,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fjch  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #bd1 #bjbc,ms4
 ,wass]man ,s*ultz 7= h]self1 ,mr4      
,kri%namoor?i1 & ,mr4 ,de,saulnier7     
introduc$ ! foll[+ bill  ,octob] #be1   
#bjbc,ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to am5d ! ,public
 ,heal? ,s]vice ,act to provide = a     
,r$uc+ ,y\? ,use ( ,e-,cig>ettes        
,initiative4  #a4 ,%ort title ,?is ,act 
may be cit$ z ! ,prev5t+ ,opportunities 
= ,te5 ,e-,cig>ette & ,tobacco          
,addiction ,act or ! ,,protect ,act4    
#b4 ,r$uc+ ,y\? ,use ( ,e-,cig>ettes    
,initiative ,! ,public ,heal? ,s]vice   
,act is am5d$ by ins]t+ aft] section    
#cag,v ( su* ,act 7#db ,u4,s4,c4        
#bdg;b-#bd7 ! foll[+3  #cag,w4 ,r$uc+   
,y\? ,use ( ,e-,cig>ettes ,initiative   
7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! 
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all c>ry out an         
initiative1 to be kn[n z ! ,r$uc+ ,y\?  
,use ( ,e-,cig>ettes ,initiative1 :i*   

%all include ! foll[+3 7#a7 ,conduct+   
rese>*1 7includ+ by enhanc+ ,/ate-level 
surveillance & by us+ rapid surveillance
 me?ods7 on use by y\? & "y adults (    
electronic cig>ettes & em]g+ tobacco    
products1 includ+ rese>* on-- 7,a7 !    
types ( products y\? & "y adults use2   
7,b7 patt]ns ( products us$ by y\? & "y 
adults1 includ+ initiation1 frequ5cy (  
use1 use 9 comb9ation ) o!r tobacco     
products1 & use ( flavors2  7,c7 !      
association betwe5 ! use by y\? & "y    
adults ( electronic cig>ettes & !       
initiation ( smok+ ) cig>ettes or cig>s2
  7,d7 use ( electronic cig>ettes &     
em]g+ tobacco products among diff]5t    
demographic gr\ps2  7,e7 ! means by :i* 
y\? & "y adults access electronic       
cig>ettes & em]g+ tobacco products1 &   
me?ods ( di/ribution ( electronic       
cig>ettes & em]g+ tobacco products2     
7,f7 y\? & "y adult exposure to adv]tis+
 ( electronic cig>ettes & em]g+ tobacco 
products2  7,g7 m>ket+ & adv]tis+       
/rategies us$ by manufactur]s1 includ+ !

 *annels & messag+ us$ & /rategies t    
t>get diff]5t demographic gr\ps2  7,h7 !
 reasons y\? & "y adults use su*        
products2  7,i7 ! ext5t to :i* y\? & "y 
adult electronic cig>ette us]s are      
nicot9e dep5d5t2  7,j7 patt]ns ( y\? &  
"y adult electronic cig>ette cessation  
behaviors1 includ+ patt]ns 9 motivation 
to quit1 quit attempts1 successful      
cessation1 & associat$ factors2 &  7,k7 
res\rces y\? & "y adults are us+ to quit
 tobacco use4  7#b7 ,conduct+ rese>*    
on-- 7,a7 ! *>act]i/ics & nicot9e       
deliv]y te*nology ( electronic cig>ettes
 & em]g+ tobacco products2  7,b7        
biom>k]s ( exposure to electronic       
cig>ettes & em]g+ tobacco products &    
result+ heal? impacts f su* exposure2 & 
7,c7 ! levels ( nicot9e 9 electronic    
cig>ettes & em]g+ tobacco products4     
7#c7 ,develop+1 9 collaboration )       
pr(essional m$ical organizations1       
guidance = heal? c>e provid]s1 s*ools1 &
 o!r entities1 z appropriate1 on int]v5+
 )1 & treat+1 y\? & "y adults :o use    

electronic cig>ettes & o!r em]g+ tobacco
 products1 & dissem9at+ su* guidance4   
7#d7 ,id5tify+ promis+ /rategies to--   
7,a7 prev5t & r$uce ! use by y\? & "y   
adults ( electronic cig>ettes & em]g+   
tobacco products2  7,b7 id5tify exi/+1 &
 develop new1 cessation /rategies & quit
 support t are appropriate = y\? & "y   
adults2 &  7,c7 improve access to1 & !  
deliv]y ( tobacco cessation s]vices =1  
y\? & "y adults1 includ+ ! use (        
te*nology-deliv]$ s]vices4  7#e7        
,id5tify+ effective messages &          
communication ef=ts t prev5t initiation 
( tobacco product use & r$uce use1      
includ+ ! use ( electronic cig>ettes &  
em]g+ tobacco products1 among y\? & "y  
adults4  7#f7 ,develop+ & implem5t+1 9  
coord9ation ) ! ,commission] ( ,food &  
,drugs1 a campaign1 9 coord9ation ) !   
,surgeon ,g5]al1 to r$uce tobacco       
initiation & use by y\? & "y adults1 &  
to educate ! public ab\t-- 7,a7 !       
rapidly evolv+ tobacco product l&scape2 
7,b7 ! h>ms associat$ ) ! use by y\? &  

"y adults ( electronic cig>ettes & o!r  
em]g+ tobacco products2 &  7,c7         
culturally-compet5t /rategies = int]v5+ 
) y\? & "y adults :o use tobacco &      
provid+ or direct+ !m to appropriate    
cessation s]vices4  7#g7 ,cont9u+ to    
provide fund+ ?r\gh ! ,c5t]s = ,disease 
,control & ,prev5tion's ,national       
,tobacco ,control ,program coop]ative   
agreem5t to ,/ate1 local1 t]ritorial1 & 
isl& heal? dep>tm5ts & ,tribal          
organizations1 z appropriate1 =-- 7,a7  
prev5t+ & r$uc+ ! use by y\? & "y adults
 ( electronic cig>ettes & em]g+ tobacco 
products2 &  7,b7 improv+ access to &   
deliv]y ( cessation /rategies t are     
appropriate = s]vices to y\? & "y adults
 addict$ to nicot9e1 includ+ ?r\gh      
quitl9es & provid] education on         
cessation s]vices available ?r\gh !     
,m$icaid program "u title ,,xix ( !     
,social ,security ,act & ! ,*ildr5's    
,heal? ,insurance ,program "u title     
,,xxi ( su* ,act4  7#h7 ,evaluat+ ,/ate1
 community1 & s*ool-bas$ /rategies =--  

7,a7 prev5t+ ! initiation & use (       
electronic cig>ettes & em]g+ tobacco    
products among y\? & "y adults2 &  7,b7 
int]v5+ ) y\? & "y adults :o use tobacco
 & provid+ or direct+ !m to appropriate 
cessation s]vices4  7b7 ,no duplication 
,! ,secret>y %all ensure t activities "u
 ?is section d n duplicate o!r          
activities ( ! ,dep>tm5t ( ,heal? &     
,human ,s]vices4  7c7 ,/rategy ,n lat]  
?an #ij days aft] ! date ( enactm5t (   
?is section1 ! ,secret>y %all submit to 
! ,committee on ,heal?1 ,education1     
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 & make         
available to ! public on ! int]net      
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices1 a /rategy = c>ry+ out ! ,r$uc+
 ,y\? ,use ( ,e-,cig>ettes ,initiative4 
7d7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re is au?oriz$ to
 be appropriat$ #ajj1jjj1jjj = ea* (    
fiscal ye>s #bjbd ?r\gh #bjbh4  4