North Dakota
A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 7 | 9 |
| State Spending on Tobacco Prevention | $5.9 million | $6.1 million |
|
Percent of CDC Recommended Spending
($9.8 million) |
60.3% | 61.8% |
North Dakota's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending North Dakota Tobacco Prevention
| Tobacco's Toll in North Dakota (as of Dec. 15, 2025) | |
|---|---|
| Adults who smoke | 12.4% (76,400) |
| High school students who smoke | 5.4% (2,400) |
| High school students who use e-cigarettes | 18.2% |
| Deaths caused by smoking each year | 1,000 |
| Annual health care costs directly caused by smoking | $379 million |
| Proportion of cancer deaths attributable to smoking | 28.3% |
| Residents' state & federal tax burden from smoking-caused government expenditures | $887 per household |
| Estimated annual tobacco industry marketing in state | $33.4 million |
Last updated Dec. 15, 2025