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Anyone who wants a job next year at Anne Arundel Medical Center -- whether as a surgeon or security guard -- will have to prove they don't smoke or use tobacco.

The Annapolis hospital's new hiring policy might be controversial, but it is legal in Maryland and more than half of the United States. And it's a type of job screening that is gaining favor with employers -- from hospitals to companies such as Alaska Airlines -- trying to control rising health costs and cultivate a healthier, more productive workforce.