State of Tobacco Control 2023

The 21st annual American Lung Association "State of Tobacco Control" report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The report serves as a blueprint for what state and federal leaders need to do to eliminate the death and disease caused by tobacco use. In the report, the Lung Association assigns letter grades, A through F, to the state and federal policies best proven to prevent and reduce tobacco use.

This year's report highlights the states with the best and worst policies to prevent and reduce tobacco use and finds dramatic differences between the strength of states’ tobacco control laws. The new report also shows new steps taken at the federal level to prevent youth tobacco use, including new proposed rules to end the sale of menthol cigarettes and flavored cigars and new action from Congress giving the Food and Drug Administration (FDA) authority over tobacco products made with synthetic nicotine.