Section § 118215

Explanation

This section outlines how medical waste must be treated before disposal. Generally, it must be treated through incineration or steam sterilization to turn it into regular solid waste. Incineration can occur at a licensed facility or by approved methods that thoroughly burn the waste.

For steam sterilization, specific procedures and standards must be followed, including temperature checks and regular calibration of equipment, with records kept for two years.

Alternative methods may also be used if they are approved and effectively destroy harmful microorganisms.

There are exceptions: fluid blood can be disposed of through public sewage systems if it aligns with sewage regulations, while certain biohazardous laboratory wastes can be treated chemically if approved by certain health organizations and outlined in a waste management plan.

If not treated this way, these wastes must follow the main treatment methods. Chemically-treated waste can go into sewage systems if compliant, and if it becomes hazardous, it must follow hazardous waste rules.

(a)CA Health & Safety Code § 118215(a) Except as provided in subdivisions (b) and (c), a person generating or treating medical waste shall ensure that the medical waste is treated by one of the following methods, thereby rendering it solid waste, as defined in Section 40191 of the Public Resources Code, prior to disposal:
(1)Copy CA Health & Safety Code § 118215(a)(1)
(A)Copy CA Health & Safety Code § 118215(a)(1)(A) Incineration at a permitted medical waste treatment facility in a controlled-air, multichamber incinerator, or other method of incineration approved by the department which provides complete combustion of the waste into carbonized or mineralized ash.
(B)CA Health & Safety Code § 118215(a)(1)(A)(B) Treatment with an alternative technology approved pursuant to paragraph (3), which, due to the extremely high temperatures of treatment in excess of 1300 degrees Fahrenheit, has received express approval from the department.
(2)CA Health & Safety Code § 118215(a)(2) Steam sterilization at a permitted medical waste treatment facility or by other sterilization, in accordance with all of the following operating procedures for steam sterilizers or other sterilization:
(A)CA Health & Safety Code § 118215(a)(2)(A) Standard written operating procedures shall be established for biological indicators, or for other indicators of adequate sterilization approved by the department, for each steam sterilizer, including time, temperature, pressure, type of waste, type of container, closure on container, pattern of loading, water content, and maximum load quantity.
(B)CA Health & Safety Code § 118215(a)(2)(B) Recording or indicating thermometers shall be checked during each complete cycle to ensure the attainment of 121° Centigrade (250° Fahrenheit) for at least one-half hour, depending on the quantity and density of the load, to achieve sterilization of the entire load. Thermometers, thermocouples, or other monitoring devices identified in the facility operating plan shall be checked for calibration annually. Records of the calibration checks shall be maintained as part of the facility’s files and records for a period of two years or for the period specified in the regulations.
(C)CA Health & Safety Code § 118215(a)(2)(C) Heat-sensitive tape, or another method acceptable to the enforcement agency, shall be used on each biohazard bag or sharps container that is processed onsite to indicate that the waste went through heat treatment. If the biohazard bags or sharps containers are placed in a large liner bag within the autoclave for treatment, heat-sensitive tape or another method acceptable to the enforcement agency only needs to be placed on the liner bag and not on every hazardous waste bag or sharps container being treated.
(D)CA Health & Safety Code § 118215(a)(2)(D) The biological indicator Geobacillus stearothermophilus, or other indicator of adequate sterilization as approved by the department, shall be placed at the center of a load processed under standard operating conditions at least monthly to confirm the attainment of adequate sterilization conditions.
(E)CA Health & Safety Code § 118215(a)(2)(E) Records of the procedures specified in subparagraphs (A), (B), and (D) shall be maintained for a period of not less than two years.
(3)Copy CA Health & Safety Code § 118215(a)(3)
(A)Copy CA Health & Safety Code § 118215(a)(3)(A) Other alternative medical waste treatment methods which are both of the following:
(i)CA Health & Safety Code § 118215(a)(3)(A)(i) Approved by the department.
(ii)CA Health & Safety Code § 118215(a)(3)(A)(ii) Result in the destruction of pathogenic micro-organisms.
(B)CA Health & Safety Code § 118215(a)(3)(A)(B) Any alternative medical waste treatment method proposed to the department shall be evaluated by the department and either approved or rejected pursuant to the criteria specified in this subdivision.
(b)CA Health & Safety Code § 118215(b) Fluid blood or fluid blood products may be discharged to a public sewage system without treatment if its discharge is consistent with waste discharge requirements placed on the public sewage system by the California regional water quality control board with jurisdiction.
(c)Copy CA Health & Safety Code § 118215(c)
(1)Copy CA Health & Safety Code § 118215(c)(1) A medical waste that is a biohazardous laboratory waste, as defined in subparagraph (B) of paragraph (1) of subdivision (b) of Section 117690, may be treated by a chemical disinfection if the waste is liquid or semiliquid and the chemical disinfection method is recognized by the National Institutes of Health, the Centers for Disease Control and Prevention, or the American Biological Safety Association, and if the use of chemical disinfection as a treatment method is identified in the site’s medical waste management plan.
(2)CA Health & Safety Code § 118215(c)(2) If the waste is not treated by chemical disinfection, in accordance with paragraph (1), the waste shall be treated by one of the methods specified in subdivision (a).
(3)CA Health & Safety Code § 118215(c)(3) Following treatment by chemical disinfection, the medical waste may be discharged to the public sewage system if the discharge is consistent with waste discharge requirements placed on the public sewage system by the California regional water control board, and the discharge is in compliance with the requirements imposed by the owner or operator of the public sewage system. If the chemical disinfection of the medical waste causes the waste to become a hazardous waste, the waste shall be managed in accordance with the requirements of Chapter 6.5 (commencing with Section 25100) of Division 20.

Section § 118220

Explanation

This law requires human pathological waste to be disposed of either through burial, burning, or using approved alternative methods. These methods must comply with specific sections that regulate such treatments.

Pathology waste of a human nature, as defined in subparagraph (A) of paragraph (2) of subdivision (b) of Section 117690, shall be disposed of by interment, incineration, or alternative treatment technologies approved to treat this type of waste, pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215.

Section § 118222

Explanation

This law specifies how certain types of medical waste must be handled before being disposed of. Pathology waste and trace chemotherapy waste need to be treated by either incineration or other approved methods. Similarly, pharmaceutical waste originating from healthcare settings also requires treatment through incineration or similar approved processes before disposal.

(a)CA Health & Safety Code § 118222(a) Pathology waste that meets the conditions of paragraph (2) of subdivision (b) of Section 117690 and trace chemotherapy waste that meets the conditions of paragraph (5) of subdivision (b) of Section 117690 shall be treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215 prior to disposal.
(b)CA Health & Safety Code § 118222(b) Pharmaceutical waste from health care settings that meets the conditions specified in paragraph (3) of subdivision (b) of Section 117690 shall be treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215 prior to disposal.

Section § 118225

Explanation

This law is about the proper disposal of sharps waste, like needles, to prevent infection. Before getting rid of it, sharps waste must be made noninfectious by either burning it (incineration), using steam sterilization, or another approved disinfection method. Once treated to remove infection risks and if it's not hazardous in other ways, it can be thrown away with regular trash. If sharps are treated on site using steam or an alternative method, they must be kept from public access until fully destroyed.

(a)CA Health & Safety Code § 118225(a)  Sharps waste shall be rendered noninfectious prior to disposal by one of the following methods:
(1)CA Health & Safety Code § 118225(a)(1)  Incineration.
(2)CA Health & Safety Code § 118225(a)(2)  Steam sterilization.
(3)CA Health & Safety Code § 118225(a)(3)  Disinfection using an alternative treatment method approved by the department.
(b)CA Health & Safety Code § 118225(b)  Sharps waste rendered noninfectious pursuant to this section may be disposed of as solid waste if the waste is not otherwise hazardous.
(c)CA Health & Safety Code § 118225(c)  Onsite medical waste treatment facilities treating sharps waste pursuant to paragraph (2) or (3) of subdivision (a) shall ensure that, prior to disposal, the treated sharps waste is destroyed or that public access to the treated sharps waste is prevented.

Section § 118230

Explanation

This law allows operators of a hazardous waste incinerator with the right permit to also incinerate medical waste.

An operator of a hazardous waste incinerator permitted pursuant to Section 25200 may also accept medical waste for incineration.

Section § 118235

Explanation

If a medical waste treatment facility has a permit, it must create and provide an emergency plan to deal with medical waste correctly if something like equipment failure or a natural disaster happens.

Each medical waste treatment facility issued a medical waste permit shall provide the enforcement agency with an emergency action plan that the facility shall follow to ensure the proper disposal of medical waste in the event of equipment breakdowns, natural disasters, or other occurrences.

Section § 118240

Explanation

If an animal dies from an infectious disease or is euthanized due to suspected exposure, its body must be treated using a specific approved method. This is required if a veterinarian or local health officer believes the carcass could spread infection to humans.

Notwithstanding Section 9141 of the Food and Agricultural Code, animals that die from infectious diseases or that are euthanized because they are suspected of having been exposed to infectious disease shall be treated with a treatment technology approved by the department for that use if, in the opinion of the attending veterinarian or local health officer, the carcass presents a danger of infection to humans.

Section § 118245

Explanation

This law states that if you want the department to evaluate an alternative treatment technology, you'll need to pay a $2,500 application fee. Additionally, you will be charged $100 per hour for the time the department uses to process your application. However, the total cost of processing will not exceed $5,000, unless other regulations specify otherwise, as long as they cover the department's reasonable costs.

The department shall charge an application fee for evaluation of an alternative treatment technology of two thousand five hundred dollars ($2,500) and shall charge an additional fee equal to one hundred dollars ($100) per hour for each hour which the department spends on processing the application, but not more than a total of five thousand dollars ($5,000), or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department.