New York State envisions a commercial tobacco-free and vape-free society for all New Yorkers. Since 2000 the New York State Tobacco Control Program has worked to reduce illness, disability, and death related to commercial tobacco use and secondhand smoke exposure, and to alleviate social and economic inequities caused by tobacco use. The program uses an evidence-based, policy-driven, and population-level approach to tobacco control and prevention with a commitment to promote health equity among populations disproportionately impacted by tobacco marketing and use. The Tobacco Control Program’s efforts and actions have contributed to record-low youth and adult smoking rates in NYS.
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Smoking kills about 30,000 adult New Yorkers every year. 1.6 Million Adults in New York State smoke, and most want to quit.

Tobacco use is the leading cause of preventable disease and death in the United States; nearly all tobacco product use begins during youth and young adulthood 

New York spends $9.7 billion caring for people made sick from smoking.

Annually New York State receives $1.8 billion in tobacco revenues, and only spend $34.8 million on tobacco prevention. While the NYS smoking rate has dropped faster than the national average, some population groups are benefiting less from this progress.

Limited funding prevents reaching the vulnerable populations with the highest rates of smoking.

Many individuals have been disproportionately targeted with advertising and marketing by the tobacco industry, including people
from racial and ethnic minority groups; the lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual community; people living with mental illness and substance use disorders; and those living in lower-income communities. This has contributed to stark inequities in tobacco-related marketing exposure, tobacco use, and tobacco-related health outcomes.

Accomplishments Across New York State

Smoking rates among adults and youth are at an all-time low in NY. Currently 11.3% of adults (2022) and 2.1% of high school youth (2022) smoke cigarettes, yet 18.7 % of high school youth report e-cigarette use and 3.5% other tobacco use.

In 2003, the expanded NYS Clean Indoor Air Act was enacted. The act is one of the most stringent clean indoor air laws in the nation.

Over 500 municipalities in New York State have passed regulations restricting tobacco use in outdoor recreational areas.

NY implemented 20 local tobacco retail environment policies between 2014 and 2020, and seven new state-level laws in 2020, including four directly impacting the retail environment:

Prohibiting the sale of flavored vape products, tobacco sales in pharmacies, the redemption of coupons and discounts on tobacco products, and exterior displays of tobacco and vapor product ads near schools.The Housing and Urban Development (HUD) Smoke-Free Housing rule of 2018 has been implemented successfully. Among a sample of public housing authority residents in NY, fewer report second-hand smoke incursions after implementation of the law and a greater number report restrictive smoking rules in the home. Compliance could be improved, however, because incursions were still reported.

Prior to implementation of the U.S. Department of Housing and Urban Development’s Smoke-Free Housing rule in July 2018, NYS tobacco control partners had assisted over half of the state’s public housing authorities adopt smoke-free policies voluntarily.  Partners used their years of experience engaging public housing directors, staff and residents to assist the remaining housing authorities adopt the smoke-free rule. 

The impact is reduced exposure to secondhand smoke in the home. Among a sample of public housing authority residents in NY, fewer report secondhand smoke incursions and more report restrictive smoking rules in the home.

Compliance, however, needs to be improved as secondhand smoke incursions continue to be reported.  Additional support and resources are needed to ensure that residents and staff in all public housing buildings can breathe safe, smoke-free air.

Awareness of the NY Medicaid program’s expanded tobacco cessation benefits could be improved; fewer than half of the smokers/recent quitters surveyed reported they are aware Medicaid covers Nicotine Replacement Therapy (NRT) for enrollees and even fewer reported awareness of Medicaid coverage for stop smoking medications and cessation counseling.

NY has capitalized on the opportunity to integrate the NYS Smokers’ Quitline services with broader health systems work to improve tobacco use cessation services. The Quitline’s Quit Coaches are trained to discuss with tobacco users the importance of concurrently working with their own health care professionals on tobacco dependence treatment. The Quit Coaches also strive to ensure tobacco users are aware of cessation-related insurance benefits, including medications, that may be available to them through their health care plans and health care professionals.

NY Tobacco Control

Tobacco control programs play a crucial role in the prevention of many chronic conditions such as cancer, heart disease, and respiratory illness. Comprehensive tobacco prevention and cessation programs like the one in NYS prevent kids from starting to smoke, helps adult smokers quit, and serve as a counter to the ever-present negative influence of the tobacco industry.


Reality Check is a youth led movement in New York State that empowers youth to become leaders in their communities in exposing what they see as the manipulative and deceptive marketing tactics of the tobacco industry. The organization’s members produce change in their communities through grassroots mobilization and education.

New York State Smokers’ Quit Line is free and confidential service. They provide services to New York State residents who want to stop tobacco use. This includes, motivational coaching, free nicotine patches, an online smoke-free community, educational fact sheets, materials and videos. Additional educational tools and cessation resources are available. Mainly to healthcare providers, employers, educators, and others. In addition, this also includes a referral program for tobacco users.

Health Systems for a Tobacco-Free NYS provide New York’s healthcare community with evidence-based education, training, and resources. This helps to treat their tobacco dependent patients and help them quit smoking successfully.

The New York State Tobacco Control Program funds 21 community organizations across the state to work toward Advancing Tobacco-Free Communities.

We educate community leaders and the public about the dangers and social injustice of tobacco marketing, and engage local stakeholders to promote community changes that limit the tobacco industry’s presence, de-normalize tobacco use and eliminate secondhand smoke.

References to tobacco on this website refer to commercial tobacco and not the sacred and traditional use of tobacco by some Tribal Nations.