,,ii #aagth ,,congress #ast ,session ,s4 #bigd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #g1 #bjba,mr4 ,blumenthal 7for himself1 ,mr4 ,brown1 ,ms4 ,baldwin1 ,mr4 ,reed1 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 ,act or the ,,protect ,act4 #b4 ,reducing ,youth ,use of ,e-,cigarettes ,initiative ,the ,public ,health ,service ,act is amended by inserting after section #cag,u of such ,act 7#db ,u4,s4,c4 #bdg;b-#bc7 the following3 #cag,v4 ,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 research1 7including by enhancing ,state-level surveillance and by using rapid surveillance methods7 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 electronic cigarettes and emerging tobacco 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 7,j7 patterns of youth and young adult electronic cigarette cessation behaviors1 including patterns in motivation to quit1 quit attempts1 successful cessation1 and associated factors2 and 7,k7 resources youth and young adults are using to quit tobacco use4 7#b7 ,conducting research on-- 7,a7 the characteristics and nicotine delivery technology of electronic cigarettes and emerging tobacco products2 7,b7 biomarkers of exposure to electronic cigarettes and emerging tobacco products and resulting health impacts from such exposure2 and 7,c7 the levels of nicotine in electronic cigarettes and emerging tobacco products4 7#c7 ,developing and disseminating guidance for health care providers1 schools1 and other entities as appropriate on intervening with1 and treating1 youth and young adults who use electronic cigarettes and other emerging tobacco products4 7#d7 ,identifying promising strategies to-- 7,a7 prevent and reduce the use by youth and young adults of electronic cigarettes and emerging tobacco products2 7,b7 identify and develop cessation strategies and quit support that are appropriate for youth and young adults2 and 7,c7 improve access to1 and the delivery of tobacco cessation services for1 youth and young adults1 including the use of technology-delivered services4 7#e7 ,identifying effective messages and communication efforts that prevent initiation of tobacco product use and reduce use1 including the use of electronic cigarettes and emerging tobacco products1 among youth and young adults4 7#f7 ,developing and implementing a campaign1 in coordination with the ,surgeon ,general1 to reduce tobacco initiation and use by youth and young adults1 and to educate the public about-- 7,a7 the rapidly evolving tobacco product landscape2 7,b7 the harms associated with the use by youth and young adults of electronic cigarettes and other emerging tobacco products2 and 7,c7 culturally competent strategies for intervening with youth and young adults who use tobacco and providing or directing them to appropriate cessation services4 7#g7 ,continuing to provide funding through the ,centers for ,disease ,control and ,prevention's ,national ,tobacco ,control ,program cooperative agreement to ,state1 local1 territorial1 and island health departments and ,tribal organizations1 as appropriate1 for-- 7,a7 preventing and reducing the use by youth and young adults of electronic cigarettes and emerging tobacco products2 and 7,b7 improving access to and delivery of cessation strategies that are appropriate for services to youth and young adults addicted to nicotine1 including through quitlines and provider education on cessation services available through the ,medicaid program under title ,,xix of the ,social ,security ,act and the ,children's ,health ,insurance ,program under title ,,xxi of such ,act4 7#h7 ,evaluating ,state1 community1 and school-based strategies for-- 7,a7 preventing the initiation and use of electronic cigarettes and emerging tobacco products among youth and young adults2 and 7,b7 intervening with youth and young adults who use tobacco and providing or directing them to appropriate cessation services4 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 #bjbb through #bjbf4 4