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Nationally, cigar use prevalence among high school students was 3.1%.2 Economics of tobacco use and tobacco control Tobacco taxes in Missouri Missouri received $263.2 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4 Of this, the state allocated $2.9 million in state funds to tobacco prevention in fiscal year 2021, 3.9% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.52 billion per year.4 Smoking-caused losses in productivity: $7.1 billion per year.5 Missouri tobacco laws Missouri tobacco laws Tobacco taxes Missouri is ranked 51st in the U.S