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At a time when youth tobacco use is falling, FDA-authorized alternatives are available, and adult smoking rates have reached historic lows, state lawmakers should pause before turning to excise tax hikes as a default solution to budget challenges

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Note: A pack-year is equal to the number of years a person has been smoking multiplied by the number of packs smoked per day

In March 2025, an Ontario court approved the largest legal settlement in Canadian history: a $32.5 billion agreement requiring three major tobacco companies - JTI-Macdonald, Rothmans Benson & Hedges, and Imperial Tobacco Canada - to compensate provincial and territorial governments, as well as individual smokers, for decades of smoking-related health costs

Heart Health Risks of Teenage Smoking Teenage smoking poses significant risks to heart health, with detrimental consequences that can persist into adulthood