Tobacco use: Nevada 2026

Cigarette use: Nevada* 

• In 2024, 11.9% of adults in Nevada smoked. Nationally, the adult cigarette smoking prevalence was 11.6%. 
• In 2018-2019, 28.5% of adults who smoked in Nevada smoked menthol cigarettes. Nationally, 32.3% of adult smokers used menthol cigarettes during this period.
• In 2023, 3.0% of high school students in Nevada smoked cigarettes on at least one day in the past 30 days. Nationally, the cigarette smoking prevalence among high school students was 3.5%.

Other tobacco product use: Nevada*

• In 2024, 9.3% of adults in Nevada used e-cigarettes. Nationally, the adult e-cigarette use prevalence was 8.0%. 
• In 2024, 2.9% of adults in Nevada used smokeless tobacco every day or some days. Nationally, the adult smokeless tobacco use prevalence was 3.4%.
• In 2023, 15.3% of high school students in Nevada 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 16.8%. 
• In 2023, 3.7% of high school students in Nevada 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 2.3%. 

Economics of tobacco use and tobacco control 

• Nevada received $175.7 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2026.  
• Of this, the state allocated $966,805 in state funds to tobacco prevention in fiscal year 2026, 3.2% of the Centers for Disease Control and Prevention’s annual spending target.  
• Smoking-caused health care costs: $1.25 billion per year.  
• Smoking-caused losses in productivity: $2.6 billion per year.  

Nevada tobacco laws 

Tobacco taxes 

• Nevada is ranked 26th in the U.S. for its cigarette tax of $1.80 per pack (enacted July 2015), compared to the national average $2.05. (New York has the highest tax at $5.35 and Missouri has the lowest at 17 cents.)  
• Premium Cigars are taxed at 30% of the wholesale price, but not greater than 50 cents or less than 30 cents per premium cigar. All other tobacco products, including alternative nicotine products and vapor products, are taxed at 30% of the wholesale price.  

Clean indoor air ordinances 

• Smoking is prohibited in all government workplaces, private workplaces, schools, childcare facilities, restaurants, and retail stores.  
• Smoking restrictions are required in bars (except bars or parts of bars if age-restricted) and casino/gaming establishments (tribal establishments are exempt).  
• E-cigarette use is prohibited in places of employment and places open to the public, with exceptions including areas of casinos where minors are prohibited and age-restricted businesses. Use of vapor products is prohibited within any procedure area of an invasive body decoration establishment.  
• E-cigarettes are included in the state’s indoor air laws and the state’s definition of smoking and tobacco products. 

Licensing laws 

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

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. 
• Establishments are required to post signs stating that sales to people under 21 are prohibited.  
• Tobacco products must be displayed in an area which is not readily accessible to the customer without the assistance of a retailer, except for a vending machine in compliance with the law.  
• People under 21 are prohibited from buying products made or derived from tobacco, including e-cigarettes. 
• Online sales of vapor products must be clearly marked “vapor products” and only delivered after third-party age verification.

Local tobacco laws 

• Las Vegas prohibits the use of smoking devices at Las Vegas Lights FC soccer games at Cashman Field and Las Vegas Aviators minor league baseball games at Las Vegas Ballpark. Reno prohibits smoking and vaping at Reno Aces minor league games at Greater Nevada Field. 

Quitting statistics and benefits 

• The CDC estimates 50.7% of daily adult smokers in Nevada quit smoking for one or more days in 2019. 
• In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.** 
• Nevada’s state quit line invests $0.78 per smoker, compared to the national median of $2.62.  
• Nevada has a private insurance mandate provision for cessation. 

Notes and references 

* 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. 

Updated March 2026.

1. CDC. (2024). Behavioral Risk Factor Surveillance System. 

2. CDC. (2024). State Menthol Fact Sheets. 

3. CDC. (2023). High School Youth Risk Behavioral Surveillance System. 

4. Campaign for Tobacco-Free Kids. (2026). Broken Promises to Our Children: A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later. Campaign for Tobacco-Free Kids. https://www.tobaccofreekids.org/what-we-do/us/statereport 

5. American Lung Association. (2026). State of Tobacco Control. https://www.lung.org/research/sotc 

6. Campaign for Tobacco-Free Kids. (2024). The Toll of Tobacco in the United States. Campaign for Tobacco-Free Kids. 

7. American Lung Association. (2024). State Legislated Actions on Tobacco Issues (SLATI). 

8. Campaign for Tobacco-Free Kids. (2024). State Cigarette Excise Tax Rates & Rankings. https://assets.tobaccofreekids.org/factsheets/0097.pdf 

9. Public Health Law Center. (2024, June 15). U.S. E-Cigarette Regulations: 50 State Review. https://www.publichealthlawcenter.org/resources/us-e-cigarette-regulations-50-state-review 

10. FDA. (2024). Tobacco 21. https://www.fda.gov/tobacco-products/retail-sales-tobacco-products/tobacco-21 

11. Las Vegas Lights FC. (n.d.). Fan Code of Conduct -. Retrieved November 13, 2024, from https://www.lasvegaslightsfc.com/matchday/code-of-conduct/ 

12. A to Z Ballpark Guide. (n.d.). Las Vegas Ballpark. Retrieved November 13, 2024, from https://www.thelvballpark.com/a-to-z-guide 

13. Knock Tobacco Out of the Park. (2024). https://tobaccofreebaseball.org/ 

14. CDC. (2024). Behavioral Risk Factor Surveillance System, State Tobacco Activities Tracking and Evaluation System.