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[41] Of the 49 states that do impose in this category, Florida does not tax cigars, though all other tobacco products are taxed

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After evaluating state and federal policies or actions taken to eliminate the use of tobacco, ALA gave Iowa the following scores: Funding for state tobacco prevention programs: Grade F Strength of smoke-free workplace laws: Grade B Level of state tobacco taxes: Grade F Coverage and access to services to quit tobacco: Grade D Ending the sale of all flavored tobacco products: Grade F Iowa's adult smoking rate is over 13%, meaning thousands of Iowans are using tobacco products, said Kristina Hamilton, director of advocacy for the ALA in Iowa

For example, they may agree to pay initial hospital bills but refuse coverage for follow-up surgeries or rehabilitation