State of Tobacco Control 2026 Coming In:

 
 

Does your state make the grade?

Tobacco Prevention and Cessation Funding Smokefree Air Tobacco Taxes Access to Cessation Services Flavored Tobacco Products
F F F F F
Tobacco Prevention and Cessation Funding F
Smokefree Air F
Tobacco Taxes F
Access to Cessation Services F
Flavored Tobacco Products F

The American Lung Association calls for the following actions to be taken by Alabama's elected officials to reduce tobacco use and exposure to secondhand smoke:

  1. Ensure access to comprehensive quit tobacco coverage for Medicaid recipients;
  2. Implement a tobacco retail licensing program to ensure enforcement and compliance with tobacco control statutes; and
  3. Pass comprehensive local smokefree ordinances that protect all workers and patrons from secondhand smoke.

Alabama Information

Learn more about your state specific legislation regarding efforts toward effective Tobacco Control.

Alabama Information

Learn more about your state specific legislation regarding efforts towards effective Tobacco Control.

Highlights Laws & Policies Historical Data
Tobacco Prevention and Cessation Funding

Tobacco Prevention and Cessation Funding

   
Overall Grade F
FY2026 State Funding for Tobacco Control Programs:$1,814,225
FY2026 Federal Funding for State Tobacco Control Programs:$1,682,740*
FY2026 Total Funding for State Tobacco Control Programs:$3,496,965
CDC Best Practices State Spending Recommendation: $55,900,000
Percentage of CDC Recommended Level: 6.3%
State Tobacco-Related Revenue: $220,200,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Tobacco Prevention and Cessation Funding

   
Overall Grade F
FY2026 State Funding for Tobacco Control Programs:$1,814,225
FY2026 Federal Funding for State Tobacco Control Programs:$1,682,740*
FY2026 Total Funding for State Tobacco Control Programs:$3,496,965
CDC Best Practices State Spending Recommendation: $55,900,000
Percentage of CDC Recommended Level: 6.3%
State Tobacco-Related Revenue: $220,200,000

*Includes tobacco prevention and cessation funding provided to states from the Centers for Disease Control and Prevention.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Smokefree Air

Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade F
Government Workplaces: Restricted
Private Workplaces: No provision
Schools: Restricted
Childcare Facilities: Restricted
Restaurants: No provision
Bars: No provision
Casinos/Gaming Establishments: No provision
Retail Stores: Restricted
E-Cigarettes Included: No
Preemption/Local Opt-Out: No

Citation: ALA. CODE §§ 22-15A-1 et seq. (2003).

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Smokefree Air

Overview of State Smoking Restrictions:

Overall Grade F
Government Workplaces: Restricted
Private Workplaces: No provision
Schools: Restricted
Childcare Facilities: Restricted
Restaurants: No provision
Bars: No provision
Casinos/Gaming Establishments: No provision
Retail Stores: Restricted
E-Cigarettes Included: No
Preemption/Local Opt-Out: No

Citation: ALA. CODE §§ 22-15A-1 et seq. (2003).

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Tobacco Taxes

Tobacco Taxes

Overall Grade F
Cigarette Tax per pack of 20:$0.675
Tax on little cigars:Equalized: No; Weight-Based: No
Tax on large cigars:Equalized: No; Weight-Based: No
Tax on smokeless tobacco:Equalized: No; Weight-Based: Yes
Tax on pipe/RYO tobacco:Equalized: No; Weight-Based: Yes
Tax on Dissolvable Tobacco Products:Equalized: N/A; Weight-Based: N/A

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Tobacco Taxes

Overall Grade F
Cigarette Tax per pack of 20:$0.675
Tax on little cigars:Equalized: No; Weight-Based: No
Tax on large cigars:Equalized: No; Weight-Based: No
Tax on smokeless tobacco:Equalized: No; Weight-Based: Yes
Tax on pipe/RYO tobacco:Equalized: No; Weight-Based: Yes
Tax on Dissolvable Tobacco Products:Equalized: N/A; Weight-Based: N/A

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Access to Cessation Services

Access to Cessation Services

Overview of State Cessation Coverage:

         
Overall Grade F
State Medicaid Program:
Medications:All 7 medications are covered
Counseling: Some counseling is covered
Barriers to Coverage:Substantial barriers exist to access care
Medicaid Expansion:No
State Employee Health Plan(s):
Medications:All 7 medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Some barriers exist to access care
State Quitline:
Investment Per Smoker:$2.12; the median investment per smoker is $2.62
Other Cessation Provisions:
Private Insurance Mandate:No
Tobacco Surcharge:No prohibition or limitation on tobacco surcharges

Citation: See Alabama Tobacco Cessation Coverage page for specific sources.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Access to Cessation Services

Overview of State Cessation Coverage:

         
Overall Grade F
State Medicaid Program:
Medications:All 7 medications are covered
Counseling: Some counseling is covered
Barriers to Coverage:Substantial barriers exist to access care
Medicaid Expansion:No
State Employee Health Plan(s):
Medications:All 7 medications are covered
Counseling:Some counseling is covered
Barriers to Coverage:Some barriers exist to access care
State Quitline:
Investment Per Smoker:$2.12; the median investment per smoker is $2.62
Other Cessation Provisions:
Private Insurance Mandate:No
Tobacco Surcharge:No prohibition or limitation on tobacco surcharges

Citation: See Alabama Tobacco Cessation Coverage page for specific sources.

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action
Flavored Tobacco Products

Flavored Tobacco Products

Overall Grade F
Restrictions on Flavored Tobacco Products: No state law or regulation

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action

Flavored Tobacco Products

Overall Grade F
Restrictions on Flavored Tobacco Products: No state law or regulation

Help Fight Tobacco Use

Join our efforts to create a tobacco-free future. Stand with the American Lung Association to prevent and reduce tobacco use in your state.

Take Action