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However, the number of exemptions and exclusions, lack of specificity in statutory language, and short time period between enacted legislative changes and implementation dates can complicate the tax for consumers, businesses, retailers, and DRS tax administration and auditing staff

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Furthermore, if the 30% increase in the fraction of spending on Medicaid that is attributable to adult smoking between 2010 and 2014 is any indication, the tobacco industrys economic burden may continue to grow