COVID-19: Waste Disposal Guidance

Medical Waste Transportation, Treatment, and Disposal

Under the State Biological Hazards Annex, TCEQ is responsible for providing technical and regulatory guidance regarding authorized medical waste transporters, disposal facilities, and waste incinerators—plus provide local jurisdiction(s) with a list of authorized medical waste transporters, disposal facilities, and waste incinerators. Please see the guidance and documents below.

COVID-19 Medical Waste Classification

COVID-19 medical wastes should be handled as Regulated Medical Waste (49 CFR 173.134 and 30 TAC Chapter 326, Subchapter B), just like the medical waste from seasonal flu patients. See TCEQ’s regulatory guidance on disposal of COVID 19 medical waste.

• This would include Waste or reusable material derived from the medical treatment of a human or animal, which includes diagnosis and immunization materials, or from biological medical research, which includes the production and testing of biological products (for example disposable materials saturated with blood or body fluids, laboratory specimens, sharps, etc).
• What about waste from quarantined patients not yet diagnosed, or suspected cases? If the waste is generated from a health-care related facility it should be handled as regulated medical waste. If the waste is generated outside a health-care facility, such as at a residence or business then TCEQ would defer to CDC and Texas DSHS guidance and recommendations.

Transporting COVID-19 Regulated Medical Waste

Regulated medical waste can be transported with other medical waste. Health-care facilities and generators of medical waste generally use standard medical waste plastic bags (red) in a rigid waste receptacle designed for this use. The waste container should be properly labeled to identify it as medical waste. Labels should reflect the generator name, address, and date of shipment (USDOT and OSHA labeling requirements also apply). Specific details about packaging and labeling requirements can be found in 30 TAC Chapter 326.17-21. Untreated medical waste is generally transported in refrigerated box trucks.

• TCEQ recommends using rigid containers to minimize cutting into the containers and not recycling containers—use one-time use containers.

How to Find a Medical Waste Transporter in Texas

Search TCEQ’s Central Registry.

For a full list of transporters, look under “Option 2,” click on the “Program” drop down list, select “Medical Waste,” and click “Search.”

To narrow the search results, select “Medical Waste” and enter information into the fields under “Option 2.” If you include:

• “Regulated Entity,” use the transporter’s name.
• “Program ID,” use the Medical Waste Registration Number.

If you already know the reference number for the transporter you wish to use, enter it in the “RN Number” field under “Option 1.”

Treating COVID-19 Regulated Medical Waste

Regulated medical waste can be treated just like other medical waste using steam-sterilization (autoclaving), incineration, or an alternative method (such as using chemicals). Treatment can be done by a generator who treats medical waste on-site, mobile treatment units, or off-site treatment facilities.

•  See TCEQ’s list of medical waste treatment facilities and transfer stations  (GI-612).

Managing Used COVID-19 Rapid Test Kits

Used rapid test kits should be handled as regulated medical waste. They should be stored separately from regular garbage in rigid containers that are leak resistant, impervious to moisture, and strong enough to prevent tearing or bursting from handling.

Generators who administer the test on-site and dispose of 50 pounds or less of used tests per month may transport their own medical waste to an authorized disposal facility . If the quantity is greater than 50 pounds per month, the generator will need to use a registered medical waste transporter or obtain a medical waste transporter registration.

Businesses that collect and store used tests from the public not generated on-site, may be required to obtain an authorization with TCEQ. Please contact the MSW Permits Section if you have questions about registration requirements.

Schools administering rapid COVID-19 tests may transport their own used tests if the quantity is less than 50 pounds per month. If the quantity is 50 pounds or more per month, a registered transporter is required. Please see the TCEQ Disposal Guidance for COVID-19 Rapid Testing Kits from Schools