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From 1 February 2026: GST Compensation Cess removed New Excise Duty + Health & National Security Cess introduced GST reset 40% on cigarettes & smokeless tobacco, 18% on beedis Tax now calculated on Retail Sale Price, not under-reported values This reform reflects a shift from temporary compensation to permanent public health-oriented taxation

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54 Another study by Kim et al compared patients with COPD GOLD stage II-IV with (n=290) and without CB (n=771) and showed that those with CB were younger, had a greater pack-year smoking history, were more likely to be current smokers and had higher rates of exacerbations