Fact Sheets & Reports

The American Lung Association's 2025 State of Tobacco Control

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. 

Menthol Fact Sheets from CDC OSH

CDC’s Office on Smoking and Health (OSH) has released Menthol Fact Sheets for all 50 states and the District of Columbia. These fact sheets were developed to help OSH awardees and partners with their programmatic planning and educational efforts, given the significant risk menthol cigarettes pose to public health.   

Underlying Medical Conditions that Increase Risk for Severe Illness from COVID-19

People of any age with certain underlying medical conditions are at increased risk for severe illness from COVID-19.  CDC created this webpage that lists the various medical conditions that will increase your risk of severe COVID-related illness.

COVID-19: the connection to smoking and resources for quitting

Smoking and COVID-19

Smokefree.gov provides reasons why you should consider quitting smoking during the COVID-19 epidemic and resources to help you quit.

What You Can Do if You Are at Higher Risk of Severe Illness from COVID-19

Fact sheet from CDC showing who are at higher risk for severe illness from COVID-19 and what you can do to help protect yourself.

Tips to Quit Smoking or Vaping During COVID-19 / Coronavirus

Truth Initiative's BecomeAnEX program provides tips to help you quit smoking or vaping during the COVID-19 pandemic, along with ideas on how to relieve stress, stay active, manage your financial situation and increase social engagement with your friends/family.

Tobacco Cessation - Pharmacist Prescribing Map (NASPA)

Resources from the National Alliance of State Pharmacy Associations, which include a map of states with statutes or regulations addressing pharmacist prescribing of tobacco cessation aids (without a CPA or local standing order).

State of Tobacco Control 2022

The 20th annual American Lung Association "State of Tobacco Control" report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The report serves as a blueprint for what state and federal leaders need to do to eliminate the death and disease caused by tobacco use. This year's report recognizes the progress that has been made toward reducing tobacco use over the past 20 years and how youth vaping and flavored tobacco products threaten that progress. The report also outlines the federal, state and local policy actions that are necessary to put the country on a path to end tobacco use and eliminate health inequities made worse by tobacco use over the next 20 years.

Tobacco Cessation Change Package - A Million Hearts Action Guide

The Tobacco Cessation Change Package was created by the Centers for Disease Control and Prevention (CDC) with the purpose of helping healthcare professionals in outpatient, inpatient, and behavioral health settings, as well as public health professionals who partner with these groups, to implement systems and strategies that improve care for patients who use tobacco.

Tobacco Cessation Coverage in State Exchanges – 2020

This ALA report examines tobacco cessation coverage for plans offered in state health insurance marketplaces, also known as state exchanges

Drug Interactions with Tobacco Smoke, Rx for Change, 2022

Pharmacologic Product Guide: FDA-approved medications, Rx for Change, 2024

Relapsed Smokers Who are Ready to Try Again--a 3-Step Protocol for Clinicians, Rx for Change, 2019

Implementing Tobacco Cessation Treatment for Individuals with Serious Mental Illness

SAMHSA’s Implementing Tobacco Cessation Treatment for Individuals with Serious Mental Illness: A Quick Guide for Program Directors and Clinicians guide can help clinicians implement a tobacco cessation program for individuals with SMI.

Tobacco Cessation Billing Guide

Billing Guide Addendum for Behavioral Health

Keeping Your Hospital Property Smoke-Free: Successful Strategies for Effective Policy Enforcement and Maintenance

Quitting Tobacco: Help Your Clients to a Healthier Life

This brochure from SAMHSA describes a brief intervention to tobacco cessation and resources for implementation.

Implementing Tobacco Cessation Programs In Substance Use Disorder Treatment Settings

A quick guide for program directors and clinicians.

US Preventive Services Task Force (USPSTF) Tobacco Cessation Recommendations

Read the USPSTF’s most recent recommendations for tobacco smoking cessation interventions for adults, including pregnant women.

Ending Cigarette Use By Adults In A Generation Is Possible - The Views Of 120 Leaders In Tobacco Control

Executive Summary Report

Michael Terry, John Seffrin, Ph.D., K. Michael Cummings,
Ph.D., Allan Erickson, and Donald Shopland; Authors

Core Team on Tobacco Control

Tobacco Use among the Homeless Population: FAQ

From the Public Health Law Center

Approaches to Promoting Medicaid Tobacco Cessation Coverage: Promising Practices and Lessons Learned

This report from the American Lung Association looks at five states’ approaches to promoting their tobacco cessation benefit for Medicaid enrollees. State public health department staff gave details about key strategies for promoting Medicaid cessation coverage; using partnerships to echo promotion efforts; and understanding the impact a successful promotion campaign can have on a Medicaid program.

Marijuana and Tobacco Use

This fact sheet gives background on marijuana and marijuana use, along with the adverse health effects and other associated risks. 

County Health Rankings & Roadmaps

The County Health Rankings & Roadmaps program is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute, providing a reliable, sustainable source of local data to communities to help them identify opportunities to improve their health

Best Practices User Guide: Cessation

This user guide focuses on how comprehensive tobacco control programs can promote cessation through population-wide efforts. According to Best Practices 2014, “encouraging and helping tobacco users to quit is the quickest approach to reducing tobacco-related disease, death, and healthcare costs.” Population-based interventions can dramatically increase access to proven cessation treatment and help more people quit for good. This guide offers program staff and partners information on how to promote health systems change, improve insurance coverage for cessation treatment, and support state quitlines.

State Tobacco Cessation Coverage

American Lung Association's state cessation coverage database with information on Medicaid coverage, state employee health plan coverage, quitlines and more.

Comparison of Smoke-Free Housing Policy Factors: Private Market Rate versus Publicly Subsidized Multi-Unit Housing

From the Tobacco Control Legal Consortium, a chart comparing common smoke-free policy factors in private versus publicly subsidized multi-unit housing.

Best Practices User Guide: Health Equity

From the CDC, this user guide focuses on how comprehensive tobacco control programs can work to achieve health equity in tobacco prevention and control. It offers tobacco control program staff and partners information on how to work toward achieving health equity when planning, implementing, and enforcing tobacco control policies.

The Truth About Kids and Smoking

Maryland Tobacco Quitline Posters

These posters, created by the Maryland Tobacco Quitline and Better World Advertising, provide a powerful message to quit smoking.

SFPH Case Study: San Francisco, California

Achieving Health Equity in Tobacco Control

This resource is a product of a joint effort of SCLC and a consortium of organizations coordinating efforts in response to the 50th anniversary of the Surgeon General's report on smoking and health. Statistics and facts about how smoking disproportionately affects the poor, homeless people, racial minorities, the LGBT community, and those suffering from mental illness and substance abuse disorders are included.

SFPH Case Study: Louisville, Kentucky

Tobacco Use and the Military

From Campaign for Tobacco-Free Kids

Cost Effectiveness of the Tips From Former Smokers® Campaign—U.S., 2012–2018

The Real Cost of Smoking

Creating Smoke-Free Affordable Housing

This guide from the Tobacco Control Legal Consortium provides basic information for low-income housing providers to consider when implementing smoke-free policies.

Associations between COVID-19 risk perceptions and smoking and quitting behavior among U.S. adults

Case Study: The Effect of Expanding Cessation Coverage— The Massachusetts Medicaid Cessation Benefit

National Center for Chronic Disease Prevention and Health Promotion. (2014). CDC.

IN Medicaid Tobacco Dependence Treatment Coverage Update

Helping Smokers Quit: Tobacco Cessation Coverage 2014

This report from the American Lung Association provides an overview of tobacco cessation coverage in Medicaid, state employee health insurance and other private insurance. It also discusses recent changes in the healthcare system, specifically Affordable Care Act requirements and puts tobacco cessation coverage in the context of the changing landscape of healthcare. The report shows how far the United States has come in helping smokers quit and how much still needs to be done to help smokers quit. As in previous years, the report includes appendices with state-specific data.

CDC Vital Signs - "Adult Smoking: Focusing on People with Mental Illness" (February 2013)