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Missouri became a slave state and Maine a free, maintaining the balance of slave and free states 38

Government objectives will shift towards tobacco harm reduction policies, which will include incentivizing consumers to switch to RRP products by taxing related products at substantially lower rates than combustibles

While some of the area tobacco farmers have tried growing hemp in place of tobacco, that has not worked well because much of the back-end market for hemp has not yet developed. Beyond Washington, Beijing has also influenced actions by Virginia tobacco farmers

Clinic staff implementation strategy Training Prior to AAC implementation, the clinic practice team at each clinic will receive a brief (e.g., 30 min), in-person training designed to increase provider and staff motivation, self-efficacy, and behavioral capabilities to implement AAC