I apologize for quoting myself, but it saves time... This is what I wrote in 2015:
CALIFORNIA VAPERS: Things are getting ugly...
"States have borrowed against tobacco tax revenue
Sales are increasing to companies not paying into the MSA
Cigarette shipments declined by an above average 6.45% in 2010, following a 9.2% decline in 2009. MSA receipts declined by 5.6% in 2011. The revenue reductions forced California to need debt reserves to meet
full interest and minimum serial bond principal repayments for 2011. Since then it has not gotten any better!"
I attended an awards ceremony a few months ago (Academy of Pediatrics). Every speaker mentioned decreasing revenues for public health programs that used to be funded by tobacco taxes (see
California Proposition 10 (1998) - Wikipedia, the free encyclopedia.) One speaker (a pulmonologist

) suggested (jokingly, of course) putting cigarette vending machines in schools. Everybody laughed.
I witnessed it myself--true story. So yes, they all know what's going on. The Academy of Pediatrics, the ACS, ALA, CDC, FDA, HHS...