,,ii  #aafth ,,congress  #ast ,session  
,s4 #ajdh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #d1     
#bjai,mr4 ,blumenthal 7for himself1 ,mr4
 ,wyden1 ,mr4 ,merkley1 ,mr4 ,reed1 ,mr4
 ,durbin1 ,mr4 ,brown1 and ,mr4 ,markey7
 introduced the following bill2 which   
was read twice and referred to the      
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,public ,health ,service ,act 
to provide for a ,reducing ,youth ,use  
of ,e-,cigarettes ,initiative4  #a4     
,short title ,this ,act may be cited as 
the ,preventing ,opportunities for ,teen
 ,e-,cigarette and ,tobacco ,addiction  
or the ,,protect ,act4  #b4 ,reducing   
,youth ,use of ,e-,cigarettes           
,initiative ,the ,public ,health        
,service ,act is amended by inserting   
after section #cag,t of such ,act 7#db  
,u4,s4,c4 #bdg;b-#bb7 the following3    
#cag,u4 ,reducing ,youth ,use of        
,e-,cigarettes ,initiative  7a7 ,in     
general ,the ,secretary1 acting through 

the ,director of the ,centers for       
,disease ,control and ,prevention1 shall
 carry out an initiative1 to be known as
 the ,reducing ,youth ,use of           
,e-,cigarettes ,initiative1 which shall 
include the following3  7#a7 ,conducting
 research 7including by using rapid     
surveillance methods71 on use by youth  
and young adults of electronic          
cigarettes and emerging tobacco         
products1 including research on--  7,a7 
the types of products youth and young   
adults use2  7,b7 patterns of products  
used by youth and young adults1         
including initiation1 frequency of use1 
use in combination with other tobacco   
products1 and use of flavors2  7,c7 the 
association between the use by youth and
 young adults of electronic cigarettes  
and smoking initiation2  7,d7 use of    
electronic cigarettes and emerging      
tobacco products among different        
demographic groups2  7,e7 the means by  
which youth and young adults access     
electronic cigarettes and emerging      

tobacco products1 and methods of        
distribution of such products2  7,f7    
youth and young adult exposure to       
advertising of electronic cigarettes and
 emerging tobacco products2  7,g7       
marketing and advertising strategies    
used by manufacturers1 including the    
channels and messaging used and         
strategies that target different        
demographic groups2  7,h7 the reasons   
youth and young adults use such         
products2  7,i7 the extent to which     
youth and young adult electronic        
cigarette users are nicotine dependent2 
and  7,j7 youth and young adult         
motivation to quit using electronic     
cigarettes4  7#b7 ,conducting research  
on--  7,a7 the characteristics and      
nicotine delivery technology of         
electronic cigarettes and emerging      
tobacco products2 and  7,b7 biomarkers  
of exposure to electronic cigarettes and
 emerging tobacco products and resulting
 health impacts from such exposure4     
7#c7 ,identifying effective messages to 

youth and young adults1 parents1        
clinicians1 health professionals1 and   
others who work or interact with youth  
and young adults for preventing use of  
electronic cigarettes and emerging      
tobacco products4  7#d7 ,developing and 
implementing a campaign1 in coordination
 with the ,surgeon ,general of the      
,public ,health ,service1 to educate    
youth and young adults1 parents1        
clinicians1 health professionals1 and   
others about--  7,a7 the rapidly        
evolving tobacco product landscape2 and 
7,b7 the harms associated with the use  
by youth and young adults of electronic 
cigarettes and other emerging products4 
7#e7 ,providing funding through grants1 
cooperative agreements1 or contracts to 
,state1 territorial1 ,tribal1 and local 
health departments1 community           
organizations1 national and ,tribal     
organizations1 or ,state and local      
educational agencies1 as appropriate1   
for preventing and reducing the use by  
youth and young adults of electronic    

cigarettes and emerging tobacco         
products4  7#f7 ,informing the          
development1 implementation1 and        
evaluation of evidence-based policies to
 prevent the initiation and use of      
emerging tobacco products among youth   
and young adults4  7b7 ,no duplication  
,the ,secretary shall ensure that       
activities under this section do not    
duplicate other activities of the       
,department of ,health and ,human       
,services4  7c7 ,strategy ,not later    
than #ij days after the date of         
enactment of this section1 the          
,secretary shall submit to the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate and
 the ,committee on ,energy and ,commerce
 of the ,house of ,representatives1 and 
make available to the public on the     
,internet website of the ,department of 
,health and ,human ,services1 a strategy
 for carrying out the ,reducing ,youth  
,use of ,e-,cigarettes ,initiative4  7d7
 ,authorization of appropriations ,to   

carry out this section1 there is        
authorized to be appropriated           
#ajj1jjj1jjj for each of fiscal years   
#bjbj through #bjbd4  4