Questions or Comments: mswper@tceq.texas.gov

Treating Medical Waste

Requirements for treating medical waste including fees and periodic reporting.

COVID-19 Information and Updates

  • TCEQ Regulatory Guidance: Coronavirus Disease 2019 (COVID-19)

  • Notice to pharmacies that provide COVID-19 testing and treat COVID-19 waste on-site NEW

    Until further notice, TCEQ will exercise enforcement discretion for all pharmacies that provide COVID-19 testing and treat COVID-19 waste on-site using an approved treatment method. These pharmacies are required to maintain records as prescribed under 30 Texas Administrative Code (TAC) Sections 326.39(b) and 326.41(b). Once the medical waste is treated, it may be managed as routine municipal solid waste in accordance with 30 TAC 326.39(c) and 326.41(c).

    Additionally, until further notice, TCEQ will exercise enforcement discretion on the following requirements for pharmacies that provide COVID-19 testing:

      • The Medical Waste Transporter registration and fee requirements in 30 TAC 326.53 and 326.87; and
      • The Medical Waste Mobile Treatment Unit registration and fee requirements in 30 TAC 326.55 and 326.87.

    However, Medical Waste Transporters and Mobile Treatment Units managing Medical Waste from these pharmacies are still required to comply with vehicle, packaging, labeling, manifesting, and shipping requirements in 30 TAC Chapter 326, Subchapter B.

  • Notice to persons submitting documents to Waste Permits Division

    In response to COVID-19, the TCEQ is operating via telework.

    To ensure uninterrupted and effective work we ask that all submittals to the Waste Permits Division be posted online to allow for immediate access to project managers. Please include a link to the location of the document in the cover letter.

    If you have any questions, please email mswper@tceq.texas.gov and we will get back to you as soon as possible. Thank you for your patience and cooperation doing this unprecedented time.

On-site Treatment

For on-site treatment, refer to the Treating On-site section on our Information for Generators of Medical Waste webpage.

Off-site Treatment

Off-site treatment must be conducted at a facility authorized to accept untreated medical waste.

If you are the owner or operator of medical waste treatment facility, you must be registered. Apply by completing and submitting the following forms, using the instruction on each:

Applicable rules are in Title 30, Texas Administrative Code, Chapter 326, Subchapter FExit the TCEQ.

Medical waste that has been treated at an authorized treatment facility may often be managed as routine municipal solid waste and disposed of in a Type I landfill. See the rules to make sure you meet all the requirements:

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Fees

You are required to pay a fee to The Texas Commission on Environmental Quality (TCEQ) if your medical waste facility processes (treats and transfers) untreated medical waste for disposal by means other than landfilling (for example, incineration, composting, steam sterilization, and other treatment methods) as specified in 30 TAC 326.87Exit the TCEQ. If your facility is a medical waste transfer station only, you are not required to pay a fee to TCEQ.

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Reports

Quarterly Report

The owner or operator of a medical waste processing facility (excluding "transfer" only) is required to submit the amounts of waste received each quarter as specified in 30 TAC 326.89Exit the TCEQ.

Find more information on how to submit your quarterly report at the Municipal Solid Waste Quarterly Report Requirements and Disposal (RG-289) Adobe Acrobat PDF Document.

Annual Report

The owner or operator of a medical waste processing facility (including "transfer" only) is required to submit:

  • Yearly totals summary for the reporting period as specified in 30 TAC 326.89Exit the TCEQ
  • Year-end status of the facility or process

Find details on how to submit your annual report at the Municipal Solid Waste Annual Reporting webpage.

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Manifest

A registered medical waste transporter must provide the owner or operator of an authorized medical waste treatment facility a copy of the manifest at the time of unloading of the waste. The manifest must contained the information required in 30 TAC 326.53(b)(8) and (9)Exit the TCEQ and follows the requirements in 30 TAC 326.53(b)(10)Exit the TCEQ. The owner or operator is required to promptly record all manifest and retain it in an operating record see in 30 TAC 326.75(e)(2)(E)Exit the TCEQ

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Contact MSW Permits Section

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

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