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Nationally, the rate was 5.7%.2 Economics of tobacco use and tobacco control Maryland cigarette tax Maryland received $501.0 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2021.4 Of this, the state allocated $10.8 million in state funds to tobacco prevention in fiscal year 2021, 22.6% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-related health care costs: $2.71 billion per year.4 Smoking-related losses in productivity: $2.22 billion per year.5 Maryland tobacco laws Maryland smoking laws Tobacco taxes Maryland is ranked 5th in the U.S