The American Lung Association's State of Tobacco Control 2013 is a report card that evaluates state and federal tobacco control policies by comparing them against targets based on the most current, recognized criteria for effective tobacco control measures, and translating each state's relative progress into a letter grade of A through F.  A grade of "A" is assigned for excellent tobacco control policies while an "F" indicates inadequate policies.

Calculation of Federal Grades

Tobacco control and prevention measures at the federal level are graded in four distinct areas: U.S. Food and Drug Administration (FDA) regulation of tobacco products; federal coverage of tobacco cessation treatment; the amount of the federal excise tax on cigarettes; and the ratification of the Framework Convention on Tobacco Control. The sources for the targets and the basis of the evaluation criteria are described below.