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Smoke-Free Policy Guidelines for Local Health Departments and Local Boards of Health


These four documents, produced by the National Association of County and City Health Officials (NACCHO), National Association of Local Boards of Health (NALBOH), and Association of State and Territorial Health Officials (ASTHO), with funds and technical assistance from the Centers for Disease Control and Prevention's Office on Smoking and Health, guide local health departments and local boards of health through the process of promoting and enacting smoke-free policies.  Documents include:

  • Smoke-Free Policy Guidelines for Boards of Health with preemption (no local authority),
  • Smoke-Free Policy Guidelines for Boards of Health uncertain of their state's authority,
  • Smoke-Free Guidelines for Boards of Health without direct authority but with local authority through another governing body, and 
  • Smoke-Free Policy Guidelines for Local Public Health Departments. 

Primary Toolkit:

Chronic Disease Prevention Toolkit

Keyword Area:

Cancer, Health Policy, Substance Abuse, Tobacco


Institutional Author:






The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.