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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 Kentucky Kentucky received $496.7 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.3 Of this, the state allocated $2.0 million in state funds to tobacco prevention in fiscal year 2022, 3.5% of the Centers for Disease Control and Preventions annual spending target.3 Smoking-related health care costs: $2.23 billion per year.3 Smoking-related losses in productivity: $6.3 billion per year.4 Kentucky tobacco laws Kentucky tobacco laws Tobacco taxes Kentucky is ranked 37th in the U.S