Interestingly, the American Lung Association and the American Cancer Society, both of which support the "Affordable Care Act," are nevertheless opposed to the tobacco surcharge because they believe it will make insurance unaffordable for smokers. ALA's Jennifer Singleterry was quoted, "Tobacco surcharges are not proven to help tobacco users quit and there are major concerns that they will prevent people from getting health care coverage ... Charging tobacco users more in health insurance premiums, sometimes thousands of dollars more, studies have shown, will price smokers out of the market."
Smokers are the only group with projected higher-than-average medical costs that Obamacare penalizes ... drug addicts, alcoholics, and the obese (among others) are not penalized. Only 11 states have stepped in to prevent the surcharge (I don't which ones those are); in the remaining 39 states, insurers will decide the surcharge.