Missouri
A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 39 | 43 |
| State Spending on Tobacco Prevention | $5.4 million | $3.1 million |
|
Percent of CDC Recommended Spending
($72.9 million) |
7.4% | 4.3% |
Missouri's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending Missouri Tobacco Prevention
| Tobacco's Toll in Missouri (as of Dec. 15, 2025) | |
|---|---|
| Adults who smoke | 14.7% (721,800) |
| High school students who smoke | 6.2% (20,200) |
| High school students who use e-cigarettes | 21.3% |
| Deaths caused by smoking each year | 11,000 |
| Annual health care costs directly caused by smoking | $3.52 billion |
| Proportion of cancer deaths attributable to smoking | 34.4% |
| Residents' state & federal tax burden from smoking-caused government expenditures | $1,188 per household |
| Estimated annual tobacco industry marketing in state | $344.1 million |
Last updated Dec. 15, 2025