
Tobacco use takes a huge toll in health, lives and dollars in every state.
Tobacco costs state taxpayers billions each year in Medicaid and other health care expenses and imposes enormous costs on families and businesses.
State and local governments can reduce tobacco use, save lives and save money by implementing proven solutions to the problem.
These include higher tobacco taxes, strong smoke-free laws that apply to all workplaces and public places, and well-funded, sustained tobacco prevention and cessation programs.
While each of these measures is effective on its own, states have achieved greater reductions in tobacco use by implementing all these measures in a comprehensive approach.
Smoke-Free Laws
More and more states and localities are passing smoke-free laws that protect everyone’s right to breathe clean air – free from harmful secondhand smoke.
State Tobacco Taxes
Tobacco taxes are a win-win-win for states: they reduce smoking, raise billions in revenue and are popular with voters.
Prevention and Cessation Programs
Every state should fund programs to prevent kids from smoking and help smokers quit at CDC-recommended levels. Only two states currently do.

Tobacco use is the leading cause of preventable death in the United States. It takes a tremendous toll in every state in health, lives and dollars. All taxpayers pay for tobacco-related health care
costs — including billions in Medicaid expenditures — and businesses suffer higher insurance costs and productivity losses. States should implement proven measures to reduce this toll.