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In 2009, the reauthorization of the State Children's Health Insurance Program included an increase in the federal excise tax on various tobacco products, and while the new law closed some loopholes by equalizing the tax on little cigars with cigarettes, it created other exceptions that the tobacco industry was quick to exploit

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4 The impact of these laws comes from both disrupting opportunities for trial/experimentation and by changing social norms such that smoking is perceived as less acceptable

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Souter and Justice John Paul Stevens wrote partial dissents