Policies in California and Massachusetts reduced youth access to nicotine

Truth Initiative

April 3, 2025

Strong state policies in California & Massachusetts significantly reduced youth access to flavored tobacco products

In the face of rising sales of flavored e-cigarettes, state policies are critical to protecting young people, according to a report from the CDC Foundation and Truth Initiative. Two states in particular – California and Massachusetts – demonstrate the effect that strong state policies can have on reducing sales and limiting youth access to flavored nicotine.

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Across all 50 states, the same 5 disparities in cigarette smoking persist

Across the country, data show a consistent pattern of disparities in cigarette smoking, highlighting the relationship between tobacco use and various socioeconomic and health factors. While smoking prevalence can vary widely in different parts of the country – 12 Midwestern and Southern states have 50% higher smoking prevalence – the same demographic factors influence disparities regardless of location. These five socioeconomic and health factors must be addressed to help all Americans enjoy healthy lives free from nicotine addiction.

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Local restrictions on flavored tobacco and e-cigarette products

Sales restrictions on all flavored tobacco products, including all types of menthol products, are gaining momentum at the local and state level. As of December 31, 2024, 412 jurisdictions and three Native American tribes have placed some type of restriction on the sale of flavored tobacco products, and of those, 147 have fully comprehensive policies that prohibit sales of all types of flavors across all products, including menthol/mint/wintergreen flavors that are sometimes exempted from flavor policies, at all retailers.

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This week in tobacco policy news

Arkansas: A bill was introduced that would prohibit the sale of disposable e-cigarettes unless approved by the FDA.
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Utah: A federal judge upheld Utah’s state law prohibiting the sale of flavored e-cigarettes (excluding tobacco and menthol), allowing the state to begin enforcing the law.
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