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More recently, the prevalence of youth use of smokeless tobacco products has risen (0.9% in 2021 to 1.3% in 2022) as has youth use of oral nicotine pouches (0.8% in 2021 to 1.1% in 2022) according to annual NYTS data

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But, the states insurance commissioner issued guidance instructing most insurance plans to be in compliance with Affordable Care Act guidance on tobacco cessation as a preventative service.7 Notes and references Notes and references * The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels

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