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The study found that policies become more effective over time with the largest declines in youth vaping occurring four years after policy implementation
Specifically, the California Healthcare, Research and Prevention Tobacco Tax Act (Proposition 56) 22 was a crucial ballot measure that passed with 64.43% public support in November 2016, increasing the cigarette tax by $2.00 per pack ($0.87 to $2.87 per pack), with equivalent increases on ATPs, and went into effect on 1 April 2017
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