ACA Smoking
Jim Witmer
Nathaniel Kesting ,33, of Bellbrook exhales smoke while waiting in the cold downtown Dayton Thursday. Smokers will have to pay a 50 percent surcharge on top of the premiums they pay for coverage through the state health exchanges required under the Affordable Care Act. The penalty could have a disproportionate impact in Ohio, where the state's smoking rate saw its biggest increase in more than a decade last year, according to the CDC.Staff photo by Jim Witmer
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