Iowa isn’t spending enough on programs to curb tobacco use, according to a recent report from the Campaign for Tobacco-Free Kids.

The state is only budgeted to spend $7.3 million in fiscal year 2011 on tobacco prevention, which is 20 percent of the $36.7 million recommended by the U.S. Centers for Disease Control and Prevention (CDC).

The report found that Iowa ranks No. 20 in the nation based on the percentage that it should spend, but over the past three years, the state has cut funding by 40 percent, and cut funding down from $10.1 million allocated in 2010.

The report also found that 18.9 percent of high school students in Iowa smoke, 4,400 people in the state die from tobacco-related diseases every year and state residents spend $1 billion in tobacco-related health-care bills.

Only two states – Alaska and North Dakota – are budgeted to spend the amount recommended by the CDC, and only five other states are budgeted to spend more than 50 percent of the amount. The recommended amount varies based on population.

The funding comes from a $1 million grant from the CDC, $3.9 million in controlled funds from the American Recovery and Reinvestment Act and $65,476 from the Prevention and Public Health Fund. Iowa also has a cigarette tax of $1.36 per pack, which goes into a health-care trust fund and the state’s general fund, of which a little over $2 million is projected to go to prevention efforts.