California Highlights
How does your state compare?
Tobacco use remains the leading cause of preventable death and disease in the United States and in California. To address this enormous toll, the American Lung Association calls for the following actions to be taken by California's elected officials:
- Enact smokefree laws, particularly limitations on secondhand smoke exposure; and
- Restrictions on tobacco product sales.
California Governor Gavin Newsom also signed Assembly Bill 3218 into law, allowing the Attorney General to create an unflavored tobacco list (UTL). The UTL will contain only tobacco products that lack characterizing flavors. And any product that is not on the UTL would be deemed a prohibited flavored tobacco product. To get a product on the UTL, manufacturers and importers must certify to the Attorney General’s office, under penalty of perjury, that their products are unflavored.
Both AB 3218 and SB 1230 close loopholes in Senate Bill 793, California’s flavor law prohibiting the retail sale of most flavored tobacco products. The new laws aim to strengthen and streamline enforcement of prohibited flavored tobacco product sales. These bills were partially in response to the tobacco industry introducing new products that lack menthol but have a similar cooling sensation that were not covered by the flavored tobacco product law.
However, Governor Gavin Newsom signed Assembly Bill 1775 (Assemblymember Haney), which weakened the statewide smokefree law, allowing local jurisdictions to permit cannabis consumption lounges to sell non-cannabis infused food and host live entertainment, thereby exposing workers to secondhand cannabis smoke and reversing 30 years of smokefree restaurants.
Throughout 2024, localities across the state continued their efforts to pass comprehensive flavored tobacco laws, which, in some cases, were stronger than state law. This included unincorporated Lake County Santa Rosa, Sonoma County, Emeryville, Alameda County, Burlingame, San Mateo County Clovis, and Fresno County.
Progress continued other comprehensive tobacco control measures across the state in large and rural localities. Localities also passed laws prohibiting smoking in multiunit housing, making specific outdoor locations smokefree, and reducing the number and density of tobacco retailers, continuing the positive trend in tobacco control on the local level.
In 2024, the California Department of Tobacco Control created media campaigns and worked with local partners throughout California to create smokefree environments, counter the tobacco industry's aggressive marketing practices, prevent the illegal sale of tobacco products to underage young people, and provide tobacco cessation services.
In 2025, the American Lung Association will monitor the implementation of Assembly Bill 3218, the Unflavored Tobacco law; encourage local communities to pass robust tobacco control policies and smokefree laws, including encouraging communities to not allow the smoking or vaping of cannabis in public places; promote the smoking cessation program Kick-It California; and work towards ending the tobacco epidemic in California.
California Facts |
|
---|---|
Healthcare Costs Due to Smoking: | $13,292,359,950 |
Adult Smoking Rate: | 8.50% |
Adult Tobacco Use Rate: | 13.80% |
High School Smoking Rate: | 1.20% |
High School Tobacco Use Rate: | 6.60% |
Middle School Smoking Rate: | 0.40% |
Smoking Attributable Deaths per Year: | 39,950 |
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 (10th and 12th grade only) smoking and tobacco use and middle school (8th grade only) smoking data come from the 2022 California Youth Tobacco Survey. High school tobacco use includes cigarettes, cigars, smokeless tobacco, and electronic vapor products, as well as hookah and heated tobacco products, making it incomparable to other states.
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.
California Information
Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.