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"Bulking uses the leaf's natural biodegrading process but is controlled, giving the tobacco a deeper, fermented flavor," Reeves explains

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Establishments are required to post signs stating that sales to minors are prohibited.6,7 Minors are prohibited from buying alternative tobacco products, including e-cigarettes.6,7 Quitting statistics and benefits Quitting smoking and vaping in Kentucky The CDC estimates 46.8% of daily adult smokers in Kentucky quit smoking for one or more days in 2018.3 In 2014, the Affordable Care Act required Medicaid programs cover all quit medications.7** Kentuckys state quit line invests 89 cents per smoker, compared with the national average of $2.14.7 Kentucky has a private insurance mandate provision for quitting tobacco.7 Notes and references Updated August 2020 *National and state-level prevalence numbers reflect the most recent data available

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