Category: Tobacco 21

Let’s Work Together to Stop Youth Vaping

Posted on by Sarah Meyer Hughes

Our progress against tobacco is in peril.

In the last 10 years, we’ve worked to create a smoke-free world. We worked toward the passage of the Smoke-Free Illinois Act in 2007, following our success on the Smoke-Free Chicago law in 2005. We educated our legislators on the importance of point-of-sale policy – limiting the ways tobacco companies can advertise in stores.

This year, we raised the tobacco purchase age to 21 – a strategy proven to get cigarettes out of high school social circles and prevent youth smoking.

Together, we’ve shown our government that we want everyone to have access to clean air and be free from Big Tobacco’s lies and predatory marketing.

Yet, as a nation we sit in the middle of a teen vaping epidemic. Despite the vaping industry’s claims of not targeting youth, new investigations show some of the biggest players knowingly tried to addict teens to nicotine. Research now suggests that 1 out of every 4 teenagers has used vaping products.

Parents are concerned. Friends are concerned. Respiratory Health Association is ready to fight.

young students

We will not let vaping turn back our progress. We will do everything we can to prevent a generation of kids from developing dangerous nicotine addiction. RHA is responding to the need in our community.

We are:

  • Preparing for the upcoming Illinois General Assembly session. We are working with legislators to add e-cigarettes to the Smoke-Free Act of Illinois.
  • Collaborating with other health organizations to bring policy forward on banning flavored e-cigarettes.
  • Providing vaping presentations for teens at school and developing a presentation for school staff to deliver directly to students.
  • Incorporating guidance for quitting vaping into our evidence-based tobacco cessation programs.

Want to help your local lung health organization fight for a generation free from nicotine? Consider donating to support our programs, or sign-up to receive e-advocacy alerts to get up-to-date information on our efforts and how you can help lend your voice to our cause.

To learn more about electronic cigarettes and how to talk to teens about the risks of vaping, explore our resources.

Statement Applauding Signing of Statewide Tobacco 21 Law

Posted on by Sarah Meyer Hughes

April 7, 2019 – Chicago, IL – Today Governor J.B. Pritzker made an important stride toward a healthier future for Illinois as he signed a bill into law that raises the age to purchase tobacco products in the state from 18 to 21 years old. Special thanks to Rep. Camille Lilly who sponsored the bill and Senator Julie Morrison who championed the statewide “Tobacco 21” legislation.

A cornerstone of RHA’s work is to reduce the toll of tobacco on our communities, particularly among our youth. Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law will help keep tobacco out of schools and away from teens.

“Tobacco 21 laws, like other laws inspired by public health, save thousands of lives a year.  Tobacco 21 in Illinois will reduce youth smoking and, as a result, mean fewer adult smokers, too,” said Joel Africk, president and chief executive officer of Respiratory Health Association. “Ultimately the new law will save more lives than Alcohol 21 and most other public health measures like it.”

Tobacco 21 will yield significant health and economic benefits.  The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

The new law has been strongly supported by a number youth advocates who joined RHA on advocacy visits and testified at local hearings. “I lost my dad in 2015 when I was 10 to lung disease and lung cancer,” says 14-year-old Ian Piet of Tinley Park. “Because of that, I am supporting tobacco 21 and other measures to help prevent lung disease.”

Respiratory Health Association estimates statewide Tobacco 21 legislation in Illinois will save the lives of more than 24,000 children alive today who otherwise would have died from tobacco-related illness. In addition the policy will save $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses.

Tobacco 21 previously passed the General Assembly in 2018, but then-Governor Bruce Rauner vetoed the measure. A majority of adults in Illinois support the law. Growing support for Tobacco 21 led to thirty-six communities across the state adopting local laws to raise the tobacco purchase age. These local laws cover approximately 30 percent of the state’s population and paved the way for statewide action.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country.

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Respiratory Health Association has been a local public health leader in Illinois since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

Illinois Becomes 8th State in the U.S. to Raise Tobacco Purchase Age to 21

Posted on by Sarah Meyer Hughes

For Immediate Release:

March 14, 2019

Contact: Erica Krutsch

Desk – 312-628-0225

Legislation Passes General Assembly, Awaits Governor Signature

CHICAGO – On Thursday, March 14, the Illinois General Assembly passed legislation to raise the tobacco purchase age across the state to 21 from 18. The bill passed the House on Tuesday, March 12 before moving on to the Senate Thursday where it passed with bipartisan support. The policy, often referred to as Tobacco 21, aims to reduce youth smoking by removing legal tobacco purchasers from teen social circles.

“We know that 95 percent of smokers start before the age of 21. And we know that the tobacco industry actively targets young people,” said Joel Africk, president and CEO of Respiratory Health Association. “Tobacco 21 will help keep cigarettes and vaping products out of our schools and give our children the chance to live healthier lives.”

Growing support for Tobacco 21 had previously led to thirty-six communities across the state adopting local laws to raise the tobacco purchase age. These local laws covered approximately 30 percent of the state’s population. A recent study, conducted by Fako and Associates, showed that two out of three adults in Illinois support Tobacco 21, a figure that is even higher among current and former smokers.

Each year tobacco use costs Illinois $5.49 billion in health care costs and $5.27 billion in lost productivity, according to research from the Campaign for Tobacco-free Kids. RHA estimates that the law would save Illinois $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses. Additionally, the Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

RHA would like to thank Senator Julie Morrison for her role as the lead senate sponsor and Representative Camille Lilly for her role as the lead house sponsor.

Tobacco 21 previously passed the General Assembly in 2018, but then-Governor Bruce Rauner vetoed the measure. RHA looks forward to Governor Pritzker’s signing of the legislation.

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 Respiratory Health Association (RHA) works to reduce the toll of tobacco on our communities, particularly among our youth. RHA serves as Healthy Chicago’s community co-leader for tobacco control and offers evidence-based tobacco control strategies and smoking cessation programs throughout Illinois. Respiratory Health Association played a leading role in the passage of Smoke-Free Illinois and has been a strong advocate for statewide adoption of Tobacco 21 in Illinois. To learn more, visit www.resphealth.org.

Statement Applauding Illinois House’s Passage of Tobacco 21

Posted on by Sarah Meyer Hughes

March 12, 2019

Respiratory Health Association (RHA) congratulates the Illinois House on the passage of HB345, a statewide “Tobacco 21” bill that raises the age to purchase tobacco products in the state from 18 to 21. The House passed the legislation today 82-31. Special thanks to Rep. Camille Lilly who sponsored the bill.

A cornerstone of RHA’s work is to reduce the toll of tobacco on our communities, particularly among our youth. Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law will help keep tobacco out of schools and away from teens.

“Too many kids are exposed to tobacco products in their teenage years,” said Joel Africk, President and CEO, Respiratory Health Association. “If we can keep kids away from tobacco until they’re 21, they’re far less likely to become addicted and can live healthier lives.”

Tobacco 21 will yield significant health and economic benefits.  The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

“We estimate statewide Tobacco 21 legislation in Illinois will save $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses,” continued Africk.

Tobacco 21 previously passed the General Assembly in 2018, but then-Governor Bruce Rauner vetoed the measure. A majority of adults in Illinois support the measure. Growing support for Tobacco 21 led to thirty-six communities across the state adopting local laws to raise the tobacco purchase age. These local laws cover approximately 30 percent of the state’s population and paved the way for statewide action.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country.

RHA Statement on Governor Rauner’s Veto of Tobacco 21

Posted on by Sarah Meyer Hughes

On Friday, August 24, 2018, Illinois Governor Bruce Rauner vetoed Senate Bill 2332, legislation that would have substantially reduced youth smoking and saved the state hundreds of millions of dollars in future health care costs by raising the tobacco purchase age to 21 from 18.

Respiratory Health Association (RHA) is incredibly disappointed in Governor Rauner’s decision to veto this legislation after it passed the Illinois General Assembly.  The bill is also supported by a majority of Illinois residents. A recent study, conducted by Fako and Associates, showed that two out of three adults in Illinois support Tobacco 21, a figure that is even higher among current and former smokers.

A cornerstone of RHA’s work has been to reduce the toll of tobacco on our communities, particularly among our youth. At this point, 26 communities across the state have adopted local laws to raise the tobacco purchase age. These local laws cover more than 30 percent of the state’s population and will remain in full force and effect.

Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law would have helped keep tobacco out of schools and away from teens.

“Too many kids are being exposed to tobacco products in their teenage years,” said Joel Africk, President and CEO, Respiratory Health Association. “If we can keep kids away from tobacco until they’re 21, they’re far less likely to become addicted and can live healthier lives.”

Tobacco 21 also would have yielded significant health and economic benefits.  The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults. RHA estimates that in Illinois alone the law would save $500 million in future healthcare costs and avoid $500 million more in lost productivity associated with smoking and tobacco related illnesses.

“Respiratory Health Association is undeterred.  We will continue to fight to protect kids across Illinois from smoking and tobacco addiction in the next legislative session. Tobacco 21 is the right thing to do,” continued Africk.

To date five states – California, Hawaii, Maine, New Jersey and Oregon – and hundreds of municipalities around the US have raised the tobacco purchase age to 21.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country.

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Respiratory Health Association has been a local public health leader in Chicago since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

Tobacco Policy Experts & CEO Available to Discuss Tobacco 21 Legislation

Posted on by Sarah Meyer Hughes

Interview Availability: Tobacco Policy Experts & CEO Available to Discuss Tobacco 21 Legislation

FOR IMMEDIATE RELEASE
May 23, 2018
Erica Krutsch
Desk: 312-628-0226
Cell: 734-262-4527

WHAT:            Respiratory Health Association, a local leader in tobacco policy change and key advocate for Tobacco 21 in Illinois, has expert staff available for comment on the passage of Tobacco 21 in Illinois.

WHY:               In communities across Illinois, the passage of local Tobacco 21 laws has led to significant declines in cigarette use by youth. In Chicago, where the Tobacco 21 law was accompanied by other City efforts to tighten laws restricting youth access to tobacco, the effect appears to be even more dramatic.

The health consequence of this development is significant because 95 percent of smokers start before the age of 21, making early intervention a key strategy in building a tobacco-free generation.  Each year tobacco use costs Illinois $5.49 billion in health care costs and $5.27 billion in lost productivity, according to research from the Campaign for Tobacco-free Kids.

Respiratory Health Association serves as Healthy Chicago’s community co-leader for tobacco control and offers evidence-based tobacco control strategies and smoking cessation programs. Respiratory Health Association played a leading role in the passage of Smoke-Free Illinois and has been a strong advocate for statewide adoption of Tobacco 21 in Illinois.

WHEN:             Immediately 

WHO:  Joel J. Africk – President and Chief Executive Officer
             Respiratory Health Association
              Available on site or by phone

              Matt Maloney – Director, Health Policy
             Respiratory Health Association
              Available on site or by phone

WHERE:        Respiratory Health Association

                        1440 West Washington Blvd., Chicago, IL 60607

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Respiratory Health Association has been a local public health leader in Metropolitan Chicago since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies.  We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies.  For more information, visit www.resphealth.org.

Over 200 Cyclists Ride to Fight Lung Disease at CowaLUNGa Charity Bike Tour

Posted on by Sarah Meyer Hughes
FOR IMMEDIATE RELEASE
July 25, 2018
 
Contact: Erica Krutsch
Desk: 312-628-0225 
Cell: 734-262-4527

Over 200 cyclists ride to fight lung disease at CowaLUNGa Charity Bike Tour

WHAT: Respiratory Health Association’s CowaLUNGa Charity Bike Tour is an annual cycling event from Lake County, Illinois through southern Wisconsin. Over 200 cyclists of all ages from across Chicagoland will line up at Gurnee Mills to pedal as far as 190 miles in Respiratory Health Association’s 22nd annual CowaLUNGa Charity Bike Tour. Participants will bike 18 miles, one, two or three days and cross the finish line in Hubertus, Wisc. The event will raise $200,000 for Respiratory Health Association’s lung disease research and programs.

WHY: The tour raises awareness and funds to fight lung diseases such as asthma, lung cancer and chronic obstructive pulmonary disease (COPD) and to support clean air and other healthy lung initiatives. This year’s event kicks off with special guests Illinois State Senator Terry Link, Lake County Board Member Paul Frank and youth advocates for lung health from the Catalyst Youth Prevention Group of Stevenson High School. Respiratory Health Association will thank participants for the important roles they played in passing Illinois’ new Tobacco 21 legislation, which raises the tobacco purchase age to 21 from 18, a policy proven to reduce teen smoking. The deadline for Gov. Rauner to sign Tobacco 21 into law is August 27.

WHEN: Saturday – Monday, August 4, 5 and 6, 2018. Start line media opportunities begin at 7:00 a.m. Ride begins at 9:00 a.m.

WHERE: Start line located in Gurnee Mills Parking Lot H, at the intersection of Interstate 94 and Grand Avenue (IL 132) in Gurnee, Ill. Cyclists will travel through southern Wisconsin Aug. 5 and 6 with stops in Williams Bay, Whitewater, and Hubertus, Wisc.

SCHEDULE FOR PHOTO/VIDEO OPPORTUNITIES:

  • 7:00 a.m. Riders begin arriving in Gurnee Mills Parking Lot H to check in
  • 9:00 a.m. The Charity Bike Tour officially kicks off with Lake County legislators ringing the official start line bell. Riders depart for Wisconsin as a mass start.
  • Media opportunities at other points of the ride can be arranged by contacting Erica Krutsch, RHA Director of Marketing & Communications, at 734-262-4527.

INTERVIEW OPPORTUNITIES (REQUESTED IN ADVANCE IF POSSIBLE):

  • Hundreds of cyclists, many of whom are personally affected by lung disease
  • Youth advocates for lung health from the Catalyst Youth Prevention Group of Stevenson High School (Lincolnshire, Ill.), representing the youth sector of Stand Strong Coalition
  • Joel Africk, President and CEO of Respiratory Health Association
  • Illinois State Senator Terry Link
  • Lake County Board Member Paul Frank

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Respiratory Health Association has been a local public health leader since 1906. Today, the association works to prevent lung disease, promote clean air and help people live better through education, research and policy change. For more information, visit www.resphealth.org.

Respiratory Health Association Statement Applauding Illinois’s Adoption of Tobacco 21

Posted on by Sarah Meyer Hughes

Respiratory Health Association Statement Applauding Illinois’s Adoption of Tobacco 21

Respiratory Health Association congratulates the Illinois General Assembly on the passage of statewide “Tobacco 21” legislation raising the age to purchase tobacco products in the state from 18 to 21. With the enactment of this legislation, Illinois becomes the sixth state in the U.S. to adopt a Tobacco 21 law.

A cornerstone of RHA’s work has been to reduce the toll of tobacco on our communities, particularly among our youth. Growing support for Tobacco 21 had previously led to twenty-five communities across the state adopting local laws to raise the tobacco purchase age. These local laws covered approximately 30 percent of the state’s population and paved the way for statewide action.

Tobacco 21 laws are important because 95 percent of adult smokers take up the habit before they turn 21. By raising the purchase age from 18 to 21, the law will help keep tobacco out of schools.

Tobacco 21 will yield significant health and economic benefits. The Institute of Medicine estimates that raising the tobacco purchase age to 21 could result in a 12 percent decrease in smoking rates by the time today’s teenagers become adults.

“We estimate statewide Tobacco 21 legislation in Illinois will save $2 billion in future healthcare costs. This doesn’t even include savings in lost productivity costs, which could be nearly as much,” said Joel Africk, president and chief executive officer of Respiratory Health Association.

Prior to working on Tobacco 21, RHA advocated strongly for the Smoke-free Illinois Act, which passed in 2007. That legislation was the strongest statewide smoke-free law in the country. By passing Tobacco 21 now, we celebrate the 10th anniversary of that innovative policy by further protecting our youth from the harmful impact of tobacco.

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Respiratory Health Association has been a local public health leader in Chicago since 1906. A policy leader, our organization remains committed to advancing innovative and meaningful tobacco control policies. We have been one of the state’s leading advocates for Tobacco 21 and Other Tobacco Product policies. For more information, visit www.resphealth.org.

Lung Health Policy Update – May 2018

Posted on by Sarah Meyer Hughes

RHA’s policy team has been hard at work advancing state and local lung-friendly legislation in Illinois. Here’s what we have achieved with your generous support and advocacy.

Tobacco 21 Policies Gain Momentum

The age of 21 is important for tobacco prevention since 95 percent of smokers start before the age of 21. The majority of underage tobacco users get their tobacco from their peers. Raising the sales age to 21 would mean that high school aged adolescents would be in separate social networks from those who are most likely to supply them tobacco.

Aurora, Glen Ellyn, Peoria and Skokie recently adopted local Tobacco 21 laws in the last two months. That makes 24 municipalities in total covering 3,890,223 residents (30 percent of total state population covered). Legislation taking Tobacco 21 statewide passed the Illinois Senate last month and awaits a hearing in the Illinois House. Contact your State Representatives now to let them know you support Tobacco 21.

RHA Leads Efforts to Help Schools Handle Asthma Emergencies

Access to emergency asthma medication can save lives. Asthma takes a staggering toll on Illinois families, causing more than 300,000 missed school days and nearly 150 deaths each year, in addition to increasing healthcare costs for emergency department visits. The ‘Stock Emergency Asthma Rescue Medication’ bill would help school districts in Illinois better serve students with asthma by permitting schools to voluntarily maintain a stock of asthma rescue medication and permitting trained staff to administer the medication during episodes of respiratory distress. This legislation passed the Illinois Senate with unanimous support and awaits a hearing in the Illinois House.

Illinois House Advances Medication Coverage Protections

Families in Illinois shop carefully for a health plan that provides the benefits they need. But no laws in Illinois prohibit changes in coverage during the course of the policy year while consumers are locked into their plans. Midyear reductions in coverage often cause “non-medical switching” – the practice in which stable patients are forced off their original medications, regardless of clinician recommendations and health consequences. Patients who rely on medications to keep their health stable should be able to shop for coverage without fear that their benefits will be changed or eliminated during the policy year. The legislation passed the Illinois House and awaits hearing in the Illinois Senate.

New Chicago Ordinances Target ‘Other Tobacco Products’

In April, the Chicago City Council passed an ordinance with a number of initiatives to target ‘other tobacco products’ (non-cigarette products). The new ordinance requires tobacco retailers in Chicago to post warnings at the store entrance addressing the dangers of other tobacco products. Other tobacco products like little cigars, cigarillos, and other cigarettes are often starter products for youth and young adults. Among these populations, there is considerable misinformation about the health risks and addictive nature of these products. While Chicago’s youth cigarette smoking rate reached historic lows this year, surveys show that Chicago teens now smoke cigars and e-cigarettes at greater numbers than cigarettes. The ordinance also bans free samples and further limits the use of tobacco coupons in Chicago.

Unfair Subsidies for Old Coal-Fired Power Plants in Illinois

Vistra Energy—which recently bought the company that owned nine of Illinois’ oldest coal power plants—is asking Illinois to make state residents pay higher prices for their coal plant-generated electricity—even though the power plants are already profitable. This is occurring at a time when billions of dollars are being invested in building new clean wind and solar power projects in Illinois. RHA opposes the subsidies for dirty coal.

Separately, but at the same time, Vistra is asking for the Illinois Pollution Control Board to relax air pollution rules for its coal fired power plants so that it has greater freedom to shut down coal power plants with pollution controls and to run dirtier plants without pollution controls harder, increasing air pollution. Illinois Attorney General Lisa Madigan is opposing this air pollution increase as well. RHA continues to fight both of these efforts aimed at prolonging the use of dirty coal power.

Allowing Communities to Ban the Use of Toxic Coal Tar Pavement Sealants

The original language would have allowed counties and municipalities to ban the use of coal tar sealants high in carcinogenic materials, including materials linked to lung cancer. While discussions were held to move this legislation forward, details could not be worked out before the legislative deadline passed.

Keeping the Legal Authority to Test and Ticket Polluting Trucks

This bill would eliminate the authority of the Illinois State Police to stop, test and ticket excessively smoking trucks in the Chicago and E. St. Louis regions. In testimony last week, the State Police conceded they have not been enforcing this law since 2005 when they broke their smoke testing equipment, and have not replaced it since. RHA testified in favor of keeping the legal authority to test and ticket big trucks, as many polluting trucks remain on the road and excessive smoke worsens both respiratory conditions and heart conditions. We noted that other states like New Jersey continue to test trucks and have even stricter limits on tailpipe pollution than Illinois law. Unfortunately the State Police’s claim that they would have to spend up to $1 million to replace the equipment, among other reasons, meant legislators have continued to support eliminating powers the state police have not used in recent years.

If you’d like to support RHA’s advocacy and policy work, join our e-advocacy team today.

Decreasing youth tobacco use across Illinois

Posted on by Sarah Meyer Hughes

With the support of RHA and other organizations, State Sen. Julie Morrison (D-Deerfield) and State Rep. Camille Lilly (D-Oak Park) have introduced legislation to raise the minimum age for tobacco sales in Illinois from 18 to 21.

Known commonly as Tobacco 21, the effort aims to curb youth smoking, which will lead to fewer adult smokers in the future and result in substantial long-term health care savings.

“Statistics show that 95 percent of smokers start before the age of 21,” said Matt Maloney, director of health policy for Respiratory Health Association. “By raising the age of sale for tobacco to 21, Illinois will greatly reduce smoking among high school children.”

“Our goal is to create the first smoke-free generation,” said Joel Africk, President and Chief Executive Officer of Respiratory Health Association. “Tobacco 21 gives us a great chance of making that happen.”

Each year in Illinois, 5700 teens under the age of 18 become new daily smokers. If these rates persist, 230,000 Illinois teens alive today will die prematurely from smoking.

The economic impact of smoking is staggering. Each year, tobacco use costs Illinois $5.49 billion in health care costs and $5.27 billion in lost productivity, according to research from the Campaign for Tobacco-free Kids. “By reducing youth smoking, we can make a meaningful change in the adult smoking rate and reduce these staggering costs,” said Africk.

Nearly 300 cities across 16 states, plus the states of California, Hawaii, New Jersey, Maine and Oregon have enacted Tobacco 21 laws. In Illinois, Tobacco 21 has been adopted by Evanston, Chicago, Oak Park, Deerfield, Highland Park, Naperville, Maywood, Lincolnshire, Vernon Hills, Berwyn, Buffalo Grove, Elk Grove Village, Mundelein, and unincorporated Lake County, and it is being considered by dozens more communities.

Public support for Tobacco 21 gives a big boost to this year’s legislative effort.  New polling data shows that 65 percent of registered Illinois voters support Tobacco 21. With your advocacy and support we can continue to gain ground.

To join our efforts to pass statewide Tobacco 21 and create a smoke-free generation, take a few clicks to email your local lawmakers.