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A 2015 report from the Institute of Medicine also claims that raising the nationwide minimum age of legal access to tobacco to 21 would lead to 223,000 fewer premature deaths and 50,000 fewer lung cancer deaths of those born between 2000 and 2019

"It's a very vulnerable population." Heinemann rattled off some facts in support of the bill on Tuesday - a bill which has yet to be dropped in Pierre - including a statistic showing 90 percent of people who illegally purchase tobacco for minors are between the ages of 18 and 20

Smoking is associated with 60% increased risk of heart failure, and continuing smoking is associated with 80% excess risk of frequent hospital admissions due to worsening heart-failure