Below are the states that earned the best and worst grades in the American Lung Association’s “State of Tobacco Control” 2026 report. It also includes a breakdown of the grades for all 50 states and the District of Columbia in each state grading category. Grades range from A to F and several states received Incomplete (I) grades.
Did Your State Make the Grade?
State Grades Tallied by Grading Category:
Tobacco Program Funding A – 5 B – 2 C – 2 D – 2 F – 39 + D.C. I – 0 | Smokefree Air A – 13 + D.C. B – 12 C – 9 D – 3 F – 12 I – 1 | Tobacco Taxes A – D.C. B – 8 C – 4 D – 3 F – 35 I – 0 |
Access to Cessation A – 11 B – 7 C – 13 + D.C. D – 10 F – 8 I – 1 | Flavored Tobacco Products A – 1 + D.C. B – 1 C – 0 D – 2 F – 46 I – 0 | How Does Your State Compare?  |
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State of Tobacco Control 2026 State Grades Summary
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Page last updated: January 27, 2026