State Grades | State of Tobacco Control | American Lung Association

How does your state compare?

Grades for state report cards are based on five areas that have been proven to prevent and reduce tobacco use and save lives. Select your state above to see how your state did in this year’s “State of Tobacco Control” report.

State Highlights

Learn what happened to prevent and reduce tobacco use in your state in 2023 and what policies your state needs to implement in 2024.

State Methodology

This report grades state tobacco control policies in five key areas: tobacco prevention and cessation funding, smokefree air laws, state tobacco excise taxes, access to tobacco cessation treatments and flavored tobacco product laws.

State Rankings

See how your state was graded compared to other states in the five grading areas of the “State of Tobacco Control” report.

Historical State Rankings

View a chart that shows the grades states have received in previous years in each state grading category.