention and cessation program expanding access to tobacco cessation treatments to more people;
  2. Ensure smokefree protections for all workers and residents with the passage of a comprehensive statewide smokefree law; and
  3. Guarantee access to comprehensive quit tobacco coverage with no barriers to care for Medicaid recipients.
Tobacco prevention and control issues were not a priority for the Mississippi Legislature in 2025. While comprehensive statewide smokefree bills that would have eliminated smoking in virtually all public places and workplaces, including restaurants, bars and casinos were introduced, all of them died in committee. There were also two bills introduced that would have increased the e-cigarette and vapor product tax by 15%. While the filed tax bills died early in committee, there was also increased legislative activity to secure tobacco industry priorities such as the two U.S. Food and Drug Administration premarket tobacco application e-cigarette registry-related bills.

House Bill 916, also known as the Mississippi E-Cigarette Registry Bill, was approved by the Governor in May 2025. Lawmakers claimed the bill would address the youth e-cigarette epidemic. “Directory bills” like HB916 are being introduced across the country by major tobacco companies as a way to cut out competitors and increase market share while distracting legislators from enacting policies with proven public health benefits, such as higher tobacco taxes, statewide comprehensive smokefree air law, and restricting flavored tobacco products. The American Lung Association and partners continue to support proven tobacco control policies that provide public health benefits for our youth.

There continues to be significant support in local municipalities for public health protections from secondhand smoke. According to the Mississippi State University Social Science Research Center, Mississippi Tobacco Data, a total of 189 cities and 7 counties have adopted comprehensive smokefree ordinances that cover private workplaces, restaurants and bars. This accounts for approximately 37% of Mississippians being protected by smokefree policies.

In 2026, the American Lung Association will continue to advocate for the benefits of tobacco control policies, including the need to protect all workers by passing comprehensive protections from secondhand smoke. In order to meet the bold goals in Mississippi, state legislators will need to recognize the health and economic burden of tobacco use and exposure to secondhand smoke in our state. The Lung Association will also continue to work with partners to ensure successful passage and preservation of comprehensive local smokefree ordinances.

Mississippi Facts
Healthcare Costs Due to Smoking: $1,236,940,761
Adult Smoking Rate: 15.60%
Adult Tobacco Use Rate: 27.20%
High School Smoking Rate: 5.10%
High School Tobacco Use Rate: 18.50%
Middle School Smoking Rate: N/A
Smoking Attributable Deaths per Year: 5,410
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 CDC's 2023 Youth Risk Behavior Surveillance System. A current middle school smoking rate is not available for this 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.

Mississippi Information

Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.

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