Two decades have passed since states reached a landmark legal settlement that required major tobacco companies to pay states more than $246 billion over time as compensation for the health costs related to the suffering, death and disease caused by their dangerous products.

According to a new edition of the ACS CAN report How Do You Measure Up? released today, most state legislatures are missing opportunities to enact laws and policies that could not only save lives, but also generate new revenue and long-term health care savings.