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Data from state and local-level surveys of high school and middle school students in Hawaii and Massachusetts find e-cigarette use increased after laws restricting tobacco products to 21 were put in place. In response to a so-called nationwide youth e-cigarette use epidemic, lawmakers have introduced dozens of bills that would increase their state’s tobacco and vaping product purchasing age from 18 years of age to 21. As of late April, 14 states and more than 400 localities have raised the tobacco product purchasing age to 21.