BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 438


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          Date of Hearing:  July 15, 2015


                   ASSEMBLY COMMITTEE ON GOVERNMENTAL ORGANIZATION


                                  Adam Gray, Chair


          SB  
          438 (Hill) - As Amended June 29, 2015


          SENATE VOTE:  Not Relevant


          SUBJECT:  Electronic cigarettes.


          SUMMARY:  Requires all cartridges for electronic cigarettes and  
          solutions for filling and refilling an electronic cigarette to  
          be in child-resistant packaging.  Specifically, this bill: 


             1.   Requires all cartridges for electronic cigarettes and  
               solutions for filling and refilling an electronic cigarette  
               to be in child-resistant packaging, as defined.


             2.   Defines "child-resistant packaging" as packaging that is  
               consistent with federal standards adopted by the federal  
               Consumer Product Safety Commission (Part 1700 of Title 16  
               of the Code of Federal Regulations).


          EXISTING LAW:


             1)   Authorizes the California Department of Public Health  








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               (DPH), under the Stop Tobacco Access to Kids Enforcement  
               (STAKE) Act, to assess civil penalties ranging from $400 to  
               $6,000, depending on the number of infractions, against any  
               person, firm, or corporation that sells, gives, or in any  
               way furnishes tobacco products to a person who is under the  
               age of 18.

             2)   Establishes "smoke-free laws," which prohibit the  
               smoking of tobacco products in various places, including,  
               but not limited to, school campuses, public buildings,  
               places of employment, apartment buildings, day care  
               facilities, retail food facilities, health facilities, and  
               vehicles when minors are present, and makes a violation of  
               some of the prohibitions punishable as an infraction.

             3)   Defines "tobacco product" as any product containing  
               tobacco leaf, including, but not limited to, cigarettes,  
               cigars, pipe tobacco, snuff, chewing tobacco, dipping  
               tobacco, bidis, or any other preparation of tobacco.

             4)   Defines "electronic cigarette" as a device that can  
               provide an inhalable dose of nicotine by delivering a  
               vaporized solution. Prohibits a person from selling or  
               otherwise furnishing an electronic cigarette to a person  
               under the age of 18.

             5)   Requires the Board of Equalization (BOE), under the  
               Cigarette and Tobacco Products Licensing Act, to administer  
               a statewide program to license cigarette and tobacco  
               products manufacturers, importers, distributors,  
               wholesalers, and retailers. Prohibits selling tobacco  
               products without a valid license, and makes violations  
               punishable as a misdemeanor.  

             6)   Requires a retailer, for purposes of collecting a  
               tobacco tax, to obtain a separate license for each retail  
               location that sells cigarettes and tobacco products and pay  
               a one-time fee of $100. Requires BOE to suspend or revoke a  
               retailer's license upon notification by DPH of certain  








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               STAKE Act violations.



             7)   Prohibits, under the Stop Tobacco Access to Kids  
               Enforcement Act (STAKE Act), any person from distributing  
               or selling tobacco products via the United States Postal  
               Service (USPS), or any other public or private postal or  
               package delivery service, to any purchaser who is a minor.



             8)   Bans, under the Prevent All Cigarette Trafficking Act  
               (PACT Act), the shipment of tobacco products through the  
               USPS.
           
          FISCAL EFFECT:  Unknown


          COMMENTS:  


           Purpose of the Bill  : According to the author, SB 438 will  
          protect California's youth from e-cigarette liquid poisoning by  
          requiring that all e-cigarette liquids be equipped with  
          child-resistant packaging.


           What are E-Cigarettes?  :  Electronic cigarettes are  
          battery-operated inhalers that consist of a rechargeable  
          battery-operated heating element, a replaceable cartridge that  
          may contain nicotine or other chemicals, and an atomizer that,  
          when heated, converts the contents of the cartridge into a  
          vapor, which the user can then inhale.  Electronic cigarettes  
          are often made to look like cigarettes, cigars, pipes and  
          sometimes like everyday items such as pens and USB memory  
          sticks.  










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          According to the World Health Organization (WHO), electronic  
          nicotine delivery systems (ENDS), of which electronic cigarettes  
          are the most common prototype, are devices that do not burn or  
          use tobacco leaves but instead vaporize.  The main components of  
          the solution, in addition to nicotine-when nicotine is  
          present-are propylene glycol, with or without glycerol and  
          flavoring agents.  ENDS solutions and emissions contain other  
          chemicals, some of them considered to be toxicants.  There are  
          more than 450 brands and more than 7,500 flavors on the market,  
          according to the policy report.  There has been an average of 10  
          new brands entering the market every month for the last two  
          years, a recent Internet survey found.  


          Electronic cigarettes have been sold in the USA since 2007.  The  
          biggest markets are Europe and North America.  Sales are banned  
          in 13 of the 59 countries that regulate the devices, the WHO  
          reported, but most of those 13 countries say they are still  
          available because of illicit trade and cross-border Internet  
          sales.


          According to the Food and Drug Administration (FDA),  
          e-cigarettes have not been fully studied, so consumers currently  
          do not know: 1) the potential risks of e-cigarettes when used as  
          intended, 2) how much nicotine or other potentially harmful  
          chemicals are being inhaled during use, or 3) whether there are  
          any benefits associated with using these products.  However,  
          they do suggest they are safer than some traditional tobacco  
          products. Mitch Zeller, Director of the Center for Tobacco  
          Products, FDA, in an NPR interview on January 20, 2014, stated:   
          "If a current smoker completely substituted all of the  
          combusting cigarettes that they smoked with an electronic  
          cigarette, that person would probably be significantly reducing  
          their risk."












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           Electronic cigarette safety  : The California State Health Officer  
          released a report in January 2015, "A Community Health Threat,"  
          about e-cigarettes that cites, among other things, the concern  
          about the health risks of the product, the growing number of  
          e-cigarettes poisonings. E-cigarette poisonings increased from  
          seven in 2012 to 154 in 2014.  By the end of 2014, e-cigarette  
          poisonings to young children tripled in one year, making up more  
          than 60 percent of all e-cigarette-poisoning calls, according to  
          the report. Furthermore, according to an investigative report by  
          FOX-KTVU, the number of calls to Poison Control for nicotine  
          poisoning from e-cigarette liquid is on the rise, more than  
          doubling in just the last year.  California Poison Control  
          reports that most of those cases involve young children  
          ingesting the potentially deadly liquid.  





          The state health officer also noted that in California, use of  
          electronic cigarettes among those between the ages of 18 and 29  
          tripled in one year, from 2.3 percent to 7.6 percent.  Nearly 20  
          percent of these young adult electronic cigarette users had  
          never smoked traditional cigarettes.  However, it must be note,  
          as reported by the Department of Public Health (DPH); California  
          has one of the lowest teenage smoking rates in the nation.   
          Through implementation of the STAKE Act, California also has  
          seen a steady decline in illegal sales to minors. 





          A July 2014 report by the WHO, "Electronic nicotine delivery  
          systems (ENDS)," stated that existing evidence shows electronic  
          cigarettes do not produce merely a water vapor but an aerosol  
          that poses serious threats to adolescents and fetuses.  The  
          aerosol inhaled by smokers contains ultra-fine particulate  








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          matter that gets trapped in the small airways of the lungs.   
          According to a 2013 study by The National Center for  
          Biotechnology Information (NCBI) entitled "Does electronic  
          cigarette consumption cause passive vaping?," aerosol exhaled by  
          electronic cigarettes smokers contains nicotine, formaldehyde,  
          and other chemicals, although at much lower levels than  
          emissions from conventional cigarettes, and nicotine metabolites  
          were found in nonsmokers exposed to the exhaled aerosol.





          According to research paper published in "Tobacco Control" (an  
          international peer review journal covering the nature and  
          consequences of tobacco use worldwide) on March 2013, titled:  
          "Levels of selected carcinogens and toxicants in vapour from  
          electronic cigarettes," e-cigarette toxicant levels were 9-450  
          times lower than in cigarette smoke and were, in many cases,  
          comparable with trace amounts found in the reference product.   
          The paper goes on to conclude: "that substituting tobacco  
          cigarettes with e-cigarettes may substantially reduce exposure  
          to selected tobacco-specific toxicants. E-cigarettes as a harm  
          reduction strategy among smokers unwilling to quit, warrants  
          further study".





           Federal Action  : Federal law, the Family Smoking Prevention and  
          Tobacco Control Act of 2009 (Tobacco Control Act), provides the  
          FDA authority to regulate cigarettes, cigarette tobacco,  
          roll-your-own tobacco, smokeless tobacco, and any other tobacco  
          products that the FDA by regulation deems to be subject to the  
          law.  To date, the FDA has not officially acted on the subject  
          of e-cigarette regulation.  However, according to the Federal  
          Register in print Friday, April 25, 2014, the FDA is considering  
          proposed rules regarding, in part, deeming e-cigarettes as a  








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          "tobacco product."  Once a product is deemed a "tobacco  
          product", the FDA may put in place restrictions on the sale and  
          distribution of said product, including age-related access  
          restrictions and advertising and promotion restrictions, if FDA  
          determines the restrictions are appropriate for the protection  
          of the public health.  





          The proposed rules have two purposes: (1) To deem products that  
          meet the definition of ''tobacco product'' under the law except  
          accessories of a proposed deemed tobacco product and subject  
          them to the tobacco control authorities in the Tobacco Control  
          Act; and (2) to apply specific provisions that are appropriate  
          for the protection of the public health to deemed tobacco  
          products.  These provisions include: (1) Enforcement action  
          against products determined to be adulterated and misbranded;  
          (2) required submission of ingredient listing and reporting of  
          harmful and potentially harmful constituents (HPHCs) for all  
          tobacco products; (3) required registration and product listing  
          for all tobacco products; (4) prohibition against use of  
          modified risk descriptors (e.g., ''light,'' ''low,'' and  
          ''mild'' descriptors) and claims unless FDA issues an order  
          permitting their use; (5) prohibition on the distribution of  
          free samples (same as for cigarettes); and (6) premarket review  
          requirements.  The FDA has closed public comment and is  
          reviewing evidence prior to finalizing the proposed rules,  
          specifically on the health risks and the viability of  
          e-cigarettes as a cessation product. 





          Should the legislature decide to wait for the FDA to finalize  
          its regulations, specifically regarding deeming e-cigarettes as  
          "tobacco products", the current definition of e-cigarettes  








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          (Health and Safety Code Section 119405) may be used to  
          effectively regulate the product at the state level.





           STAKE Act  :  The Stop Tobacco Access to Kids Enforcement (STAKE)  
          Program of the Food and Drug Branch strives to be a leader in  
          youth tobacco enforcement in California.  The mission of the  
          program is to reduce the illegal sales of tobacco to minors  
          through effective enforcement of the STAKE Act.  Through  
          implementation of the STAKE Act, California has seen a steady  
          decline in illegal sales to minors.  According to DPH,  
          California has one of the lowest teenage smoking rates in the  
          nation. The effective enforcement and protection provisions in  
          the STAKE Act that apply to traditional tobacco products  
          include:





             1.   Establishes an enforcement program for illegal sales to  
               minors (B&P Section 22952).
             2.   Requires all persons engaging in the retail sale of  
               tobacco products shall check the identification of tobacco  
               purchasers (B&P Section 22956)
             3.   Civil and licensure penalties for any person or retailer  
               that sells, gives, or in any way furnishes to another  
               person who is under the age of 18 years a tobacco product  
               (B&P Section 22958)
             4.   Prohibits tobacco products on any outdoor billboard  
               located within 1,000 feet of any public or private  
               elementary school, junior high school, or high school, or  
               public playground (B&P Section 22961).


             5.   Prohibits tobacco products from being sold through a  








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               "self-service display" (B&P Section 22962)





          The committee and author may wish to apply all relevant  
          provisions in the STAKE Act to e-cigarettes using the current  
          definition in Section 119405 of the Health and Safety Code. 





           BOE Licensing Act  : In 2003, AB 71 (J. Horton, Chapter 890)  
          enacted the Cigarette and Tobacco Products Licensing Act  
          (Licensing Act), which established a statewide licensure program  
          administered by BOE to help stem the tide of untaxed  
          distributions and illegal sales of cigarettes and tobacco  
          products.   Prior to the bill, BOE's Investigations Division had  
          been encountering a large number of cigarettes and tobacco  
          product distributors who were unlicensed.  The purpose for being  
          unlicensed is to conceal the nature of their business and to  
          evade the tax.  These unlicensed distributors normally maintain  
          minimal assets and are typically transient, which hinders BOE's  
          ability to collect the taxes due and payable.





          The Act requires every retailer, distributor, wholesaler,  
          manufacturer and importer to obtain and maintain a license to  
          engage in the sale of cigarettes or tobacco products.    
          Currently, BOE has approximately 38,000 retailers and 1,000  
          distributors and wholesalers licensed to engage in the sale of  
          cigarettes and tobacco products in California.  A distributor  
          and wholesaler license is valid for a calendar year upon payment  
          of a fee of $1,000 per location, unless surrendered, suspended,  








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          or revoked prior to the end of the calendar year, and may be  
          renewed each year upon payment of such fee.  





          Violations of the Licensing Act include, in part, the following:  
          1) Possession, storing, owning, or has made sales of an  
          unstamped package of cigarettes bearing a counterfeit California  
          tax stamp or tobacco products on which tax is due but has not  
          been paid; 2) Sales of cigarettes or tobacco products to any  
          distributor, wholesaler, importer, retailer, or any other person  
          who is not licensed or whose license has been suspended or  
          revoked; 3) Retailer and wholesaler purchases of cigarette or  
          tobacco products from any person who is not licensed or whose  
          license has been suspended or revoked; 4) Distributor purchases  
          of cigarettes or tobacco products from any person who is  
          required to be licensed pursuant to the Licensing Act but who is  
          not licensed or whose license has been suspended or revoked; 5)  
          Failure to maintain records or make such records available to  
          BOE and law enforcement agency, as specified; 6) A person or  
          entity that engages in the business of selling cigarettes or  
          tobacco products in this state without a license or after a  
          license has been suspended or revoked; and 7) Failure to allow  
          an inspection.





          According to the American Lung Association, 94 cities and  
          counties now require a retailer to obtain a license to sell  
          e-cigarettes. Majority of the cities and counties have done this  
          through special language in the definition of tobacco product in  
          their local tobacco retailer licensing ordinance.











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          The committee and author may wish to apply all the provisions of  
          the Licensing Act to e-cigarettes using the current definition  
          in Section 119405 of the Health and Safety Code.





           Smoke Free Laws  : Current law establishes "smoke-free laws,"  
          which prohibit the smoking of tobacco products in various  
          places, including, but not limited to, school campuses, public  
          buildings, places of employment, apartment buildings, day care  
          facilities, retail food facilities, health facilities, and  
          vehicles when minors are present, and makes a violation of some  
          of the prohibitions punishable as an infraction. 





          According to the American Lung Association, 131 cities and  
          counties in California  prohibit the use of e-cigarettes in some  
          outdoor areas (dining areas, entryways, public events,  
          recreation areas, service areas, sidewalks, and  worksites),  
          some indoor areas (hallways, city owned/ operated facility,  
          hotels/motels, multi-unit housing, public transit, places of  
          employment, restaurants, and theaters/ convention centers), or  
          both.  These 131 municipalities represent a diverse population  
          of local governments-ranging from San Francisco to San  
          Bernardino-that have taken action on where e-cigarettes may be  
          used. The ordinances differ in each city/county. For example,  
          the City of San Francisco prohibits the use of e-cigarettes in  
          public events, recreation areas, service areas, multi-unit  
          housing, public transit, places of employment, restaurants, and  
          theaters/convention centers, while San Bernardino County  
          prohibits service areas, city owned/ operated facility,  
          hotels/motels, public transit, and places of employment.








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          The committee and author may wish to apply all the "Smoke Free"  
          locations that apply to traditional cigarettes to e-cigarettes  
          using the current definition in Section 119405 of the Health and  
          Safety Code.





           Mail Delivery  :  Prevent All Cigarette Trafficking Act (PACT Act)  
          is a federal law, amongst other things, that prohibits the  
          delivery of cigarettes and smokeless tobacco through the United  
          States Postal Service (USPS).  This prohibition does not apply  
          to other forms of shipment, such as FedEx and UPS. 





          Some concerns have been raised by the opposition that SB 140, by  
          defining e-cigarettes as a "tobacco product," will place  
          e-cigarettes under the provisions of the PACT Act, specifically  
          the USPS prohibition.  Opposition cites this as potentially  
          damaging to the industry, since a large portion of their sells  
          are done online and delivered to the consumer. 





          According to an informal opinion by Legislative Counsel, SB 140  
          would not be subject to the provision in question under the PACT  
          Act.  The provision states: "All cigarettes and smokeless  
          tobacco are non-mailable and shall not be deposited in or  








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          carried through the mails. The United States Postal Service  
          shall not accept for delivery or transmit through the mails any  
          package that it knows or has reasonable cause to believe  
          contains any cigarettes or smokeless tobacco made non-mailable  
          by this paragraph."  The language clearly states that only  
          "cigarettes and smokeless tobacco" are prohibited from being  
          delivered by USPS.  The PACT Act would have to be amended at the  
          federal level to include e-cigarettes for this provision to  
          apply. 





          California law, under the STAKE Act, requires a specified  
          distributor or seller to verify that a purchaser of tobacco  
          products is 18 years of age or older, and to telephone the  
          purchaser after 5 p.m. to confirm the order prior to shipping  
          the tobacco products. This provision in state law currently does  
          not apply to e-cigarettes.





          A study by the Journal of the American Medical Association found  
          that more than 96% of minors aged 15 to 16 were able to find an  
          Internet cigarette vendor and place an order in less than 25  
          minutes, with most completing the order in seven minutes.  As of  
          2012, more than 23% of all high school students had used some  
          kind of tobacco product in the past month and the use of  
          e-cigarettes has more than doubled among high school students.





          The committee and author may wish to amend the bill to require  
          age verification upon mail delivery of e-cigarettes using the  








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          current definition in Section 119405 of the Health and Safety  
          Code..





           Vending Machines  : The STAKE Act prohibits a cigarette or tobacco  
          product from being sold, offered for sale, or distributed from a  
          vending machine or appliance, or any other coin or token  
          operated mechanical device designed or used for vending  
          purposes, unless the machine or appliance is located at least 15  
          feet away from the entrance of a premise that has been issued an  
          on-sale public premises license to sell alcoholic beverages, as  
          specified.





          According to the National Youth Tobacco Survey, in 2012, 1.78  
          million middle and high school students nationwide had tried  
                                          e-cigarettes.  Although it is unknown how many students get  
          e-cigarettes from vending machines, it is reasonable to assume  
          that restricting e-cigarette access through this type point of  
          sale could significantly lower the amount of minors who use  
          e-cigarettes.





          The committee and author may wish to amend the bill to prohibit  
          e-cigarettes from being sold, offered for sale, or distributed  
          from a vending machine using the current definition in Section  
          119405 of the Health and Safety Code. 


           








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           Policy Considerations  :  In its current form, SB 438 would  
          provide a much needed advancement in public health and child  
          safety by requiring child safe packaging for e-cigarette  
          cartridges.  While this a very important provision, the  
          committee may wish to add in more protections for consumers,  
          public health and preventing youth access to e-cigarettes.  As  
          stated above, these protections can be added into law by using  
          the current definition of e-cigarettes (Section 119405 of the  
          Health and Safety Code).  This will allow the legislature to  
          advance important laws on a widely unregulated e-cigarette  
          industry while waiting for the FDA to finalize its federal  
          regulations. 





          The committee and author may wish to amend the bill by adding in  
          the provisions below using the current definition of  
          e-cigarettes in Section 119405 of the Health and Safety Code:





             1.   Apply all the provisions in the STAKE Act to  
               e-cigarettes (See comments, "STAKE Act" #'s 1-5).
             2.   Apply all the provisions of the Cigarette and Tobacco  
               Products Licensing Act to e-cigarettes.


             3.   Apply all the "Smoke Free" locations that apply to  
               traditional cigarettes to e-cigarettes












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             4.   Require age verification upon mail delivery of  
               e-cigarettes (AB 1500 Dickinson of 2014)



             5.   Prohibit e-cigarettes from being sold, offered for sale,  
               or distributed from a vending machine (SB 648 Corbett of  
               2013)
                


           Related legislation  :  SB 151 (Hernández) of 2015.  Increases the  
          minimum legal age to purchase or consume tobacco from 18 to 21  
          and makes additional conforming changes to restrictions and  
          enforcement mechanisms in current law.  (Pending in Assembly  
          G.O. Committee)





          AB 216 (Garcia) of 2015.  Prohibits the sale of any device  
          intended to deliver a non-nicotine product in a vapor state, to  
          be directly inhaled by the user, to a person under 18 years of  
          age.  (Pending in Senate Appropriations)





          SB 24 (Hill) of 2015.  Extends STAKE Act requirements to the  
          sale of electronic cigarettes (e-cigs), distinct from the  
          definition of tobacco products, and requires enforcement, as  
          specified, to begin July 1, 2016; extends current smoke-free  
          laws and penalties to e-cigs; requires e-cig cartridges to be in  
          childproof packaging, as defined; broadens the current  
          definition of e-cigs, as specified; and requires all retailers  
          of e-cigs to apply for licensure to sell e-cigs, as specified.  








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          (Failed passage on the Senate Floor and is pending  
          reconsideration)


          SB 140 (Leno) of 2015.   Recasts and broadens the definition of  
          "tobacco product" in current law to include electronic  
          cigarettes as specified; extends current restrictions and  
          prohibitions against the use of tobacco products to electronic  
          cigarettes; and,  extends current licensing requirements for  
          manufacturers, importers, distributors, wholesalers, and  
          retailers of tobacco products to electronic cigarettes.   
          (Assembly G.O. Committee - Held in committee without  
          recommendation)





          SB 438 (Hill) of 2015.  Requires all cartridges for electronic  
          cigarettes and solutions for filling and refilling an electronic  
          cigarette to be in child-resistant packaging.  (Pending in  
          Assembly G.O. Committee)


          SB 591 (Pan) of 2015.  Imposes an additional excise tax of $2.00  
          per package of 20 cigarettes.  This bill also (1) imposes an  
          equivalent one-time "floor stock tax" on the cigarettes held or  
          stored by dealers and wholesalers, and (2) indirectly increases  
          the tobacco products tax. (Ordered to inactive file on Senate  
          Floor)


           Prior legislation  :  AB 1500 (Dickinson) of 2014.  Would have  
          prohibited a delivery seller, as defined, from selling or  
          delivering an electronic cigarette to a person under 18 years of  
          age.  (Failed passage in the Assembly Appropriations Committee)











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          SB 648 (Corbett) of 2013.  Would have restricted electronic  
          cigarettes from being sold in vending machines.  (Failed passage  
          in the Assembly Appropriations Committee)





          SB 568 (Steinberg) Chapter 336, Statues of 2013.  Prohibits an  
          operator of an Internet Web site, online service, online  
          application, or mobile application, as specified, from marketing  
          or advertising electronic cigarettes to a minor.





          SB 882 (Corbett), Chapter 312, Statutes of 2010.  Made it  
          unlawful, to the extent not preempted by federal law, for a  
          person to sell or otherwise furnish an electronic cigarette to a  
          person less than 18 years of age.





          SJR8 (Corbett) of 2009.  Would have requested that the US Food  
          and Drug Administration prohibit sale of electronic cigarettes  
          until they are deemed safe.  (Failed passage in the Assembly)


            


          REGISTERED SUPPORT / OPPOSITION:










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          Support


          None on file




          Opposition


          None on file 




          Analysis Prepared by:Kenton Stanhope / G.O. / (916)  
          319-2531