The American Lung Association’s 2025 State of Tobacco Control

This report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The ALA assigns letter grades, A through F, to the state and federal policies best proven to prevent and reduce tobacco use. This year's report highlights tobacco industry aggression at the state and federal level to protect its profits at the expense of the public's health.
The American Lung Association's 2025 State of Tobacco Control
This report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The ALA assigns letter grades, A through F, to the state and federal policies best proven to prevent and reduce tobacco use. This year's report highlights tobacco industry aggression at the state and federal level to protect its profits at the expense of the public's health.
Dana E. Christofferson, PhD
Dr. Dana Christofferson is the Deputy Director of the Tobacco Use Treatment National Program Office for the VA Health Care System. Dana is responsible for developing policy, managing national initiatives, including VA’s quitline and text message programs, and overseeing program evaluation efforts in the VA health care system to provide Veterans with high quality, evidence-based, tobacco use treatment.
From Service to Support: Addressing Tobacco Use in Veterans, co-hosted by the National Behavioral Health Network for Tobacco & Cancer Control
Katherine Stone, MPH, BASc
Katherine “Katie” Stone is a Senior Program Manager in the Center for Advancing Healthy Communities. Katie provides program management to the five-year cooperative agreement from the Centers for Disease Control and Prevention (CDC) entitled, National Networks Driving Action: Preventing Tobacco and Cancer-Related Health Disparities by Building Equitable Communities.
Alex Hurst, MHA
Alex currently serves as the Director of Practice Improvement and Consulting for the National Behavioral Health Network for Tobacco & Cancer Control as part of the parent organization the National Council for Mental Wellbeing. Based in Houston, Texas, Alex leads a multifaceted array of initiatives focused on eliminating tobacco and cancer related disparities in the mental health population.
Paul Caseley, MA, CPC, TTS
As the program manager for the Veteran Commercial Tobacco Cessation Program at the Washington State Department of Veterans Affairs, Paul is spearheading innovative efforts to expand access to evidence-based, standard of care, cessation treatment for the state's 500,000 plus veterans.
A Resolute Commitment to Health Equity
Happy New Year! We hope you had a relaxing holiday. We are deeply saddened by the devastating loss and destruction caused by the fires in Los Angeles. During this challenging time, please know that we hold our colleagues in LA close in our thoughts and prayers.