Alabama Highlights
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Tobacco use remains the leading cause of preventable death and disease in the United States and in Alabama. To address this enormous toll, the American Lung Association calls for the following actions to be taken by Alabama's elected officials:
- Ensure access to comprehensive quit tobacco coverage for Medicaid recipients;
- Implement a tobacco retail licensing program to ensure enforcement and compliance with tobacco control statutes; and
- Pass comprehensive local smokefree ordinances that protect all workers and patrons from secondhand smoke.
The Alabama Legislature considered and passed House Bill 357 by Representative Hollis which creates a new definition for heated tobacco products and allows these products to be taxed at 50% the rate of cigarettes. The Lung Association actively opposed this legislation led by Phillip Morris International. We will continue to monitor these products when they are available in Alabama.
House Bill 529 was also passed to enact a 10 cents per milliliter tax on e-cigarettes. The legislation allowed local municipalities to pass local e-cigarette tax ordinances before October 1, 2025. A number of municipalities, including Montgomery, Birmingham, Orange Beach, and Mobile, passed local ordinances to enact a similar tax on e-cigarettes before the deadline. The tax does not go into effect until October 1, 2026.
Local public health coalitions and communities continue to be limited in their ability to focus on tobacco control issues, such as implementing strong smokefree ordinances. The Lung Association is grateful to the 33 municipalities that continue to protect their residents from exposure to secondhand smoke and continues to engage as appropriate.
In 2026, the American Lung Association will advocate for access to comprehensive quit tobacco coverage for Medicaid recipients and will be monitoring the implementation of the new tobacco retail licensing program that will ensure enforcement and compliance with tobacco control statutes. The Lung Association will continue educating state legislators on the benefits of a statewide smokefree law, while also monitoring and combating tobacco industry influence on state public health policies. To reduce the death and disease caused by tobacco use in Alabama, state legislators will need to recognize the health and economic burden of tobacco and secondhand smoke exposure by enacting public health protections and investing in evidence-based tobacco prevention programs.
Alabama Facts |
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|---|---|
| Healthcare Costs Due to Smoking: | $1,885,747,576 |
| Adult Smoking Rate: | 14.20% |
| Adult Tobacco Use Rate: | 24.90% |
| High School Smoking Rate: | 5.70% |
| High School Tobacco Use Rate: | 18.60% |
| Middle School Smoking Rate: | N/A |
| Smoking Attributable Deaths per Year: | 8,650 |
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 rates are taken from the 2021 Youth Risk Behavior Surveillance System. A current middle school smoking rate is not available for this state.
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.
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.
Alabama Information
Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.