Iowa 1998 State Tobacco Settlement | Campaign for Tobacco-Free Kids
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Iowa

FY2026FY2025
State Ranking3427
State Spending on Tobacco Prevention$3.0 million$4.3 million
Percent of CDC Recommended Spending
($30.1 million)
10.0%14.2%
Iowa's Tobacco Revenue, CDC Recommended Spending, State Spending and Tobacco Industry Marketing
Trend in Spending Iowa Tobacco Prevention
Iowa Total Annual Tobacco Prevention Spending from 2012 to 2026 chart

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Tobacco's Toll in Iowa
(Nov. 25, 2025)
Adults who smoke12.9% (323,900)
High school students who smoke4.1% (7,500)
High school students who use e-cigarettes16.4%
Death caused by smoking each year5,100
Annual health care costs directly caused by smoking$1.49 billion
Proportion of cancer deaths attributable to smoking31.4%
Residents' state and federal tax burden from smoking-caused government expenditures$1,081 per household
Estimated annual tobacco industry marketing in state$100.8 million
Last updated: January 21, 2026