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have laws on the books that bar employers from discriminating against an employees lawful off-duty activities (such as nicotine usage) or prohibit discrimination based on tobacco use

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Blaha and his colleagues used the data to analyze the impact of smoking duration, as well as cessation, on risks for heart attack, stroke, heart disease, heart failure and atrial fibrillation

(3) The implementation costs or negative unintended consequences associated with a cost measure outweigh the benefit of its continued use in the MIPS cost performance category