Pennsylvania has moved smokers to the top of its list for getting the COVID-19 vaccine.

The Pennsylvania Department of Health has added “persons ages 16-64 with high-risk medical conditions” to phase 1a of its vaccine allocation plan.

The CDC’s Advisory Committee on Immunization Practices currently recommends those aged 16-64 with medical conditions that increase their risks of severe COVID-19 to be included in phase 1c, but states are free to modify their distribution plans to their discretion.