Leaders of Indiana’s main physicians organization are warning those within the Hoosier State that the spread of vaping-related illnesses and deaths show the need for state taxes to discourage electronic cigarette use.

On Tuesday, Indiana State Medical Association president Dr. Lisa Hatcher of Columbia City told a state legislative committee that Indiana needed to join other states with excise taxes on e-cigarette liquids.

Earlier this year a vaping tax proposal failed in the legislative session amid questions about the tax level and how to charge it. Many other state law makers argue that the tax could especially discourage teenagers from vaping.

Presently health officials blame three deaths in Indiana and at least 26 nationally on severe lung injuries caused by vaping. Meanwhile, Indiana vape shop owners maintain their thoughts that black-market products are the problem and that they cater only to adult customers.