![]() Six states, DC, Guam, and Palau enacted T21 laws during 2013–2018, and 13 states enacted T21 laws in 2019 ( Table). The number of state-level jurisdictions with T21 laws increased from one (Palau) in 2013 to 22 (including 19 states, DC, Guam, and Palau) as of Decem( Figure). ![]() ![]() Using STATE, cigarette tax rates (per pack of 20 cigarettes) and comprehensive smoke-free laws prohibiting smoking in all indoor areas of worksites, restaurants, and bars were also assessed as an indicator of the state’s current implementation of evidence-based tobacco control strategies ( 4). † In addition, T21 laws were examined to ascertain the inclusion or exemption of military populations and state T21 and licensing statutes were assessed to determine whether the state prohibits localities from enacting laws to address retail tobacco product sales (i.e., “preemption”). Provisions of T21 laws assessed in STATE include purchase, use, or possession penalties entities responsible for enforcement and enacted and effective dates. Virgin Islands.* Legislation information collected quarterly from the Lexis online legal research database is analyzed, coded, and entered into STATE by CDC. Information regarding T21 laws enacted as of December 20, 2019, was obtained from the CDC State Tobacco Activities Tracking and Evaluation (STATE) System for the 50 states, DC, American Samoa, Guam, Marshall Islands, the Commonwealth of the Northern Mariana Islands, Palau, Puerto Rico, and the U.S. T21 laws could help prevent and reduce youth tobacco product use when implemented as part of a comprehensive approach that includes evidence-based, population-based tobacco control strategies such as smoke-free laws and pricing strategies ( 1, 4). Compared with T21 laws enacted during 2013–2018, more laws enacted in 2019 have purchase, use, or possession penalties military exemptions phase-in periods of 1 year or more and preemption of local laws related to tobacco product sales. As of December 20, 2019, 19 states, the District of Columbia (DC), Guam, and Palau had enacted T21 laws, including 13 enacted in 2019. state and territorial T21 laws before enactment of the federal law, CDC assessed state and territorial laws prohibiting sales of all tobacco products to persons aged <21 years. ![]() State and territorial T21 laws vary widely and can include provisions that might not benefit the public’s health, including penalties to youths for purchase, use, or possession of tobacco products exemptions for military populations phase-in periods and preemption of local laws. Nearly all tobacco product use begins during adolescence, and minors have cited social sources such as older peers and siblings as a common source of access to tobacco products ( 1, 3). Before enactment of the federal T21 law, localities, states, and territories were increasingly adopting their own T21 laws as part of a comprehensive approach to prevent youth initiation of tobacco products, particularly in response to recent increases in use of e-cigarettes among youths ( 2). On December 20, 2019, Congress raised the federal MLSA for tobacco products from 18 to 21 years. Raising the minimum legal sales age (MLSA) for tobacco products to 21 years (T21) is a strategy to help prevent and delay the initiation of tobacco product use ( 1). ![]()
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