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II
116TH CONGRESS
1ST SESSION
S. 1048
To amend the Public Health Service Act to provide for a Reducing Youth
Use of E-Cigarettes Initiative.
IN THE SENATE OF THE UNITED STATES
APRIL 4, 2019
Mr. BLUMENTHAL (for himself, Mr. WYDEN, Mr. MERKLEY, Mr. REED, Mr.
DURBIN, Mr. BROWN, and Mr. MARKEY) introduced the following bill;
which was read twice and referred to the Committee on Health, Edu-
cation, Labor, and Pensions
A BILL
To amend the Public Health Service Act to provide for
a Reducing Youth Use of E-Cigarettes Initiative.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ββPreventing Opportuni-
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ties for Teen E-Cigarette and Tobacco Addictionββ or the
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ββPROTECT Actββ.
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β’S 1048 IS
SEC. 2. REDUCING YOUTH USE OF E-CIGARETTES INITIA-
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TIVE.
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The Public Health Service Act is amended by insert-
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ing after section 317T of such Act (42 U.S.C. 247bβ22)
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the following:
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ββSEC. 317U. REDUCING YOUTH USE OF E-CIGARETTES INI-
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TIATIVE.
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ββ(a) IN GENERAL.βThe Secretary, acting through
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the Director of the Centers for Disease Control and Pre-
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vention, shall carry out an initiative, to be known as the
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Reducing Youth Use of E-Cigarettes Initiative, which shall
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include the following:
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ββ(1) Conducting research (including by using
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rapid surveillance methods), on use by youth and
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young adults of electronic cigarettes and emerging
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tobacco products, including research onβ
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ββ(A) the types of products youth and
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young adults use;
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ββ(B) patterns of products used by youth
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and young adults, including initiation, fre-
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quency of use, use in combination with other to-
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bacco products, and use of flavors;
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ββ(C) the association between the use by
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youth and young adults of electronic cigarettes
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and smoking initiation;
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β’S 1048 IS
ββ(D) use of electronic cigarettes and
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emerging tobacco products among different de-
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mographic groups;
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ββ(E) the means by which youth and young
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adults access electronic cigarettes and emerging
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tobacco products, and methods of distribution
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of such products;
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ββ(F) youth and young adult exposure to
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advertising of electronic cigarettes and emerg-
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ing tobacco products;
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ββ(G) marketing and advertising strategies
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used by manufacturers, including the channels
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and messaging used and strategies that target
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different demographic groups;
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ββ(H) the reasons youth and young adults
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use such products;
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ββ(I) the extent to which youth and young
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adult electronic cigarette users are nicotine de-
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pendent; and
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ββ(J) youth and young adult motivation to
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quit using electronic cigarettes.
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ββ(2) Conducting research onβ
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ββ(A) the characteristics and nicotine deliv-
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ery technology of electronic cigarettes and
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emerging tobacco products; and
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β’S 1048 IS
ββ(B) biomarkers of exposure to electronic
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cigarettes and emerging tobacco products and
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resulting health impacts from such exposure.
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ββ(3) Identifying effective messages to youth and
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young adults, parents, clinicians, health profes-
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sionals, and others who work or interact with youth
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and young adults for preventing use of electronic
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cigarettes and emerging tobacco products.
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ββ(4) Developing and implementing a campaign,
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in coordination with the Surgeon General of the
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Public Health Service, to educate youth and young
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adults, parents, clinicians, health professionals, and
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others aboutβ
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ββ(A) the rapidly evolving tobacco product
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landscape; and
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ββ(B) the harms associated with the use by
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youth and young adults of electronic cigarettes
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and other emerging products.
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ββ(5) Providing funding through grants, cooper-
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ative agreements, or contracts to State, territorial,
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Tribal, and local health departments, community or-
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ganizations, national and Tribal organizations, or
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State and local educational agencies, as appropriate,
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for preventing and reducing the use by youth and
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β’S 1048 IS
young adults of electronic cigarettes and emerging
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tobacco products.
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ββ(6) Informing the development, implementa-
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tion, and evaluation of evidence-based policies to
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prevent the initiation and use of emerging tobacco
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products among youth and young adults.
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ββ(b) NO DUPLICATION.βThe Secretary shall ensure
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that activities under this section do not duplicate other
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activities of the Department of Health and Human Serv-
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ices.
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ββ(c) STRATEGY.βNot later than 90 days after the
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date of enactment of this section, the Secretary shall sub-
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mit to the Committee on Health, Education, Labor, and
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Pensions of the Senate and the Committee on Energy and
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Commerce of the House of Representatives, and make
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available to the public on the Internet website of the De-
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partment of Health and Human Services, a strategy for
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carrying out the Reducing Youth Use of E-Cigarettes Ini-
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tiative.
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ββ(d) AUTHORIZATION
OF
APPROPRIATIONS.βTo
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carry out this section, there is authorized to be appro-
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priated $100,000,000 for each of fiscal years 2020
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through 2024.ββ.
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Γ
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