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Nationally, the rate was 3.1%.2 Economics of tobacco use and tobacco control Tobacco taxes in Iowa Iowa received $256.7 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4 Of this, the state allocated $4.3 million in state funds to tobacco prevention in fiscal year 2022, 14.2% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-related health care costs: $1.49 billion per year4 Smoking-related losses in productivity: $3.1 billion per year5 Iowa tobacco laws Iowa tobacco laws Tobacco taxes Iowa is ranked 32nd in the U.S