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Study setting and population In this observational cohort study, we included 337 primary care CHCs across 12 states that expanded Medicaid eligibility to 138% of the FPL for all adults including those without dependent children as of 1/1/2014 (California, Hawaii, Massachusetts, Maryland, Minnesota, New Mexico, Nevada, Ohio, Oregon, Rhode Island, Washington, and Wisconsin) and 273 CHCs in 8 non-expansion states (Alaska, Florida, Indiana, Kansas, Missouri, Montana, North Carolina, and Texas)

The only exceptions were Vector, Gudang Garam and BAT

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25 The first step determines the allocations for each of the six tobacco product classes, and the second step determines the individual domestic manufacturer and importer allocations within each respective tobacco product class