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Abolishes the Agency for Toxic Substances and Disease Registry (ATSDR) one year after enactment, requires the Department of Health and Human Services (HHS) Secretary to transfer ATSDR’s core national-registry authority and related assets before that date, and directs HHS to wind up remaining Agency functions during the intervening year. The bill also revises many federal laws to remove references to ATSDR and assigns responsibility for a national registry of serious diseases and person-exposures to the HHS Secretary (to be maintained in cooperation with states), while moving certain program placements into the Centers for Disease Control and Prevention (CDC) where specified.
The bill aims to save money and streamline national toxic-exposure registries by folding ATSDR functions into HHS/CDC, but those gains depend on a smooth transfer—otherwise Americans risk losing specialized expertise, experiencing service disruptions, and leaving vulnerable communities with less scientific advocacy.
States, patients with chronic conditions, hospitals, and public-health researchers: responsibility for national disease and toxic-exposure registries is consolidated at HHS/CDC, which—if implemented well—preserves registries, streamlines data collection and public-health response, and improves research-quality data on long-term exposure effects.
Taxpayers: abolishing ATSDR operations yields near-term federal cost savings by eliminating a standalone agency.
State and local governments and communities served by ATSDR: the bill provides a defined one-year wind-down/transfer period to reduce the risk of abrupt service disruptions during transition.
People with chronic conditions, exposed communities, and hospitals: eliminating ATSDR risks losing specialized federal toxicology and exposure expertise, producing slower responses and weakened long-term disease tracking and surveillance that could harm public-health protections.
Low-income and minority communities that bear pollution burdens: losing ATSDR removes a dedicated advocate and scientific capacity, which could exacerbate environmental justice concerns and reduce attention to community-level harms.
State and local health agencies and affected communities: the transfer risks administrative confusion and short-term disruption of ongoing ATSDR programs and services during the transition, increasing local burdens to adapt.
Introduced January 3, 2025 by Andrew S. Biggs · Last progress January 3, 2025