State of Tobacco Control 2026
Did your state make the grade?
The 24th 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 how the tobacco prevention and control landscape at the federal level has been fundamentally altered with CDC’s Office on Smoking and Health being effectively dismantled, including the Tips from Former Smokers media campaign ending in 2026. The federal changes represent one of the most significant setbacks in tobacco prevention and control in decades and creates an opening for the tobacco industry to expand its reach and target new users. The report also shows states' progress or lack thereof on implementing policies to reduce tobacco use and help people end their addiction to tobacco.
By the Numbers
See lists of the impacts from tobacco use and secondhand smoke, from 10 of the worst diseases smoking causes to the most appalling facts about tobacco, including e-cigarette and tobacco company misdeeds.
Tobacco Facts
Get quick stats and key facts about tobacco use and tobacco prevention policies.
Tobacco Control Milestones
View some of our victories and milestones in the American Lung Association's efforts to end tobacco use.
Tobacco Policy Reports and Resources
Take a look at the American Lung Association's reports and websites on various tobacco control policy topics.
Lung Association Resources to Quit Tobacco Use
See American Lung Association information and resources to help quit tobacco use, including vaping.
Lung Association E-Cigarette Resources
View American Lung Association information and resources to help reduce youth vaping.