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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 Maryland Maryland received $632.1 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4 Of this, the state allocated $20.6 million in state funds to tobacco prevention in fiscal year 2022, 42.9% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-related health care costs: $3.14 billion per year.4 Smoking-related losses in productivity: $6.4 billion per year.5 Maryland tobacco laws Maryland tobacco laws Tobacco taxes Maryland is ranked 5th in the U.S