The American Lung Association released the 23rd annual “State of Tobacco Control” report. This report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The ALA assigns letter grades, A through F, to the state and federal policies best proven to prevent and reduce tobacco use.

This year's report highlights tobacco industry aggression at the state and federal level to protect its profits at the expense of the public's health. The full report, state grades, key findings, and federal grades can be found on the ALA’s State of Tobacco Control 2025 webpage here.