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The American Lung Association in North Dakota led the effort to pass a law which expanded the scope of practice of licensed addiction counselors to include nicotine/tobacco treatment. Until now, licensed addiction counselors in North Dakota did not treat tobacco addiction. This will benefit people with substance use disorders who have traditionally been left out of tobacco treatment efforts, so their smoking rates have remained steady and high while smoking rates in the general population have been on a steady downward trend.  The Lung Association advocated to build support for the bill and provided testimony to the legislature. To prepare addiction counselors for this expanded scope of practice, the Lung Association provides free professional education with free CEU's via numerous webinars and person trainings throughout the eight regions of the state.

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