On April 1st, a federal excise tax on tobacco and supplies, such as rolling papers, will increase to help expand the Children's Health Insurance Program. The American Cancer Society estimates four million additional children will receive health insurance coverage because of the tax increase.

Some smokers said the tax won’t cause them to quit.

“I've been smoking for nine years now. I don't see a reason to stop,” said Christian Grasso.

Now, if the health risks aren't enough, increased taxes are a new incentive to quit. Federal taxes on cigarettes are up from 39 cents to $1.01 per pack. The American Cancer Society sees the tax hike as an opportunity.

"There is evidence higher taxes are part of an effective strategy to reduce smoking rates," said Eileen Wolff of American Cancer Society.

In the midst of a deep recession, quitting could be a financial necessity.

"For individuals, it's a little more complicated. People will make a quit attempt when they're ready to. And if any of those things move them to that event, that's great," Wolff said.

Pediatricians hope the tax will stop smokers before they start.

"If you ask kids how sensitive they are to the prices, they're much more sensitive than adults are," said Dr. Karen Wilson of Rochester’s Golisano Children’s Hospital.

Wilson said a habit started as an adolescent is hard to shake.

"The more we can prevent adolescents from taking up smoking in their teens, the more we'll be able to prevent smoking in adulthood," Wilson said.

"If you want to have a smoke you're going to have a smoke, whether it's another dollar or not," said Keith Johnson.

High taxes are something some are willing to deal with even if takes a toll on their health and their wallet.

"I'll probably end up spending more money to be honest with you," Grasso added.