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“The CDC report confirms that most states have broken the promises they made at the time of the 1998 tobacco settlement to invest a significant portion of their settlement funds in fighting tobacco use, especially among kids,” Mr. Myers said Thursday.

Noting that one study has shown that for every $1 spent on tobacco-prevention, the state saved $5 in hospital costs, Mr. Myers said states have “no excuse” for failing to fund tobacco-prevention programs.