U.S. Tobacco Control

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In the United States, we work at the federal, state and local levels to advance proven policies that reduce tobacco use and save lives.

Since our founding in 1996, the Campaign for Tobacco-Free Kids has contributed to enormous progress. Over the past 30 years, our work has helped to reduce youth smoking by 95% and adult smoking by 63% and to protect about 200 million Americans – over 60% of the U.S. population – from harmful secondhand smoke.

Toll of Tobacco in the United States

Yet tobacco use remains the leading cause of preventable disease and death in the U.S. And tobacco companies keep spending billions to market cigarettes while aggressively pushing new products – including e-cigarettes and nicotine pouches – designed to hook new customers and grow profits.

490,000+

Americans killed by smoking and secondhand smoke each year

$606 BILLION

Annual healthcare costs and lost productivity due to smoking

$8.6 BILLION

Annual spending by Big Tobacco to market cigarettes and smokeless tobacco

Proven Policy Solutions

We advocate for proven, lifesaving tobacco control policies at the federal, state and local levels in the U.S. 

Solutions
Tobacco Taxes
We champion higher tobacco taxes – a proven strategy to prevent youth from starting and encourage users to quit.
Solutions
Smoke-Free Laws
We advocate for smoke-free workplaces and public places, protecting everyone from the harms of secondhand smoke.
Solutions
Flavored Tobacco Policies
We fight to end sales of flavored tobacco products – a tactic industry uses to target kids and vulnerable communities.
Solutions
Health Warning Labels
We support large, pictorial health warnings on tobacco packages to increase awareness of health risks.
Solutions
U.S. CDC Programs
We advocate to fund CDC’s tobacco control program, which plays a vital role in helping smokers quit and preventing kids from starting.
Solutions
U.S. State Prevention and Cessation Programs
We fight for state investment in proven programs that prevent youth use and help smokers quit.

U.S. Legal Initiatives

Passing strong tobacco control policies is only part of our work – we also fight to defend these policies in court through an active litigation program.

In federal courts, we brought lawsuits against the FDA on behalf of public health organizations, pressing the agency to regulate the tobacco industry more aggressively. In other federal and state cases, we file amicus briefs – alongside public health, medical and community partners – to defend tobacco control measures against tobacco industry legal attacks.

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Last updated July 5, 2026