Skip to Content
Questions or Comments:

Information for Medical Waste Generators

Requirements for medical waste transfer, transport, recordkeeping, storage, and on-site treatment for generators.

Categories of Generators

A medical waste generator is any person, by site or location, that produces medical waste to be shipped to any other person, or whose act or process produces a medical waste, or first causes it to become regulated. [Title 30, Texas Administrative Code, Subsection 326.3(14) [30 TAC 326.3(14) ] and Title 25, Texas Administrative Code, Section 1.134 (25 TAC 1.134 )].

Medical waste generators are classified into two categories:

  • Small Quantity Generator (SQG)—produces 50 pounds or less per month of medical waste; and
  • Large Quantity Generator (LQG)—produces more than 50 pounds per month of medical waste.
Back to the top of the page Back to top

Storing On-Site

SQGs and LQGs are exempt from permit, registration, notification, or other authorization to store medical waste on-site, provided the waste consists only of medical waste generated on-site that is stored securely, and does not create a nuisance [30 TAC 326.31(a) ].

Back to the top of the page Back to top

Treating On-Site

Information for generators that treat medical waste generated on-site at the generator’s site with either a fixed treatment unit or a mobile treatment unit.

Treatment On-Site by the Generator

If you are a generator of medical waste and want to treat your own waste on-site, you must submit a notification to the TCEQ. In the notification provide the information requested, and follow the other requirements in the rule for each type of generator:

Notification of On-site Treatment of Medical Waste - Form TCEQ-20788 Microsoft Word Document

Indicate in the notification that you will:

Treatment On-site by a Mobile On-site Unit

You may also have your untreated medical waste treated on-site in a registered mobile treatment unit operated and owned by a person who is not the generator of the waste.

Back to the top of the page Back to top

Licensed Hospitals Functioning as Collection and Transfer Facilities

A licensed hospital may function as a medical waste collection and transfer facility for SQGs, under the provisions of 30 TAC 326.43 . SQGs must transport their own waste to the collection station. The hospital must be located either:

  • In an incorporated area with a population of less than 25,000 and in a county with a population of less than one million; or
  • In an unincorporated area that is not within the extraterritorial jurisdiction of a city with a population more than 25,000 or within a county with a population of more than one million.

The hospital must provide written notification in the form of a letter of the operation as a medical waste collection station. The letter must contained the information required by 30 TAC 326.43 , and acknowledge that the hospital will:

  • Package all waste received by the medical waste collection station (excluding sharps) per 30 TAC 326.17 , 326.19 and 326.21
  • Store the waste in a secure manner and location, protected from theft, vandalism, inadvertent human or animal exposure, rain, water and wind
  • Manage the waste as not to create nuisances
  • Maintain at a temperature of 45 degrees Fahrenheit or less any putrescible or untreated medical waste stored for longer than 72 hours after collection
  • Release medical waste only to a registered medical waste transporter, provide a list of the waste, and include the identity of the generator
  • Not treat any waste collected at the collection station facility unless the facility is authorized to treat the waste
Back to the top of the page Back to top


Visit our Transporting Medical Waste page for information about transport options and manifesting requirements.

Back to the top of the page Back to top


Visit our Disposing of Medical Waste page for information about disposal requirements.

Back to the top of the page Back to top

Contact MSW Permits Section

Contact the MSW Permits Section if you have questions about managing medical waste.

Back to the top of the page Back to top