Lots Happening on the Tobacco Control Front

There has been a lot of action to better regulate tobacco products in the last couple of weeks.  Here’s my summary of what’s been happening.  Keep in mind that the FDA’s statements have sometimes in flux and statements sometimes contradict themselves within hours – but here’s where we are as of today:

Tobacco 21

  • Congress passed and the president signed a budget bill that has raised the federal age of sale of all tobacco products to 21 years old. 

  • The 21 buy-age applies as of now in Arizona.  No further legislative action (at the state level) is required in order to implement the law.

  • The law is being implemented immediately.  The FDA could have taken several months to activate the 21 buy age provision.  Astonishingly (at least to me) they elected to activate the provision immediately.

  • The tobacco 21 provision is accomplished by amending the Tobacco Control Act of 2009, which established at that time a federal age of sale of 18. 

  • FDA’s existing enforcement authorities apply, called the Synar provisions. If states don’t comply with Synar then funding from SAMHSA’s Substance Abuse Prevention and Treatment Block Grant is supposed to be withheld (that grant is $20M+ in AZ.

  • Synar was amended in last week’s budget to remove the existing requirement that states have minimum age of sales laws (in other words AZ doesn’t need to pass a T-21 law to keep the SAMHSA Block Grant).  

  • Funding was included in the bill for states to do the Synar compliance and enforcement activities.

Electronic Cigarettes

Last week the FDA also announced a few policy decisions related to electronic cigarettes.  Here’s that stuff:

  • The Tobacco 21 provisions apply to all tobacco products including electronic cigarettes.

  • The FDA is banning the sale of fruit, candy, mint, and dessert flavored small cartridge electronic cigarettes.  Menthol flavors will still be allowed.  The flavor ban exempts large (tank based) refilling cartridges.  Right now small cartridges are 60% of the market and the big refillable cartridges are 40%.

  • Companies that don’t cease manufacturing, distributing and selling  unauthorized flavored cartridge-based e-cigarettes (other than tobacco or menthol) within 30 days risk FDA enforcement actions.

  • All e-cigarettes will be going through an FDA review beginning in May and only those products that demonstrate “benefit for U.S. public health” will be allowed to stay in the retail market.

  • The FDA intends to prioritize enforcement by focusing on:

    • Any flavored, cartridge-based product (other than a tobacco- or menthol-flavored e-cigarettes;

    • Other e-cigarettes for which the manufacturer has failed to take (or is failing to take) adequate measures to prevent minors’ access; and

    • E-cigarettes that are targeted to minors (under 21).

Stay tuned.  As we’ve seen, federal agencies can change their minds quickly and without notice these days.

Note: These provisions don’t impact the Smoke Free Arizona Act.  We still need to get a super-majority of the legislature to approve a bill that amends that voter initiative to include e-cigarettes in order to get e-cigs out of our bars, restaurants and other places of employment.

Voice Your Opinion this Legislative Session

As the leading public health professionals in the state, it’s important that you engage in public health policy development. After all, we’re the people that have first hand knowledge about the public health implications of the decisions that our elected officials make.

The good news is that it’s easier than ever to voice your opinion. Our state legislature has a transparent way to track bills through their www.azleg.gov website. The site allows you to track when bills are being heard in committee and provides an opportunity for you to express your support, opposition, or neutrality from your home or office.  

The main URL to bookmark in your computer is http://www.azleg.gov – which is the State Legislature’s official website.  It got an overhaul last year making it easier to work with.

If you have the number for a bill you’re interested in following, simply go to the upper right corner of the http://www.azleg.gov website and punch in the numbers. Up pops the bill including its recent status, committee assignments and the like. 

The dark blue tabs provide more detailed info about the bill.  For example, the “Documents” tab displays the actual language of the bill including the most recent versions.

You’ll see that bills have committee assignments on the Bill Status pages. You can easily check the committee agendas each week on the website too.  Go to the “Committee Agenda” and pull up the agenda for the committee you’re interested in.  

Most of the bills we’ve been following and advocating for or against have been assigned to either the House Health Committee or the Senate Health and Human Services Committee.  This year the House Health Committee meets on Thursdays at 9 am. The Senate Health & Human Services Committee meets Wednesdays at 9 am.

I’m encouraging all of you to weigh in for and against bills when you believe that it’s in the best interests of public health to do so. It’s straightforward.

First you need to create an account with an e-mail address and a password. You’ll need to go down to one of the kiosks in the House or Senate to set up your account and password- but after that you’ll be able to sign in for or against bills from your home or office. If you don’t want to use your work email address you can use a personal e-mail.

Once your account is set up, you can sign in support or against any bill at the Azleg’s My Bill Positons site at https://apps.azleg.gov/RequestToSpeak/MyBillPositions 

Even if you don’t have an account, you can click on each bill and find out who has signed in for or against or neutral on the bill.  Just go to the tab over each bill that says “RTS Current Bill Positions” and you’ll see who has signed in support or against each bill. Sometimes you’ll see our name up there (AzPHA).