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Though all counties in the country continued to have at least one ACA Marketplace insurer, there had initially been concern that there could have been counties left without any insurer, thus leaving residents in those counties without access to ACA subsidies

She said that leveraging existing smoking quit lines and telehealth solutions may also help rural residents by minimizing barriers to access

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In a series of actions approved by town leaders and voters, Aspen dramatically sharpened the price of tobacco last year by imposing a local, $3-per-pack tax on cigarettes and a new 40% tax on other nicotine products