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In May 2024, Governor Wes Moore signed the Budget Reconciliation and Financing Act, which raised the state's excise tax by $1.25 per pack , from $3.75 to $5.00

with an empty stomach, as this could provoke a feeling of nausea

So the plain packs are always there, a graphic reminder of the harms of smoking

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A tamper is used to pack the tobacco down into the bowl

The Other Health Crisis While the government focuses on smoking, a more drastic health crisis is gripping the nation