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Minors are prohibited from buying alternative nicotine products, including e-cigarettes.6 Establishments are required to post signs stating that sales to minors are prohibited.6 Self-service/vending sales of e-cigarettes are restricted to locations inaccessible to persons under 21.9 Retailers of e-cigarette delivery sales must register with the state, verify that the purchaser is over 21, include a notice about the prohibition of selling e-cigarettes to minors, and file certain information about the purchaser with the comptroller.9 Quitting statistics and benefits Quitting statistics and benefits The CDC estimates 47.4% of daily adult smokers in Texas quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Texass state quit line invests 58 cents per smoker, compared to the national median of $2.37.7 Texas does not have a private insurance mandate provision for cessation.7 Notes and references Notes and references Updated June 2023 *The datasets for both adults and youth prevalence were used to make direct comparisons at the state and national levels

Updated: June 2025