aca tobacco surcharge Can you Charge Smokers More for Your Health Plan? Class-action Lawsuits Target Health Plan
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However an explanation of a couple of the names by which tobacco was originally called is useful in understanding some of the references in the older texts

Characteristics of the Study Population, 2011-2014

Our results indicate that if coverage and cessation are the most important goals, having no surcharge is preferable to low, medium, and high surcharge levels, as it yields the highest or equivalent rates of both coverage and cessation
For example, waivers for tobacco surcharges in exchange for participating in a tobacco cessation program

Amplifying its effect, the FDA says, some tobacco products, like cigarettes, are designed to deliver nicotine to the brain within seconds, making it easier to become dependent on nicotine and more difficult to quit, the FDA says