American Lung Association American Lung Association--Improving Life, One Breath at a Time

 Youth Access Map and Grading

State
Minimum Age
Packaging
Clerk Intervention
Photo ID
Vending Machines
Free Distribution
Graduated Penalties
Random Inspections
Statewide Enforcement
Total Score
Grade
Alabama
3
0
0
0
0
0
4
4
4
15
F
Alaska
5
4
3
0
3
0
4
2
4
25
B
Arizona
3
4
0
2
3
0
0
4
4
20
C
Arkansas
4
0
0
4
1
1
4
0
4
18
D
California
4
4
4
1
2
3
0
4
4
26
A
Colorado
3
4
0
0
1
0
0
0
4
12
F
Connecticut
4
4
0
2
3
2
4
4
4
27
A
Delaware
4
4
1
3
3
3
3
4
4
29
B
District of Columbia
3
4
0
1
3
3
4
0
0
18
D
Florida
4
4
2
0
3
0
0
0
4
17
D
Georgia
4
0
0
3
1
1
0
2
2
13
F
Hawaii
4
4
1
1
2
2
3
2
2
21
C
Idaho
3
4
3
0
4
3
0
4
4
25
B
Illinois
4
0
2
0
3
0
3
2
2
16
F
Indiana
0
4
0
0
2
0
2
2
2
12
F
Iowa
3
0
4
0
3
1
4
4
4
23
C
Kansas
3
4
0
0
2
1
0
0
4
14
F
Kentucky
2
4
0
2
0
0
2
3
3
16
F
Louisiana
0
4
0
0
2
0
2
4
2
14
F
Maine
4
4
3
5
3
0
4
2
2
27
A
Maryland
3
4
0
0
2
0
2
0
0
11
F
Massachusetts
4
0
3
5
3
3
3
0
0
21
C
Michigan
2
0
0
0
2
0
0
0
0
4
F
Minnesota
2
4
3
0
2
2
4
4
0
21
C
Mississippi
4
4
0
2
2
1
2
4
4
23
C
Missouri
4
4
1
3
2
0
4
3
3
24
B
Montana
2
2
0
0
3
0
0
4
4
15
F
Nebraska
3
0
0
0
2
2
2
0
0
9
F
Nevada
3
4
0
0
1
0
0
4
2
14
F
New Hampshire
3
4
0
3
3
2
4
0
4
23
B
New Jersey
3
4
0
0
0
0
2
0
4
13
F
New Mexico
4
1
4
0
2
0
0
4
4
19
F
New York
4
4
3
5
2
0
4
3
2
27
A
North Carolina
4
3
0
2
1
0
3
2
2
17
F
North Dakota
3
0
0
0
0
0
2
0
0
5
F
Ohio
4
4
0
0
2
0
0
2
2
14
F
Oklahoma
4
3
3
3
2
1
4
4
4
28
B
Oregon
4
4
3
0
2
0
2
3
4
22
D
Pennsylvania
3
4
2
4
2
1
3
4
4
27
B
Puerto Rico
5
0
2
5
0
3
4
1
4
24
B
Rhode Island
4
4
0
0
3
4
1
4
4
24
B
South Carolina
1
4
0
0
0
0
0
0
2
7
F
South Dakota
2
4
0
0
2
1
0
2
4
15
F
Tennessee
4
4
0
3
1
3
3
4
4
26
B
Texas
3
4
3
4
2
1
4
4
2
27
A
Utah
3
4
3
0
2
3
4
0
0
19
F
Vermont
4
4
3
0
4
0
4
4
4
27
A
Virginia
4
4
0
3
2
0
0
0
4
17
D
Washington
4
2
0
4
1
1
2
4
4
22
C
West Virginia
3
0
0
0
2
0
0
2
4
11
F
Wisconsin
4
4
0
0
2
3
4
2
2
21
D
Wyoming
4
0
1
0
1
0
0
4
4
14
F

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Comparison of 2004 and 2005 Grades...



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