Tribal Commercial Tobacco Control

As sovereign nations, Tribes have a critical role to play in addressing the public health problems posed by commercial tobacco. This is particularly true since rates of commercial tobacco use are higher among American Indian / Alaska Native (AI/AN) populations than among the general population, a fact reflected in disproportionate rates of chronic disease in AI/AN populations. Yet addressing the death and disease caused by commercial tobacco in Indian Country raises several complex issues, including the need to respect traditional tobacco use and the sovereignty of Tribes, navigate a complex area of law, and acknowledge history and culture. We hope the resources in this section of our website will be of use as members of Native communities take the lead in tackling the problem of commercial tobacco-related illnesses and cancer disparities.


Featured resources are below. Other relevant resources in right sidebar (desktop/tablet), or end of page (mobile).

teens passing Juul-Credit Robert Slocum of Topic Media

Addressing Tobacco Industry Targeting of Tribes (2021)

Overview of tobacco and e-cigarette industry efforts to target Tribes and a sample resolution for Tribes on electronic smoking devices and commercial tobacco industry sponsorships.

Tribal Tobacco 21 Cover

Federal Tobacco 21: Considerations for Tribal Communities (2021)

This resource discusses the 2019 amendment to the Family Smoking Prevention and Tobacco Control Act that raises the minimum legal sales age for commercial tobacco products from 18 to 21 in all U.S. states, territories and on Tribal Lands located within the U.S. and the impact on Tribal communities, including how this law is enforced and options for Tribes to exercise Sovereignty to address harmful commercial tobacco use in their communities.

Tribal Public Health Resource

Drafting Tribal Public Health Laws and Policies (2020)

This publication is designed to assist Tribal leaders, health departments, public health advocates, and community members in thinking about how to draft written public health laws and policies for their Tribes.

Playing Cards

Smoke-free Tribal Casinos (2020)

This is a resource to help facilitate education and awareness on adopting smoke-free policies in Tribal casinos.

No Smoking Sign - Credit Rae O'Leary

Smoke-free Tribal Housing Policies (2020)

This is a resource for Tribal communities working on policies to restrict the smoking of commercial tobacco products in Tribal housing.

Tribal members

Tribal Tax Policies for Commercial Tobacco (2019)

This is a resource for Tribal governments and Tribal public health advocates so that they can realize the public health benefits of increased commercial tobacco taxes and simultaneously protect Tribal sovereignty and cultural practices. Written in partnership with the National Indian Health Board, the National Native Network, and the Michigan Public Health Institute.


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