HB81 prohibits adding fluoride to all public water systems in Utah. It also repeals existing laws that permitted fluoridation by request or in emergencies. To maintain oral health, the bill authorizes pharmacists to prescribe fluoride supplements under a statewide standing order, with required patient counseling on proper use. No public funding is provided.

The Utah State House of Representatives passed HB81 on February 7, 2025 by a vote of 51 to 19. We have assigned pluses to the ayes because the government should not be in the business of mass medicating the population through public drinking water. Fluoride remains accessible through voluntary means—via prescription and with pharmacist guidance—without being forced on all residents. As of 2020, 72.7 percent of U.S. municipal water systems contained fluoride. However, a 2012 New American article cited a Harvard study showing that fluoridated water “significantly” lowers children's IQ, and new research continues to confirm fluoride’s link to neurotoxicity and other serious health concerns. Government-mandated fluoridation is not only a violation of individual liberty, but increasingly shown to be a public health risk.