11 | 4 | | AN ACT |
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12 | 5 | | relating to the regulation of medical waste; adding and amending |
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13 | 6 | | provisions subject to a criminal penalty. |
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14 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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15 | 8 | | SECTION 1. Section 361.003, Health and Safety Code, is |
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16 | 9 | | amended by adding Subdivisions (14-a) and (18-a) to read as |
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17 | 10 | | follows: |
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18 | 11 | | (14-a) "Health care-related facility" means a |
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19 | 12 | | facility listed under 25 T.A.C. Section 1.134. The term does not |
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20 | 13 | | include: |
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21 | 14 | | (A) a single-family or multifamily dwelling; or |
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22 | 15 | | (B) a hotel, motel, or other establishment that |
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23 | 16 | | provides lodging and related services for the public. |
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24 | 17 | | (18-a) "Medical waste" means treated and untreated |
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25 | 18 | | special waste from health care-related facilities composed of |
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26 | 19 | | animal waste, bulk blood, bulk human blood, bulk human body fluids, |
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27 | 20 | | microbiological waste, pathological waste, and sharps, as those |
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28 | 21 | | terms are defined by 25 T.A.C. Section 1.132, as well as regulated |
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29 | 22 | | medical waste, as that term is defined by 49 C.F.R. Section 173.134. |
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30 | 23 | | The term does not include: |
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31 | 24 | | (A) waste produced on a farm or ranch as defined |
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32 | 25 | | by 34 T.A.C. Section 3.296(f); or |
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33 | 26 | | (B) artificial, nonhuman materials removed from |
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34 | 27 | | a patient and requested by the patient, including orthopedic |
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35 | 28 | | devices and breast implants. |
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36 | 29 | | SECTION 2. Subchapter C, Chapter 361, Health and Safety |
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37 | 30 | | Code, is amended by adding Section 361.0905 to read as follows: |
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38 | 31 | | Sec. 361.0905. REGULATION OF MEDICAL WASTE. (a) The |
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39 | 32 | | commission is responsible under this section for the regulation of |
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40 | 33 | | the handling, transportation, storage, and disposal of medical |
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41 | 34 | | waste. |
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42 | 35 | | (b) The commission shall accomplish the purposes of this |
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43 | 36 | | chapter by requiring a permit, registration, or other authorization |
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44 | 37 | | for and otherwise regulating the handling, storage, disposal, and |
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45 | 38 | | transportation of medical waste. The commission shall adopt rules |
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46 | 39 | | as necessary to accomplish the purposes of this subchapter. |
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47 | 40 | | (c) The commission has the powers and duties specifically |
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48 | 41 | | prescribed by this chapter relating to medical waste regulation and |
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49 | 42 | | all other powers necessary or convenient to carry out those |
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50 | 43 | | responsibilities under this chapter. |
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51 | 44 | | (d) In matters relating to medical waste regulation, the |
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52 | 45 | | commission shall consider water pollution control and water quality |
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53 | 46 | | aspects, air pollution control and ambient air quality aspects, and |
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54 | 47 | | the protection of human health and safety. |
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55 | 48 | | (e) Rules adopted to regulate the operation of municipal |
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56 | 49 | | solid waste storage and processing units apply in the same manner to |
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57 | 50 | | medical waste only to the extent that the rules address: |
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58 | 51 | | (1) permit and registration requirements that can be |
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59 | 52 | | made applicable to a facility that handles medical waste, including |
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60 | 53 | | requirements related to: |
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61 | 54 | | (A) applications; |
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62 | 55 | | (B) site development; |
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63 | 56 | | (C) notice; and |
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64 | 57 | | (D) permit or registration duration and limits; |
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65 | 58 | | (2) minor modifications to permits and registrations, |
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66 | 59 | | including changes in operating hours and buffer zones; |
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67 | 60 | | (3) the reconciliation of conflicting site operation |
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68 | 61 | | plan provisions for a site that conducts activities that require a |
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69 | 62 | | separate permit or authorization; |
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70 | 63 | | (4) waste acceptance and analysis; |
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71 | 64 | | (5) facility-generated waste, including wastewater |
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72 | 65 | | and sludge; |
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73 | 66 | | (6) contaminated water management; |
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74 | 67 | | (7) on-site storage areas for source-separated or |
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75 | 68 | | recyclable materials; |
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76 | 69 | | (8) the storage of waste: |
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77 | 70 | | (A) to prevent the waste from becoming a hazard, |
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78 | 71 | | including a fire hazard, to human health or safety; |
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79 | 72 | | (B) to ensure the use of sufficient containers |
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80 | 73 | | between collections; and |
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81 | 74 | | (C) to prevent the waste from becoming litter; |
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82 | 75 | | (9) closure requirements for storage and processing |
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83 | 76 | | units; |
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84 | 77 | | (10) recordkeeping and reporting requirements, except |
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85 | 78 | | for rules regarding the recordkeeping provisions required to |
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86 | 79 | | justify the levels of recovered recycled products; |
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87 | 80 | | (11) fire protection; |
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88 | 81 | | (12) access control; |
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89 | 82 | | (13) unloading waste; |
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90 | 83 | | (14) spill prevention and control; |
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91 | 84 | | (15) operating hours; |
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92 | 85 | | (16) facility signage; |
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93 | 86 | | (17) control of litter, including windblown material; |
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94 | 87 | | (18) noise pollution and visual screening; |
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95 | 88 | | (19) capacity overloading and mechanical breakdown; |
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96 | 89 | | (20) sanitation, including employee sanitation |
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97 | 90 | | facilities; |
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98 | 91 | | (21) ventilation and air pollution control, except as |
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99 | 92 | | those rules apply to: |
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100 | 93 | | (A) process areas where putrescible waste is |
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101 | 94 | | processed; |
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102 | 95 | | (B) the minimal air exposure for liquid waste; |
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103 | 96 | | and |
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104 | 97 | | (C) the cleaning and maintenance of mobile waste |
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105 | 98 | | processing unit equipment; and |
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106 | 99 | | (22) facility health and safety plans, including |
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107 | 100 | | employee training in health and safety. |
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108 | 101 | | (f) Medical waste facilities, on-site treatment services |
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109 | 102 | | and mobile treatment units that send treated medical waste and |
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110 | 103 | | treated medical waste including sharps or residuals of sharps to a |
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111 | 104 | | solid waste landfill must include a statement to the solid waste |
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112 | 105 | | landfill that the shipment has been treated by an approved method in |
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113 | 106 | | accordance with 25 T.A.C. Section 1.136 (relating to Approved |
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114 | 107 | | Methods of Treatment and Disposition). Home generated wastes are |
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115 | 108 | | exempted from this requirement. |
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116 | 109 | | (g) In a facility that handles medical waste processing or |
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117 | 110 | | storage, the commission shall not require a minimum separating |
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118 | 111 | | distance greater than 25 feet between the processing equipment or |
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119 | 112 | | storage area, and the facility boundary owned or controlled by the |
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120 | 113 | | owner or operator. A medical waste storage unit is not subject to |
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121 | 114 | | this subsection, provided that medical waste contained in transport |
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122 | 115 | | vehicles is refrigerated below 45 degrees if the waste is in the |
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123 | 116 | | vehicle longer than 72 hours. The commission may consider |
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124 | 117 | | alternatives to the buffer zone requirements of this subsection for |
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125 | 118 | | permitted, registered, or otherwise authorized medical waste |
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126 | 119 | | processing and storage facilities. |
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127 | 120 | | SECTION 3. Section 7.141(4), Water Code, is amended to read |
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128 | 121 | | as follows: |
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129 | 122 | | (4) "Medical waste" has the meaning assigned by |
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130 | 123 | | Section 361.003, Health and Safety [includes animal waste, bulk |
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131 | 124 | | blood and blood products, microbiological waste, pathological |
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132 | 125 | | waste, sharps, and special waste from health care-related |
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133 | 126 | | facilities as those terms are defined in 25 T.A.C. Section 1.132 |
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134 | 127 | | (Texas Department of Health, Definition, Treatment, and |
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135 | 128 | | Disposition of Special Waste from Health Care-Related Facilities). |
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136 | 129 | | The term does not include medical waste produced on farmland and |
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137 | 130 | | ranchland as defined by Section 252.001(6), Agriculture] Code. |
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138 | 131 | | SECTION 4. Section 361.560, Health and Safety Code, as |
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139 | 132 | | amended by S.B. 219, Acts of the 84th Legislature, Regular Session, |
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140 | 133 | | 2015, is repealed. |
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141 | 134 | | SECTION 5. (a) Not later than June 1, 2016, the Texas |
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142 | 135 | | Commission on Environmental Quality shall adopt rules to implement |
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143 | 136 | | the changes in law made by this Act. The rules must be adopted in the |
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144 | 137 | | form of a new chapter of the Texas Administrative Code that includes |
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145 | 138 | | all rules of the commission relating to medical waste regulation. |
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146 | 139 | | (b) Rules adopted to implement the changes in law made by |
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147 | 140 | | this Act must minimize the effect on other rules regulating |
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148 | 141 | | municipal solid waste facilities. |
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149 | 142 | | SECTION 6. A facility that has a permit, registration, |
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150 | 143 | | pending permit application, or other authorization that allows the |
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151 | 144 | | handling of medical waste is not required to comply with the changes |
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152 | 145 | | in law made by this Act until rules adopted by the Texas Commission |
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153 | 146 | | on Environmental Quality to implement the changes in law made by |
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154 | 147 | | this Act take effect. Any change to a permit, registration, or |
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155 | 148 | | other authorization in effect on the effective date of this Act that |
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156 | 149 | | is necessary to implement the changes in law made by this Act may be |
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157 | 150 | | authorized without notice and comment and shall not be referred for |
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158 | 151 | | a contested case proceeding. |
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159 | 152 | | SECTION 7. This Act takes effect immediately if it receives |
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160 | 153 | | a vote of two-thirds of all the members elected to each house, as |
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161 | 154 | | provided by Section 39, Article III, Texas Constitution. If this |
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162 | 155 | | Act does not receive the vote necessary for immediate effect, this |
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163 | 156 | | Act takes effect September 1, 2015. |
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