By the time Congress enacted a federal T21 law on December 20, a total of 19 states, the District of Columbia, and two U.S. territories had enacted T21 laws, including 13 in 2019, according to a recent CDC Morbidity and Mortality Weekly Report, co-authored by ASPiRE CAB Chair Maggie Mahoney. Several state and territorial T21 laws include penalties for youth purchase, use, or possession of tobacco products; military exemptions; phase-in periods; or preemption of local tobacco retail laws.