,i #aafth ,,congress #ast ,session ,h4 ,r4 #dfbd ,,in ,,the ,,house ,,of ,,representatives ,october #h1 #bjai,mr4 ,krishnamoorthi introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,federal ,food1 ,drug1 and ,cosmetic ,act to establish a tobacco product standard prohibiting any e-liquid with a concentration of nicotine higher than #bj milligrams per milliliter1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,ending ,nicotine ,dependence from ,electronic ,nicotine ,delivery ,systems ,act of #bjai or the ,,end ,,ends ,act of #bjai4 #b4 ,findings ,congress finds as follows3 7#a7 ,according to the ,centers for ,disease ,control and ,prevention 7in this section referred to as the ,,cdc71 the brain keeps developing until approximately age #be1 and nicotine exposure can harm the parts of the brain that control attention1 learning1 mood1 and impulse control4 7#b7 ,adolescent nicotine use may also increase the risk of future addiction to other drugs4 7#c7 ,a recent ,,cdc study found that #ii percent of e-cigarettes sold in the ,united ,states contain nicotine4 7#d7 ,in congressional testimony before the ,subcommittee on ,economic and ,consumer ,policy of the ,committee on ,oversight and ,reform of the ,house of ,representatives on ,september #bd1 #bjai1 ,,cdc ,principal ,deputy ,director ,anne ,schuchat stated that fourth generation e-cigarette devices were first sold in #bjae and use nicotine salts1 which can lead to much more available nicotine4 7#e7 ,according to ,dr4 ,schuchat's testimony1 fourth generation devices can cross the blood-brain barrier and lead to potentially more effects on the developing brain in adolescents4 ,further1 the very high levels of accessible nicotine and the discreet use of the product directly link the growing popularity of fourth generation e-cigarette devices to the rise in youth e-cigarette use4 7#f7 ,prior to the use of nicotine salts1 which are now used in the e-liquids of the most popular e-cigarettes1 most e-cigarettes contained freebase nicotine4 ,because freebase nicotine has a much harsher effect on the inhaler1 these e-cigarette devices contained much less nicotine than devices which contain nicotine salts4 7#g7 ,the most popular e-cigarette manufactured and sold in the ,united ,states1 which is considered a fourth generation device1 most frequently contains an e-liquid with #ei milligrams per milliliter of nicotine4 7#h7 ,in response1 the ,european ,union1 the ,united ,kingdom1 and ,israel implemented regulations to cap the concentration of nicotine in e-cigarette e-liquids to #bj milligrams per milliliter4 7#i7 ,the ,united ,kingdom's nicotine cap went into effect on ,may #bj1 #bjag4 ,as youth use skyrocketed in the ,united ,states between #bjag and #bjah1 the percentage of youth e-cigarette users who use more than once a week only rose from #a4b percent to #a4g percent1 and the percentage of youth who use less than weekly decreased from #b4b percent to #a4h percent4 7#aj7 ,e-cigarettes manufactured and sold in the ,united ,states are currently not subject to any nicotine cap1 and e-cigarette manufacturers are permitted to design their products to be as addictive as possible4 7#aa7 ,according to the ,,cdc1 e-cigarette use rose by #gh percent among high schoolers and #dh percent among middle schoolers between #bjag and #bjah4 7#ab7 ,preliminary results from the ,,cdc's annual ,national ,youth ,tobacco ,survey published in ,september #bjai show that #bg4e percent of high school students reported using an e-cigarette in the previous #cj days1 up from #bj4h percent in #bjah4 7#ac7 ,the ,,cdc1 the ,food and ,drug ,administration1 the ,department of ,health and ,human ,services1 the ,surgeon ,general of the ,public ,health ,service1 and various ,state and local health authorities have determined the skyrocketing e-cigarette use amongst ,american youth to be an 8epidemic04 #c4 ,sense of ,congress ,it is the sense of the ,congress that-- 7#a7 effectively combating the youth e-cigarette epidemic will require the implementation of bold and enduring policy solutions2 7#b7 under the current regulatory framework1 ,american youth have easy access to highly addictive fourth generation e-cigarette devices that hook them into a lifelong addiction to nicotine2 7#c7 in order to significantly decrease youth e-cigarette use and to reduce the dangers associated with excessive nicotine inhalation1 the ,federal ,government should regulate nicotine levels in e-cigarettes in order to make them less addictive and less harmful to youth2 and 7#d7 in addition to regulating nicotine levels1 the ,federal ,government should also review other factors related to the composition and function of fourth generation e-cigarettes in order to make them less addictive and appealing to youth1 including battery power and design4 #d4 ,maximum nicotine content in e-liquids 7a7 ,tobacco product standard ,paragraph 7#a7 of section #ijg7;a7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #chg;g7a77 is amended by adding at the end the following new subparagraph3 7,c7 ,nicotine content in e-liquids ,beginning on the date of enactment of the ,ending ,nicotine ,dependence from ,electronic ,nicotine ,delivery ,systems ,act of #bjai1 an e-liquid shall not have a concentration of nicotine higher than-- 7i7 #bj milligrams per milliliter2 or 7ii7 such lower nicotine concentration as is determined by the ,secretary to be minimally addictive or non-addictive4 4 7b7 ,definitions 7#a7 ,in general ,section #ijj of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #chg7 is amended-- 7,a7 by redesignating paragraphs 7#h7 through 7#bb7 as paragraphs 7#aj7 through 7#bd71 respectively2 and 7,b7 by inserting after paragraph 7#g7 the following3 7#h7 ,electronic nicotine delivery system ,the term electronic nicotine delivery system means a tobacco product that is an electronic device that delivers nicotine1 flavor1 or another substance via an aerosolized solution to the user inhaling from the device 7including e-cigarettes1 e-hookah1 e-cigars1 vape pens1 advanced refillable personal vaporizers1 and electronic pipes7 and any component1 liquid1 part1 or accessory of such a device1 whether or not sold separately4 7#i7 ,e-liquid ,the term e-liquid means any liquid intended for use with an electronic nicotine delivery system4 4 7#b7 ,conforming amendment ,section #i7a7 of the ,comprehensive ,smokeless ,tobacco ,health ,education ,act of #aihf 7#ae ,u4,s4,c4 #ddjh7a77 is amended by striking #ijj7ah7 and inserting #ijj7bj74