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Nationally, e-cigarette use prevalence among high school students was 18%.2 Economics of tobacco use and tobacco control Tobacco taxes in Massachusetts Massachusetts received $691.5 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2022.4 Of this, the state allocated $6.1 million in state funds to tobacco prevention in fiscal year 2022, 9.2% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $4.74 billion per year.4 Smoking-caused losses in productivity: $7 billion per year.5 Massachusetts tobacco laws Massachusetts tobacco laws Tobacco taxes Massachusetts is ranked 6th in the U.S

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When used in ceremony or for medicinal purposes, sacred tobacco is not associated with addiction or adverse health impacts