This report serves as a statewide call to action following the 2025 Behavioral Health and Tobacco Summit. It offers a roadmap to transform tobacco treatment from an optional goal into a routine, supportive, and essential component of every recovery journey. By shifting the focus from “quitting” to “comfort and care,” New York is addressing one of the state’s most persistent health inequities. The recommendations outlined in this report should be used to advance treatment efforts and achieve meaningful, system-level outcomes.