This State Report is required by the Sober Truth on Preventing (STOP) Underage Drinking Act (Pub. L.109-422), enacted by Congress in 2006 and reauthorized in December 2022 as part of the Consolidated Appropriations Act, 2023 (Pub. L.117-328). The STOP Act requires an annual report “on each State’s performance in enacting, enforcing, and creating laws, regulations, and programs to prevent or reduce underage drinking.” This State Report primarily includes data from calendar year 2021 and 2022. Regional and state profile data were drawn from the most recently available federal survey data as of 2021