#aaf? ,,congress  #b;d ,session  ,h4 ,r4
 #bcci  ,,an ,,act  ,to am5d ! ,f$]al   
,food1 ,drug1 & ,cosmetic ,act ) respect
 to ! sale & m>ket+ ( tobacco products1 
& = o!r purposes4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,protect+ ,am]ican 
,lungs & ,rev]s+ ! ,y\? ,tobacco        
,epidemic ,act ( #bjbj4  #b4 ,table (   
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3  ,sec4 #a4 ,%ort title4 ,sec4
 #b4 ,table ( cont5ts4 ,title ,i--,food 
& ,drug ,adm9i/ration ,sec4 #aja4       
,cig>ette graphic heal? w>n+s4 ,sec4    
#ajb4 ,adv]tis+ & sales p>ity = all     
deem$ tobacco products4 ,sec4 #ajc4     
,r$uc+ *ild & adolesc5t nicot9e         
addiction4 ,sec4 #ajd4 ,prohibition     
aga9/ remote retail sales4 ,sec4 #aje4  
,fees applicable to all tobacco         
products4 ,sec4 #ajf4 ,regulation (     
products conta9+ alt]native nicot9e4    
,sec4 #ajg4 ,update to y\? tobacco      
prev5tion public aw>5ess campaigns4     
,sec4 #ajh4 ,exemption f prem>ket review
 ( c]ta9 tobacco products4 ,sec4 #aji4  

,public education4 ,sec4 #aaj4          
,regulations = recordkeep+ conc]n+      
track+ & trac+4 ,title ,,ii--,f$]al     
,trade ,commission ,sec4 #bja4 ,adv]tis+
 ( tobacco products4 ,title             
,,iii--,public ,heal? ,programs ,sec4   
#cja4 ,outrea* to m$ically und]s]v$     
communities4 ,sec4 #cjb4 ,demon/ration  
grant program to develop /rategies =    
smok+ cessation 9 m$ically und]s]v$     
communities4 ,sec4 #cjc4 ,public        
aw>5ess1 education1 & prev5tion         
campaign4 ,sec4 #cjd4 ,tobacco cessation
 treatm5t grants to heal? c5t]s4 ,sec4  
#cje4 ,grants = rese>*4 ,title          
,,iv--,nicot9e or ,vap+ ,access         
,protection & ,en=cem5t ,sec4 #dja4     
,increas+ civil p5alties applicable to  
c]ta9 violations ( re/rictions on sale &
 di/ribution ( tobacco products4 ,sec4  
#djb4 ,/udy & report on e-cig>ettes4    
,title ,v--,excise tax on nicot9e us$ 9 
vap+1 etc4 ,sec4 #eja4 ,imposition ( tax
 on nicot9e = use 9 vap+1 etc4 ,title   
,,vi--,fur!r heal? inve/m5ts ,sec4 #fja4

 ,waiv+ ,m$ic>e co9surance = colorectal 
canc] scre5+ te/s4 ,sec4 #fjb4 ,safe    
h>bor = high d$uctible heal? plans )\t  
d$uctible = c]ta9 inhal]s4  ,i ,food &  
,drug ,adm9i/ration  #aja4 ,cig>ette    
graphic heal? w>n+s  7a7 ,issuance      
deadl9es ,n lat] ?an ,m>* #ae1 #bjbj1 ! 
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs1 %all publi% a f9al rule pursuant
 to section #d7;d7 ( ! ,f$]al ,cig>ette 
,label+ & ,adv]tis+ ,act 7#ae ,u4,s4,c4 
#accc7;d774 ,if ! ,secret>y fails to    
promulgate su* f9al rule by ,m>* #ae1   
#bjbj1 !n ! propos$ rule titl$ ,tobacco 
,products2 ,requir$ ,w>n+s = ,cig>ette  
,packages & ,adv]tisem5ts publi%$ by !  
,food & ,drug ,adm9i/ration on ,augu/   
#af1 #bjai 7#hd ,f$4 ,reg4 #dbged7 %all 
be treat$ z a f9al rule beg9n+ on ,m>*  
#af1 #bjbj4  7b7 ,con=m+ *ange ,! fir/  
section #d7;d7 ( ! ,f$]al ,cig>ette     
,label+ & ,adv]tis+ ,act 7#ae ,u4,s4,c4 
#accc7;d77 7relat+ to graphic label+    
/atem5ts7 is am5d$ by /rik+ ,n lat] ?an 

#bd mon?s aft] ! date ( enactm5t ( !    
,family ,smok+ ,prev5tion & ,tobacco    
,control ,act1 ! ,secret>y & ins]t+ ,!  
,secret>y4  #ajb4 ,adv]tis+ & sales     
p>ity = all deem$ tobacco products  7a7 
,9 g5]al ,n lat] ?an #a ye> aft] ! date 
( enactm5t ( ?is ,act1 ! ,secret>y (    
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,commission] ( ,food & ,drugs1 %all     
promulgate a f9al rule am5d+ "p #aadj ( 
sub*apt] ,k ( title #ba1 ,code ( ,f$]al 
,regulations1 to apply ! provisions (   
su* "p #aadj to all tobacco products1 z 
applicable1 to :i* *apt] ,,ix ( ! ,f$]al
 ,food1 ,drug1 & ,cosmetic ,act 7#ba    
,u4,s4,c4 #chg;a et seq47 applies       
pursuant to section #ija7;b7 ( su* ,act 
7#ba ,u4,s4,c4 #chg;a7b771 z am5d$ by   
section #ajc7;a7 ( ?is ,act4  7b7       
,effective date ,! f9al rule requir$ by 
subsection 7a7 %all take effect on !    
date t is #b ye>s aft] ! date ( enactm5t
 ( ?is ,act4  #ajc4 ,r$uc+ *ild &       
adolesc5t nicot9e addiction  7a7        
,applicability to all tobacco products  

7#a7 ,9 g5]al ,subsection 7b7 ( section 
#ija ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4 #chg;a7 is
 am5d$ to read z foll[s3  7b7           
,applicability ,?is *apt] %all apply to 
all tobacco products4  4  7#b7 ,rule (  
con/ruction ,p>agraph 7#a7 & ! am5dm5t  
made !reby %all n be con/ru$ to limit ! 
applicability ( *apt] ,,ix ( ! ,f$]al   
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #chg;a et seq47 to-- 7,a7     
products t 7 li/$ 9 section #ija7;b7 (  
su* ,act z 9 effect on ! day be=e ! date
 ( enactm5t ( ?is ,act2 &  7,b7 products
 t 7 deem$ by regulation to be subject  
to su* *apt] pursuant to section        
#ija7;b7 ( su* ,act z 9 effect on ! day 
be=e ! date ( enactm5t ( ?is ,act4  7b7 
,prohibit+ flavor+ ( tobacco products   
7#a7 ,prohibition  7,a7 ,9 g5]al        
,subp>agraph 7,a7 ( section #ijg7;a77#a7
 ( ! ,f$]al ,food1 ,drug1 & ,cosmetic   
,act 7#ba ,u4,s4,c4 #chg;g7a77#a77 is   
am5d$ to read z foll[s3  7,a7 ,special  
rules  7i7 ,9 g5]al ,beg9n+ on ! date t 

is #a ye> aft] ! date ( enactm5t ( !    
,protect+ ,am]ican ,lungs & ,rev]s+ !   
,y\? ,tobacco ,epidemic ,act ( #bjbj1 a 
tobacco product 7includ+ its compon5ts1 
p>ts1 & accessories1 includ+ ! tobacco1 
filt]1 or pap]7 t is n an electronic    
nicot9e deliv]y sy/em %all n conta91 z a
 con/itu5t 7includ+ a smoke con/itu5t7  
or additive1 an artificial or natural   
flavor 7o!r ?an tobacco7 t is a         
*>act]iz+ flavor ( ! tobacco product or 
tobacco smoke or an h]b or spice1       
includ+ m5?ol1 m9t1 mango1 /rawb]ry1    
grape1 orange1 clove1 c9namon1 p9eapple1
 vanilla1 coconut1 licorice1 cocoa1     
*ocolate1 *]ry1 or c(fee4  7ii7 ,rule ( 
con/ruction ,no?+ 9 ?is subp>agraph %all
 be con/ru$ to limit ! ,secret>y's      
au?ority to take action "u ?is section  
or o!r sections ( ?is ,act applicable to
 any artificial or natural flavor1 h]b1 
or spice4  7iii7 ,applicability to c]ta9
 individuals ,not)/&+ any provision (   
?is ,act1 no individual :o pur*ases =   
individual consumption1 possesses =     

individual consumption1 or consumes1 a  
tobacco product t is 9 violation ( !    
prohibition "u ?is subp>agraph1 includ+ 
a tobacco product t conta9s a *>act]iz+ 
flavor ( m5?ol1 %all be subject to any  
crim9al p5alty "u ?is ,act = su*        
pur*ase1 possession1 or consumption1 nor
 %all su* pur*ase1 possession1 or       
consumption be us$ z a ju/ification to  
/op1 se>*1 or conduct any o!r           
inve/igative measure aga9/ any          
individual4  4  7,b7 ,sav+s provision   
,section #ijg7;a77#a7 ( ! ,f$]al ,food1 
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#chg;g7a77#a771 z 9 effect on ! date (  
enactm5t ( ?is ,act1 %all rema9 9 effect
 until ! am5dm5t made to su* section    
#ijg7;a77#a7 by ?is p>agraph takes      
effect4  7#b7 ,flavor$ electronic       
nicot9e deliv]y sy/em ,section #iaj ( ! 
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #chg;j7 is am5d$ by      
ins]t+ at ! end ! foll[+3  7h7 ,flavor$ 
electronic nicot9e deliv]y sy/ems  7#a7 
,re/riction ,beg9n+ on ! date t is #cj  

days aft] ! date ( enactm5t ( !         
,protect+ ,am]ican ,lungs & ,rev]s+ !   
,y\? ,tobacco ,epidemic ,act ( #bjbj1   
any flavor$ electronic nicot9e deliv]y  
sy/em t is a new tobacco product1       
includ+ any solution or o!r compon5t or 
"p 7su* z a liquid or its a]osol7 %all n
 conta9 an artificial or natural flavor 
7o!r ?an tobacco7 t is a *>act]iz+      
flavor1 includ+ m5?ol1 m9t1 mango1      
/rawb]ry1 grape1 orange1 clove1 c9namon1
 p9eapple1 vanilla1 coconut1 licorice1  
cocoa1 *ocolate1 *]ry1 or c(fee1 unless 
! ,secret>y has issu$ a m>ket+ ord] z   
describ$ 9 p>agraph 7#b74 ,no?+ 9 ?is   
p>agraph %all be con/ru$ to limit !     
,secret>y's au?ority to take action "u  
?is section or o!r sections ( ?is ,act  
applicable to any artificial or natural 
flavor1 h]b1 or spice4  7#b7 ,review ,! 
,secret>y %all n issue a m>ket+ ord] "u 
subsection 7c77#a77;,a77i7 or a         
sub/antial equival5ce ord] "u subsection
 7a77#b77;,a77i7 = any electronic       
nicot9e deliv]y sy/em1 includ+ any      

liquid1 solution1 or o!r compon5t or "p 
or its a]osol1 t conta9s an artificial  
or natural flavor 7o!r ?an tobacco7 t is
 a *>act]iz+ flavor1 unless ! ,secret>y 
issues an ord] f9d+ t ! manufactur] has 
demon/rat$ t--  7,a7 use ( ! *>act]iz+  
flavor-- 7i7 w significantly increase ! 
likelihood ( smok+ cessation among      
curr5t us]s ( tobacco products2 &  7ii7 
w n increase ! likelihood t individuals 
:o d n use tobacco products1 includ+    
y\?1 w />t us+ any tobacco product1     
includ+ an electronic nicot9e deliv]y   
sy/em2 &  7,b7 su* electronic nicot9e   
deliv]y sy/em is n m h>mful to us]s ?an 
an electronic nicot9e deliv]y sy/em t   
does n conta9 any *>act]iz+ flavors4  4 
7#c7 ,def9ition ( electronic nicot9e    
deliv]y sy/em ,section #ijj ( ! ,f$]al  
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #chg7 is am5d$-- 7,a7 by      
r$esignat+ p>agraphs 7#h7 ?r\gh 7#bb7 z 
p>agraphs 7#i7 ?r\gh 7#bc71             
respectively2 &  7,b7 by ins]t+ aft]    
p>agraph 7#g7 ! foll[+ new p>agraph3    

7#h7 ,electronic nicot9e deliv]y sy/em  
,! t]m electronic nicot9e deliv]y sy/em 
means a tobacco product t is an         
electronic device t deliv]s nicot9e1    
flavor1 or ano!r sub/ance via an        
a]osoliz$ solution to ! us] inhal+ f !  
device 7includ+ e-cig>ettes1 e-hookah1  
e-cig>s1 vape p5s1 advanc$ refillable   
p]sonal vaporiz]s1 & electronic pipes7 &
 any compon5t1 liquid1 "p1 or accessory 
( su* a device1 :e!r or n sold          
sep>ately4  4  7#d7 ,limitation on      
en=cem5t ,a law en=cem5t (fic] ( a ,/ate
 or political subdivision !re( may n    
en=ce 7includ+ by mak+ any /op1 se>*1   
seizure1 or arre/ or by pursu+ any      
prosecution1 trial1 or puni%m5t7 any    
provision ( section #ijg7;a77#a77;,a7 or
 #iaj7;h7 ( ! ,f$]al ,food1 ,drug1 &    
,cosmetic ,act1 z am5d$ & add$ by ?is   
subsection4  #ajd4 ,prohibition aga9/   
remote retail sales  7a7 ,9 g5]al       
,p>agraph 7#d7 ( section #ijf7;d7 ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #chg;f7d77 is am5d$ to   

read z foll[s3  7#d7 ,prohibition aga9/ 
remote retail sales  7,a7 ,prohibition  
,n lat] ?an #ah mon?s aft] ! date (     
enactm5t ( ! ,protect+ ,am]ican ,lungs &
 ,rev]s+ ! ,y\? ,tobacco ,epidemic ,act 
( #bjbj1 ! ,secret>y %all promulgate a  
f9al regulation prohibit+ ! retail sale 
( all tobacco products o!r ?an retail   
sales ?r\gh a direct1 face-to-face      
ex*ange betwe5 a retail] & a consum]4   
7,b7 ,exception = c]ta9 cig> tobacco    
products  7i7 ,exception ,! regulation  
requir$ by subp>agraph 7,a7 %all n apply
 to tobacco products describ$ 9 section 
#iaj7;a77#b77;,a77iii74  7ii7           
,applicable requirem5ts ,n lat] ?an #ah 
mon?s aft] ! date ( enactm5t ( !        
,protect+ ,am]ican ,lungs & ,rev]s+ !   
,y\? ,tobacco ,epidemic ,act ( #bjbj1 ! 
,secret>y %all promulgate regulations   
reg>d+ ! sale & di/ribution ( tobacco   
products describ$ 9 section             
#iaj7;a77#b77;,a77iii7 t occur ?r\gh    
means o!r ?an a direct1 face-to-face    
ex*ange betwe5 a retail] & a consum] 9  

ord] to prev5t ! sale & di/ribution (   
tobacco products describ$ 9 section     
#iaj7;a77#b77;,a77iii7 to individuals :o
 h n atta9$ ! m9imum age e/abli%$ by    
applicable law = ! pur*ase ( su*        
products1 includ+ requirem5ts = age     
v]ification4  7,c7 ,relation to o!r     
au?ority ,no?+ 9 ?is p>agraph--  7i7    
limits ! au?ority ( ! ,secret>y to take 
additional actions "u o!r provisions (  
?is ,act2 or  7ii7 preempts ! au?ority (
 a ,/ate or local gov]nm5t to e/abli%   
re/rictions on ! retail sale ( tobacco  
products t are 9 addition to1 or m /r+5t
 ?an1 ! prohibition "u subp>agraph 7,a74
  4  7b7 ,applicability ,section        
#ijf7;d77#d7 ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act1 z 9 effect on ! day be=e
 ! date ( enactm5t ( ?is ,act1 %all     
cont9ue to apply until ! effective date 
( ! regulations requir$ by section      
#ijf7;d77#d7 ( su* ,act1 z am5d$ by     
subsection 7a74  #aje4 ,fees applicable 
to all tobacco products  7a7 ,increase 9
 total am\nt ,section #iai7;b77#a7 ( !  

,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #chgs7b77#a77 is am5d$ by
 /rik+ subp>agraph 7,k7 & ins]t+ !      
foll[+ subp>agraphs3  7,k7 ,= fiscal    
ye>s #bjai & #bjbj1 #gab1jjj1jjj4  7,l7 
,= fiscal ye> #bjba1 #hab1jjj1jjj4  7,m7
 ,= ea* subsequ5t fiscal ye>1 ! am\nt t 
0 applicable = ! previ\s fiscal ye>1    
increas$ by ! total p]c5tage *ange t    
occurr$ 9 ! ,consum] ,price ,index = all
 urban consum]s 7all items2 ,unit$      
,/ates city av]age7 = ! #ab-mon? p]iod  
end+ ,june #cj prec$+ ! fiscal ye>4  4  
7b7 ,applicability  7#a7 ,fiscal ye>s   
#bjbj & #bjba ,except z am5d$ by        
subsection 7a71 = fiscal ye>s #bjbj &   
#bjba1 section #iai ( ! ,f$]al ,food1   
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#chgs7 %all apply z 9 effect on ! day   
be=e ! date ( enactm5t ( ?is ,act4  7#b7
 ,subsequ5t fiscal ye>s ,! am5dm5ts made
 by subsections 7c7 ?r\gh 7f7 apply     
beg9n+ ) fiscal ye> #bjbb4  7c7         
,allocations ( assessm5t by class (     
tobacco products ,p>agraph 7#b7 (       

section #iai7;b7 ( ! ,f$]al ,food1      
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#chgs7b77 is am5d$ to read z foll[s3    
7#b7 ,allocations ( assessm5t by class (
 tobacco products  7,a7 ,9 g5]al ,!     
total us] fees assess$ & collect$ "u    
subsection 7a7 ea* fiscal ye> 7beg9n+ ) 
fiscal ye> #bjbb7 ) respect to ea* class
 ( tobacco products to :i* ?is *apt]    
applies %all be an am\nt t is equal to !
 applicable p]c5tage ( ea* class = !    
fiscal ye> multipli$ by ! am\nt specifi$
 9 p>agraph 7#a7 = ! fiscal ye>4  7,b7  
,applicable p]c5tage  7i7 ,9 g5]al ,=   
purposes ( subp>agraph 7,a71 !          
applicable p]c5tage = a fiscal ye> = ea*
 class ( tobacco product %all be !      
p]c5tage det]m9$ by divid+--  7,i7 !    
product ( ! gross dome/ic volume ( !    
class multipli$ by ! tax rate applicable
 to ! class "u section #egja ( !        
,int]nal ,rev5ue ,code ( #aihf2 &       
7,,ii7 ! sum ( ! products det]m9$ "u    
subclause 7,i7 = all classes ( tobacco  
products4  7ii7 ,def9ition ,= purposes (

 clause 7i71 ! t]m gross dome/ic volume 
means ! volume ( tobacco products-- 7,i7
 remov$ 7z def9$ by section #egjb ( !   
,int]nal ,rev5ue ,code ( #aihf72 &      
7,,ii7 n exempt f tax "u *apt] #eb ( !  
,int]nal ,rev5ue ,code ( #aihf at ! "t (
 _! removal "u t *apt] or ! ,h>moniz$   
,t>iff ,s*$ule ( ! ,unit$ ,/ates 7#ai   
,u4,s4,c4 #abjb74  4  7d7 ,allocation ( 
assessm5t )9 ea* class ( tobacco product
 ,section #iai7;b77#d7 ( ! ,f$]al ,food1
 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 
#chgs7b77#d77 is am5d$ by /rik+ %all be 
! p]c5tage det]m9$ = purposes (         
allocations "u subsections 7e7 ?r\gh 7h7
 ( section #fbe ( ,public ,law #ajh-ceg 
& ins]t+ %all be allocat$ on a pro rata 
basis among ! manufactur]s & import]s ( 
ea* class ( tobacco products to :i* ?is 
*apt] applies bas$ on ! p]c5tage %>e (  
ea* manufactur]'s or import]'s %>e (    
gross dome/ic volume )9 su* class on a  
qu>t]ly basis1 bas$ on data = ! second  
prec$+ qu>t]4  7e7 ,o!r am5dm5ts        
,section #iai7;b7 ( ! ,f$]al ,food1     

,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#chgs7b77 is am5d$-- 7#a7 by /rik+      
p>agraph 7#e72  7#b7 by r$esignat+      
p>agraphs 7#f7 & 7#g7 z p>agraphs 7#e7 &
 7#f71 respectively2 &  7#c7 by am5d+   
p>agraph 7#f71 z r$esignat$1 to read z  
foll[s3  7#f7 ,memor&um ( und]/&+2      
report+  7,a7 ,transf] ( in=mation ,!   
,secret>y %all reque/ ! appropriate     
,f$]al ag5cy to ent] into a memor&um (  
und]/&+ t provides = ! regul> & timely  
transf] f ! head ( su* ag5cy to !       
,secret>y ( all necess>y in=mation      
reg>d+ all tobacco product manufactur]s 
& import]s requir$ to pay us] fees4 ,!  
,secret>y %all ma9ta9 all disclosure    
re/rictions e/abli%$ by ! head ( su*    
ag5cy reg>d+ ! in=mation provid$ "u !   
memor&um ( und]/&+4  7,b7 ,report+  7i7 
,manufactur] report+ ,! ,secret>y may   
require ! manufactur]s & import]s ( ea* 
class ( tobacco products to :i* ?is     
*apt] applies to submit su* in=mation1  
by su* "t1 & 9 su* mann]1 z ! ,secret>y 
det]m9es to be necess>y to implem5t ?is 

section4  7ii7 ,reports to ,congress ,= 
fiscal ye> #bjbj & ea* subsequ5t fiscal 
ye> = :i* fees are collect$ "u ?is      
section1 ! ,secret>y %all1 n lat] ?an   
#abj days aft] ! end ( ! respective     
fiscal ye>1 submit to ! ,congress       
f9ancial & p]=mance reports ) respect to
 su* fees4  4  7f7 ,prohibit$ act       
,section #cja7q77#a77;,b7 ( ! ,f$]al    
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cca7q77#a77;,b77 is am5d$ by 
ins]t+ #iai7;b77#f77;,b71 be=e or #ibj4 
#ajf4 ,regulation ( products conta9+    
alt]native nicot9e  7a7 ,9 g5]al ,!     
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs1 %all-- 7#a7 n lat] ?an #a ye>   
aft] ! date ( enactm5t ( ?is ,act1 issue
 an int]im f9al rule provid+ = !        
regulation ( products conta9+ alt]native
 nicot9e "u ! ,f$]al ,food1 ,drug1 &    
,cosmetic ,act 7#ba ,u4,s4,c4 #cja et   
seq472 &  7#b7 n lat] ?an #b ye>s aft]  
su* date ( enactm5t1 issue a f9al rule  
provid+ = su* regulation4  7b7          

,alt]native nicot9e ,9 ?is section1 !   
t]m alt]native nicot9e means nicot9e t  
is n made or d]iv$ f tobacco plants &   
may include nicot9e t is *emically      
syn!siz$1 syn!siz$ f recomb9ant g5etic  
te*nology1 or extract$ f non-tobacco    
plants4  #ajg4 ,update to y\? tobacco   
prev5tion public aw>5ess campaigns  7a7 
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices %all-- 7#a7 review all public  
heal? aw>5ess campaigns ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices design$ to     
educate at-risk individuals ab\t !      
h>mful effects ( tobacco use1 includ+ ! 
use ( e-cig>ettes & o!r electronic      
nicot9e deliv]y sy/ems2 &  7#b7 z       
applicable1 modify su* campaigns to     
include aw>5ess & education mat]ials    
design$ = individuals :o are #ah to #ba 
ye>s ( age4  7b7 ,consultation ,9 c>ry+ 
out subsection 7a71 ! ,secret>y ( ,heal?
 & ,human ,s]vices may consult ) m$ical 
& public heal? associations & nonpr(it  
organizations4  #ajh4 ,exemption f      
prem>ket review ( c]ta9 tobacco products

  7a7 ,9 g5]al ,section #iaj7;a77#b7 ( !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act  
7#ba ,u4,s4,c4 #chg;j7a77#b77 is am5d$--
 7#a7 9 subp>agraph 7,a7--  7,a7 9      
clause 7i77,,ii71 by /rik+ or2  7,b7 9  
clause 7ii71 by /rik+ ! p]iod at ! end &
 ins]t+ 2 or2 &  7,c7 by add+ at ! end !
 foll[+3  7iii7 subject to subp>agraph  
7,c71 = ! p]iod beg9n+ on ! date ( !    
enactm5t ( ! ,protect+ ,am]ican ,lungs &
 ,rev]s+ ! ,y\? ,tobacco ,epidemic ,act 
( #bjbj & end+ on ,septemb] #cj1 #bjbh1 
! tobacco product is a cig> &--  7,i7 is
 wrapp$ 9 :ole tobacco leaf2  7,,ii7    
conta9s a #ajj-p]c5t leaf tobacco b9d]2 
7,,iii7 conta9s prim>ily long fill]     
tobacco2  7,,iv7 does n h a *>act]iz+   
flavor o!r ?an tobacco2  7,v7 weighs m  
?an #f p\nds p] #ajjj units2  7,,vi7 has
 no filt]1 tip1 or non-tobacco m\?piece2
  7,,vii7  7aa7 is made by comb9+       
manually ! wrapp]1 fill]1 & b9d] & is   
capp$ by h&2 or  7bb7 has a homog5iz$   
tobacco leaf b9d] & is made 9 ! ,unit$  
,/ates us+ human h&s to lay ! #ajj-p]c5t

 leaf tobacco b9d] onto only "o ma*9e t 
bun*es1 wraps1 & caps ea* individual    
cig>2 &  7,,viii7 has a retail price    
7aft] disc\nts or c\pons7 p] cig> ( no  
less ?an-- 7aa7 = cal5d> ye>s #bjai &   
#bjbj1 #ab2 &  7bb7 = ea* subsequ5t     
cal5d> ye>1 #ab multipli$ by any p]c5t  
increase 9 ! ,consum] ,price ,index =   
all urban consum]s 7all items2 ,u4,s4   
city av]age7 s9ce cal5d> ye> #bjbj4  2 &
  7#b7 by add+ at ! end ! foll[+3  7,c7 
,det]m9ation ( applicability  7i7 ,9    
g5]al ,! ,secret>y %all1 not)/&+        
subp>agraph 7,a77iii7 or any det]m9ation
 ( sub/antial equival5ce1 if any ( !    
conditions specifi$ 9 clause 7ii7 are   
met-- 7,i7 )draw any exemption          
applicable to a tobacco product or      
products describ$ 9 su* subp>agraph2    
7,,ii7 require t applications = review  
"u ?is section be submitt$ ) respect to 
su* product or products2 &  7,,iii7     
require t manufactur]s may only m>ket   
su* tobacco product aft] ! issuance ( an
 ord] "u subsection 7c77#a77;,a77i7 )   

respect to su* product or products4     
7ii7 ,conditions ,! conditions specifi$ 
9 ?is clause are t-- 7,i7 ! ,secret>y   
det]m9es t ! use ( a tobacco product or 
products describ$ 9 subp>agraph         
7,a77iii7 has result$ 9 an em]g+ public 
heal? ?reat2  7,,ii7 data f a ,national 
,y\? ,tobacco ,survey 7or successor     
survey7 conduct$ aft] ! date ( !        
enactm5t ( ! ,protect+ ,am]ican ,lungs &
 ,rev]s+ ! ,y\? ,tobacco ,epidemic ,act 
( #bjbj id5tifies a rise 9 y\? usage (  
tobacco products describ$ 9 section     
#iaj7;a77#b77;,a77iii72 or  7,,iii7 !   
,secret>y det]m9es t a tobacco product  
or products no long] meets ! crit]ia    
specifi$ 9 su* subp>agraph4  4  7b7     
,national ,academies /udy & report  7#a7
 ,9 g5]al ,! ,secret>y ( ,heal? & ,human
 ,s]vices1 act+ ?r\gh ! ,commission] (  
,food & ,drugs1 %all ent] into an       
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e "u :i* !  
,national ,academies %all conduct a /udy
 on-- 7,a7 ! public heal? impact ( hav+ 

tobacco products describ$ 9 subsection  
7a77#b77;,a77iii7 ( section #iaj ( !    
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #chg;j71 z am5d$ by      
subsection 7a71 exempt f prem>ket review
 "u su* section2  7,b7 ! y\? usage ( su*
 tobacco products2 &  7,c7 ! m>ket %>e (
 su* products4  7#b7 ,report ,! agreem5t
 "u p>agraph 7#a7 %all include a        
requirem5t t ! ,national ,academies (   
,sci5ces1 ,eng9e]+1 & ,m$ic9e submit to 
,congress1 n lat] ?an ,decemb] #ca1     
#bjbf1 a report on ! f9d+s ( ! /udy     
conduct$ "u su* p>agraph4  #aji4 ,public
 education ,section #ijf ( ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #chg;f7 is am5d$ by add+ at ! 
end ! foll[+3  7g7 ,education on tobacco
 products  7#a7 ,9 g5]al ,beg9n+ n lat] 
?an #f mon?s aft] ! date ( ! enactm5t ( 
! ,protect+ ,am]ican ,lungs & ,rev]s+ ! 
,y\? ,tobacco ,epidemic ,act ( #bjbj1 ! 
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs & 9 consultation ) ! ,surgeon    

,g5]al ( ! ,public ,heal? ,s]vice1 %all 
provide educational mat]ials = heal? c>e
 provid]s1 memb]s ( ! public1 & law     
en=cem5t (ficials1 reg>d+-- 7,a7 !      
au?ority ( ! ,food & ,drug ,adm9i/ration
 ) respect to ! regulation ( tobacco    
products 7includ+ en=cem5t ( su*        
regulation72  7,b7 ! g5]al processes ( !
 ,food & ,drug ,adm9i/ration = en=c+    
re/rictions on ! manufacture & sale (   
tobacco products2  7,c7 ! g5]al en=cem5t
 actions ! ,food & ,drug ,adm9i/ration  
may take to implem5t ! prohibition on   
*>act]iz+ flavors 9 tobacco products "u 
section #ijg7;a77#a72  7,d7 ! public    
heal? impact ( tobacco products )       
*>act]iz+ flavors2 &  7,e7 o!r in=mation
 z ! ,secret>y det]m9es appropriate4    
7#b7 ,cont5t ,educational mat]ials      
provid$ "u p>agraph 7#a7 may include--  
7,a7 explanations ( key /atutory &      
regulatory t]ms1 includ+ ! t]ms tobacco 
product1 compon5t p>ts1 accessories1    
con/itu5t1 additive1 tobacco product    
manufactur]1 & *>act]iz+ flavor2  7,b7  

an explanation ( ! ,food & ,drug        
,adm9i/ration's jurisdiction to regulate
 tobacco products1 includ+ tobacco      
products ) *>act]iz+ flavors "u section 
#ijg7;a77#a72  7,c7 g5]al educational   
in=mation relat$ to en=cem5t tools &    
processes us$ by ! ,food & ,drug        
,adm9i/ration = violations ( !          
prohibition specifi$ 9 section          
#ijg7;a77#a72  7,d7 in=mation on ! heal?
 effects ( us+ tobacco products1 includ+
 ^? ) ! *>act]iz+ flavors ref]r$ to 9   
section #ijg7;a77#a72 &  7,e7 in=mation 
on res\rces available relat$ to smok+   
cessation4  7#c7 ,=mat ,educational     
mat]ials provid$ "u p>agraph 7#a7 may   
be-- 7,a7 publi%$ 9 any =mat1 includ+ an
 int]net website1 video1 fact %eet1     
infographic1 web9>1 or o!r =mat1 z !    
,secret>y det]m9es is appropriate &     
applicable2 &  7,b7 tailor$ = ! unique  
ne$s ( heal? c>e provid]s1 memb]s ( !   
public1 law en=cem5t (fic]s1 & o!r      
audi5ces1 z ! ,secret>y det]m9es        
appropriate4  7#d7 ,fund+ ,to c>ry out  

?is subsection1 !re is au?oriz$ to be   
appropriat$1 & !re is appropriat$1 out (
 any funds 9 ! ,treasury n o!rwise      
appropriat$1 #e1jjj1jjj = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbe4 ,funds made     
available by ! prec$+ s5t5ce to c>ry out
 ?is subsection %all be 9 addition to   
funds t are d]iv$ f fees "u section #iai
 & are o!rwise made available to c>ry   
out ?is *apt]4  4  #aaj4 ,regulations = 
recordkeep+ conc]n+ track+ & trac+ ,!   
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs1 %all promulgate ! regulations   
requir$ by section #ibj7;b7 ( ! ,f$]al  
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #chgt7 9 accordance ) ! foll[+
 s*$ule3 7#a7 ,n lat] ?an #a ye> aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
%all issue propos$ regulations4  7#b7 ,n
 lat] ?an #b ye>s aft] ! date ( enactm5t
 ( ?is ,act1 ! ,secret>y %all promulgate
 f9al regulations4  ,,ii ,f$]al ,trade  
,commission  #bja4 ,adv]tis+ ( tobacco  
products  7a7 ,adv]tis+ ( electronic    

nicot9e deliv]y sy/ems  7#a7 ,9 g5]al ,x
 %all be unlawful--  7,a7 to m>ket1     
adv]tise1 or promote any electronic     
nicot9e deliv]y sy/em 9 a mann] t       
appeals to an individual "u #ba ye>s (  
age2 or  7,b7 to m>ket1 adv]tise1       
promote1 or endorse1 or to comp5sate any
 p]son = ! m>ket+1 adv]tis+1 promotion1 
or endorsem5t (1 any electronic nicot9e 
deliv]y sy/em )\t cle>ly disclos+ t !   
communication is an adv]tisem5t1 unless 
! communication is unambigu\sly         
id5tifiable z an adv]tisem5t4  7#b7     
,en=cem5t by ,commission  7,a7 ,unfair  
or deceptive acts or practices ,a       
violation ( p>agraph 7#a7 %all be treat$
 z a violation ( a regulation "u section
 #ah7;a77#a77;,b7 ( ! ,f$]al ,trade     
,commission ,act 7#ae ,u4,s4,c4         
#eg;a7a77#a77;,b77 reg>d+ unfair or     
deceptive acts or practices4  7,b7 ,p[]s
 ( ,commission ,! ,commission %all en=ce
 p>agraph 7#a7 9 ! same mann]1 by ! same
 means1 & ) ! same jurisdiction1 p[]s1 &
 duties z ?\gh all applicable t]ms &    

provisions ( ! ,f$]al ,trade ,commission
 ,act 7#ae ,u4,s4,c4 #da et seq47 7     
incorporat$ into & made a "p ( ?is ,act4
 ,any p]son :o violates su* p>agraph    
%all be subject to ! p5alties & entitl$ 
to ! privileges & immunities provid$ 9 !
 ,f$]al ,trade ,commission ,act4  7#c7  
,en=cem5t by ,/ate attorneys g5]al  7,a7
 ,9 g5]al ,if ! attorney g5]al ( a ,/ate
 has reason to believe a violation (    
p>agraph 7#a7 has occurr$ or is occurr+1
 ! attorney g5]al1 9 addition to any    
au?ority ! attorney g5]al may h to br+  
an action 9 ,/ate c\rt "u ! law ( !     
,/ate1 may br+ a civil action 9 any c\rt
 ( compet5t jurisdiction to-- 7i7 enjo9 
fur!r su* violation by ! def5dant2  7ii7
 en=ce compliance ) su* p>agraph2  7iii7
 obta9 civil p5alties 9 ! same am\nt z  
may be obta9$ by ! ,commission 9 a civil
 action "u section #e7m7 ( ! ,f$]al     
,trade ,commission ,act 7#ae ,u4,s4,c4  
#de7m772 or  7iv7 obta9 damages1        
re/itution1 or o!r comp5sation on behalf
 ( resid5ts ( ! ,/ate4  7,b7 ,notice    

,be=e fil+ an action "u subp>agraph     
7,a71 ! attorney g5]al ( a ,/ate %all   
provide to ! ,commission a writt5 notice
 ( su* action & a copy ( ! compla9t =   
su* action4 ,if ! attorney g5]al        
det]m9es t x is n feasible to provide ! 
notice describ$ 9 ?is subp>agraph be=e !
 fil+ ( ! action1 ! attorney g5]al %all 
provide writt5 notice ( ! action & a    
copy ( ! compla9t to ! ,commission      
imm$iately ^u ! fil+ ( ! action4  7,c7  
,au?ority ( ,f$]al ,trade ,commission   
7i7 ,9 g5]al ,on receiv+ notice "u      
subp>agraph 7,b7 ( an action "u         
subp>agraph 7,a71 ! ,commission %all h !
 "r-- 7,i7 to int]v5e 9 ! action2       
7,,ii7 ^u s int]v5+1 to be he>d on all  
matt]s aris+ !re92 &  7,,iii7 to file   
petitions = appeal4  7ii7 ,limitation on
 ,/ate action :ile ,f$]al action is p5d+
 ,if ! ,commission has in/itut$ a civil 
action = violation ( p>agraph 7#a7      
7ref]r$ to 9 ?is clause z ! ,f$]al      
action71 no attorney g5]al ( a ,/ate may
 br+ an action "u subp>agraph 7,a7 dur+ 

! p5d5cy ( ! ,f$]al action aga9/ any    
def5dant nam$ 9 ! compla9t 9 ! ,f$]al   
action = any violation ( su* p>agraph   
alleg$ 9 su* compla9t4  7,d7            
,relation%ip ) ,/ate-law claims  7i7    
,pres]vation ( ,/ate-law claims ,no?+ 9 
?is section %all prev5t ! attorney g5]al
 ( a ,/ate f br++ an action "u ,/ate law
 = acts or practices t also violate     
p>agraph 7#a74  7ii7 ,ass]tion 9 same   
civil action ,if ! attorney g5]al ( a   
,/ate has au?ority to br+ an action "u  
,/ate law = acts or practices t also    
violate p>agraph 7#a71 ! attorney g5]al 
may ass]t ! ,/ate-law claim & ! claim = 
violation ( su* p>agraph 9 ! same civil 
action4  7,e7 ,actions by o!r ,/ate     
(ficials ,9 addition to civil actions   
br\ght by attorneys g5]al "u subp>agraph
 7,a71 any o!r consum] protection (fic] 
( a ,/ate :o is au?oriz$ by ! ,/ate to d
 s may br+ a civil action "u su*        
subp>agraph1 subject to ! same          
requirem5ts & limitations t apply "u ?is
 p>agraph to civil actions br\ght by    

attorneys g5]al4  7#d7 ,rulemak+        
au?ority ,! ,commission may promulgate  
regulations "u section #eec ( title #e1 
,unit$ ,/ates ,code1 to implem5t        
p>agraph 7#a74  7b7 ,report to ,congress
 on tobacco product adv]tis+  7#a7 ,9   
g5]al ,n lat] ?an #b ye>s aft] ! date ( 
! enactm5t ( ?is ,act1 & annually       
!reaft]1 ! ,commission %all submit to   
,congress a report relat+ to ea*        
category ( products describ$ 9 p>agraph 
7#b7 7or a s+le report a portion ( :i*  
relates to ea* su* category7 t conta9s !
 foll[+3  7,a7 ,in=mation on dome/ic    
sales & adv]tis+ & promotional activity 
by ! manufactur]s t h ! l>ge/ m>ket %>es
 ( ! product category4  7,b7 ,su*       
recomm5dations = legislation z !        
,commission may consid] appropriate4    
7#b7 ,product categories describ$ ,!    
categories ( products describ$ 9 ?is    
p>agraph are ! foll[+3 7,a7 ,cig>ettes4 
7,b7 ,cig>s4  7,c7 ,smokeless tobacco4  
7,d7 ,electronic nicot9e deliv]y sy/ems4
  7c7 ,pres]vation ( au?ority ,no?+ 9   

?is section may be con/ru$ 9 any way to 
limit ! ,commission's au?ority "u any   
o!r provision ( law4  7d7 ,def9itions ,9
 ?is section3 7#a7 ,cig> ,! t]m cig>    
means a tobacco product t--  7,a7 is n a
 cig>ette2 &  7,b7 is a roll ( tobacco  
wrapp$ 9 leaf tobacco or any sub/ance   
conta9+ tobacco4  7#b7 ,cig>ette ,! t]m 
cig>ette has ! mean+ giv5 su* t]m 9     
section #ijj ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act 7#ba ,u4,s4,c4 #chg74    
7#c7 ,commission ,! t]m ,commission     
means ! ,f$]al ,trade ,commission4  7#d7
 ,electronic nicot9e deliv]y sy/em ,!   
t]m electronic nicot9e deliv]y sy/em    
means a tobacco product t is an         
electronic device t deliv]s nicot9e1    
flavor1 or ano!r sub/ance via an        
a]osoliz$ solution to ! us] inhal+ f !  
device 7includ+ e-cig>ettes1 e-hookah1  
e-cig>s1 vape p5s1 advanc$ refillable   
p]sonal vaporiz]s1 & electronic pipes7 &
 any compon5t1 liquid1 "p1 or accessory 
( su* a device1 :e!r or n sold          
sep>ately4  7#e7 ,endorse ,! t]m endorse

 means to communicate an adv]tis+       
message 7includ+ a v]bal /atem5t1       
demon/ration1 or depiction ( ! "n1      
signature1 lik5ess1 or o!r id5tify+     
p]sonal *>act]i/ics ( an individual or !
 "n or seal ( an organization7 t        
consum]s are likely to believe reflects 
! op9ions1 beliefs1 f9d+s1 or exp]i5ces 
( a p>ty o!r ?an ! sponsor+ adv]tis]1   
ev5 if ! views express$ by su* p>ty are 
id5tical to ^? ( ! sponsor+ adv]tis]4   
7#f7 ,nicot9e ,! t]m nicot9e has ! mean+
 giv5 su* t]m 9 section #ijj ( ! ,f$]al 
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #chg74  7#g7 ,smokeless       
tobacco ,! t]m smokeless tobacco has !  
mean+ giv5 su* t]m 9 section #ijj ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #chg74  7#h7 ,tobacco    
product ,! t]m tobacco product has !    
mean+ giv5 su* t]m 9 section #bja ( !   
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cba74  ,,iii ,public    
,heal? ,programs  #cja4 ,outrea* to     
m$ically und]s]v$ communities ,section  

#cii,v ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bhj;g-#aa7 is am5d$--   
7#a7 9 subsection 7b7-- 7,a7 by         
r$esignat+ p>agraphs 7#d7 & 7#e7 z      
p>agraphs 7#e7 & 7#f71 respectively2 &  
7,b7 by ins]t+ aft] p>agraph 7#c7 !     
foll[+3  7#d7 to educate & provide      
guidance to m$ically und]s]v$           
communities1 p>ticul>ly racial & e?nic  
m9ority populations1 reg>d+ effective   
evid5ce-bas$ /rategies--  7,a7 to prev5t
 tobacco1 e-cig>ette1 & nicot9e         
addiction1 includ+ among y\?2 &  7,b7 = 
smok+ cessation1 includ+ cessation ( !  
use ( m5?ol-flavor$ tobacco products1 & 
! cessation ( ! use ( e-cig>ettes &     
electronic nicot9e deliv]y sy/ems2  2   
7#b7 9 subsection 7d77#a77;,b71 by      
ins]t+ 1 includ+ *ronic diseases relat$ 
to & caus$ by tobacco use aft] diseases2
 &  7#c7 9 subsection 7j71 by /rik+ are 
au?oriz$ to be appropriat$1 su* sums z  
may be necess>y to c>ry out ?is section 
= ea* ( fiscal ye>s #bjaj ?r\gh #bjad & 
ins]t+ is au?oriz$ to be appropriat$1 & 

!re is appropriat$1 out ( any funds 9 ! 
,treasury n o!rwise appropriat$1        
#ge1jjj1jjj to c>ry out ?is section =   
ea* ( fiscal ye>s #bjba ?r\gh #bjbe4    
#cjb4 ,demon/ration grant program to    
develop /rategies = smok+ cessation 9   
m$ically und]s]v$ communities ,"p ,b (  
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bdc et seq47 is    
am5d$ by ins]t+ aft] section #cag,u 7#db
 ,u4,s4,c4 #bdg;b-#bc7 ! foll[+3        
#cag,v4 ,demon/ration grant program to  
develop /rategies = smok+ cessation 9   
m$ically und]s]v$ communities  7a7 ,9   
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all e/abli% a           
demon/ration program to aw>d grants to1 
or contract )1 ,/ate1 local1 or ,tribal 
public heal? dep>tm5ts to support--     
7#a7 ! developm5t ( improv$ evid5ce-bas$
 /rategies = smok+ cessation1 includ+   
cessation ( ! use ( m5?ol-flavor$       
tobacco products1 & ! cessation ( ! use 
( e-cig>ettes & electronic nicot9e      

deliv]y sy/ems1 = populations 9 m$ically
 und]s]v$ communities1 p>ticul>ly racial
 & e?nic m9ority populations2  7#b7 !   
developm5t ( improv$ communication &    
outrea* tools to rea* populations 9     
m$ically und]s]v$ communities1          
p>ticul>ly racial & e?nic m9ority       
populations1 addict$ to tobacco         
products1 includ+ e-cig>ettes &         
m5?ol-flavor$ tobacco products2 &  7#c7 
improv$ coord9ation1 access1 & ref]rals 
to s]vices = tobacco cessation & !      
cessation ( ! use ( e-cig>ettes &       
electronic nicot9e deliv]y sy/ems1      
includ+ tobacco cessation products      
approv$ by ! ,food & ,drug ,adm9i/ration
 & m5tal heal? & c\nsel+ s]vices4  7b7  
,application ,to be eligible to receive 
a grant "u subsection 7a71 a ,/ate1     
local1 or ,tribal public heal? dep>tm5t 
%all submit to ! ,secret>y an           
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,au?orization (           
appropriations ,to c>ry out ?is section1

 !re is au?oriz$ to be appropriat$1 &   
!re is appropriat$1 out ( any funds 9 ! 
,treasury n o!rwise appropriat$1        
#ge1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  4  #cjc4 ,public aw>5ess1 
education1 & prev5tion campaign ,"p ,b (
 title ,,iii ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bdc et seq471 z    
am5d$ by section #cjb1 is fur!r am5d$ by
 ins]t+ aft] section #cag,v ! foll[+ new
 section3  #cag,w4 ,public aw>5ess1     
education1 & prev5tion campaign reg>d+  
tobacco  7a7 ,9 g5]al ,! ,secret>y1 act+
 ?r\gh ! ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion & 9 consultation 
) ! ,surgeon ,g5]al ( ! ,public ,heal?  
,s]vice1 %all develop & implem5t a      
national campaign to educate y\? & "y   
adults1 p>5ts1 cl9icians1 heal?         
pr(essionals1 & o!rs ab\t ! h>ms        
associat$ ) ! use by y\? & "y adults (  
tobacco products1 includ+ e-cig>ettes4  
7b7 ,requirem5ts ,! campaign "u ?is     
section %all--  7#a7 be an evid5ce-bas$ 
m$ia & public engagem5t initiative2     

7#b7 be c>ri$ out ?r\gh competitively   
bid contracts2  7#c7 include !          
developm5t ( culturally & l+ui/ically   
compet5t res\rces t may be tailor$ =    
communities ) high rates ( y\? tobacco  
use2  7#d7 be complem5t>y to1 &         
coord9at$ )1 any o!r ,f$]al ef=ts2 &    
7#e7 include message te/+ to id5tify    
culturally & l+ui/ically compet5t &     
effective messages = behavioral *ange4  
7c7 ,optional compon5ts ,! campaign "u  
?is section may include--  7#a7 ! use   
(-- 7,a7 television1 radio1 pr9t1 !     
int]net1 & o!r comm]cial m>ket+ v5ues2 &
  7,b7 9-p]son public communications2 & 
7#b7 ! aw>d ( grants to ,/ate1 local1 & 
,tribal public heal? dep>tm5ts to       
enc\rage p>tn]%ips ) community          
organizations & heal? c>e provid]s to   
develop & deliv] evid5ce-bas$ /rategies 
to prev5t y\? tobacco use4  7d7 ,fund+  
,to c>ry out ?is section1 !re is        
au?oriz$ to be appropriat$1 & !re is    
appropriat$1 out ( any funds 9 !        
,treasury n o!rwise appropriat$1        

#de1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbe4  4  #cjd4 ,tobacco         
cessation treatm5t grants to heal? c5t]s
  7a7 ,9 g5]al ,section #ccj ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bed;b7 is am5d$--  7#a7 by r$esignat+  
subsections 7k7 ?r\gh 7r7 z subsections 
7l7 ?r\gh 7s71 respectively2 &  7#b7 by 
add+ aft] subsection 7j7 ! foll[+ new   
subsection3  7k7 ,tobacco cessation     
grants  7#a7 ,9 g5]al ,! ,secret>y may  
aw>d grants to heal? c5t]s to provide   
compreh5sive tobacco cessation treatm5t1
 includ+ c\nsel+ & tobacco cessation    
!rapies4  7#b7 ,fund+ ,= ! purpose (    
c>ry+ out ?is subsection1 9 addition to 
o!r am\nts available = su* purpose1 !re 
is au?oriz$ to be appropriat$1 & !re is 
appropriat$1 out ( funds 9 ! ,treasury n
 o!rwise appropriat$1 #abe1jjj1jjj = ea*
 ( fiscal ye>s #bjba ?r\gh #bjbe4  4    
7b7 ,con=m+ *anges ,section #ccj ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;b7 is am5d$-- 7#a7 9     
subsection 7c77#c77;,b71 by /rik+       

7k77#c77;,j7 & ins]t+ 7l77#c77;,j72     
7#b7 9 subsection 7e77#a77;,b71 by /rik+
 7k77#c7 ea* place x appe>s & ins]t+    
7l77#c72  7#c7 9 subsection             
7l77#c77;,h71 z r$esignat$1 by /rik+ or 
7p7 & ins]t+ or 7q72  7#d7 9 subsection 
7m71 z r$esignat$-- 7,a7 by /rik+       
7k77#c7 & ins]t+ 7l77#c72 &  7,b7 by    
/rik+ 7m7 & ins]t+ 7n72  7#e7 9         
subsection 7q71 z r$esignat$1 by /rik+  
7k77#c77;,g7 & ins]t+ 7l77#c77;,g72     
7#f7 9 subsection 7s77#b77;,a71 z       
r$esignat$-- 7,a7 by /rik+ 7k77#c7 &    
ins]t+ 7l77#c72 &  7,b7 by /rik+        
7k77#c77;,h7 & ins]t+ 7l77#c77;,h72 &   
7#g7 9 subsection 7s77#c77;,i71 z       
r$esignat$1 by /rik+ 7q77#d7 & ins]t+   
7r77#d74  7c7 ,te*nical corrections     
7#a7 ,section #ccj7;h77#e77;,b7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bed;b7h77#e77;,b77 is am5d$  
by /rik+ sub/ance abuse ea* place x     
appe>s & ins]t+ sub/ance use disord]4   
7#b7 ,subclause 7,,ii7 ( subsection     
7l77#c77;,e77i71 z r$esignat$1 ( section

 #ccj ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bed;b7 is am5d$ by mov+ 
! ind5tation #b ems to ! left4  #cje4   
,grants = rese>* ,"p ,p ( title ,,iii ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+ new section3     
#cii,v-#g4 ,grants = rese>* on          
prev5tion1 & cessation1 ( ! use (       
tobacco products  7a7 ,9 g5]al ,!       
,secret>y %all aw>d grants to support-- 
7#a7 rese>* to develop & improve        
effective /rategies = prev5tion1 &      
cessation1 ( ! use ( tobacco products1  
includ+--  7,a7 cessation ( ! use (     
flavor$ combu/ible cig>ettes1 includ+   
m5?ol-flavor$ cig>ettes2  7,b7 cessation
 ( ! use ( e-cig>ette products2 &  7,c7 
prev5tion & cessation /rategies t>get$  
t[>d y\?2 &  7#b7 rese>* to aid 9 !     
developm5t ( safe & effective tobacco   
cessation !rapies1 includ+ !rapies      
appropriate = populations "u ! age (    
#ah4  7b7 ,fund+ ,to c>ry out ?is       
section1 !re is au?oriz$ to be          

appropriat$1 & !re is appropriat$1 out (
 any funds 9 ! ,treasury n o!rwise      
appropriat$1 #ge1jjj1jjj = ea* ( fiscal 
ye>s #bjba ?r\gh #bjbe4  4  ,,iv        
,nicot9e or ,vap+ ,access ,protection & 
,en=cem5t  #dja4 ,increas+ civil        
p5alties applicable to c]ta9 violations 
( re/rictions on sale & di/ribution (   
tobacco products  7a7 ,p5alties         
,subp>agraph 7,a7 ( section #ajc7q77#b7 
( ! ,family ,smok+ ,prev5tion & ,tobacco
 ,control ,act 7#ba ,u4,s4,c4 #ccc note7
 is am5d$ to read z foll[s3  7,a7 ,9    
g5]al ,! am\nt ( ! civil p5alty to be   
appli$ = violations ( re/rictions       
promulgat$ "u section #ijf7;d71 z       
describ$ 9 p>agraph 7#a71 %all be z     
foll[s3 7i7 ,) respect to a retail] ) an
 approv$ tra9+ program1 ! am\nt ( !     
civil p5alty %all n exce$--  7,i7 9 !   
case ( ! fir/ violation1 #j1 toge!r ) ! 
issuance ( a w>n+ lett] to ! retail]2   
7,,ii7 9 ! case ( a second violation )9 
a #ab-mon? p]iod1 #ejj2  7,,iii7 9 !    
case ( a ?ird violation )9 a #bd-mon?   

p]iod1 #a1jjj2  7,,iv7 9 ! case ( a f\r?
 violation )9 a #bd-mon? p]iod1 #d1jjj2 
7,v7 9 ! case ( a fif? violation )9 a   
#cf-mon? p]iod1 #aj1jjj2 &  7,,vi7 9 !  
case ( a six? or subsequ5t violation )9 
a #dh-mon? p]iod1 #bj1jjj z det]m9$ by !
 ,secret>y on a case-by-case basis4     
7ii7 ,) respect to a retail] t does n h 
an approv$ tra9+ program1 ! am\nt ( !   
civil p5alty %all n exce$-- 7,i7 9 !    
case ( ! fir/ violation1 #ejj2  7,,ii7 9
 ! case ( a second violation )9 a       
#ab-mon? p]iod1 #a1jjj2  7,,iii7 9 !    
case ( a ?ird violation )9 a #bd-mon?   
p]iod1 #b1jjj2  7,,iv7 9 ! case ( a f\r?
 violation )9 a #bd-mon? p]iod1 #d1jjj2 
7,v7 9 ! case ( a fif? violation )9 a   
#cf-mon? p]iod1 #aj1jjj2 &  7,,vi7 9 !  
case ( a six? or subsequ5t violation )9 
a #dh-mon? p]iod1 #bj1jjj z det]m9$ by !
 ,secret>y on a case-by-case basis4  4  
7b7 ,applicability ,! am5dm5t made by   
subsection 7a7 applies ) respect to a   
violation ( a re/riction promulgat$ "u  
section #ijf7;d77#a7 ( ! ,f$]al ,food1  

,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#chg;f7d77#a771 z describ$ 9 section    
#ajc7q77#a7 ( ! ,family ,smok+          
,prev5tion & ,tobacco ,control ,act 7#ba
 ,u4,s4,c4 #ccc note71 occurr+ on or    
aft] ! day t is #f mon?s aft] ! date (  
enactm5t ( ?is ,act4 ,! p5alties        
specifi$ 9 section #ajc7q77#b77;,a7 ( ! 
,family ,smok+ ,prev5tion & ,tobacco    
,control ,act 7#ba ,u4,s4,c4 #ccc note71
 z 9 effect on ! day be=e ! date (      
enactm5t ( ?is ,act1 %all cont9ue to    
apply to violations occurr+ be=e ! day  
specifi$ 9 ! prec$+ s5t5ce4  #djb4 ,/udy
 & report on e-cig>ettes ,n lat] ?an #e 
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al ( ! ,unit$ ,/ates  
%all-- 7#a7 complete a /udy on--  7,a7 !
 relation%ip ( e-cig>ettes to tobacco   
cessation2  7,b7 ! p]ception ( ! h>mful 
effects ( e-cig>ettes2 &  7,c7 ! effects
 ( secondh& exposure to smoke f         
e-cig>ettes2 &  7#b7 submit to !        
,congress a report on ! results ( su*   
/udy1 includ+ recomm5dations bas$ on su*

 results4  ,v ,excise tax on nicot9e us$
 9 vap+1 etc4  #eja4 ,imposition ( tax  
on nicot9e = use 9 vap+1 etc  7a7 ,9    
g5]al ,section #egja ( ! ,int]nal       
,rev5ue ,code ( #aihf is am5d$ by       
r$esignat+ subsection 7h7 z subsection  
7i7 & by ins]t+ aft] subsection 7g7 !   
foll[+ new subsection3  7h7 ,nicot9e ,on
 taxable nicot9e1 manufactur$ 9 or      
import$ into ! ,unit$ ,/ates1 !re %all  
be impos$ a tax equal to ! doll> am\nt  
specifi$ 9 section #egja7;b77#a7 7or1 if
 great]1 #ej4cc7 p] #a1haj milligrams ( 
nicot9e 7& a proportionate tax at ! l   
rate on any fractional "p !re(74  4  7b7
 ,taxable nicot9e ,section #egjb ( su*  
,code is am5d$ by add+ at ! end ! foll[+
 new subsection3  7q7 ,taxable nicot9e  
7#a7 ,9 g5]al ,except z o!rwise provid$ 
9 ?is subsection1 ! t]m taxable nicot9e 
means any nicot9e :i* has be5 extract$1 
conc5trat$1 or syn!siz$4  7#b7          
,exception = products approv$ by ,food &
 ,drug ,adm9i/ration ,su* t]m %all n    
include any nicot9e if ! manufactur] or 

import] !re( demon/rates to !           
satisfaction ( ! ,secret>y ( ,heal? &   
,human ,s]vices t su* nicot9e w be us$  
9-- 7,a7 a drug--  7i7 t is approv$ "u  
section #eje ( ! ,f$]al ,food1 ,drug1 & 
,cosmetic ,act or lic5s$ "u section #cea
 ( ! ,public ,heal? ,s]vice ,act2 or    
7ii7 = :i* an inve/igational use        
exemption has be5 au?oriz$ "u section   
#eje7;i7 ( ! ,f$]al ,food1 ,drug1 &     
,cosmetic ,act or "u section #cea7;a7 ( 
! ,public ,heal? ,s]vice ,act2 or  7,b7 
a comb9ation product 7z describ$ 9      
section #ejc7;g7 ( ! ,f$]al ,food1      
,drug1 & ,cosmetic ,act71 ! con/itu5t   
p>ts ( :i* 7 approv$ or cle>$ "u section
 #eje1 #eaj7k71 or #eae ( su* ,act4     
7#c7 ,coord9ation ) taxation ( o!r      
tobacco products ,cig>s1 cig>ettes1     
smokeless tobacco1 pipe tobacco1 &      
roll-y\r-own tobacco %all n be treat$ z 
conta9+ taxable nicot9e solely because !
 nicot9e naturally occurr+ 9 ! tobacco f
 :i* su* product is manufactur$ has be5 
conc5trat$ dur+ ! ord9>y c\rse (        

manufactur+4  4  7c7 ,taxable nicot9e   
treat$ z a tobacco product ,section     
#egjb7;c7 ( su* ,code is am5d$ by /rik+ 
& roll-y\r-own tobacco & ins]t+         
roll-y\r-own tobacco1 & taxable nicot9e4
  7d7 ,manufactur] ( taxable nicot9e    
,section #egjb ( su* ,code1 z am5d$ by  
subsection 7b71 is fur!r am5d$ by add+  
at ! end ! foll[+ new subsection3  7r7  
,manufactur] ( taxable nicot9e  7#a7 ,9 
g5]al ,any p]son :o extracts1           
conc5trates1 or syn!sizes nicot9e %all  
be treat$ z a manufactur] ( taxable     
nicot9e 7& z manufactur+ su* taxable    
nicot9e74  7#b7 ,application ( rules    
relat$ to manufactur]s ( tobacco        
products ,any ref]5ce to a manufactur] (
 tobacco products1 or to manufactur+    
tobacco products1 %all be treat$ z      
includ+ a ref]5ce to a manufactur] (    
taxable nicot9e1 or to manufactur+      
taxable nicot9e1 respectively4  4  7e7  
,effective date  7#a7 ,9 g5]al ,!       
am5dm5ts made by ?is section %all apply 
to articles manufactur$ or import$ 9    

cal5d> qu>t]s beg9n+ m ?an #ij days aft]
 ! date ( ! enactm5t ( ?is ,act4  7#b7  
,transition rule = p]mit & bond         
requirem5ts ,a p]son :i* is lawfully    
engag$ 9 bus9ess z a manufactur] or     
import] ( taxable nicot9e 7)9 ! mean+ ( 
sub*apt] ,a ( *apt] #eb ( ! ,int]nal    
,rev5ue ,code ( #aihf1 z am5d$ by ?is   
section7 on ! date ( ! enactm5t ( ?is   
,act1 fir/ becomes subject to !         
requirem5ts ( sub*apt] ,b ( *apt] #eb ( 
su* ,code by reason ( ! am5dm5ts made by
 ?is section1 & submits an application  
"u su* sub*apt] ,b to engage 9 su*      
bus9ess n lat] ?an #ij days aft] ! date 
( ! enactm5t ( ?is ,act1 %all n be d5i$ 
! "r to c>ry on su* bus9ess by reason ( 
su* requirem5ts be=e f9al action on su* 
application4  ,,vi ,fur!r heal?         
inve/m5ts  #fja4 ,waiv+ ,m$ic>e         
co9surance = colorectal canc] scre5+    
te/s ,section #ahcc7;a7 ( ! ,social     
,security ,act 7#db ,u4,s4,c4 #aciel7a77
 is am5d$-- 7#a7 9 ! second s5t5ce1 by  
/rik+ section #ahcd7j7 & ins]t+ section 

#ahcd7o72  7#b7 by mov+ su* second      
s5t5ce #b ems to ! left2 &  7#c7 by     
ins]t+ ! foll[+ ?ird s5t5ce foll[+ su*  
second s5t5ce3 ,= s]vices furni%$ on or 
aft] ,janu>y #a1 #bjbd1 p>agraph        
7#a77,y7 %all apply ) respect to a      
colorectal canc] scre5+ te/ reg>dless ( 
! code t is bill$ = ! e/abli%m5t ( a    
diagnosis z a result ( ! te/1 or = !    
removal ( tissue or o!r matt] or o!r    
proc$ure t is furni%$ 9 connection )1 z 
a result (1 & 9 ! same cl9ical enc\nt] z
 ! scre5+ te/44  #fjb4 ,safe h>bor =    
high d$uctible heal? plans )\t d$uctible
 = c]ta9 inhal]s  7a7 ,9 g5]al ,section 
#bbc7;c77#b77;,c7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$-- 7#a7 by /rik+ =
 prev5tive c>e & ins]t+  = "o or m ( !  
foll[+3 7i7 ,prev5tive c>e  1 &  7#b7 by
 add+ at ! end ! foll[+ new clause3     
7ii7 ,inhal]s or nebuliz]s = treatm5t ( 
any *ronic lung disease 7& any m$ic9e or
 drug :i* is deliv]$ ?r\gh su* inhal] or
 nebuliz] = treatm5t ( su* disease74  4 
7b7 ,con=m+ am5dm5t ,! head+ = section  

#bbc7;c77#b77;,c7 ( su* ,code is am5d$  
by /rik+ prev5tive c>e d$uctible &      
ins]t+ c]ta9 d$uctibles4  7c7 ,effective
 date ,! am5dm5ts made by ?is section   
%all apply to mon?s beg9n+ aft] ! date (
 ! enactm5t ( ?is ,act4  ,pass$ ! ,h\se 
( ,repres5tatives ,febru>y #bh1         
#bjbj4;,cl]k4