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

  1. Fund tobacco control programs at the Centers for Disease Control and Prevention (CDC)-recommended level;
  2. Close the smoking lounge loophole created in the Rhode Island Smokefree Casino legislation; and
  3. Defend the state's flavored e-cigarette restriction against further weakening resulting in bringing flavored products back onto the market.
During the 2025 Rhode Island legislative session, the American Lung Association weighed in on many tobacco-related bills related to cessation, funding, youth access, and more. The General Assembly passed a fiscal year 2026 state budget that provided level funding for the Tobacco Control Program, far below the CDC's recommended level. Two industry-led bills gained momentum this year, one of which would have brought flavored e-cigarettes back onto the market in Rhode Island. The other would have reduced taxes for certain tobacco products including heated tobacco products. After strong pushback both bills were successfully defeated prior to adjourning session. After tremendous effort and a multi-year campaign, the General Assembly passed smokefree casino legislation that was originally intended to make the state's two casinos fully smokefree; however, in the final days of session, the bill was passed with a detrimental amendment that allows open-air smoking lounges through the casinos.

Tobacco Free Rhode Island (TFRI), a grant previously funded through the Department of Health and administered by the Lung Association, had all grant funding eliminated in April 2025 as a result of the elimination of CDC's Office on Smoking and Health. Prior to grant funding being eliminated, the TFRI staff successfully led Rhode Island's statewide youth tobacco movement, co-hosted a statewide vaping conference for educators and school administrators, and ran a robust network of working groups focused on policy, cessation, and mitigating health disparities. TFRI also provided funding to ten Rhode Island schools as part of the Vape-free School Initiative to move forward model smokefree school policy, implement alternative to suspension programming and provide youth quit support.

In May 2025, the Lung Association led a Day of Action alongside state partners at the Rhode Island State House. The day included over 200 advocates gathering at the State House for a rally with casino employees, union representatives, medical professionals, legislator champions, and youth. Following the rally, advocates found their legislators on the House and Senate floor to educate them on the importance of smokefree casinos and adequately funding tobacco control and prevention.

Looking ahead to 2026, the American Lung Association calls on Rhode Island policy makers now more than ever, to adequately fund tobacco control efforts at or above the CDC-recommended level to ensure all Rhode Islanders are protected from a lifetime of tobacco dependence and disease.

Rhode Island Facts
Healthcare Costs Due to Smoking: $639,604,224
Adult Smoking Rate: 9.50%
Adult Tobacco Use Rate: 15.20%
High School Smoking Rate: 3.10%
High School Tobacco Use Rate: 17.30%
Middle School Smoking Rate: 1.60%
Smoking Attributable Deaths per Year: 1,780
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 data come from CDC's 2023 Youth Risk Behavior Surveillance System. Middle school smoking rate is taken from the 2019 Rhode Island Youth Risk Behavior 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.

Rhode Island Information

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