Increases the cigarette tax from $0.17 per pack of 20 cigarettes to $1.50 per pack, upon voter approval

HB 3133 proposes increasing the cigarette tax from $0.17 to $1.50 per pack of 20 cigarettes, requiring voter approval in a November 2026 election. This tax applies to all cigarettes sold in the state and directly affects cigarette consumers, retailers, and manufacturers. Revenue from the tax would initially fund the health initiatives fund (until the legislature appropriates 25% of federal reimbursement funds), then shift to the general revenue fund after 2027. The bill does not take effect without voter approval and specifies how tax stamps must be affixed to cigarette packages.