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A substantial body of research, which has accumulated over many decades and from many countries, shows that significantly increasing the excise tax and price of tobacco products is the single most consistently effective tool for reducing tobacco use

(The District of Columbia has the highest tax at $4.50).6-8 All other tobacco products are taxed at 10% of the manufacturers invoice price.6,7 Clean indoor air ordinances Smoking is prohibited in schools (public schools only) and childcare facilities.7 Smoking restrictions are required in government workplaces, private workplaces, restaurants, retail stores and recreational/cultural facilities.7 There are no smoking restrictions for bars and casinos/gaming establishments.7 No smoke-free restrictions exist for e-cigarette use.9 Youth access laws The minimum age to purchase tobacco products in Missouri is 21

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