Several cigarette brands, including Salem and Winston, have stopped paying money owed to the state of Minnesota under the historic 1998 court settlement with Big Tobacco.
The shortfalls, estimated at $15 million a year, come as funding for the state's free quit-smoking assistance program is set to expire next year.
Without new funds, Minnesota would be the only state that does not provide a free tobacco cessation program — even as teen tobacco use is rising and a historic drop in adult tobacco use appears to be slowing down.
The state has sued the tobacco firms to recapture the funds, and bills were introduced in the Legislature last week to dedicate any resulting money to anti-tobacco efforts. Those efforts include the free Quitplan program, now operated by ClearWay Minnesota, a nonprofit established using some money from the original $6.5 billion tobacco lawsuit settlement.
Still, Minnesota pulled in $154 million in 2018 in tobacco settlement payments from brands that have been paying, as well as $648 million in taxes on tobacco products. That revenue goes into the state's general fund, with little spent on tobacco control.
Altogether, Minnesota spends $17 million annually on tobacco control, with $12 million of that coming from ClearWay, according to the Minneapolis-based nonprofit. By comparison, a 2014 study by the U.S. Centers for Disease Control and Prevention (CDC) in Atlanta said that Minnesota should be spending $54 million annually.
"This was the largest and most significant lawsuit in the state's history, and for none of that money to be earmarked for the purposes that the lawsuit was serving is an unforgivable shame," said Doug Blanke, director of the Public Health Law Center at Mitchell Hamline School of Law in St. Paul. "That is one of the great tragedies of this experience."
Since the landmark legal settlement, Minnesota's adult smoking rate has dropped 38 percent, reflecting the impact of tobacco cessation programs, higher cigarette taxes and indoor smoking bans.