CA Lawmakers Propose Ban on Flavored E-Cigarettes and Other Tobacco Products

Press Release

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Graphic by CDC

Legislation Will Also Set Stricter Rules for Online Sales of Tobacco Products

SACRAMENTO – Senators Jerry Hill, Steve Glazer, Anthony J. Portantino, Connie M. Leyva and Scott Wiener with Assemblymember Kevin McCarty announced Thursday they will introduce a bill when the Legislature reconvenes next week to prohibit sales of flavored tobacco products – including flavored electronic cigarettes – in retail stores and vending machines to halt an upswing in nicotine consumption by youths.

Their bill, which would also impose age verification requirements for online sales of tobacco products, is prompted by new federal figures showing a sharp rise in e-cigarette use by youths, a jump in use of the flavored e-cigarettes by high school students, and an increase in underage use of tobacco products overall.

“We must stop the appalling epidemic of e-cigarette use by youths,” said Senator Hill, D-San Mateo and Santa Clara Counties. “Enticed by fruit, candy and other appealing flavors, high school and middle school students throughout the U.S. are vaping in record numbers. The surge has reversed the decline in underage use of all tobacco products.”

“Flavored e-cigarettes are luring young people into a nicotine addiction that can lead to a lifetime of harmful health effects,” said Senator Glazer, D-Orinda. “This needs to stop before we get another generation hooked on nicotine and tobacco.”

“One of the mayors in my district recently asked me to help stem the vaping crisis, and as a dad of a teenage daughter I am very pleased to join my colleague Jerry Hill on this important public health effort,” said Senator Portantino, D-La Cañada Flintridge.

“Flavored tobacco products are extremely appealing to our youth, but we know these products are addicting and can negatively impact brain development during crucial years,” said Assemblymember McCarty, D-Sacramento. “California must set new standards to protect our youth.”

Soaring E-Cigarette Use by Youths

Citing an alarming rise in e-cigarette use among youths, the U.S. Food and Drug Administration and the U.S. Centers for Disease Control and Prevention released a report on November 15 showing that more than 3.6 million middle and high school students are using e-cigarettes – that’s 1.5 million more than in 2017 and almost 13 times the number of students who were using e-cigarettes in 2011.

The stunning growth between 2017 and 2018 amounted to a 78 percent increase in e-cigarette use by high school students and a 48 percent increase by middle school students, according to the report. By 2018, 1 in 5 high school students were using e-cigarettes and 1 in 20 middle school students were doing the same. The year-over-year spike in e-cigarette use also drove up use of tobacco products overall to almost 4.9 million students in 2018, erasing what had been a decline.

“(T)he use of any form of tobacco product among youths, including e-cigarettes, is unsafe,” the report said. “The Surgeon General has concluded that e-cigarette use among youths and young adults is of public health concern; exposure to nicotine during adolescence can cause addiction and can harm the developing adolescent brain.”

The California Department of Public Health warns that the danger posed by e-cigarettes is not limited to their nicotine content. E-cigarette aerosol contains at least 10 chemicals on California’s Proposition 65 list of substances known to cause cancer, birth defects or other reproductive harm, including acetaldehyde, benzene, cadmium, formaldehyde, isoprene, lead, nickel, nicotine, n‐nitrosonornicotine and toluene.

Study after Study Shows Flavored Tobacco Products Turn Youths into Users

FDA Commissioner Scott Gottlieb and authors of the federal report pointed to flavored products as the cause for increased e-cigarette use, noting that 68 percent of the e-cigarette users in high school consumed flavored products in 2018, up from 61 percent in 2017. Other federal research has consistently shown that the majority of youths and young adults say flavors are the primary reason for their use of a tobacco product, and 80 percent of young people who have ever used tobacco say they started with a flavored tobacco product.

In March, the Campaign for Tobacco-Free Kids urged the FDA to ban all flavored tobacco products, saying that an abundance of evidence clearly identifies them as the lure for youngsters and teens to become tobacco users.

This fall, the FDA proposed a plan to ban menthol cigarettes and flavored cigars and said it is considering restrictions on the sales of e-cigarettes in retail stores, but such proposals would have to undergo the regulatory process and could take years to become a reality.

Although the FDA has also called upon e-cigarette companies to act voluntarily in response to the recent federal report, “specific prohibitions and restrictions need to have the full force of the law behind them,” said Senator Hill. “In California, we can and should put that law on the books as soon as possible.”

Leading Health Groups Voice Support

The American Heart Association, the American Lung Association in California, and the Campaign for Tobacco-Free Kids were among the leading health organizations voicing support for legislation to prohibit sales of flavored tobacco products.

“Menthol, candy and fruit flavored tobacco products are a key part of the tobacco industry’s strategy to bait youth into becoming tomorrow’s addicts, and we cannot waste time addressing the skyrocketing use of e-cigarettes among California’s youth,” said American Cancer Society Cancer Action Network Senior Government Relations Director Tim Gibbs. “Make no mistake—the industry shamelessly tries to maximize profits while its customers suffer death and disease, and local taxpayers continue to foot the bill for tobacco-related illnesses.”

“The African American Tobacco Control Leadership Council is heartened at the progressive leadership shown by Senator Jerry Hill and the legislators coauthoring this bill,” said AATCLC Founding Member and Co-Chair Carol McGruder. “The proposed legislation to prohibit the sales of menthol cigarettes and all other flavored tobacco products, including flavored e-cigarettes, will ensure California’s children are protected from a lifetime addiction to these deadly products.”

The Proposed Solution for California

Under the state lawmakers’ proposed bill, retail stores and vending machines in California would be prohibited from selling flavored tobacco products. The legislation would cover flavored e-cigarettes, e-hookahs, e-pipes and other vaping devices as well as flavored smokable and nonsmokable products, such as cigars, cigarillos, pipe tobacco, chewing tobacco, snuff, dissolvable tobacco and tobacco edibles. Violators would face civil penalties ranging from $400 to $600 for the first incident to $5,000 to $6,000 for a fifth violation in a five-year period.

The bill would also require sellers and distributors of tobacco products online or by mail, phone or fax to verify that California buyers are 21 or older before the sale is complete. In addition, the legislation would require the shipped package of goods to be conspicuously labeled: “CONTAINS TOBACCO PRODUCTS: SIGNATURE OF PERSON 21 YEARS OF AGE OR OLDER REQUIRED FOR DELIVERY.” The signature is to be obtained before the delivery is complete. Violations of the requirements by sellers or distributors would result in civil penalties, ranging from $1,000 to $2,000 for the first incident to $10,000 for a fifth violation within a five-year period.

“By banning retail sales of flavored tobacco products and setting stringent age verification requirements for online sales of tobacco products, we can prevent a new generation from becoming addicted to nicotine,” Senator Hill said.

As the mayor of San Mateo, Jerry Hill championed reduction of second-hand smoke and led the way in revising a local smoking ordinance thereby banning smoking in enclosed work areas, restaurants and bars in 1994. Similar statewide prohibitions contained in Assembly Bill 13 began taking effect the following year with state smoking restrictions in bars and taverns phased in by 1998.

Twenty-six California cities, towns and counties have restricted flavored tobacco products, according to the Center for Tobacco Policy and Organizing of the American Lung Association in California. The majority are in the greater Bay Area. They include Marin County, Saratoga, Half Moon Bay, Portola Valley, Richmond, Sausalito, San Mateo County, San Francisco, Windsor, Cloverdale, Fairfax, San Leandro, Palo Alto, Oakland, Contra Costa County, Los Gatos, Novato, Santa Clara County, El Cerrito, Berkeley, Sonoma and Hayward.

The lawmakers’ bill creates a threshold for restrictions and prohibitions regarding tobacco product sales. The bill would not prevent local jurisdictions from taking further steps.

Senator Hill will introduce the bill next week with Senators Glazer and Portantino as a joint authors, Assemblymember McCarty as a principal coauthor, and Senator Leyva, D-Chino and Senator Wiener, D-San Francisco, as coauthors.

Resources:

Centers for Disease Control Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students — United States, 2011–2018:
https://www.cdc.gov/mmwr/volumes/67/wr/mm6745a5.htm?s_cid=mm6745a5_w

2018 National Youth Tobacco Survey Chart:
https://www.fda.gov/downloads/TobaccoProducts/PublicHealthEducation/ProtectingKidsfromTobacco/UCM625955.pdf

FDA News Release on 2018 NYTS Figures:
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm625917.htm

Flavored Tobacco Product Use in Youth and Adults: Findings From the First Wave of the PATH Study (2013-2014):
https://www.ncbi.nlm.nih.gov/pubmed/28318902

Statement from Campaign for Tobacco-Free Kids:
https://www.tobaccofreekids.org/press-releases/2018_03_20_menthol

Statement from FDA Commissioner Scott Gottlieb:
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm625884.htm

The Center for Tobacco Policy and Organizing of the American Lung Association in California:
https://center4tobaccopolicy.org/wp-content/uploads/2018/11/Matrix-of-Local-Ordinances-Restricting-Flavored-Tobacco-2018-11-14.pdf

California Department of Public Health: Health Advisory on E-Cigarette Toxicity:
https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/CDPH%20Document%20Library/Media/NewsAndPressReleases/EcigHealthAdvisory01282015.pdf

California Department of Public Health: Infographic on Flavored Tobacco: https://www.cdph.ca.gov/Programs/CCDPHP/DCDIC/CTCB/CDPH%20Document%20Library/Policy/FlavoredTobaccoAndMenthol/FinalFlavoredTobaccoInfographic.pdf


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