Hospital/Medical/Infectious Waste Incinerators
April 4, 2013 - EPA finalized amendments to the federal plan implementing the emission guidelines (EG) for existing hospital, medical and infectious waste incinerators (HMIWI).
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, an 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.
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
- The Court denies petitions for rehearing October 14, 2011 (PDF) (2pp, 61k)
- The June 24, 2011 Court opinion on the 2010 litigation (PDF) (14pp, 43k)
- The Court announced the schedule for the petition for review (PDF) (2pp, 33k)
- On December 9, 2010 a petition for review was filed with the Court on the October 6, 2010 promulgated rule (PDF) (6pp, 93k)
- On August 11, 2006, the Court entered a Consent Order (PDF) (3pp, 73k) 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 1997 litigation (PDF) (1pg, 17k)
- March 2, 1999 Court opinion (PDF) (9pp, 43k)
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
- CISWI Units - 40 CFR Part 60 Subparts CCCC and DDDD - New Source Performance Standards and Emission Guidelines for Commercial and Industrial Solid Waste Incinerators
- OSWI Units - 40 CFR Part 60 Subparts EEEE and FFFF - New Source Performance Standards and Emission Guidelines for Other Solid Waste Incinerators
- Hazardous Waste Combustors - 40 CFR Part 63 Subpart EEE - National Emission Standards for Hazardous Air Pollutants from Hazardous Waste Combustors
- Sewage Sludge Incinerators - SI 40 CFR Part 60 Subparts LLLL and MMMM - New Source Performance Standards and Emission Guidelines for Sewage Sludge Incinerators
- More Information on EPA Combustion Web Site
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 email@example.com 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.
Documents related to Federal Plan (Subpart HHH)
|Date||Description (EPA Number)||Item Number in
|June 2000||Background Information for Federal Plan- Public Comments and Responses||EPA-456/R-00-003|
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.
The Resource Conservation and Recovery Act (RCRA) Definition of Non-Hazardous Solid Waste Rule seeks to clarify which non-hazardous secondary materials are, or are not, solid wastes when burned in combustion units
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