END ENDS Act of 2021

To amend the Federal Food, Drug, and Cosmetic Act to establish a tobacco product standard prohibiting any e-liquid with a concentration of nicotine higher than 20 milligrams per milliliter, and for other purposes. 1. Short title This Act may be cited as the Ending Nicotine Dependence from Electronic Nicotine Delivery Systems Act of 2021 END ENDS Act of 2021 2. Findings Congress finds as follows: (1) According to the Centers for Disease Control and Prevention (in this section referred to as the CDC (2) Adolescent nicotine use may also increase the risk of future addiction to other drugs. (3) A recent CDC study found that 99 percent of e-cigarettes sold in the United States contain nicotine. (4) In congressional testimony before the Subcommittee on Economic and Consumer Policy of the Committee on Oversight and Reform of the House of Representatives on September 24, 2019, CDC Principal Deputy Director Anne Schuchat stated that fourth generation e-cigarette devices use nicotine salts, which can lead to much more available nicotine (5) According to Dr. Schuchat’s testimony, fourth generation devices can cross the blood-brain barrier and lead to potentially more effects on the developing brain in adolescents the very high levels of accessible nicotine and the discreet use of the product (6) Prior to the use of nicotine salts, which are now used in the e-liquids of the most popular e-cigarettes, most e-cigarettes contained freebase nicotine (7) The most popular e-cigarette manufactured and sold in the United States, which is considered a fourth generation device e-liquid (8) In response, the European Union, the United Kingdom, and Israel implemented regulations to cap the concentration of nicotine in e-cigarette e-liquids to 20 milligrams per milliliter. (9) The United Kingdom’s nicotine cap went into effect on May 20, 2017. As youth use skyrocketed in the United States between 2017 and 2018, the percentage of youth e-cigarette users who use more than once a week only rose from 1.2 percent to 1.7 percent, and the percentage of youth who use less than weekly decreased from 2.2 percent to 1.8 percent. (10) E-cigarettes manufactured and sold in the United States are currently not subject to any nicotine cap, and e-cigarette manufacturers are permitted to design their products to be as addictive as possible. (11) According to the 2020 National Youth Tobacco Survey, approximately 3,600,000 youths use e-cigarettes, including 19.6 percent of high school students and 4.7 percent of middle school students. (12) Among high school students who smoke e-cigarettes, nearly 40 percent report using them 20 or more days per month, and nearly one-quarter report using them daily. (13) The CDC, the Food and Drug Administration, the Department of Health and Human Services, the Surgeon General of the Public Health Service, and various State and local health authorities have determined the skyrocketing e-cigarette use amongst American youth to be an “epidemic”. 3. Sense of Congress It is the sense of the Congress that— (1) effectively combating the youth e-cigarette epidemic will require the implementation of bold and enduring policy solutions; (2) under the current regulatory framework, American youth have easy access to highly addictive fourth generation (3) in order to significantly decrease youth e-cigarette use and to reduce the dangers associated with excessive nicotine inhalation, the Federal Government should regulate nicotine levels in e-cigarettes in order to make them less addictive and less harmful to youth; and (4) in addition to regulating nicotine levels, the Federal Government should also review other factors related to the composition and function of fourth generation e-cigarettes in order to make them less addictive and appealing to youth, including battery power and design. 4. Maximum nicotine content in e-liquids (a) Tobacco product standard Paragraph (1) of section 907(a) of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 387g(a) (C) Nicotine content in e-liquids Beginning on the date of enactment of the Ending Nicotine Dependence from Electronic Nicotine Delivery Systems Act of 2021 (i) 20 milligrams per milliliter; or (ii) such lower nicotine concentration as is determined by the Secretary to be minimally addictive or non-addictive. . (b) Definitions (1) In general Section 900 of the Federal Food, Drug, and Cosmetic Act ( 21 U.S.C. 387 (A) by redesignating paragraphs (8) through (22) as paragraphs (10) through (24), respectively; and (B) by inserting after paragraph (7) the following: (8) Electronic nicotine delivery system The term electronic nicotine delivery system (9) E-liquid The term e-liquid . (2) Conforming amendment Section 9(1) of the Comprehensive Smokeless Tobacco Health Education Act of 1986 ( 15 U.S.C. 4408(1) 900(18) 900(20)

Summary: Ending Nicotine Dependence from Electronic Nicotine Delivery Systems Act of 2021 or the END ENDS Act of 2021 This bill prohibits any e-liquid from having a concentration of nicotine higher than 20 milligrams per milliliter. (An e-liquid is a liquid intended for use with an electronic nicotine delivery system such as an e-cigarette or vape pen.) The Food and Drug Administration may lower this cap to a minimally addictive or non-addictive level.