Three new laws aimed at tightening regulations on e-cigarettes have taken effect in Texas, following concerns about the growing use of vaping products among adolescents. According to a 2024 Food and Drug Administration study, more than 1.6 million middle and high school students in the United States currently use e-cigarettes. The 2024 National Youth Tobacco Survey also indicates that millions of students are addicted to these products, especially flavored varieties.
The new legislation, which began enforcement on September 1, is designed to curb teen access to vape products by restricting devices that mimic everyday items like phones or school supplies and banning advertisements near schools and churches or those directed at young people. These measures received strong backing from physicians affiliated with the Texas Medical Association (TMA), who advocated for their passage during the 2025 legislative session.
Maria Monge, MD, chair of the Texas Public Health Coalition and vice chair of TMA’s Council on Science and Public Health, testified before lawmakers on behalf of TMA and other medical organizations. Dr. Monge said, “The more work we can put into just making access harder, the less likely adolescents are to become addicted.”
Physicians pointed out that marketing tactics using cartoon characters or candy imagery are particularly effective at appealing to youth. Research has shown that such practices contribute both to increased e-cigarette use among teens and perceptions of social benefit tied to vaping behavior. Devices designed to look like common objects make them easy for teens to conceal.
Medical experts also warned about health risks associated with nicotine exposure in adolescents: “disrupts neural development, affecting attention, learning, and impulse control,” which “can lead to lasting changes in brain function, increasing the risk of lifelong addiction and exacerbating mental health issues,” according to statements from physicians supporting the legislation.
A report published by JAMA Pediatrics found that around half of adolescent e-cigarette users tried quitting within the past year—suggesting legislative efforts may assist young people seeking help with addiction.
Valerie Smith, MD, a pediatrician and former chair of the TMA Council on Science and Public Health stated: “[We support these bills] as a proactive approach to reduce e-cigarette use in youth,” adding: “We support regulations that send a clear message: ‘The health of our children is not negotiable.’”
