South Dakota
A State-by-State Look at the 1998 Tobacco Settlement 27 Years Later
| FY2026 | FY2025 | |
|---|---|---|
| State Ranking | 25 | 13 |
| State Spending on Tobacco Prevention | $2.0 million | $4.5 million |
|
Percent of CDC Recommended Spending
($11.7 million) |
17.1% | 38.5% |
South Dakota's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending South Dakota Tobacco Prevention
| Tobacco's Toll in South Dakota (as of Dec. 15, 2025) | |
|---|---|
| Adults who smoke | 13.5% (96,500) |
| High school students who smoke | 4.6% (2,300) |
| High school students who use e-cigarettes | 14.7% |
| Deaths caused by smoking each year | 1,300 |
| Annual health care costs directly caused by smoking | $433 million |
| Proportion of cancer deaths attributable to smoking | 29.1% |
| Residents' state & federal tax burden from smoking-caused government expenditures | $1,011 per household |
| Estimated annual tobacco industry marketing in state | $24.9 million |
Last updated Dec. 15, 2025