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Nationally, the rate was 8.0%.2 Economics of tobacco use and tobacco control Economics of tobacco use in North Dakota North Dakota received $53.6 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2019.4 Of this, the state allocated $5.8 million in state funds to tobacco prevention in fiscal year 2019, 59.5% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $326 million per year.4 Smoking-caused losses in productivity: $232.6 million per year.5 North Dakota tobacco laws Cigarette tax in North Dakota Tobacco taxes North Dakota is ranked 48th in the U.S