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Each year, more than 9,300 people die from tobacco use across the state and smoking-related illnesses are responsible for more than $4 billion in annual healthcare costs to the Commonwealth

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At least 22 states, Washington, D.C., Puerto Rico, American Samoa, the Commonwealth of Northern Mariana Islands, and Guam have cigarette excise tax rates of $2.00 per pack or higher at the end of 2021