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For example, most youth e-cigarette users at 13 different Utah hospitals had to be moved to the intensive care unit (ICU) or to a larger hospital to be treated due to difficulties related to vaping (Blagev et al., 2019)

This would mean eliminating purchase, use, and possession (PUP) penalties where they exist in current tobacco sales laws or policies Establish a civil penalty structure for violations rather than a criminal penalty structure to avoid unintended consequences that disproportionately impact marginalized communities and undermine the public health benefits of the policy Where state legislation is pursued, ensure that local jurisdictions have the authority to enact more stringent regulations for tobacco products than state or federal law Learn about equitable enforcement practices here Colorado passed an exemplary, comprehensive Tobacco 21 bill in July 2020

He said he does not want kids to smoke, but said he opposes the bill because of its ban on menthol products, which he said are popular with Black smokers, while exempting other flavored tobacco including hookah and premium cigars

The bill also creates penalties for any person or entity that sells a flavored tobacco product