How does your state compare?

Federal Regulation of Tobacco Products Federal Quit Smoking Coverage Federal Tobacco Taxes Federal Mass Media Campaigns Federal Minimum Age
C D F A A
Federal Regulation of Tobacco Products C
Federal Quit Smoking Coverage D
Federal Tobacco Taxes F
Federal Mass Media Campaigns A
Federal Minimum Age A

The American Lung Association has identified five key actions for the Trump administration and Congress to take in 2025 that will reduce the death and disease caused by tobacco use:

  1. Congress must at least maintain current funding for the Centers for Disease Control and Prevention (CDC)’s Office on Smoking and Health to ensure dissemination of the “Tips from Former Smokers” campaign and resources for states and territories to prevent youth tobacco use;
  2. Congress must protect both standard Medicaid and Medicaid expansion to ensure that people with the highest smoking rates can access quit tobacco treatments;
  3. The U.S. Food and Drug Administration (FDA), the U.S. Department of Justice (DOJ), and other members of the multi-agency task force must act to remove all illegal tobacco products from the marketplace. To support these efforts, Congress must pass legislation requiring e-cigarette manufacturers to pay user fees, providing the FDA with the resources needed for stronger oversight and enforcement;
  4. The FDA must propose and finalize regulations to implement “track and trace” technology on all tobacco products to prevent an illicit market, counterfeit and smuggling activities; and
  5. The FDA must improve and expand options for tobacco cessation medications and help all people, including youth, in the U.S. end their addiction to tobacco products.

Federal Information

Learn more about specific legislation regarding efforts toward effective Tobacco Control.

Highlights Methodology

Federal Information

Learn more about specific legislation regarding efforts towards effective Tobacco Control.

Highlights Methodology
Federal Regulation of Tobacco Products
Thumbs Up

Thumbs down – Thumbs down for former  President Biden for failing to finalize rules to end the sale of menthol cigarettes and flavored cigars

Federal Regulation of Tobacco Products

Overall Grade C
Implementation of Rule Asserting Authority over All Tobacco Products: Rule partially implemented
Graphic Cigarette Warning Labels: Warning labels finalized, but not in effect*
Product Standards, including Flavored Tobacco Products: Product standards to end the sale of menthol cigarettes and flavored cigars; and reduce nicotine levels in cigarettes and some other tobacco products proposed
Funding for FDA Center for Tobacco Products: Full funding without policy riders

* FDA has finalized graphic warning labels for cigarettes, but the rule is on hold due to a court order until the legal challenges to the rule are resolved.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Federal Quit Smoking Coverage

Federal Quit Smoking Coverage

Overall Grade D
Medicaid Coverage: Partially Required
Medicare Coverage: Partially Covered
TRICARE Coverage: Covered
Federal Employee Health Benefits Coverage: Covered
State Health Insurance Exchanges: Partially Required

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Federal Tobacco Taxes

Federal Tobacco Taxes

Overall Grade F
Cigarette Tax:
Tax rate per pack of 20: $1.01
Other Tobacco Product Taxes:
Little Cigars: Equalized: Yes; Weight-Based: Yes
Large Cigars: Equalized: No; Weight-Based: No
Smokeless Tobacco: Equalized: No; Weight-Based: Yes
Pipe/RYO Tobacco: Equalized: No; Weight-Based: Yes 
E-Cigarettes: Equalized: N/A; Weight-Based: N/A

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Federal Mass Media Campaigns

Federal Mass Media Campaigns

Overall Grade A
Tips from Former Smokers Media Campaign:
Reach: Meets Target
Duration: Under Target
Frequency: Meets Target
Promotion of Services: Meets Target
FDA "Real Costs" Media Campaign:
Reach: Meets Target
Duration: Meets Target
Frequency: Meets Target
Promotion of Services: Under Target

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Federal Minimum Age
Thumbs Up

Thumbs Up – Thumbs up for FDA for finalizing rules to implement the 2019 law increasing the tobacco sales age to 21.

Federal Minimum Age

Overall Grade A
Minimum Age of Sale for Tobacco Products: 21

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action