CBIA e 2 Waste Task Force Summary January 18, 2019

Similar documents
Hazardous Waste Pharmaceuticals Proposed Rule. ASTSWMO Training Thursday, September 24, 2015

Pharmaceutical Waste Disposal Program

9/3/2013. Presentation Objective. Prescription Drug Abuse Statistics Prescription Drug Abuse Statistics. Pharmaceutical Drugs and the Environment

MAINE OFFICE OF ATTORNEY GENERAL. A Legal Guide to Safely and Successfully Conducting a Collection Event for Unwanted Prescription Medications

MEDICAL WASTE MANAGEMENT PLAN

ORDINANCE NO

Secure Medicine Return Regulations King County, Washington

HOSPITALS FOR A HEALTHY ENVIRONMENT PHARMACEUTICAL WASTE REDUCTION ACTIVITIES AT THE HOSPITAL LEVEL

Coventry Health Care of Georgia, Inc.

A guide to proper disposal of prescription and over-the-counter medicines.

Overview of Current Medicine Take-Back Efforts

FAQs on Proper Disposal of Drugs

CITY OF BUCKLEY, WASHINGTON ORDINANCE NO

Safe Medication Disposal A white position paper Pennsylvania Pharmacists Association February 8, 2009

247 CMR BOARD OF REGISTRATION IN PHARMACY

TEXAS COMPASSIONATE-USE ACT

Minnesota Plan Revision Date: July 1, Plan for Supporting Safe Collection and Proper Disposal of Home Generated Sharps

Copyright 2018 DisposeRx, Inc. All rights reserved.

Collecting Unwanted Medications: The Legal & Safe Way

UNITED STATES REGULATION OF TOBACCO PRODUCTS. Presented by Mitch Zeller Center Director FDA Center for Tobacco Products

Dispensing and administration of emergency opioid antagonist without a

AN ACT. relating to the medical use of low-thc cannabis and the regulation. of related organizations and individuals; requiring a dispensing

Pharmaceuticals from Households: A Return Mechanism (PH:ARM)

Guidance for Industry DRAFT GUIDANCE. This guidance document is being distributed for comment purposes only.

National Poll: Chronic Pain and Drug Addiction

City of Watsonville Public Works Department M E M O R A N D U M

VERIFICATION OF VOLUNTARY DONATION FOR HUMAN EMBRYONIC STEM CELL RESEARCH

RE: Permits under the Arizona Pharmacy Act should not be required for dietary supplements

The Controlled Substances Act: Regulatory Requirements

Effective and Compliance Dates Applicable to Retailers, Manufacturers, Importers, and Distributors of Newly Deemed Tobacco Products

Dental Amalgam Rule Update

HEB Pharmacy Conference October 25, 2014

Policy / Drug and Alcohol-Free Workshops

e-cigarette Regulation

RULES OF THE TENNESSEE BOARD OF PHARMACY CHAPTER DRUG DONATION REPOSITORY PROGRAM TABLE OF CONTENTS

MEDICAL INSTITUTIONS THINGS TO WATCH FOR

Agency Information Collection Activities; Submission for Office of Management and Budget

SMOKE-FREE PUBLIC HOUSING POLICY

Strategies to Prevent Pharmaceutical Waste: Modifying Co-Pay Structures

Chapter 9 TOBACCO AND SYNTHETIC NICOTINE CONTROL

Disposal of Unused Medicines: What You Should Know

H 5876 SUBSTITUTE A ======== LC000725/SUB A ======== S T A T E O F R H O D E I S L A N D

NSPS Updates. Stephenie Moyer NDEQ - NSPS Coordinator Air Updates August 2011

Proper Medication Disposal

Shawn Stevens Food Industry Consultant and Lawyer

LEGAL ASPECTS of MEDICAL MARIJUANA Florida Nurse Practitioner Network Annual Conference September 17, 2018

Title 22: HEALTH AND WELFARE

Raritan Pharmaceuticals, Inc. 6/20/17

Secure Medicine Return in King County, WA. Margaret Shield, Local Hazardous Waste Management Program in King County October 16, 2013

Lobbyist-in-a-Box: (VPhAT) created on 01/15 at 10:11

E-Cigs, Etc.: Policy Options for Regulating Nicotine Delivery Devices. Indiana Local Boards of Health Webinar Feb. 12, 2015

ORDINANCE NO

MARKETING STANDARDS FOR MEMBERSHIP

ORAL CHEMOTHERAPY EDUCATION

INDUSTRIAL WASTEWATER PERMIT APPLICATION (SHORT FORM DENTAL OFFICE OR CLINIC)

Non-Smoker Protection Act

ORDINANCE NO

Medication Disposal: Questions and Answers

First Regular Session Seventy-first General Assembly STATE OF COLORADO INTRODUCED SENATE SPONSORSHIP HOUSE SPONSORSHIP

Template Standard Operating Procedure For: Handling of Midazolam and other controlled drugs in Dental Practices

Lesson 5: Recording and Storage of Medication

Pharmaceuticals Returned to the PH:ARM Medicine Return Pilot in Washington

Opioid Policy Steering Committee: Prescribing Intervention--Exploring a Strategy for

ANDA Submissions Refuse to Receive for Lack of Proper Justification of Impurity Limits Guidance for Industry

Mark W. Caverly, Chief Liaison and Policy Section

MEMORANDUM INTRODUCTION. DATE: July 28, 2016; Revised August 3, 2016 TO:

ORAL CHEMOTHERAPY EDUCATION

Home Model Legislation Public Safety and Elections. Methamphetamine Reduction Act

Changes to the Eighth Edition

Prescription Drug Take-Back Program Q s and A s

ORDINANCE NO AN ORDINANCE AMENDING CHAPTER 38 OF THE CODE OF PRINEVILLE BY ADDING REGULATIONS REGARDING ELECTRONIC SMOKING DEVICES

UNIVERSITY POLICY. Revised: Contact:

Medical Cannabis Ordinances. Tuesday, December 20, 2016

ASSEMBLY COMMITTEE ON ENVIRONMENTAL SAFETY AND TOXIC MATERIALS Bill Quirk, Chair SB 212 (Jackson) As Amended June 18, 2018

Disposal of Unused Medicines: What You Should Know

MEDICAL MARIJUANA: Can Cannabis Still Get You Canned?

CITY OF BROOKS BYLAW NO. 18/19

AGREEMENT ON COMMON PRINCIPLES AND RULES OF CIRCULATION OF MEDICINAL PRODUCTS WITHIN THE EURASIAN ECONOMIC UNION. (Moscow, 23 December 2014)

The Food Safety Modernization Act A Series on What is Essential for a Food Professional to Know

Healthcare (clinical) Waste Awareness

Use of Controlled Substances in Research.

PISMO BEACH COUNCIL AGENDA REPORT

Alignment of FSMA with Existing Food Safety Programs International Citrus & Beverage Conference

Amend Zoning Bylaw, Medical Marijuana Treatment Centers

UPDATES FROM THE FDA CENTER FOR TOBACCO PRODUCTS (CTP)

CIGARETTE FIRE SAFETY AND FIREFIGHTER PROTECTION ACT Act of Jul. 4, 2008, P.L. 518, No. 42 Cl. 35 AN ACT

The Family Smoking Prevention and Tobacco Control Act s Grant of Authority to the FDA and the Impact on the Grower

University Rule 3-300A: Tobacco Free Campus. Revision 0 Amendment 03/08/18

ILLEGAL DISTRIBUTION OF CIGARETTES OR OTHER TOBACCO PRODUCTS; TRANSACTION SCANS.

Compliance with the Dental Rule in Virginia

ORDINANCE NO. BE IT ORDAINED BY THE MAYOR AND COUNCIL OF THE CITY OF. SECTION 1. The Mayor and Council make the following legislative findings:

Designing publicly funded healthcare markets Note by the Russian Federation

CITY COUNCIL STUDY SESSION MEMORANDUM

4/26/2013. Libia Lugo Drug Specialist San Juan District Office Investigations Branch

PHARMACY BENEFITS MANAGER

Substitute HB 523 Outline

Section , M-1 Industrial District, shall be amended to add a new section D.11, reading as follows:

ORAL CHEMOTHERAPY EDUCATION

10/10/2017. Disclosure

Transcription:

DEEP - - Cleanup Transformation DEEP - - Spill Reporting RSR Wave 2 Roll Out: Wave 2 proposed regulations remain under legal and management review and revision at DEEP. Once internal management review complete, proposed regulations will likely go to the new DEEP Commissioner for final review. Spill Reporting Regulation Status: P.A.16-199 required DEEP to draft and adopt regulations specifying numeric thresholds for reporting spills, discharges or other releases reports required if exceed applicable threshold. An internal DEEP Spill Reporting regulation team continues to draft/finalize a proposed regulation. DEEP - - Remediation Roundtable DEEP - - Solid Waste Next Remediation Roundtable March 19, 2019 DEEP-Solid Waste Advisory Committee Next Meeting January 22, 2019 at DEEP. Draft agenda items currently include: o Introduction to DEEP s New Commissioner Katie Dykes, CT DEEP o Status of Mid-Conn Facility Shutdown o DEEP Response to Current MSW Capacity s o CMMS Requirements for Municipalities o CMMS Requirements for Haulers o WEED Permitting Update o WEED Enforcement Update 1

Overview: On December 11, 2018, EPA finalized new standards for the management of hazardous waste pharmaceuticals by healthcare facilities (including retail pharmacies and wholesale distributors) and reverse distributors. The new rule, entitled Management Standards for Hazardous Waste Pharmaceuticals and Amendment to the P076 Listing for Nicotine (the Waste Pharmaceuticals Rule or Final Rule ). The Waste Pharmaceuticals Rule creates new sector-specific standards (to be codified at 40 C.F.R. Part 266, Subpart P) under RCRA for healthcare facilities and reverse distributors. Waste pharmaceuticals currently are regulated under the general RCRA hazardous waste generator regulations in 40 C.F.R. Part 262. The Waste Pharmaceuticals Rule also provides that over-the-counter nicotine replacement therapies (such as nicotine patches, gums and lozenges) approved by the U.S. Food and Drug Administration ( FDA ) are not hazardous waste when discarded. The Final Rule will become effective six months after its publication in the Federal Register. Background: Previously, facilities generating hazardous-waste pharmaceuticals followed RCRA regulations, which vary depending on the amount and type of waste generated at the site. The Final Rule removes generators of hazardous-waste pharmaceuticals from the standard RCRA regulations and add tailored standards for these facilities. Applicability: The Final Rule applies to health care facilities and reverse distributors that generate hazardous-waste pharmaceuticals. The new rules establish tailored regulations that require hazardous waste management training, create new labeling and recordkeeping requirements, create new on-site accumulation and storage requirements, and do not distinguish facilities based on the quantities of hazardous waste they generate. Facilities that are not subject to the Final Rule include pharmaceutical manufacturers, production facilities, or other types of generators of hazardous waste pharmaceuticals, including households, farmers, ranchers, and fisheries. 2

Continued Key Definitions: Healthcare facility includes hospitals, clinics, retail stores with pharmacies, military medical logistics facilities, ambulance services, veterinary clinics, optical and dental providers, and wholesale distributors. Reverse Distributors are defined as entities that help healthcare facilities calculate and receive credit from pharmaceutical manufacturers when healthcare facilities have unused pharmaceuticals that they no longer need. For instance, if a manufacturer agrees to give healthcare facilities a credit for pharmaceuticals returned due to a recall or expired shelf-life, the company that the manufacturer hires to receive and manage the hazardous waste pharmaceuticals would qualify as a reverse distributor. Pharmaceutical includes prescription and over-the-counter medicines in forms ranging from pills to lozenges, ointments, lotions, shampoos, and skin patches, investigational drugs, dietary supplements, e-cigarettes, vaping pens and associated liquid nicotine. Generally, if a product is required by the FDA to include Drug Facts or Supplement Facts on the label, it would qualify as a pharmaceutical under the new Rule. 3

Continued Key Provisions in a Nutshell: Under previous requirements, any facility that generated hazardous waste pharmaceuticals was subject to the RCRA hazardous waste generator regulations. Under the Final Rule, generators of hazardous pharmaceutical wastes will manage their hazardous waste pharmaceuticals under subpart P of part 266 in title 40 of the Code of Federal Regulations (CFR), instead of the standard RCRA generator regulations found in part 262. Compared to the hazardous waste generator regulations, healthcare facilities operating under the new standards will have the following benefits: o A healthcare facility will not become a LQG, with all the associated requirements, when it generates more than 1 kg of acute hazardous waste pharmaceuticals in a month; o A healthcare facility will not have to comply with the satellite accumulation area regulations, which are a poor fit for healthcare facilities; o o A healthcare facility will not need to specify hazardous waste codes on manifests; A healthcare facility will be able to accumulate hazardous waste pharmaceuticals on site without a RCRA permit for 365 days, an increase of 275 days over the current generator regulations; and o A healthcare facility will have basic training requirements. The Final Rule prohibits the disposal of pharmaceuticals by discharge to a sewer. For example, disposal in a sink, floor drain, or toilet is banned. Nicotine is specifically identified as hazardous under RCRA regulations. Under prior law, waste nicotine products were considered acutely hazardous. The new rules exempt FDA-approved overthe-counter nicotine replacement therapies from that acutely hazardous classification. The rules no longer consider nicotine patches, gums, and lozenges to be hazardous waste when these products are disposed of. Therefore, under federal hazardous-waste regulations, generators of these nicotine replacement therapies may discard them as nonhazardous waste. It should be noted, however, that states are not bound by this reclassification and may continue to regulate the management and disposal of nicotine replacement therapies. However, the exemption does not extend to other lowconcentration nicotine products such as prescription nicotine replacement therapies, electronic cigarettes ( e-cigarettes ), vaping pens, and e-liquids (i.e., refills for e-cigarettes and vaping pens). 4

Continued The Final Rule establishes new standards for healthcare facilities and for reverse distributors of prescription pharmaceuticals, including detailed requirements for storage, labeling, recordkeeping, reporting, and off-site shipment. The Final Rule revises the RCRA definition of empty for containers of hazardous waste pharmaceuticals (including delivery devices such as syringes, intravenous (IV) bags, inhalers, and nebulizers) without always requiring containers that were formerly used for acutely hazardous pharmaceuticals to be triple-rinsed or requiring containers formerly used for other (non-acutely) hazardous pharmaceuticals wastes to be evaluated to determine the amount of residues remaining. The Final Rule establishes new conditional exemptions for hazardous waste pharmaceuticals that qualify as controlled substances under the rules of the DEA and/or are collected in household pharmaceutical waste takeback programs or events. The Final Rule establishes new exclusions for pharmaceuticals being managed pursuant to recalls, litigation holds, or FDA-approved new drug investigations, until the materials are released from applicable legal controls and/or a decision is made to discard the materials. Finally, any non-pharmaceutical waste will have to be managed by healthcare facilities and reverse distributors under the same rules applicable to non-healthcare generators. Effective Date/State Adoption: The Final Rule will go into effect at the federal level six months after they are published in the Federal Register. After the rules go into effect at the federal level, states will be required to revise their RCRA hazardous-waste management programs to adopt the new rules. Add another RCRA Rule to the pile under review in Connecticut. However, there is one notable exception. The exception is the ban on flushing hazardous waste pharmaceuticals. This particular requirement was finalized under the Hazardous and Solid Waste Amendments (HSWA). Requirements promulgated under HSWA authority become effective in all states on the effective date of the federal regulation, which is six months after publication of the final rule in the Federal Register. l 5

EPA Is Not Reviewing Chemicals under TSCA Due to Shutdown EPA - - TSCA Waste Disposal Crisis EPA -- Emission Guidelines for CISWI Units Comprehensive Materials Management Strategy (CMMS) Due to the federal shutdown, EPA has ceased all work reviewing new and existing chemicals under the Toxic Substances Control Act (TSCA). Although EPA has not published a formal notice that it is suspending the review period of new chemical notices, EPA will not be making any determinations on such notices during the shutdown. Largest waste disposal facility in Connecticut experiences unprecedented outage Hartford Courant articles November 12, December 18 & 30, January 6. All three boilers down since early November. More than 20,000 tons of garbage piled at Hartford plant. Over 40,000 tons of trash diverted, extra expenses exceed $1M. Wait times for delivery exceed 3 hours at other facilities. December 21 emergency meeting there are policy issues. Federal Register, Vol. 83, No. 245, December 21, 2018 Information Collection Request Emission Guidelines for Commercial and Industrial Solid Waste Incineration (CISWI) Units. January 7, 2019 DEEP letter to chief elected officials Must have must offer must reach must provide Proposed H.B. No. 5402 REP. DELNICKI, 14th DIST. 'AN ACT PROHIBITING THE DEPARTMENT OF ENERGY AND ENVIRONMENTAL PROTECTION FROM ENCOURAGING MUNICIPALITIES TO IMPLEMENT "PAY-AS-YOU-THROW" REFUSE PROGRAMS. 6