Inclusion Criteria:

• 1. Enrollment in the CNICS clinical cohort.
• 2. 18 years or older;
• 3. Receiving HIV care at the UAB, UW or Fenway Health clinics and not anticipating changing clinics over the next six months
• 4. Smoking greater than or equal to 5 cigarettes per day (cpd) for the past month
• 5. Living in an unrestricted environment that allows smoking.

Exclusion Criteria:

• 1. Cognitive impairment such that unable to provide informed consent;
• 2. Non-English speaking;
• 3. Acutely suicidal, manic, acutely intoxicated, or otherwise not stable enough to provide informed consent;
• 4. Currently receiving smoking cessation treatment.