Bill > SB727

This bill requires water suppliers in Hawaii to adjust fluoride levels in public water systems to an optimal standard established by each county's board of water supply, with the goal of improving dental health across the state. The legislation is motivated by Hawaii's high rates of tooth decay and low percentage of fluoridated water compared to national averages, and includes several key provisions: the Department of Health must provide technical assistance and training to water suppliers, can reimburse suppliers for fluoridation expenses, and must submit annual reports to the legislature about water system compliance. Additionally, the department will monitor dental insurance coverage among state residents, tracking how many have obtained or rejected dental insurance, and will submit annual reports on this status. The bill will remain in effect until the Governor issues a proclamation confirming that all state residents have either obtained or explicitly rejected dental insurance coverage. The legislation is underpinned by scientific evidence from the Centers for Disease Control and Prevention about the safety and effectiveness of water fluoridation in preventing tooth decay, and is designed to address Hawaii's significant oral health challenges, including having the highest tooth decay rates among children in the United States. Funds will be appropriated to support the implementation of these requirements, with the act set to take effect on July 1, 2025.

Health and Social Services

https://www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=SB&billnumber=727&year=2026