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HB 2396

Utilities, Utility Districts - As introduced, prohibits public water system operators from adding fluoride to their water systems. - Amends TCA Title 68, Chapter 221.

114th Regular Session (2025-2026) Introduced by Michele Reneau

Tennessee bill prohibits public water systems from fluoridating drinking water, removing a widely-adopted dental health measure from local control.

Placed on cal. Agriculture & Natural Resources Committee for 3/24/2026
#utilities #utilitydistricts
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Bill Summary · HB 2396

Legislative bill overview

HB 2396 would prohibit public water system operators in Tennessee from adding fluoride to their water supplies. The bill amends Tennessee Code Annotated Title 68, Chapter 221, which governs public water systems, effectively removing fluoridation as an option for municipalities and water districts.

Why is this important

Water fluoridation is a public health measure implemented by many U.S. water systems since the 1940s, credited by health organizations with reducing tooth decay in populations. This bill would eliminate that option in Tennessee, potentially affecting dental health outcomes and giving individual communities no choice in the matter. The decision would override local water board decisions and prevent communities from adopting a practice supported by major health organizations.

Potential points of contention

  • Scientific consensus vs. individual choice: Major health organizations (CDC, WHO, American Dental Association) support water fluoridation's safety and effectiveness, while opponents cite concerns about consent and fluoride's effects
  • Local control: The bill removes decision-making authority from local water boards and communities, centralizing the prohibition statewide
  • Health equity: Low-income populations with limited dental care access may be disproportionately affected by loss of this public health intervention
  • Implementation challenges: Existing fluoridation systems would need to cease operations, with unclear timelines and costs

Compiled from official sources — confirm details with the bill’s official record.

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