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Nationally, the rate was 8.0%.2 Economics of tobacco use and tobacco control Economics of tobacco use in Missouri Missouri received $258.9 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.4 Of this, the state allocated $48,500 in state funds to tobacco prevention in fiscal year 2019, 0.1% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $3.03 billion per year.4 Smoking-caused losses in productivity: $3.04 billion per year.5 Missouri tobacco laws Cigarette tax in Missouri Tobacco taxes Missouri is ranked 51st in the U.S