(a)Introduction. The following treatment and disposition
methods for special waste from health care-related facilities are
approved by the department for the waste specified. Where a special
waste from a health care-related facility is also subject to the sections
in Chapter 289 of this title (relating to Radiation Control), the
sections in Chapter 289 shall prevail over the sections in this subchapter.
Disposal of special waste from health care-related facilities in sanitary
landfills or otherwise is under the jurisdiction of the Texas Commission
on Environmental Quality and is governed by its rules found in 30
TAC Chapter 326 (relating to Medical Waste Management) and Chapter
330 (relating to Municipal Solid Waste).
(1) - (3)(No change.)
(4)Pathological waste. Pathological waste shall be
subjected to one of the following methods of treatment and disposal.
(A)Human materials removed during surgery, labor and
delivery, autopsy, embalming, or biopsy shall be subjected to one
of the following methods of treatment and disposal:
(i)body parts, other than embryonic and fetal
tissue remains:
(I) - (VI)(No change.)
(ii)tissues, other than embryonic and fetal
tissue remains:
(I) - (VII)(No change.)
(iii)organs, other than embryonic and fetal
tissue remains:
(I) - (VII)(No change.)
(iv)bulk human blood and bulk human body fluids removed
during surgery, labor and delivery, autopsy, embalming, or biopsy:
(I) - (IX)(No change.)
(X)an approved alternate treatment process, provided
that the process renders the item as unrecognizable, followed by deposition
in a sanitary landfill.[;]
[(v)fetal tissue, regardless of the
period of gestation, except as provided by §1.133 of this title
(relating to Scope, Covering Exemptions and Minimum Parametric Standards
for Waste Treatment Technologies Previously Approved by the Texas
Department of State Health Services):]
[(I)interment;]
[(II)incineration followed by interment;
or]
[(III)steam disinfection followed
by interment.]
(B)The products of spontaneous or induced human abortion
other than embryonic and fetal tissue remains, shall be subjected
to one of the following methods of treatment and disposal:
[(i)fetal tissue, regardless of the
period of gestation, except as provided by §1.133 of this title
(relating to Scope, Covering Exemptions and Minimum Parametric Standards
for Waste Treatment Technologies Previously Approved by the Texas
Department of State Health Services):]
[(I)incineration followed by interment;]
[(II)steam disinfection followed
by interment; or]
[(III)interment;]
(i)[(ii)] blood and body fluids:
(I)discharging into a sanitary sewer system;
(II)steam disinfection followed by deposition in a
sanitary landfill;
(III)incineration followed by deposition of the residue
in a sanitary landfill;
(IV)thermal inactivation followed by deposition in
a sanitary landfill;
(V)thermal inactivation followed by grinding and discharging
into a sanitary sewer system;
(VI)chemical disinfection followed by deposition in
a sanitary landfill;
(VII)chemical disinfection followed by grinding and
discharging into a sanitary sewer system;
(VIII)moist heat disinfection followed by deposition
in a sanitary landfill;
(IX)chlorine disinfection/maceration followed by deposition
in a sanitary landfill; or
(X)an approved alternate treatment process, provided
that the process renders the item as unrecognizable, followed by deposition
in a sanitary landfill;
(ii)[(iii)] any other tissues,
including placenta, umbilical cord and gestational sac:
(I)grinding and discharging to a sanitary sewer system;
(II)incineration followed by deposition of the residue
in a sanitary landfill;
(III)steam disinfection followed by interment;
(IV)interment;
(V)moist heat disinfection followed by deposition
in a sanitary landfill;
(VI)chlorine disinfection/maceration followed by deposition
in a sanitary landfill; or
(VII)an approved alternate treatment process, provided
that the process renders the item as unrecognizable, followed by deposition
in a sanitary landfill.
(C) - (D)(No change.)
(5)(No change.)
(b) - (c)(No change.)
The agency certifies that legal counsel has reviewed
the proposal and found it to be within the state agency's legal authority
to adopt.
Filed with the Office
of the Secretary of State on February 28, 2018
TRD-201800867 Barbara L. Klein
Interim General Counsel
Department of State Health Services
Earliest possible date of adoption: April 15, 2018
For further information, please call: (512) 834-6687
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