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Tilden: The Department of Health Care Services (DHCS) is submitting the enclosed response to the California State Auditor (CSA) draft audit report number 2021-046 titled, The Department of Health Care Services Is not Adequately Monitoring Provider Payments Funded By Tobacco Taxes. In the above draft audit report, CSA issued seven recommendations for DHCS and one for the Legislature

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Hell, if kids are going to smoke, its better for them to smoke one or two than a whole pack, he said

That deserves a great deal more detail

This was followed by a larger increase of 15% in 2023