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The key policy issue regarding these taxes is whether the programs they support will experience funding pressures, due to declining tobacco consumption associated with health concerns, smoking restrictions, litigation settlement costs, and the increased prices brought on by high excise taxes

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There are also significant surpluses being accumulated in Prop 99 Physician Service Accounts which are dedicated to paying for emergency, pediatric and obstetrical services.27 On June 13, 1991, Senator Diane Watson wrote to the Legislative Counsel, the Legislature's lawyer, asking whether Health Education Account specifically limits the use of the funds in the Health Education Account for programs for the prevention and reduction of tobacco use, primarily among children, through school and community health education programs

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