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Minors are prohibited from buying electronic smoking devices, including e-cigarettes.6,7 Local tobacco laws Montgomery County, Maryland: Prohibits e-cigarette manufacturers from distributing all e-cigarettes to retail stores within a half mile of a middle or high school.10 Prohibits e-cigarette manufacturers from distributing flavored e-cigarettes to retail stores within a half mile of any middle or high school, library, or recreational facility.10 Quitting statistics and benefits Quitting smoking in Maryland The CDC estimates that 52.3% of daily adult smokers in Maryland quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.7** Marylands state quit line invests $4.14 per smoker, compared with the national median of $2.37.7 Maryland does 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

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Teens who were dual users (vaping and smoking) had the highest risk of poor mental health: 1.9 times more likely to have depression 1.6 times more likely to have anxiety 1.75 times more likely to have psychological distress Even using e-cigarettes alone was significantly associated with increased odds of depression and anxiety

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