Find out which state has the highest cigarette tax and the strongest smoking prevention laws and regulations. The American Lung Association's annual State of Tobacco Control Report tracks progress on key tobacco control policies at the state and federal levels.

Washington: The payoffs of Washington's Tobacco Prevention Program, implemented in 2000, are beginning to show in deterring young smokers. Youth smoking is at an all-time low and significantly better than the national average. Washington was also among the first states to pass comprehensive smoke-free laws in 2005.

Rhode Island: Increasing cigarette tax can help deter smokers, according to the ALA. For every 10 percent price increase per pack, there is a 4 to 7 percent drop in cigarette consumption. Rhode Island earned an A for a cigarette tax at $2.46 -- the highest in all of New England. It also marked high with smoke-free air initiatives and recently passed legislation requiring cigarettes to self-extinguish when not being smoked in efforts to prevent fire. But the state didn't quite make straight A's and failed on tobacco prevention and spending.

Wyoming: The Cowboy State's best grade for spending state dollars on tobacco prevention and control but the grades went downhill from there. For good reason, it received an F for smoke-free air. According to the report, there are no provisions for smoking in restaurants, childcare facilities, schools or even retail stores. Wyoming's only smoke-free regulation restricts smoking at government work sites.

Maine: In 2007, Maine was the first state to pass legislation banning the sale of flavored cigarettes and cigars -- to be in effect July 2009. Maine also scored high as a smoke-free air state and has the distinction of the State of Tobacco Control 2007'shighest grades.

Tennessee: With economic costs due to smoking topping over $4.2 million and a state-wide high school smoking rate at over 25 percent, Tennessee is still very much attached to its tobacco-growing roots. However, 2007 was a landmark year for change, one being a cigarette tax increase from $0.20 to $0.62, the second highest tax among traditional tobacco-growing states. Another advance for Tennessee was its Non-Smoker Protection Act, a law that aims to protect citizens from second-hand smoke risks at work. But with no legislation banning smoking in bars or restaurants, many in the food and hospitality industries are still at risk for illnesses caused by secondhand smoke.

New Jersey: Would you buy a pack of cigarettes with an added $2.575 tax? That's what you'd have to pay in New Jersey, the state with the highest cigarette tax in the nation. Half of the states have a tax at $1.00 or higher and nine states have a tax of $2.00 or higher.

Illinois: Along with Maryland, Minnesota, New Mexico and New Hampshire, the state strengthened its smoke-free air laws in 2007. As of 2008, Illinois bans smoking in all public and work places. However, it received a D for its cigarette tax at $0.98 and for its laws regulating youth access to cigarettes -- about 8.8 percent of Illinois middle school students smoke. Clearly, there's still room for improvement.

Hawaii: With strong smoke-free air laws that ban smoking in public facilities such as restaurants, bars, retail stores and around schools and the workplace, Hawaii is among the states with the highest report cards. The islands also increased funding fortobacco control programs to 11.4 million in FY 2008 -- the first state to budget above the Center for Disease Control's minimum recommended level.

South Carolina: At $0.07 per pack, South Carolina's cigarette tax is the lowest in the nation. Failing across the board, no one should be rushing to hang the southern state's report card on the fridge. South Carolina needs to improve across the board inprotecting citizens from smoke-related health problems.

According to PEOPLE, Britney Spears made sure that her meeting with Dr. Phil, which was encouraged by her family, was very short.(Tuan Pham, X17online.com | Frazer Harrison, Getty Images)

After a three-hour dispute with police, Britney Spears was taken from her home on a stretcher. While in the ambulance, tiedowns were used to secure the pop singer's legs. (Hot Shots Worldwide and Splash News)

Kevin Federline makes his way to the hospital behind the ambulance carrying ex-wife Britney Spears. (Tuan Pham, X17online.com)

Paramedics are seen here attending to Britney Spears inside of the ambulance. (London Ent / Splash News)

Spears was conscious and speaking when paramedics wheeled her into an ambulance on Jan. 3. (KCBS TV / AP)

Spears, looking worn out while talking with paramedics, was said to have been under the influence of an unknown substance. (Hot Shots Worldwide and Splash News)

Local television station KTLA-TV obtained video of a gurney-bound Spears and paramedics exiting the pop star's home late Thursday night. No injuries were reported at the scene. (KTLA-TV / AP)

During the dispute, police claim Spears was under the influence of an unknown substance. Here, she's seen being wheeled out of the ambulance on a gurney. (X17online.com)

After finally handing custody of her sons over to police, Spears was taken to Cedars Sinai Medical Center. PEOPLE reports that she'll undergo "an evaluation" there. (Dan Steinberg, AP)

Jayden James, the youngest son of Spears and Kevin Federline, is seen here in a car following the ambulance carrying his mother to the hospital. (Mark J. Terrill, AP)