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When people buy products, they buy other things, so its not just the loss of the tobacco tax to the state, but the sales tax as well for other purchases, and thats what state legislators should consider when drafting the bill. Mulroe, on the other hand, said he's not concerned with any significant loss in state revenue, maintaining that it would be more than made up in Medicaid savings for women aged 18 to 20 who smoked while pregnant and had premature births or children with other smoking-related birth defects

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Waterpipe Tobacco Smoking: Health Effects, Research Needs and Recommended Actions by Regulators