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(Source: American Heart Association

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The Retailers Association of Massachusetts opposes the age increase, arguing that it is "anti-local business and anti-consumer as it seeks to ban licensed stores from selling a legal product to adult consumers." In a letter to lawmakers, RAM said that the legislation would shift "tobacco sales out-of-state and to the internet thus depriving the Commonwealth of tobacco excise tax revenue used to address problems associated with smoking which will endure." The American Cancer Society Cancer Action Network lauded the Senate's move Thursday, saying it put Massachusetts "one step closer to reducing tobacco related disease and death." "Together with Massachusetts' appropriately strong tobacco taxes and 100 percent smoke free workplace law, passage of this bill will once again make Massachusetts the leader in the fight against Big Tobacco and ensure that the Commonwealth has some of the strongest anti-tobacco policies in the nation," Marc Hymovitz, the advocacy group's director of government relations, said in a statement

Over time, some smokers find Blue becomes their permanent choice rather than just a transitional option

County-level total cigarette smoking prevalence Figures 2 and 3 show the age-standardized total cigarette smoking prevalence for males and females, respectively, in 1996 and 2012