The Food and Drug Administration on Thursday proposed long-delayed graphic health warnings for cigarette packages, taking a step toward fulfilling a requirement of a decade-old smoking prevention law.

The new warning label proposal will now be subject to a public comment period, and is under a court-ordered deadline to be finalized by March 15, 2020.

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The warnings would update the textual statements already on cigarette packages, and for the first time include photorealistic images that depict smoking-related health problems. After soliciting comments, the FDA will choose from 13 combinations of text and images outlined in the rule.

For example, one proposal would warn that smoking causes head and neck cancer, with an image depicting a woman with a tumor on her neck. Other images to go along with other specific warnings show things like diseased or dead lungs, a cup of bloody urine and a low-birthweight infant.