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Risk categories were defined using the CRAFFT 2.1 screening tool and operationalized based on both SU behaviors reported in the past 12 months and CRAFFT scores, following the developers cut-off criteria

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 Local tobacco laws Kirby, Leon Valley and San Antonio have banned the sale of tobacco products to those under 21.10 Quitting statistics and benefits Quitting statistics in Texas The CDC estimates 57.4% of daily adult smokers in Texas quit smoking for one or more days in 2017.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Texass state quit line invests 60 cents per smoker, compared to the national average of $2.21.7 Texas does not have a private insurance mandate provision for cessation.7 Notes and references Updated April 2019 *National and state-level prevalence numbers reflect the most recent data available

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Just last week, my first patient of the day was a man with COPD on oxygen, just out of the hospital after getting sick with pneumonia