
Since the November 1998 multi-state tobacco settlement, we have issued annual reports assessing whether the states are keeping their promise to use a significant portion of their settlement funds — estimated at $246 billion over the first 25 years — to attack the enormous public health problems posed by tobacco use in the United States.
Our latest report, issued November 30, 2011, finds that the states have cut funding for tobacco prevention and cessation programs to the lowest level since 1999, when they first received tobacco settlement funds.
The states this year (Fiscal Year 2012) will collect $25.6 billion in revenue from the tobacco settlement and tobacco taxes, but will spend only 1.8 percent of it — $456.7 million — on programs to prevent kids from smoking and help smokers quit. This means the states are spending less than two cents of every dollar in tobacco revenue to fight tobacco use.
The states have cut funding for such programs by 12 percent ($61.2 million) in the past year and by 36 percent ($260.5 million) in the past four years.

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States that are spending 50% or more of CDC recommendation on tobacco prevention programs. |
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States that are spending 25% - 49% of CDC recommendation on tobacco prevention programs. |
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States that are spending 10% - 24% of CDC recommendation on tobacco prevention programs. |
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States that are spending less than 10% of CDC recommendation on tobacco prevention programs. |
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Click a state on the map above or select from the dropdown box to see state-specific settlement information: |
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States that are spending 50% or more of CDC recommendation on tobacco prevention programs. |
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States that are spending 25% - 49% of CDC recommendation on tobacco prevention programs. |
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States that are spending 10% - 24% of CDC recommendation on tobacco prevention programs. |
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States that are spending less than 10% of CDC recommendation on tobacco prevention programs. |
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Click a state on the map above or select from the dropdown box to see state-specific settlement information: |
This report is issued by the Campaign for Tobacco-Free Kids, American Heart Association, American Cancer Society Cancer Action Network, American Lung Association, Robert Wood Johnson Foundation and Americans for Nonsmokers’ Rights.
Other key findings of this report include:
The report comes as recent surveys have found that smoking declines in the United States have slowed. To continue reducing tobacco use, elected officials at all levels must redouble efforts to implement proven strategies. That includes using more tobacco money to fund tobacco prevention programs.
Complete Report (2.3 MB)
Press Release: New Report: States Slash Tobacco Prevention Funding by 36%, Spend Less than 2 Cents of Every Tobacco Dollar to Fight Tobacco Use
Graph: Tobacco Revenue vs. Prevention Spending, FY2000-FY2012
Table: Status of Funding for State Tobacco Prevention Programs
Table: Tobacco Prevention Spending vs. Tobacco Company Marketing
Appendix A: History of Spending for State Tobacco Prevention Programs
Appendix B: Tobacco-Prevention Spending vs. State Tobacco Revenues
Appendix C: Cuts to State Tobacco Prevention Programs from FY2008-FY2012