HR4556-119

In Committee

Protect Our TEETH Act

119th Congress Introduced Jul 21, 2025

Summary

What This Bill Does

The Protect Our TEETH Act amends the Safe Drinking Water Act's fluoride rulemaking process. Before EPA publishes a proposed rule establishing a maximum contaminant level goal for fluoride or specifying a fluoride maximum contaminant level in a national primary drinking water regulation, the Administrator must seek an agreement with the National Academies of Sciences, Engineering, and Medicine for a rapid response evidence review. The review timeline must be at least 90 days and no more than 180 days. EPA must provide the National Academies with all data and information used to justify the proposed rule, consider the review results, and publish the entirety of the final review report in the Federal Register as part of the proposed rule. EPA may use otherwise available funds to carry out the requirement.

Who Benefits and How

Public water systems benefit from an independent National Academies review before federal fluoride limits change. Dental health advocates benefit if fluoride rulemaking must consider a rapid evidence review before proposed changes. Drinking water consumers benefit from publication of the full evidence review in the Federal Register. National Academies reviewers benefit from access to all EPA data and information used to justify the proposed rule.

Who Bears the Burden and How

EPA must seek the review agreement, provide supporting data, consider results, and publish the final report. EPA rulemaking staff must add a 90-to-180-day evidence-review step before proposing fluoride MCLG or MCL changes. National Academies must complete rapid evidence reviews if it enters the agreement. Regulatory advocates seeking faster fluoride rule changes face a new procedural step.

Key Provisions

  • Requires EPA to seek a National Academies rapid response evidence review before proposed fluoride MCLG or MCL rules.
  • Requires the evidence review timeline to be no fewer than 90 days and no more than 180 days.
  • Requires EPA to provide all data and information used to justify the proposed fluoride rule.
  • Requires EPA to consider review results and publish the full final report in the Federal Register.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Requires EPA to obtain a 90-to-180-day National Academies rapid-response evidence review before proposing fluoride maximum contaminant level goals or national primary drinking water fluoride limits, publish the full review, and consider its results.

Key Policy Areas

Drinking Water, EPA, Fluoride

Primary Purpose

Requires EPA to obtain a 90-to-180-day National Academies rapid-response evidence review before proposing fluoride maximum contaminant level goals or national primary drinking water fluoride limits, publish the full review, and consider its results.

Policy Domains

Drinking Water EPA Fluoride

Resolution provisions

Identified Gains
  • Public water systems
  • Dental health advocates
  • Drinking water consumers
  • National Academies reviewers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Public water systems:
Dental health advocates:
Drinking water consumers:
National Academies reviewers:
Identified Costs
  • Environmental Protection Agency
  • EPA rulemaking staff
  • National Academies
  • Regulatory advocates seeking faster fluoride rule changes
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
National Academies:
EPA rulemaking staff:
Environmental Protection Agency:
Regulatory advocates seeking faster fluoride rule changes:

Legislative Progress

In Committee
Introduced Committee Passed
Jul 21, 2025

Mr. Cleaver (for himself, Mr. Frost, Mr. Fields, Mr. Thanedar, …

Jul 21, 2025

Referred to the House Committee on Energy and Commerce.

Jul 21, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
2 mentions across 1 clause
-2 negative

EPA rulemaking staff, Environmental Protection Agency

Utilities
1 mention across 1 clause
?1 uncertain

Public water systems

General Public
1 mention across 1 clause
?1 uncertain

Dental health advocates

Consumers
1 mention across 1 clause
?1 uncertain

Drinking water consumers

Research & Science
1 mention across 1 clause
-1 negative

National Academies

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Drinking Water EPA Fluoride

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology