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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:

  1. Ensure access to comprehensive quit tobacco coverage for Medicaid recipients;
  2. Implement a comprehensive tobacco retail licensing program to ensure enforcement and compliance with tobacco control statutes; and
  3. Pass comprehensive local smokefree ordinances that protect all workers and patrons from secondhand smoke.
The 2024 legislative session was a busy one for tobacco prevention and control issues. The Lung Association and other public health partners educated on proven methods for state tobacco control licensing, enforcement, and compliance of tobacco products, including e-cigarettes. For several years, Representative Drummond has attempted to pass legislation to further regulate tobacco products in the state. This legislative session was no different with the introduction of House Bill 65 that would have instituted additional accountability for tobacco retailers and adjusted the youth penalty structure for purchase, use and possession of tobacco products, including e-cigarettes. The legislation was considered in both chambers but failed to pass.

The Alabama Legislature also considered House Bill 438 by Representative Hollis which would have created a new category of tobacco products for heated tobacco products. These products would have been exempted from taxation. The Lung Association was actively opposed to this legislation led by Phillip Morris International. The legislation failed to pass.

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. We are grateful to the 33 municipalities who continue to protect their residents from exposure to secondhand smoke. The Lung Association continues to be engaged with community education on the dangers of tobacco use and secondhand smoke across Alabama as appropriate.

In 2025, the American Lung Association will advocate for access to comprehensive quit tobacco coverage for Medicaid recipients and for the implementation of a comprehensive tobacco retail licensing program that will ensure enforcement and compliance with tobacco control statutes. The Lung Association will continue educating state legislators on best practices for tobacco control, including 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
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.

Alabama Information

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

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