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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).
- Final Rule and Amendments (PDF - 362kb)
- Fact Sheet (PDF - 86kb)
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.
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
|
| 04/23/12 | 77 FR 24272 | Proposed rule and proposed rule Amendments | Federal Plan Requirements for Hospital/Medical/Infectious Waste Incinerators Constructed on or Before December 1, 2008 and Standards of Performance for New Stationary Sources |
 |
| 04/4/11 | 76 FR 18407 | Final rule; amendments | Standards of Performance for New Stationary Sources and Emissions Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators: final rule amendments. |
|
| 05/14/10 | 75 FR 27249 | Proposed | Standards of Performance for New Stationary Sources and Emissions Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators: proposed rule amendments. |
|
| 10/06/09 | 74 FR 51367 | Final | Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators; Final Rule |
|
| 12/01/08 | 73 FR 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
- 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
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 |
| 04/2012 | Inventory of Hospital/Medical/Infectious Waste Incinerators Potentially Covered by the Proposed Section 111(d)/129 Federal Plan | EPA-HQ-OAR-2011-0405-0002 |  |
| 11/2009 | AMENDMENT: Revised Sulfur Dioxide MACT Floor, Data Variability Analysis, and Emission Limit for New Large HMIWI | 0411 | |
| 10/2009 | FINAL: Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators(40 CFR Part 60 Subparts Ec and Ce) - Response to Public Comments | 0393 | |
| 10/2009 | FINAL: Memorandum: Materials from the HWIMI public hearing | 0361 | |
| 10/2009 | FINAL: Economic Impacts of Revised MACT Standards for Hospital/Medical/Infectious Waste Incinerators - Final Report | 0376 | |
| 10/2009 | FINAL: Memorandum: Revised Baseline Emissions and Emissions Reductions for Existing and New HMIWI | 0386 | |
| 10/2009 | FINAL: Memorandum: Revised Compliance Costs and Economic Inputs for Existing HMIWI | 0384 | |
| 10/2009 | FINAL: Memorandum: Revised Compliance Costs and Economic Inputs for New HMIWI | 0385 | |
| 10/2009 | FINAL: Memorandum: Revised Baseline Operating Costs for Existing HMIWI | 0381 | |
| 10/2009 | FINAL: Memorandum: Baseline Operating Costs for New HMIWI | 0382 | |
| 10/2009 | FINAL: Memorandum: Revised Secondary Environmental and Energy Impacts for New HMIWI | 0388 | |
| 10/2009 | FINAL: Memorandum: Revised Secondary Environmental and Energy Impacts for Existing HMIWI | 0387 | |
| 10/2009 | FINAL: Memorandum: Updated Sales Information for Companies Considered Borderline Small Entities | 0379 | |
| 10/2009 | FINAL: Memorandum: Comparison of CDD/CDF Non-Detect Data-Full Detection Limit vs. 1/2 Detection Limit | 0380 | |
| 10/2009 | FINAL: Memorandum: Updated Hospital/Medical/Infectious Waste Incinerator (HMIWI) Inventory Database | 0389 | |
| 10/2009 | FINAL: Memorandum: Revised MACT Floors, Data Variability Analysis, and Emission Limits for Existing and New HMIWI | 0383 | |
| 10/2009 | FINAL: Memorandum: Revised Analysis of Beyond the Floor Options | 0390 | |
| 12/2008 | PROPOSAL: Economic Impacts of Revised MACT Standards for Hospital/Medical/Infectious Waste Incinerators | 0329 | |
| 12/2008 | PROPOSAL: Memorandum: Baseline Emissions and Emissions Reductions for Existing and New HMIWI | 0322 | |
| 12/2008 | PROPOSAL: Memorandum: Compliance Costs and Economic Inputs for Existing HMIWI | 0325 | |
| 12/2008 | PROPOSAL: Memorandum: Compliance Costs for New HMIWI | 0326 | |
| 12/2008 | PROPOSAL: Memorandum: Documentation of HMIWI Test Data Database | 0318 | |
| 12/2008 | PROPOSAL: Memorandum: Summary of Industry Responses to HMIWI Waste Segregation Information Collection Request | 0316 | |
| 12/2008 | PROPOSAL: Memorandum: Comparison of Regulatory Limits with Emissions Test Data | 0328 | |
| 12/2008 | PROPOSAL: Memorandum: Baseline Operating Costs for Existing HMIWI | 0327 | |
| 12/2008 | PROPOSAL: Memorandum: Secondary Environmental and Energy Impacts for New HMIWI | 0324 | |
| 12/2008 | PROPOSAL: Memorandum: Secondary Environmental and Energy Impacts for Existing HMIWI | 0323 | |
| 12/2008 | PROPOSAL: Memorandum: New Source Projections for HMIWI Population | 0317 | |
| 12/2008 | PROPOSAL: Memorandum: Updated Hospital/Medical/Infectious Waste Incinerator (HMIWI) Inventory | 0319 | |
| 12/2008 | PROPOSAL: Memorandum: MACT Floors, Data Variability Analysis, and Emission Limits for Existing and New HMIWI | 0320 | |
| 12/2008 | PROPOSAL: Memorandum: Analysis of Beyond the Floor Options | 0321 | |
| 12/2008 | PROPOSAL: Memorandum: Voluntary Consensus Standard Results for Standards of Performance for Medical and Infectious Waste Incineration | 0330 | |
| 12/2008 | PROPOSAL: 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
| 3/28/12 | FACT SHEET- Proposed Federal Plan Requirements for Hospital/Medical/Infectious Waste Incinerators Constructed on or Before December 1, 2008 and Standards of Performance for New Stationary Sources | |
| 3/20/11 | FACT SHEET-Final Amendments to New Source Performance Standards and Emission Guidelines for Hospital/Medical/Infectious Waste Incinerators. | |
| 09/15/09 | FACT SHEET-Final Amendments to New Source Performance Standards and Emission Guidelines for Hospital/Medical/Infectious Waste Incinerators. | |
| 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
| Frequently Asked Questions Document (Draft) -- 10/6/09 Revised NSPS and Emissions Guidelines | |
| 2010 State Implementation Guidance Document with Appendices (EPA-453/B-10-001)(PDF format) | |
| 2010 State Implementation Guidance Document with Appendices (EPA-453/B-10-001)(zipped format) |  |
| Brochure: Amended Regulation Controlling Emissions from Existing HMIWI - 10/2009 | |
| Applicability Flowchart: Amended Regulation Controlling Emissions from HMIWI - 10/2009 | |
| September 2009 HMIWI Inventory | |
| 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.