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American Heart Association, Western States Affiliate

For most e-commerce goods (clothing, home goods, electronics, small consumer products), the practical impact in 2026 is limited

If, for instance, the federal government were to increase taxes by $1 per pack of 20 cigarettes, and this increase were passed on to consumers, state governments in aggregate would raise roughly $720 million less in revenue from excise taxes on cigarettes.[29] In addition, when taxpayers pay more in tobacco taxes, they pay less in other taxes like income and payroll taxes

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