#aafth ,,congress #b;d ,session ,s4 #abec ,,an ,,act ,to apply requirements relating to delivery sales of cigarettes to delivery sales of electronic nicotine delivery systems1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,preventing ,online ,sales of ,e-,cigarettes to ,children ,act4 #b4 ,amendments to the ,jenkins ,act 7a7 ,in general ,the ,act entitled ,an ,act to assist ,states in collecting sales and use taxes on cigarettes1 approved ,october #ai1 #aidi 7commonly known as the ,jenkins ,act7 7#ae ,u4,s4,c4 #cge et seq471 is amended-- 7#a7 in section #a 7#ae ,u4,s4,c4 #cge7-- 7,a7 in paragraph 7#b77;,a77ii7-- 7i7 by striking includes roll-your-own tobacco and inserting the following3 8includes-- 7,i7 roll-your-own tobacco 2 7ii7 in subclause 7,i71 as so designated1 by striking the period at the end and inserting 2 and2 and 7iii7 by adding at the end the following3 7,,ii7 an electronic nicotine delivery system4 2 7,b7 by redesignating paragraphs 7#g7 through 7#ad7 as paragraphs 7#h7 through 7#ae71 respectively2 and 7,c7 by inserting after paragraph 7#f7 the following3 7#g7 ,electronic nicotine delivery system ,the term electronic nicotine delivery system-- 7,a7 means any electronic device that1 through an aerosolized solution1 delivers nicotine1 flavor1 or any other substance to the user inhaling from the device2 7,b7 includes-- 7i7 an e-cigarette2 7ii7 an e-hookah2 7iii7 an e-cigar2 7iv7 a vape pen2 7v7 an advanced refillable personal vaporizer2 7vi7 an electronic pipe2 and 7vii7 any component1 liquid1 part1 or accessory of a device described in subparagraph 7,a71 without regard to whether the component1 liquid1 part1 or accessory is sold separately from the device2 and 7,c7 does not include a product that is-- 7i7 approved by the ,food and ,drug ,administration for-- 7,i7 sale as a tobacco cessation product2 or 7,,ii7 any other therapeutic purpose2 and 7ii7 marketed and sold solely for a purpose described in clause 7i74 2 and 7#b7 in section #b;,a7b77#a7 7#ae ,u4,s4,c4 #cgf;a7b77#a771 by inserting ,,nicotine_/ after ,,cigarettes_/4 7b7 ,effective date ,this section1 and the amendments made by this section1 shall take effect on the date that is #ij days after the date of enactment of this ,act4 7c7 ,rule of construction ,nothing in this section1 or an amendment made by this section1 may be construed to affect or otherwise alter any provision of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq471 including its implementing regulations4 #c4 ,nonmailability of electronic nicotine delivery systems 7a7 ,regulations ,not later than #abj days after the date of enactment of this ,act1 the ,united ,states ,postal ,service shall promulgate regulations to clarify the applicability of the prohibition on mailing of cigarettes under section #agaf;,e of title #ah1 ,united ,states ,code1 to electronic nicotine delivery systems1 in accordance with the amendment to the definition of cigarette made by section #b4 7b7 ,effective date ,the prohibition on mailing of cigarettes under section #agaf;,e of title #ah1 ,united ,states ,code1 shall apply to electronic nicotine delivery systems on and after the date on which the ,united ,states ,postal ,service promulgates regulations under subsection 7a7 of this section4 #d4 ,understanding the impact of e-cigarette use by adolescents and young adults 7a7 ,study ,the ,national ,institutes of ,health1 in coordination with other appropriate agencies1 shall conduct a study on the short-term and long-term health impacts of e-cigarette use by youth and young adults under #ba years of age1 that includes the following3 7#a7 ,an examination of the health impacts of using liquids obtained from the legal market1 including liquids that may not have premarket approval from the ,food and ,drug ,administration1 compared to liquids obtained illicitly4 7#b7 ,a determination of the precise relationship between underage vaping and underage smoking1 which may include using national survey data1 in which the reporting of smoking and vaping usage classifications 7such as current users1 former users1 or never users7 shall be integrated and not treated as separate or unrelated categories4 7#c7 ,a determination of the precise relationship between vaping and smoking among young adults1 who are #ba to #bd years of age1 using national survey data1 in which the reporting of smoking and vaping usage classifications 7such as current users1 former users1 or never users7 shall be integrated and not treated as separate or unrelated categories4 7#d7 ,an examination of e-cigarette usage data from cities1 localities1 and ,states that have adopted e-cigarette product bans to evaluate-- 7,a7 the proportion of e-cigarette users in those areas who return to smoking combustible cigarettes2 7,b7 the proportion of e-cigarette users in those areas who access products from illicit markets2 and 7,c7 the proportion of e-cigarette users in those areas who stop using all nicotine products or reduce their overall nicotine product use4 7#e7 ,a determination of the frequency of use of each specific and multiple tobacco products among high school students in the ,united ,states1 including-- 7,a7 the number of high school students who use each specific and multiple tobacco products less than #bj days per month2 and 7,b7 the number of high school students who use each specific and multiple tobacco products #bj or more days per month4 7#f7 ,an examination of the rates of underage e-cigarette use in cities1 localities1 and ,states that have adopted ,tobacco #ba laws prior to the date of enactment of the ,further ,consolidated ,appropriations ,act1 #bjbj 7,public ,law #aaf-id74 7#g7 ,an examination of illegal smuggling of tobacco products in cities1 localities1 and ,states that have-- 7,a7 banned such products2 7,b7 enacted taxes on such products that are higher than the national median2 or 7,c7 enacted other legal restrictions on such products4 7#h7 ,a determination of how prevalence estimates of tobacco use in the ,national ,youth ,tobacco ,survey differ from prevalence estimates of tobacco use in other national surveys1 including the ,population ,assessment of ,tobacco and ,health and the ,knowledge ,panel4 7#i7 ,a determination of the prevalence of the following high-risk behaviors among high school students1 and their relationship1 if any1 to vaping and smoking3 7,a7 ,using marijuana or alcohol4 7,b7 ,binge drinking4 7,c7 ,underage sexual activity4 7,d7 ,using an electronic device while driving4 7,e7 ,knowingly riding in a motor vehicle with a driver who was recently drinking4 7,f7 ,seriously considering suicide4 7#aj7 ,an examination of the role flavors play in youth initiation and use of e-cigarettes and other tobacco products4 7#aa7 ,an examination of the risk of youth addiction to nicotine1 including the impact of e-cigarettes that use nicotine salts4 7#ab7 ,an examination of risks to youth of nicotine use and exposure to harmful and potentially harmful constituents emitted from some e-cigarettes1 including flavorings used in e-cigarettes4 7#ac7 ,a determination of a credible estimate of the difference in health risks between combustible cigarette smoking and vaping1 if a valid estimate can be made1 to inform tobacco regulation in the ,united ,states1 taking into account-- 7,a7 the findings of the ,british ,royal ,college of ,physicians in their #bjaf report1 ,nicotine without smoke3 ,tobacco harm reduction2 7,b7 the article entitled ,invalidity of an ,oft-,cited ,estimate of the ,relative ,harms of ,electronic ,cigarettes published in the ,american ,journal of ,public ,health in ,february #bjbj2 7,c7 the findings of the ,national ,academies of ,sciences1 ,engineering1 and ,medicine in their #bjah report1 ,public ,health ,consequences of ,e-,cigarettes2 7,d7 relevant reports and advisories of the ,surgeon ,general2 and 7,e7 other peer reviewed research4 7b7 ,report 7#a7 ,in general ,not later than #a year after the date of enactment of this ,act1 the ,national ,institutes of ,health shall submit a report to ,congress on the findings of the study required to be conducted under subsection 7a74 7#b7 ,requirement ,not later than #ij days after the date on which the report required under paragraph 7#a7 is submitted1 all data1 research products1 and reports from the study required to be conducted under subsection 7a7 shall be made publicly available online4 7c7 ,no new funds authorized ,no additional funds are authorized to be appropriated to carry out this section4 ,passed the ,senate ,july #b1 #bjbj4,secretary