This map and chart constitute a partial overview of U.S. state laws requiring mental health and substance use disorder treatment facilities to include tobacco dependency treatment in their clinical practice. The information is based in part on an overview of state policies summarized in a 2015 article published in Tobacco Induced Diseases and a 2018 article published in Morbidity and Mortality Weekly Report. Whenever possible, hyperlinks to free online resources containing the cited authority are included. Please note, however, that some links go to legislative websites or portals because the laws have not yet been codified or are not otherwise available. In some instances, public domain websites have not yet been updated to include the most recently passed laws.

These resources capture variations between laws by including (1) whether or not the state requires tobacco dependency treatment at mental health and substance use facilities; (2) state tobacco dependency treatment laws and definitions of various facilities as they apply within each state’s commercial tobacco scheme; (3) exemptions and any incentives for voluntary adoption; and (4) enforcement/penalty/timeline information as applicable.

As of February 15, 2026, only seven (7) states require that tobacco dependency treatment be included in the clinical practice of mental health facilities (including two with partial requirements—LA and OK). Nine (9) states require that substance use facilities include tobacco dependency treatment (including one with partial requirements—LA). Feel free to contact the Public Health Law Center for more information about tobacco dependency treatment requirements in mental health and substance use facilities where you live. This chart will be updated in the future as more state information becomes available.

To review the requirements in any given state, select a state on the map below.

Green = Requires tobacco dependency treatment in both mental health facilities and substance use treatment facilities
Gold   =  Partial requirement for tobacco dependency treatment in mental health facilities or substance use treatment facilities
Blue   = Requires full or partial tobacco dependency treatment in mental health facilities only
Red    = Requires full or partial tobacco dependency treatment in substance use treatment facilities only
Gray   = Does not require tobacco dependency treatment in mental health facilities or substance use treatment facilities