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Hospital/Medical/Infectious Waste Incinerators
The purpose of this page is to provide information regarding EPA's air emission regulations for Hospital/Medical/Infectious Waste Incinerators (HMIWI). Information is categorized into four groups as follows: (1) Rule Information, (2) Technical Information, (3) Implementation Information, or (4) Related Web Sites. Descriptions of (and direct links to) these areas are provided below.
Rule Information -- This area contains Federal Register notices for both proposed and promulgated (final) rules. The Federal Register notices summarize the basis of the rules and include the actual regulatory text. In addition, and update on the litigation and links to closely related rules, policies, or program guidance are provided here.
Technical Information -- This area contains technical information used in developing the rules. Background documents are available for download. In addition, fact sheets which summarize the requirements of the rules are available here.
Implementation Information -- This area contains implementation information including guidance for States and the current status of State Plans. In addition, compliance and enforcement information is provided here.
Related Web Sites -- This area provides links to other web sites where additional information may be found.
Rule Information
Proposed and Promulgated Rules
- Subpart Ec of 40 CFR Part 60 - New Source Performance Standards
for Hospital/Medical/Infectious Waste Incinerators constructed after
June 20, 1996
- Subpart Ce of 40 CFR Part 60 - Emission Guidelines for Hospital/Medical/Infectious
Waste Incinerators constructed on or before June 20, 1996
- Subpart HHH of 40 CFR Part 62 - Federal Plan Requirements for Hospital/Medical/Infectious Waste Incinerators constructed on or before June 20, 1996
|
Date
|
Federal
Register Citation |
Action
|
Description
|
File Download
|
| 12/01/08 | 7 3FR 72962 | Proposed | Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators; Proposed Rule |
 |
| 02/06/07 | 72 FR 5510 | Proposed | Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators; Proposed Rule |
|
| 02/10/06 | 71 FR 7036 | Proposed | Proposed Settlement Agreement, Clean Air Act Citizen Suit:Notice of Proposed Settlement Agreement; Request for Public Comment. | |
| 08/15/00 | 65 FR 49739 | Final | Final Federal Plan (Part 62 Subpart HHH) to implement Subpart Ce | |
| 07/06/99 | 64 FR 36426 | Proposed Rules | Proposed Federal Plan (Part 62 Subpart HHH) to implement Subpart Ce | |
| 09/15/97 | 62 FR 48348 | Rules/Regulations | Final Rule (Promulgation) of Subparts Ec and Ce | |
| 06/20/96 | 61 FR 31736 | Proposed Rules | Re-proposal of Subparts Ec and Ce | |
| 02/27/95 | 60 FR 10654 | Proposed Rules | Original Proposal of Subparts Ec and Ce | |
Litigation Update
- On August 11, 2006, the Court entered a Consent Order establishing a schedule.
- The Court announced its opinion regarding the HMIWI litigation on
March 2, 1999. The DC Circuit Court
website contains a searchable data base of court opinions.
- Background information regarding the litigation.......................................
- View and/or download the opinion right here...........................................
Closely Related Rules, Policies or Program Guidance
- Large MWC Units 40 CFR Part 60 Subparts Eb and Cb - New Source Performance Standards and Emission Guidelines for Large Municipal Waste Combustors
- Small MWC Units 40 CFR Part 60 Subparts AAAA and BBBB - New Source Performance Standards and Emission Guidelines for Small Municipal Waste Combustion Units
- Hazardous Waste Combustors 40 CFR Part 63 Subpart EEE - National Emission Standards for Hazardous Air Pollutants from Hazardous Waste Combustors
Technical Information
Background Information Document (BID)/Response to Comments
- All of the materials listed below (as well as other information considered by EPA in developing the HMIWI regulations) are available in Docket A-91-61 for public inspection and copying by calling or visiting EPA's Air and Radiation Docket and Information Center (the Docket Office). A reasonable fee may be charged for copying. The telephone number for the Docket Office is 202-260-7548.
- Reports identified with an EPA number (e.g., EPA-453/R-94-042a)
are also available (for a fee) through the National Technical Information
Service (NTIS). NTIS documents are identified by a publication
number in the table below (e.g., PB95-193116INZ). To order
through NTIS, call 1-800-553-6847 or fax (703) 321-8547 or email orders@ntis.fedworld.gov
Visit the NTIS Website
to search for additional documents.
- Historical Background Documents related to NSPS/EG (Subparts Ec and Ce)
- Some of the items below are available for immediate download.
| Date | Description | Item Number in Docket ID No. EPA-HQ-OAR-2006-0534 |
File Download |
| 12/2008 | Economic Impacts of Revised MACT Standards for Hospital/Medical/Infectious Waste Incinerators | 0329 | |
| 12/2008 | Memorandum: Baseline Emissions and Emissions Reductions for Existing and New HMIWI | 0322 | |
| 12/2008 | Memorandum: Compliance Costs and Economic Inputs for Existing HMIWI | 0325 | |
| 12/2008 | Memorandum: Compliance Costs for New HMIWI | 0326 | |
| 12/2008 | Memorandum: Documentation of HMIWI Test Data Database | 0318 | |
| 12/2008 | Memorandum: Summary of Industry Responses to HMIWI Waste Segregation Information Collection Request | 0316 | |
| 12/2008 | Memorandum: Comparison of Regulatory Limits with Emissions Test Data | 0328 | |
| 12/2008 | Memorandum: Baseline Operating Costs for Existing HMIWI | 0327 | |
| 12/2008 | Memorandum: Secondary Environmental and Energy Impacts for New HMIWI | 0324 | |
| 12/2008 | Memorandum: Secondary Environmental and Energy Impacts for Existing HMIWI | 0323 | |
| 12/2008 | Memorandum: New Source Projections for HMIWI Population | 0317 | |
| 12/2008 | Memorandum: Updated Hospital/Medical/Infectious Waste Incinerator (HMIWI) Inventory | 0319 | |
| 12/2008 | Memorandum: MACT Floors, Data Variability Analysis, and Emission Limits for Existing and New HMIWI | 0320 | |
| 12/2008 | Memorandum: Analysis of Beyond the Floor Options | 0321 | |
| 12/2008 | Memorandum: Voluntary Consensus Standard Results for Standards of Performance for Medical and Infectious Waste Incineration | 0330 | |
| 12/2008 | Memorandum Attachment: Voluntary Consensus Standard Results for Standards of Performance for Medical and Infectious Waste Incineration | 0330.1 | |
Documents related to Federal Plan (Subpart HHH)
| Date | Description (EPA Number) | Item Number in Docket A-98-24 |
File Download |
| June 2000 | Background Information for Federal Plan- Public Comments and Responses | EPA-456/R-00-003 |  |
Fact Sheets
| 12/08 | FACT SHEET-Proposed Amendments to New Source Performance Standards and Emission Guidelines for Hospital/Medical/Infectious Waste Incinerators. | |
| 1/07 | FACT SHEET-Hospital/Medical/Infectious Waste Incinerators: Proposed Amendments to New Source Performance Standards and Emission Guidelines. P | |
| 8/2000 | FACT SHEET-Final Federal Plan for Existing Hospital/Medical/Infectious Waste Incinerators (Subpart HHH) | |
| 8/97 | Press Release Fact Sheet - Final Rule (Subparts Ec and Ce) | |
| 8/97 | Technical FACT SHEET - Final New Source Performance Standards (Subpart Ec) | |
| 8/97 | Technical FACT SHEET - Final Emission Guidelines (Subpart Ce) | |
Implementation Information
Implementation Documents
| November 2008 HMIWI Inventory |  |
| 1997 State Implementation Guidance Document (EPA-456/R-97-007) |  |
| 1997 State Implementation Guidance Document (EPA-456/R-97-007) w/o appendices | |
| Questions and Answers Document - 11/97 | |
| List of Standard Metropolitan Statistical Areas - 6/93 | 
 |
| Brochure: New Regulations Controlling Emissions from HMIWI - 9/97 | |
| Current Status of State Plans | |
Compliance and Enforcement Information
Applicability Determination Index (ADI). The ADI is maintained by EPA's Office of Enforcement and Compliance Assurance (OECA) and provides a data base of memoranda dealing with applicability issues. The database is searchable by Subpart.
Related Web Sites
Medical Waste Pollution Prevention (P2) This site provides information about mercury as commonly used in medical care facilities, especially hospitals and clinics as well as other P2 initiatives to reduce hospital waste.
Memorandum of Understanding (MOU) The U.S. EPA and the American Hospital Association (AHA) have signed an MOU to address Pollution Prevention ("P2") opportunities at hospitals. The primary purpose of the MOU is to transfer technical information on P2 opportunities that exist with respect to waste generated by the health care industry. This information transfer will provide the health care industry with tools for reducing the volumes of waste generated. Such reductions are beneficial to the environment and will reduce the waste disposal costs incurred by the health care industry.
The
Sustainable Hospitals Project
The Sustainable Hospitals Project provides health care personnel with
tools, training and technical support to improve the environmental practices
of hospitals and healthcare facilities.
NOTE:
Links identified with this symbol are pointers to other hosts
and locations in the Internet. This information is provided as a service;
however the U.S. Environmental Protection Agency does not endorse, approve
or otherwise support these sites.