I 
119TH CONGRESS 
1ST SESSION H. R. 4556 
To amend the Safe Drinking Water Act to require the Administrator of 
the Environmental Protection Agency to seek to enter into an agreement 
with the National Academies of Sciences, Engineering, and Medicine 
to carry out a rapid response evidence review of proposed rules relating 
to fluoride, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 21, 2025 
Mr. CLEAVER (for himself, Mr. FROST, Mr. FIELDS, Mr. THANEDAR, Mr. 
BELL, Mr. GOTTHEIMER, Mr. DAVIS of North Carolina, Mrs. SYKES, and 
Ms. NORTON) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the Safe Drinking Water Act to require the Ad-
ministrator of the Environmental Protection Agency to 
seek to enter into an agreement with the National Acad-
emies of Sciences, Engineering, and Medicine to carry 
out a rapid response evidence review of proposed rules 
relating to fluoride, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Protect Our Treatment 
for Enamel, Erosion, and Tooth Health Act’’ or the ‘‘Pro-
tect Our TEETH Act’’. 
SEC. 2. FLUORIDE IN DRINKING WATER. 
Section 1412(b)(12) of the Safe Drinking Water Act 
(42 U.S.C. 300g–1(b)(12)) is amended by adding at the 
end the following: 
‘‘(C) FLUORIDE.— 
‘‘(i) NATIONAL ACADEMIES RAPID RE-
SPONSE EVIDENCE REVIEW.—Prior to pub-
lishing in the Federal Register a proposed 
rule to establish the maximum contami-
nant level goal for fluoride, or, in the na-
tional primary drinking water regulation 
for fluoride, specify the maximum contami-
nant level for fluoride, the Administrator 
shall— 
‘‘(I) seek to enter into an agree-
ment with the National Academies of 
Sciences, Engineering, and Medicine 
to carry out a rapid response evidence 
review of such proposed rule, which 
agreement shall specify a timeline of 
no fewer than 90 days and no more 
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than 180 days for carrying out such 
rapid response evidence review; 
‘‘(II) provide the National Acad-
emies of Sciences, Engineering, and 
Medicine with all data and other in-
formation being used to justify such 
proposed rule; and 
‘‘(III) consider the results of any 
such rapid response evidence review 
with respect to such proposed rule. 
‘‘(ii) PUBLICATION.—The Adminis-
trator shall publish in the Federal Reg-
ister, as a part of any proposed rule under 
this subparagraph, the entirety of the final 
report of any rapid response evidence re-
view relating to such proposed rule. 
‘‘(iii) USE OF EXISTING FUNDS.—The 
Administrator may use funds otherwise 
available to the Administrator to carry out 
this subparagraph.’’. 
Æ 
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