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Nationally, the rate was 5.7%.2 Economics of tobacco use and tobacco control How much does Massachusetts get from tobacco taxes Massachusetts received $836 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2020.4 Of this, the state allocated $4.6 million in state funds to tobacco prevention in fiscal year 2020, 6.9% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $4.08 billion per year.4 Smoking-caused losses in productivity: $2.40 billion per year.5 Massachusetts tobacco laws Massachusetts cigarette tax Tobacco taxes Massachusetts is ranked 5th in the U.S