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Nationally, the rate was 8.0%.2 Economics of tobacco use and tobacco control Economics of tobacco use in Maryland Maryland received $525 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.4 Of this, the state allocated $10.5 million in state funds to tobacco prevention in fiscal year 2019, 21.8% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-related health care costs: $2.71 billion per year.4 Smoking-related losses in productivity: $2.22 billion per year.5 Maryland tobacco laws Cigarette tax in Maryland Tobacco taxes Maryland is ranked 17th in the U.S