The American Legacy Foundation is a non-profit national public health foundation focussed on preventing young people from smoking and helping smokers to quit. It was created in 1999 as a result of the 1998 Master Settlement Agreement (MSA), negotiated among the attorneys general of 46 states, the District of Columbia and five U.S. territories and the four largest U.S. tobacco companies., (Brown & Williamson, Lorillard, Philip Morris, Inc. and R.J. Reynolds, Inc.) Legacy launched the truth campaign in 2000, aimed at youth and employing a “bold and edgy” feel, truth sought to educate teens about the tobacco industry’s deceptive practices by using their own documents in campaign materials.

Other major campaigns include the Great Start campaign aimed at helping pregnant smokers quit and Ex, which employed reality TV-style storytelling to help those who want to quit break the habit.