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Disposable devices are especially popular due to flavor exemptions from federal restrictions

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Some immediate, short-term side effects of nicotine may include: Feelings of relaxation or euphoria Increased blood pressure Increased heart rate Congestion Heartburn Some long-term effects nicotine can have on the body may include: Emphysema Lung and mouth cancer Stroke Diabetes Heart attack Macular degeneration Gum disease Premature aging Fertility issues Pregnancy complications including miscarriage, stillbirth, and premature delivery Sudden infant death syndrome (SIDS) in babies exposed to cigarette smoke Psychological problems induced by nicotine abuse may include: Restlessness Depression Anxiety Irritability Because nicotine is highly addictive, it is particularly dangerous for teens under 18, whose brains are still developing

After nearly 6 years of implementation, through the CY 2024 PFS final rule, we finalized updates to MDPP based on lessons learned since the expanded model's launch, including updates to definitions and the core services period and extended the flexibilities allowed under the PHE for COVID-19 for a period of 4 years (88 FR 79241)