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In the 2025 report, Indiana received the following grades: Funding for State Tobacco Prevention Programs Grade F Strength of Smokefree Workplace Laws Grade C Level of State Tobacco Taxes Grade F Coverage and Access to Services to Quit Tobacco Grade C Ending the Sale of All Flavored Tobacco Products Grade F In addition to grading Indianas tobacco control policies, this years State of Tobacco Control report examines the tobacco industrys increasingly aggressive actions to addict a new generation to tobacco and hinder proven public policies to prevent and reduce tobacco use, said Tiffany Nichols, director of advocacy at the American Lung Association in Indiana

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Another method is expired carbon monoxide (CO) testing

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