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While P/E multiples of Big Tobaccos may range from ~8x of Altria to ~20x of PMI, the difference in implied total shareholder return is far less significant

Lee JG, Henriksen L, Myers AE, Dauphinee AL, Ribisl KM

In light of the AMA's current data collection efforts and because the methodological and data source changes to the MEI finalized in the CY 2023 PFS final rule would have significant impacts on PFS payments, similar to our discussion of this topic in the CY 2024 PFS rulemaking cycle (88 FR 78829 through 78831), we continue to believe that delaying the implementation of the finalized 2017-based MEI cost share weights for the RVUs is consistent with our efforts to balance payment stability and predictability with incorporating new data through more routine updates

The real question is whether the concentrations absorbed through passive inhalation are sufficient to reach the detection thresholds used in workplace drug testing