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Indiana’s report card from American Lung Association is out, with a brand new segment for a grade called “ending the sale of all flavored tobacco products.” The end result for the state? An F.

The highest grade Indiana received was a C, in strength of smoke-free workplace laws. Funding for state tobacco prevention programs and level of state tobacco taxes both received an F, while coverage and access to services to quit tobacco received a D.

“That might be something new for folks to consider,” Nick Torres, advocacy director at the American Lung Association said about the new grade for flavored tobacco products.