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A team of U-M researchers conducted a comprehensive policy analysis on the potential effects if Michigan were to adopt a "Tobacco 21" or "T21" policy, allowing tobacco products to be sold only to individuals over age 21. Tobacco use remains a major public health concern in Michigan, causing over 16,000 deaths each year. Compared to the national average, 20% more Michigan 12th graders have smoked a cigarette, smoked a cigar, used smokeless tobacco or vaped an e-cigarette in the last month. Of young people who smoke, 2 in 3 long-term users will die early of smoking-related causes. Project components included: policy effect simulation analyses, case studies of 4 Ohio communities that have implemented T21 and a national text message survey of people aged 14–24, in partnership with MyVoice. The research team is affiliated with the School of Public Health and the Institute for Healthcare Policy & Innovation (IHPI).