More than a third of Hawaii residents have used e-cigs, according to the Hawaii Department of Health.
But it’s the nation’s second-largest tobacco market.
The state has nearly 40,000 retail stores, with the majority of those in Honolulu, and the majority in the suburbs and the downtown.
Hawaii has also seen a resurgence of interest in vaping.
The first store opened last year in Honolulu and the first to open this year in the city of Waikiki.
“There’s a new generation of people who are getting hooked,” said Lisa C. Lien, the state’s health commissioner.
“They’re seeing the positive benefits of the product, and they want to be part of it.”
In Hawaii, it is a relatively small group of smokers, with about 5,000 people who smoke daily.
But they have been more than just a small group.
They are among the state the majority who use e-liquid and are often part of the tobacco-free community.
Hawaii’s e-cig industry has grown in recent years, fueled in part by the Affordable Care Act, which expanded access to health care services for those who lacked insurance.
The Affordable Care act requires insurance plans to cover most essential health benefits such as prescription drugs, hospitalization, and mental health care, among other things.
The law also included a provision that allowed states to provide more incentives to insurers to sell insurance plans that cover a range of health benefits.
Hawaii had been among the first states to pass this legislation, but it was quickly challenged in federal court.
In June, a federal judge ruled that the law violated the federal government’s authority to require states to allow insurers to offer health insurance plans covering health benefits that covered a range from prescription drugs to hospitalization.
The ruling overturned a ruling by the Ninth Circuit Court of Appeals in Washington that had allowed the law to go into effect.
The Ninth Circuit’s ruling allowed the state to continue with its expansion of the program.
“This is a very big win for us,” Lien said.
“It allows us to continue to move forward with the expansion.”
She said she believes the state will have to take more steps to expand the program, such as requiring insurers to cover certain health benefits, like prescription drugs.
“I think the health care providers who are in Hawaii are going to be very vocal about that,” Leng said.
The federal government and state health officials are working to find a way to accommodate all those who do not have insurance and want to buy health insurance, she said.
That could include allowing insurance plans in a state that does not have an expansion of its program to cover only those with pre-existing conditions.
Hawaii is also looking to expand its e-juice sales.
In addition to Hawaii, the states of Alaska and Hawaii also have approved the sale of e-liquids, which have a low nicotine level but are highly addictive.
In a news release on Thursday, Hawaii said it was the first state to approve e-junkies and would follow suit.
“The market is still in its infancy, but there are promising signs that e-smokers are beginning to see the benefits of this innovative product,” said Brian S. Johnson, the head of the Hawaii Health Department’s Tobacco Control Division.
The department will now begin a regulatory process to set rules to allow e-bombs to be sold in Hawaii.
Johnson said Hawaii was the only state in the country to approve the sale in January, which will allow for the sale within the state.
Hawaii, which has the fourth-highest rate of smoking among the 50 states and the District of Columbia, has about 1.8 million e-mail users and about 3,500 tobacco retailers, according the Hawaii Lung Association.
The e-tobacco industry is estimated to be worth about $5 billion, with an estimated $1 billion going to the tobacco industry, according a report from the Centers for Disease Control and Prevention.
“We are at a point where we are really taking the ecigarette market seriously,” said Chris P. Meehan, CEO of the U.S. Vaping Association, an industry group that represents about 40 percent of the American e-vapor market.
“E-cigarette companies have been innovating on the marketplace for years and are doing it well,” Meehans statement said.
He noted that the ejuice industry was still evolving and that there were some areas that were still a bit unsettled.
“As e-products continue to be developed and adopted, we expect the e Cigarette Industry to continue its growth, but we expect that consumers will continue to continue using e-e-cigarettes for nicotine, flavor, and convenience,” Miehan said.
In 2018, the Hawaii e-viper market was estimated to reach $4.6 million, which was about three times the market of $1.6 billion, according an analysis by E-cigarette Tracker.