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Read more License to Save Lives Tennessee Hundreds of Tennessee youth rallied at the State Capitol in Nashville on February 17, 2026, urging lawmakers to pass a tobacco retail licensing law and strengthen enforcement of regulations to prevent tobacco sales to kids

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Price discounts had been the single largest expenditure category every year since 2002

Drug Alcohol Abuse 19, 263281 (1993)

It is also in the American South, specifically in the Upper South, in the Ohio River Valley, in Appalachia, and specifically in Northern Appalachia