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"As chairman of the House Appropriations Committee, I'd also like to point out that Tobacco 21 isn't just responsible public health policy, but it's also fiscally responsible for the State of Texas." According to Zerwas, smoking costs the state $8.85 billion every year in direct health care costs

Serum cotinine is considered a reliable marker of both smoking intensity and exposure to tobacco smoke

doi:10.1192/S0007125000293367

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