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May 22, 2026: Appeals Court Makes Decision On Fluoridation Lawsuit against the Environmental Protection Agency (EPA)

Statement by Stuart Cooper, Executive Director, Fluoride Action Network:

 

A three-justice panel of the United States Court of Appeals for the Ninth Circuit has decided to send our case back to the U.S. District Court for the Northern District of California, where Judge Edward Chen will be required to make a second ruling based only on scientific evidence and testimony presented prior to August 2020. 

 

The decision by the Court of Appeals was based solely on interpretations of technical procedural steps taken during the litigation and did not dispute the science showing harm or the lower court’s 2024 determination that fluoridation poses an unreasonable risk to human health due to the significant side-effects on fetal and infant brain development. It’s also important to note that while this isn’t the immediate outcome FAN wanted, the Appellate Court did not agree with the EPA’s request to reverse the lower court’s decision. The Court also didn’t agree with 2 of the 3 objections the EPA had as part of their appeal. FAN hasn’t lost and the EPA hasn’t won. In short, the case is still ongoing and our legal team is looking at all scenarios and all possible next steps available. But for now, the decision means that Judge Chen will have to write a new ruling based exclusively on the evidence presented during the first phase of the trial. 

 

In a memorandum issued last night, the Court of Appeals vacated–or set aside–the lower court’s ruling, arguing that Judge Chen didn’t follow the “party presentation principle” that limits how active judges can be in allowing the introduction of new evidence and/or legal issues into proceedings. The Court wrote that Chen violated this principle with his 2020 decision to put the case in abeyance after the conclusion of the first bench trial to wait for the publication of the National Toxicology Program’s (NTP) review of fluoride and developmental neurotoxicity so that it could be included as evidence. 

 

While Judge Chen chose to extend the proceedings to incorporate the most recent and robust scientific findings, the appellate court characterized his due diligence as a form of judicial overreach simply because both the plaintiffs and defendant expressed in 2020 that they would prefer not to delay the case. 

 

Michael Connett, our legal counsel, told The Defender that this disappointing decision by the Court of Appeals was “a very expansive and unprecedented application of the party presentation principle.” He said that to date, “this principle has really only been applied to situations where judges raise new legal issues, not where judges use procedural mechanisms to resolve the issues presented.” He added that “The Court has instructed Judge Chen to travel back in time to 2020 and make this ruling based on a stale factual record. Their directive to ignore years’ worth of evidence on fluoride’s dangers runs counter to the intent of the Toxic Substances Control Act (TSCA).”

 

As was described in the lower court’s ruling in our favor, the scope of the harm occurring throughout the US on a daily basis due to fluoridation is significant, and the most disappointing aspect of this legal decision is that our eventual success will continue to be delayed, causing further unnecessary harm to the public:
 

"The size of the affected population is vast. Approximately 200 million Americans have fluoride intentionally added to their drinking water at a concentration of 0.7 mg/L.... Approximately two million pregnant women, and over 300,000 exclusively formula-fed babies are exposed to fluoridated water." [p. 76]

 

Appeal Background and Case Timeline

 

For those looking for more details about the EPA’s appeal of the lower court’s ruling, you can read the EPA's appeal brief here. You can click here to read FAN's brief in response to the EPA's appeal. An amicus brief in support of the lower court's original ruling in our favor was also filed by the National Resources Defense Council (NRDC). Click here to read it

 

If you missed the March 3rd oral arguments made by both parties before the Court of Appeals’ 3-judge panel, you can watch the 40-minute proceeding here.

 

To learn more about the first phase of the trial, which occurred 6 years ago, please visit our EPA lawsuit webpage. You can also read Paul Connett's daily commentary of each day's proceedings. Those that do review these pages will hopefully see that there is still very much reason to remain optimistic, since the evidence and expert testimony presented was incredibly strong in our favor well before the NTP report confirmed our claims. 

 

Please stay tuned for further updates as they happen, and thank you again for your continued support. We promised our supporters that we would fight to the end, no matter how long it took, and we're going to fulfill that promise. 

U.S. TSCA Fluoride Trial Appeal Ruling: ninth-circuit-fluoride.pdf

 

 

Dr. Bruce Lanphear

Dr. Lanphear is a professor at Simon Fraser University in British Columbia and was an expert witness for the plaintiffs in the U.S. TSCA Fluoride Trail. 

 

 

Dr. Howard Hu

Dr. Hu was also an expert witness for the plaintiffs in the U.S. TSCA Fluoride Trail. 

 

Expert Panel on the Health Effects of Fluoride in Drinking Water

Health Canada's Expert Panel on the Health Effects of Fluoride in Drinking Water was referenced in the U.S. TSCA Fluoride Trial.

Summary ReportExpert panel meeting on the health effects of fluoride in drinking water: Summary report

 

Dr. David Savitz

Dr Savitz, who was a witness for the U.S. EPA, also served on Health Canada's Expert Panel.

 

"Over nearly three days of testimony, the U.S.EPA's first key witness in the landmark fluoride trial, David Savitz, Ph.D., downplayed the link between fluoride and IQ loss in children. The EPA paid Savitz at least $137,000 to testify."

Systematic Review: Systematic review of epidemiological and toxicological evidence on health effects of fluoride in drinking water

September 24, 2024: a US Federal court ruled in favour of Food and Water Watch, et al. in their proceedings against the Environmental Protection Agency (EPA)

​After 7 years of legal action against the EPA over the risk posed to the developing brain by the practice of water fluoridation, the United States District Court of the Northern District of California deemed fluoridation an "unreasonable risk" to the health of children. Judge Chen wrote:

 

... the Court finds Plaintiffs have met their burden in establishing, by a preponderance of the evidence, that community water fluoridation at 0.7 mg/L presents an unreasonable risk of injury to health under Amended TSCA and that the EPA is thus obliged to take regulatory action in response.


During the trial, testimony provided by Philippe Grandjean, Howard Hu co-author of the Bashash (2017, 2018) studies and Bruce Lanphear, co-author of the Green (2019) and Till (2020) studies. The judge delayed his ruling until he had in his hands the final report of the U.S. National Toxicology Program’s (NTP) review on fluoride’s neurotoxicity and the Grandjean (et al) Benchmark Dose (BMD) Analysis.

 

EPA appeal of Decision

The EPA did not challenge the merits of the court's findings, but focused instead on procedural issues, including EPA's view that the court should have ignored a series of groundbreaking new studies on fluoride and IQ, including the one by their own NTP. EPA argues the court should have ignored this new data because EPA did not have it in its possession back in 2017. Read the brief here.

 

Plaintiffs' response: EPA to protect the public, not to protect the EPA from the public

On November 17, 2025, the attorneys for the plaintiffs filed their response, explaining that the purpose of the law at issue (the Toxic Substances Control Act) is "to protect the public, not to protect the EPA from the public." The court was thus amply justified in considering and acting upon the new research, including the NTP report that even EPA conceded was "indisputably central" to reaching a correct decision. Read the brief here.

EPA's reply

The EPA’s reply brief argues that the district court’s ruling should be reversed because the plaintiffs lacked standing and failed to show concrete, traceable harm from EPA’s actions. EPA contends the court improperly allowed plaintiffs to rely on evidence not included in their original TSCA petition, violating statutory limits on judicial review and administrative exhaustion. Read the brief here.

About The Water Fluoridation Lawsuit Against the U.S. EPA

Below is sworn testimony from Casey Hannan, the then Director of CDC’s Division of Oral Health, regarding early life exposure to fluoride. He acknowledges that the CDC has no data that would establish the safety of fluoride’s effect on the brain, despite a growing body of evidence showing that fluoride is a developmental neurotoxin.

U.S. Regulatory Agencies Don't Know Safe vs Toxic Level Of Fluoride
01:54
NSF Unable To Vouch For The Safety Of Fluoridation Chemicals
02:39
CDC Unable To Cite Studies Showing Fluoride Is Effective When Swallowed
01:52
CDC: Fluoride's Primary Benefit To Teeth Comes From Topical Contact
00:18
"No Safe Level Of Fluoride Exposure During Neurodevelopment" - Toxicologist Kathleen Thiessen
23:53
CDC Oral Health Director: We Have No Safety Data on Fluoride and the Brain
01:15
Florida Surgeon General Dr. Joseph Ladapo's News Conference On Fluoride In Water
29:27
An Inconvenient Tooth - Fluoride Documentary
02:49:31
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