A lot has changed since 1998, the year that Pennsylvania and 45 states stood up to big tobacco and helped create the Tobacco Settlement Fund, or TSF. Since Pennsylvania hospitals first began receiving money from the fund, it has been used to bolster health care in that state in a variety of ways. Gov. Tom Wolf’s budget plan kept the TSF whole, but The Hospital and Healthsystem Association of Pennsylvania is concerned that this year some lawmakers want to use TSF funds to instead pay state debt.

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