The U.S. isn’t doing enough to curb smoking for all Americans, according to a new report from the American Lung Association.

The annual "State of Tobacco Control" report, which evaluates state and federal laws and policies to reduce tobacco use, gave the U.S. an A for its anti-tobacco mass media campaigns in 2017, but an F for both tobacco regulation and taxes. The nation earned a C for its health insurance coverage for cessation treatments.

Smoking rates have fallen dramatically in recent decades – from 24.7 percent of all adults in 1997 to 15.5 percent in 2016 – but the declines have been inconsistent across groups, with adults living in public housing, experiencing poor mental health or lacking health coverage among the most likely to smoke.

The disparities emphasize the “uneven progress” across the U.S., the report said. More than 480,000 people annually die from smoking-related diseases or secondhand smoke, according to the Centers for Disease Control and Prevention.

Source: U.S. News & World Report