State of Tobacco Control 2022
Proven Policies to Prevent and Reduce Tobacco Use
How does your state compare?
The 20th 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. This year's report recognizes the progress that has been made toward reducing tobacco use over the past 20 years and how youth vaping and flavored tobacco products threaten that progress. The report also outlines the federal, state and local policy actions that are necessary to put the country on a path to end tobacco use and eliminate health inequities made worse by tobacco use over the next 20 years.
State Grades
Key Findings
Federal Grades
Help Fight Tobacco Use
Join our efforts to create a tobacco-free future. By taking action to prevent and reduce tobacco use in your state, you are standing with the American Lung Association to prevent and reduce lung disease.
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, company misdeeds.
Tobacco Facts
Get quick stats and key facts about tobacco control.
Tobacco Control Milestones
View some of our victories and milestones in the American Lung Association's efforts to fight tobacco use.
Tobacco Policy Reports and Resources
Take a look at the American Lung Association's reports and websites on key tobacco control issues.
12-Point Plan to End Tobacco Use
View the American Lung Association’s Bold 12-Point Advocacy Plan to eliminate tobacco use, including vaping.
Lung Association E-Cigarette Resources
View American Lung Association information and resources to help end the youth vaping epidemic.