Tobacco use in Texas 2023

• In 2022, 11.8% of adults smoked. Nationally, adult smoking prevalence was 14.0¹
• In 2021, 3.7% of high school students in Texas smoked cigarettes on at least one day in the past 30 days. Nationally, smoking prevalence among high school students was 3.8%.²

• In 2022, 7.1% of adults in Texas used e-cigarettes. Nationally, adult e-cigarette use prevalence was 7.7%.¹
• In 2022, 3.7% of adults in Texas used smokeless tobacco every day or some days. Nationally, adult smokeless tobacco use prevalence was 3.4%.¹
• In 2021, 18.7% of high school students in Texas used electronic vapor products on at least one day in the past 30 days. Nationally, the e-cigarette use prevalence among high school students was 18%.²
• In 2021, 2.7% of high school students in Texas used chewing tobacco, snuff or dip on at least one day in the past 30 days. Nationally, the smokeless tobacco use prevalence among high school students was 2.5%.²
• In 2021, 3.3% of high school students in Texas smoked cigars, cigarillos or little cigars on at least one day in the past 30 days. Nationally, the cigar use prevalence among high school students was 3.1%.²

• Texas received $1.9billion (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.⁴
• Of this, the state allocated $3.5 million in state funds to tobacco prevention in fiscal year 2023, 1.3% of the Centers for Disease Control and Prevention’s annual spending target.⁴
• Smoking-caused health care costs: $10.29 billion per year.⁴
• Smoking-caused losses in productivity: $24.4 billion per year.⁵

Tobacco taxes

• Texas is ranked 31st in the U.S. for its cigarette tax of $1.41 per pack (enacted January 2007), compared to the national average of $1.93. (New York has the highest tax at $5.35 and Missouri has the lowest at 17 cents.)^6-8
• Cigars are taxed 1 cent per 10 (or fraction of 10 for those weighing less than three pounds per thousand). Cigars weighing more than three pounds per thousand are taxed at $7.50-$15 per thousand, depending on their factory list price and whether they contain a substantial amount of non-tobacco ingredients. All other tobacco products are taxed $1.22 per ounce.^6,7

Clean indoor air ordinances

• Smoking is prohibited in childcare facilities.^6,7
• Smoking restrictions are required in schools and recreational/cultural facilities.^6,7
• There are no smoking restrictions for government workplaces, private workplaces, restaurants, bars, casinos/gaming establishments and retail stores.^6,7
  • Many municipalities in Texas have local 100% smoke-free laws, to include bars, restaurants, and non-hospitality workplaces.
• E-cigarettes are included in the state’s definition of smoking.⁷
• The use of e-cigarettes is restricted to designated areas in schools, elevators, enclosed theaters, libraries, museums, hospitals, certain buses, planes and trains. School trustees must prohibit e-cigarette use and student possession of e-cigarettes at a school-related or school-sanctioned activity on or off school property. The use of e-cigarettes is prohibited at school, and before/after-school programs, including the premises, playground, transportation vehicles, and during field trips. The use of e-cigarettes is prohibited at childcare homes and centers, in residential child care facilities, in licensed pediatric extended care transportation vehicles, and in foster homes.⁹

Licensing laws

• Retailers and wholesalers are required to obtain a license to sell tobacco products.⁶
• A license is required to sell e-cigarette products.⁹

Youth access laws

• In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately.
• Minors are prohibited from buying alternative nicotine products, including e-cigarettes.⁶
• Establishments are required to post signs stating that sales to minors are prohibited.⁶
• Self-service/vending sales of e-cigarettes are restricted to locations inaccessible to persons under 21.⁹
• Retailers of e-cigarette delivery sales must register with the state, verify that the purchaser is over 21, include a notice about the prohibition of selling e-cigarettes to minors, and file certain information about the purchaser with the comptroller.⁹

• The CDC estimates 47.4% of daily adult smokers in Texas quit smoking for one or more days in 2019.³
• In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.^7**
• Texas’s state quit line invests 58 cents per smoker, compared to the national median of $2.37.⁷
• Texas does not have a private insurance mandate provision for cessation.⁷

Updated June 2023

*The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels. National prevalence reported here may differ from what is reported in our national-level fact sheets. The numbers here also reflect the most recent data available. Dates of available data may differ across state fact sheets.

**The seven recommended cessation medications are NRT gum, NRT patch, NRT nasal spray, NRT inhaler, NRT lozenge, Varenicline (Chantix) and Bupropion (Zyban).

Fiore MC, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: US Department of Health and Human Services. Public Health Service: May 2008.

1.         CDC, Behavioral Risk Factor Surveillance System, 2023.

2.         CDC, Youth Risk Behavioral Surveillance System, 2021.

3.         CDC, Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System, 2023.

4.         Campaign for Tobacco-Free Kids, Broken Promises to Our Children: a State-by-State Look at the 1998 State Tobacco Settlement 24 Years Later FY2023, 2023.

5.         Campaign for Tobacco-Free Kids, Toll of Tobacco in the United States.

6.         American Lung Association, State Legislated Actions on Tobacco Issues (SLATI).

7.         American Lung Association, State of Tobacco Control, 2023.

8.         Campaign for Tobacco-Free Kids. State Cigarette Excise Tax Rates & Rankings. https://www.tobaccofreekids.org/assets/factsheets/0097.pdf. Accessed October 4th, 2023.

9.         Public Health Law Center. U.S. E-Cigarette Regulation: 50-State Review. http://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review. Accessed October 4th, 2023