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Smokers can avoid the surcharge by enrolling in a tobacco-cessation program, which insurers must offer if they have a smoking surcharge, according to the Affordable Care Act

For example, the state of Illinois raised its excise tax by $1 to $2.98 per pack in 2019.[52] Indiana recently raised its cigarette excise tax 201% per pack, going from 99.5 cents to nearly $2.995 in July 2025

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His mother, a circus mermaid who made her living by holding her breath, drowned in the very water his house overlooks

The TWEP was launched in 2005, he said, but he could not provide figures for how much wood the program is producing