HB 192-FN-LOCAL - AS INTRODUCED
HOUSE BILL 192-FN-LOCAL
SPONSORS: Rep. Marple, Merr. 24; Rep. Howard, Belk. 8
COMMITTEE: Resources, Recreation and Development
This bill prohibits the introduction of fluoride into the drinking water of the state.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
I. No fluoride, or any chemical containing fluoride, shall be introduced into a public water [system unless and until the municipality or municipalities served by such system have each held a public hearing as to the introduction of fluoride into the public water system, and the registered voters of such municipality or municipalities have approved such action pursuant to RSA 44:16, RSA 31:17-a, RSA 52:23, or RSA 485:14-a. For purposes of this section "municipality" means a municipality that has 100 or more user connections that are served from the public water] system.
I. RSA 31:17-a, relative to referendum on public water supply.
II. RSA 44:16, relative to public water supplies.
III. RSA 52:23, relative to public water in village districts.
IV. RSA 485:14-a, relative to referendum for public water systems serving more than one political subdivision.
V. RSA 485:14-b, relative to a fluoride statement.
HB 192-FN-LOCAL- FISCAL NOTE
FISCAL IMPACT: [ X ] State [ ] County [ X ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ X ] Other - Federal Funds
This bill would prohibit the introduction of fluoride or any chemical containing fluoride into drinking water in New Hampshire effective on January 1, 2019. The Department of Environmental Services (DES) indicates there are currently 10 municipalities, serving 289,300 people, adding fluoride to their drinking water in accordance with existing law. The bill would only impact existing fluoridation programs as the DES is not aware of any municipalities currently pursuing fluoridation. DES regulates public water systems and coordinates with the Department of Health and Human Services to ensure fluoridation is done properly and in accordance with levels established by the Centers for Disease Control and Prevention (CDC). Staff time at the DES related to fluoridation is estimated to be 2 hours per month for existing staff to review month reports from water systems and provide occasional technical assistance. Based on average annual cost per person for fluoridation of $1.75 (from CDC data), the DES estimates the annual impact to the 10 municipal water systems would be decreased expenditures of $506,275 (289,300 people X $1.75 per person cost). There would be no water system impacts to the counties because there are no county water systems adding fluoride.
The Department of Health and Human Services (DHHS) indicates, according to current medical and dental practice and recommendation, systematic fluoridation is considered a best practice for the prevention of tooth decay and infection for children ages 0-12 years, and administration of fluoride at this age period helps prevent dental problems later in life. The DHHS assumes if this legislation passes and the municipal water systems stopped fluoridation, some of the children in those communities would receive prescriptions for fluoride supplements. There are approximately 23,135 children in the Medicaid program residing in the communities with fluoridated water. The average Medicaid cost for a 30-day supply of fluoride supplements is $6.28. If one-half of the eligible children access fluoride supplements the annual cost would be $871,764 (11,568 children X $6.28/ month X 12 months). The Department is not able to determine the additional costs related to hospitalization or medical treatment for dental decay, pain or infections, or the long-term costs associated with additional dental care for fillings and extractions. Any increased Medicaid costs associated with this bill would be split between the State General Fund and Federal Funds.
Departments of Health and Human Services and Environmental Services
|Jan. 2, 2019||Introduced 01/02/2019 and referred to Resources, Recreation and Development HJ 2 P. 40|
|Feb. 12, 2019||Public Hearing: 02/12/2019 02:00 pm LOB 305|
|March 6, 2019||Executive Session: 03/06/2019 10:00 am LOB 305|
|Committee Report: Ought to Pass (Vote 16-3; CC)|
|March 19, 2019||Committee Report: Ought to Pass for 03/19/2019 (Vote 16-3; CC) HC 16 P. 11|
|March 19, 2019||Removed from Consent (Rep. Grassie) 03/19/2019|
|March 20, 2019||Lay on Table (Rep. Suzanne Smith): MA DV 220-116 03/20/2019|
|Feb. 12, 2019||House||Hearing|
|March 6, 2019||House||Exec Session|
|March 19, 2019||House||Floor Vote|