Below are the states that earned the best and worst grades in the American Lung Association’s “State of Tobacco Control” 2026 report. It also includes a breakdown of the grades for all 50 states and the District of Columbia in each state grading category. Grades range from A to F and several states received Incomplete (I) grades.
Best Graded States:
Even the best states still have work to do, no state received more than 3 “A” grades.
- California: Tobacco Program Funding: D, Smokefree Air: B, Tobacco Taxes: C, Access to Cessation: A, Flavored Tobacco Products: B
- Colorado: Tobacco Program Funding: A, Smokefree Air: B, Tobacco Taxes: C, Access to Cessation: A, Flavored Tobacco Products: F
- Delaware: Tobacco Program Funding: A, Smokefree Air: A, Tobacco Taxes: D, Access to Cessation: A, Flavored Tobacco Products: F
- District of Columbia: Tobacco Program Funding: F, Smokefree Air: A, Tobacco Taxes: A, Access to Cessation: C, Flavored Tobacco Products: A
- Maine: Tobacco Program Funding: A, Smokefree Air: A, Tobacco Taxes: B, Access to Cessation: A, Flavored Tobacco Products: F
- Massachusetts: Tobacco Program Funding: F, Smokefree Air: A, Tobacco Taxes: B, Access to Cessation: C, Flavored Tobacco Products: A
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State of Tobacco Control 2026 State Grades Summary
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Page last updated: January 26, 2026