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A statewide project for health systems change to integrate tobacco treatment with a focus on health systems serving the diverse safety net population covered by Medi-Cal

Likely Reforms Overview Expansion from a tobacco to a nicotine framework EUwide harmonisation of key measures (flavors, packaging, product categories) Stronger regulation of digital advertising and promotion Possible mandatory plain packaging, updated health warnings, and labelling rules Simplification of enforcement and reporting systems Greater alignment with Tax Directive reforms and public health objectives In the current call for evidence, stakeholder input is sought on the following topics: Scope Expansion: Whether and how the framework should cover all nicotine products Inclusion of technology-neutral definitions to avoid regulatory lag Alignment with the revised Tobacco Tax Directive Flavor Regulation (support of or opposition to): EUwide bans on flavors in ecigarettes and other products Moving from characterising flavor tests to blanket flavor bans Digital Advertising and Promotion (support of or opposition to): Closing gaps in social media marketing, influencer promotion, and user-generated content Clarifying rules on brand/corporate advertisingCross-border enforcement Feasibility of monitoring and enforcement tools Packaging and Labelling (support of or opposition to): Introduction of mandatory plain packaging at EU level Updating health warnings (content, format, frequency of revision) Consistent treatment of heated tobacco products and smokeless and novel products Enforcement and Administrative Burden Improving EUCEG reporting system Updating traceability system efficiency Balancing compliance costs vs public health benefits Innovation and Harm Reduction Role of novel products in smoking cessation Need for risk-proportionate regulation Evidence on relative health risks and unintended consequences

Jennifer L

In particular, EFA and ENSP propose to regulate both electronic cigarettes with and without nicotine

As the vapor starts to settle in nicely, a hint of nutty splendor emerges to balances it all out perfectly until the next draw