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(The District of Columbia has the highest tax at $4.50 and Missouri has the lowest at 17 cents.)6-8 Moist snuff is taxed at 36 cents per ounce.9 The tax on loose leaf tobacco products varies depending on weight.9 Liquid nicotine is taxed 6.6 cents per milliliter.9 Roll-your-own tobacco is taxed at 10% of the manufacturers sales price.9 Heated tobacco products are taxed 2.25 cents per stick, beginning January 1, 2021.10 All other tobacco products are taxed at 20% of the manufacturers sales price.9 Clean indoor air ordinances Smoking is prohibited in schools (public schools only) and childcare facilities (excludes home-based child care providers).6,7 Smoking restrictions are required in government workplaces, restaurants, bars, retail stores and recreational/cultural facilities.6,7 There are no smoking restrictions in private workplaces or casinos/gaming establishments.6,7 School boards are required to implement policies that prohibit e-cigarettes use on school buses, school property and at school-sponsored activities.11 Licensing laws Wholesalers are required to obtain a license to sell tobacco products

Under the Customs and Excise Act, those importing tobacco can be sentenced up to six months in prison

And in South Carolina, the lung cancer incidence rate is higher than the national average, with the state ranking 16th nationally, according to the state Department of Health and Environmental Control

Level 4: Medically Managed Intensive Inpatient hospital-based