Truth Initiative

These findings illustrate the need for quitting resources specifically for e-cigarette and oral ni****ne pouch users, and further research on the long-term health impacts of these products.

"Enrolling 1 million young people in cessation treatment is a historic accomplishment. We're helping break the cycle of ni****ne addiction during these critical formative years and building skills and confidence that will pay dividends for years to come. For every young person who enrolled in EX Program, we know there are 1000 more who now know where to turn when they decide to quit. Increasing the use of evidence-based quitting resources is what it will take to create lasting change and protect future generations from lifelong addiction.” - Chief Health Officer Dr. Amanda Graham

This moment calls for a balanced approach grounded in . Providing adults who smoke with access to U.S. Food and Drug Administration-authorized alternatives to combustible ci******es and preventing youth ni****ne addiction are shared responsibilities—not tradeoffs.

A bipartisan coalition of 25 attorneys general, co-led by the offices of Attorney General Rob Bonta , Pennsylvania Office of Attorney General Dave Sunday, New York Attorney General Letitia James, and the City of New York Government, urged major credit card and payment processing companies to take stronger action to prevent their services from being used to facilitate unlawful online and brick-and-mortar sales of to***co and ni****ne products—particularly illegal e-ci******es. Illegal sales remain widespread and undermine efforts to protect young people from ni****ne addiction. Addressing the “payment rails” that enable unlawful transactions can be an important lever—alongside enforcement against illegal sellers and platforms. Truth Initiative supports evidence-based approaches that protect young people and advance a future free from ni****ne addiction.