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However, there is not yet evidence that the Hawaii Medicaid program has complied with this requirement regarding NRT nasal spray, NRT lozenge and NRT inhaler.7** Hawaiis state quit line invests $8.83 per smoker, compared with the national median of $2.37.7 Hawaii does not have a private insurance mandate provision for quitting tobacco.7 Notes and references Notes and references Updated June 2023 * The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels