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A diplomat from Qatar decided to light a pipe on a plane from Washington, D.C., to Denver in 2010

However, the report finds that most states continue to fall short in funding these lifesaving programs: This year (fiscal year 2026), the states will spend $728.6 million on tobacco prevention and cessation programs, which is less than a quarter (22%) of the $3.3 billion recommended by the CDC for all states combined