HB611 (2021) Detail

Abolishing fluoridation in water.


HB 611-FN - AS INTRODUCED

 

 

2021 SESSION

21-0490

06/10

 

HOUSE BILL 611-FN

 

AN ACT abolishing fluoridation in water.

 

SPONSORS: Rep. Cushman, Hills. 2; Rep. Abramson, Rock. 37; Rep. Binford, Graf. 15; Rep. Moffett, Merr. 9; Rep. Cambrils, Merr. 9; Rep. P. Schmidt, Straf. 19; Rep. Howard, Belk. 8

 

COMMITTEE: Resources, Recreation and Development

 

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ANALYSIS

 

This bill prohibits the introduction of fluoride into the drinking water of the state.

 

This bill also prohibits a school district from introducing fluoride into the drinking water of a school.

 

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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

21-0490

06/10

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty One

 

AN ACT abolishing fluoridation in water.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1  Fluoride Introduction Prohibited. RSA 485:14 is repealed and reenacted to read as follows:

485:14 Fluoride Introduction Prohibited. No fluoride, or any chemical containing fluoride, shall be introduced into a public water system.

2  School Districts; Powers of Districts.  Amend RSA 194:3 to read as follows:

194:3 Powers of Districts; Prohibition.  

I.  School districts may raise money, as required by law, or, in addition thereto:

(a) To procure land for lots for schoolhouses and school administrative unit facilities, and for the enlargement of existing lots;

(b)  To build, purchase, rent, repair, or remove schoolhouses and outbuildings, buildings to be used for occupancy by teachers in the employ of such school district, and buildings to be used for educational administration including office facilities for school administrative units;

(c) To procure insurance against such risks of loss, cost or damage to itself, its employees or its pupils as its school board may determine;

(d) To provide group plan life, accident, medical, surgical and hospitalization insurance benefits, or any combinations of such benefits, for all regular employees of the district and their dependents, the cost thereof to be borne in whole or in part by the district;

(e) To plant and care for shade and ornamental trees upon schoolhouse lots;

(f) To provide suitable furniture, books, maps, charts, apparatus and conveniences for schools;

(g) To purchase vehicles for the transportation of children;

(h)  To provide for health and sanitation;

(i) To provide for adult high school diploma and continuing education programs; and

(j) To pay debts.

II.  No school district shall add fluoride to the drinking water of a school.

3  Repeal.  The following are repealed:

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.

4  Effective Date.  This act shall take effect 60 days after its passage.

 

LBA

21-0490

Revised 1/15/21

 

HB 611-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT abolishing fluoridation in water.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [ X ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2021

FY 2022

FY 2023

FY 2024

   Appropriation

$0

$0

$0

$0

   Revenue

$0

$0

$0

$0

   Expenditures

$0

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [ X ] Other - Various Government Funds

 

 

 

 

 

LOCAL:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

$0

Indeterminable

Indeterminable

Indeterminable

 

METHODOLOGY:

This bill prohibits the introduction of fluoride into the drinking water of the state and prohibits a school district from introducing fluoride into the drinking water of a school.

 

The Department of Environmental Services indicates the state receives monthly reports from the 12 water systems that add fluoride.  The reports are reviewed for compliance with the target dose range established by the U.S. Centers for Disease Control and Prevention (CDC).  If fluoridation is abolished, it will reduce expenditures of about 12 municipal water systems that currently purchase chemicals to fluoridate by some amount.  This amount cannot be determined.

If fluoridation is abolished, it will increase health care services expenditures for state, local and county governments by an indeterminate amount due to increases in tooth decay and other dental health problems.  The public health and financial benefits of fluoridating drinking water are documented in numerous documents including materials published by the CDC.

 

The Department of Health and Human Services administers the federal-state Medicaid program.  The Department indicates there are 10 municipalities that currently place fluoride into the public water supply in compliance with state law, and another 7 communities that purchase fluoridated water from Manchester. Under this bill those municipalities and communities would need to stop the practice and the children in those communities would receive prescriptions for fluoride supplements from their medical and/or dental providers because it is considered best practice.  The Department states the full fiscal impact is indeterminable based on the limited information available, but provided the following information:

  • There are 25,932 children ages 0-12 and 42,979 residents age 13 and older in the Medicaid program residing in the 17 communities required to stop fluoridation of their water system.
  • The per person average cost for a 30-day supply of prescription fluoride supplements paid for by Medicaid is $13.89.   
  • Assuming only half of the 25,932 children would access fluoride supplements, the annual cost of providing the supplements would be  $2,161,173 ( 12,966 X $13.89 X 12 ).  
  • The Department cannot estimate the cost of future hospitalizations for dental treatment or the cost of dental visits to hospital emergency departments for decay, pain, and infection.  The Department also cannot estimate potential long term costs associated with lack of fluoride, including increased tooth decay leading to more fillings and extractions.  
  • A 2016 economic analysis found an average annual savings of $20 per dollar invested in CWF in communities of 1,000 or more people.  An additional average of $32 per person was saved by avoiding treatment for dental caries.

 

  It is assumed that any fiscal impact would occur after July 1, 2021.

 

AGENCIES CONTACTED:

Departments of Health and Human Services and Environmental Services

 

Links

HB611 at GenCourtMobile
HB611 Discussion

Action Dates

Date Body Type
Jan. 27, 2021 House Hearing

Bill Text Revisions

HB611 Revision: 31962 Date: Jan. 19, 2021, 8:30 a.m.

Docket


Jan. 27, 2021: Public Hearing: 01/27/2021 03:00 pm Members of the public may attend using the following link: To join the webinar: https://www.zoom.us/j/99531020872 / Executive session on pending legislation may be held throughout the day (time permitting) from the time the committee is initially convened.


Jan. 6, 2021: Introduced (in recess of) 01/06/2021 and referred to Resources, Recreation and Development HJ 2 P. 56