Despite billions of dollars nationwide from tobacco taxes and settlements with manufacturers more than a decade ago, only two states are poised to meet federal recommendations for tobacco prevention spending during the 2014 fiscal year, an alliance of advocacy groups said in a report issued on Monday.

The Campaign for Tobacco-Free Kids, the Robert Wood Johnson Foundation and four other organizations estimated that states would earn about $25 billion next year in revenue that is linked to tobacco, including $7 billion from settlements between states and leading tobacco companies.

But the groups said that states were expected to spend only $481 million on programs intended to prevent or curb tobacco use, well below the $3.7 billion recommended by the Centers for Disease Control and Prevention.

It is also a marked decrease from 2002, when the states devoted $750 million to those efforts.

“I would call it horrible health policy and horrible fiscal policy,” said Danny McGoldrick, the vice president for research at the Campaign for Tobacco-Free Kids. “They are passing up an opportunity to save lives, save suffering and save health care dollars for the state.”