The document summarizes discussions from the ATMOsphere CHINA conference in Shanghai on April 11-12, 2019. Key topics discussed included: 1) The need for faster ratification of the Kigali Amendment by countries like the US and China and increased engagement with stakeholders to support adoption of natural refrigerants. 2) Growing opportunities for natural refrigerants like CO2 and propane in applications like mobile air conditioning and light commercial refrigeration in China. 3) Increased availability of natural refrigerant technology options in China like CO2 transcritical systems and low-charge ammonia systems pointing to a shifting market toward natural refrigerants.