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Americans who make less than $20,000 per year (26.7 percent) and Lesbian, Gay and Bisexual Americans (23 percent) have some of the highest smoking rates, and as a result, are at the greatest risk for tobacco-caused death and disease, the report reads

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(The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.)6-8 Little cigars weighing less than four pounds per thousand are taxed at 21.75 cents per cigar

states, Wisconsin reported the second highest discrepancy in opioid mortality rates between Native American and white populations in 2022, led only by Minnesota

(Revenues from expanding the taxpaying base of existing taxes to include e-cigarettes would support Proposition 99 and Proposition 10 purposes as described in Figure 1.) Backfill of Existing Tobacco Tax Programs