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Massachusetts and California are further hampered by a preemption provision in the Tobacco Control Act that says states can enact laws more stringent than the federal law with regard to sales, marketing, and distribution but not ones that relate to tobacco product standards

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Our findings highlight a need for policy makers, researchers, and communities at risk to devote greater attention to chewing tobacco by both advancing tobacco control efforts and investing in strengthening the existing evidence base

"Skoal" is an Anglicization of skl , a term used often in Scandinavia to announce a toast of friendship, with connotations of well-wishing