Overview
- The report lowers federal grades after CDC’s Office on Smoking and Health was largely dismantled, FDA tobacco staffing was cut, the Tips campaign went off the air, and cessation funding to states was delayed.
- More than 40 states received failing grades for not restricting flavored tobacco sales, and 40 states failed to fund prevention programs at recommended levels.
- New York earned an F for prevention funding despite strong smoke-free laws and cessation coverage, underscoring gaps as federal support recedes.
- Arizona again scored an F for prevention funding despite a boost to $22 million and also received failing marks for low tobacco taxes, while Wisconsin posted multiple Fs including cessation and flavored products.
- Mississippi failed every category measured, and Maryland received Fs on flavors and prevention funding but an A for smoke-free workplace laws, as the Lung Association urges restoration of federal capacity and stronger state policies.