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The combined revenue loss from net inbound cigarette smuggling across all states since 2007 totals $79.4 billion

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All other tobacco products are taxed at 30% of the manufacturers list price.6,8 Clean indoor air ordinances Smoking is prohibited in all government and private workplaces, schools, childcare facilities, restaurants, bars, casinos/gaming establishments, retail stores and recreational/cultural facilities.6 E-cigarettes are included in the states definition of smoking.9 Licensing laws Retailers and wholesalers are required to obtain a license to sell tobacco products.8 A license is required to sell e-liquid, but no license is required to sell e-cigarette devices.9 Youth access laws In December 2019, the United States adopted a law raising the federal minimum age of sale of all tobacco products to 21, effective immediately

Some of these cellular changes have been linked to the development of cancer over the long term, though theres currently no evidence to suggest that vaping causes cancer