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Establishments are required to post signs stating that the sale or distribution of tobacco products to minors is prohibited.6 Minors are prohibited from buying alternative nicotine products, including e-cigarettes.6 Local tobacco Laws 22 cities in Ohio, including Cincinnati and Cleveland, prohibit the sale of tobacco products those under 21.10 Quitting statistics and benefits Quitting statistics in Ohio The CDC estimates 48.4% of daily adult smokers in Ohio quit smoking for one or more days in 2017.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Ohios state quit line invests $1.25 per smoker, compared to the national average of $2.21.7 Ohio does not have a private insurance mandate provision for cessation.7 Notes and references Updated April 2019 *National and state-level prevalence numbers reflect the most recent data available