The American Lung Association’s State of Tobacco Control 2014 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.  The principal reference for all state tobacco control laws is the American Lung Association’s State Legislated Actions on Tobacco Issues on-line database, available at www.lungusa2.org/slati.  The American Lung Association has published this comprehensive summary of state tobacco control laws since 1988.  Data for the state cessation section is taken from the American Lung Association’s State Cessation Coverage database, available at http://www.lungusa2.org/cessation2.

Calculation of State Grades

State level tobacco control policies are graded in four key areas: tobacco prevention and control funding, smokefree air laws, state cigarette excise taxes and coverage of tobacco cessation treatments and services. The sources for the targets and the basis of the evaluation criteria are described below.


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The American Lung Association’s annual "State of Tobacco Control" report was released nationwide on Wednesday, January 22, 2014.

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Surgeon General’s Report

Despite the great progress of the past, in the last few years, tobacco control efforts have slowed and in some areas, even stalled.

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