Sec. 6992g. Report to Congress
Not later than 3 months after the expiration of the demonstration
program, the Administrator shall report to Congress on the
The types, number, and size of generators of medical waste
(including small quantity generators) in the United States, the
types and amounts of medical waste generated, and the on-site and
off-site methods currently used to handle, store, transport,
treat, and dispose of the medical waste, including the extent to
which such waste is disposed of in sewer systems.
The present or potential threat to human health and the
environment posed by medical waste or the incineration thereof.
The present and potential costs (A) to local economies,
persons, and the environment from the improper handling, storage,
transportation, treatment or disposal of medical waste and (B) to
generators, transporters, and treatment, storage, and disposal
facilities from regulations establishing requirements for
tracking, handling, storage, transportation, treatment, and
disposal of medical waste.
The success of the demonstration program established
under this subchapter in tracking medical waste,
changes in incineration and storage practices attributable
to the demonstration program, and
other available and potentially available methods for
tracking medical waste and their advantages and disadvantages,
including the advantages and disadvantages of extending tracking
requirements to (i) rural areas and (ii) small quantity
Available and potentially available methods for handling,
storing, transporting, and disposing of medical waste and their
advantages and disadvantages.
Available and potentially available methods for treating
medical waste, including the methods of incineration,
sterilization, chemical treatment, and grinding, and their
advantages, including their ability to render medical waste
noninfectious or less infectious, and unrecognizable and
otherwise protect human health and the environment, and
Factors affecting the effectiveness of the treatment
methods identified in subsection (a)(5) of this section,
including quality control and quality assurance procedures,
maintenance procedures, and operator training.
Existing State and local controls on the handling, storage,
transportation, treatment, and disposal of medical waste,
including the enforcement and regulatory supervision thereof.
The appropriateness of using any existing State
requirements or the requirements contained in subchapter III of
this chapter as nationwide requirements to monitor and control
The appropriateness of the penalties provided in section
6992e of this title for insuring compliance with the requirements
of this subchapter, including a review of the level of penalties
imposed under this subchapter.
The effect of excluding households and small quantity
generators from any regulations governing the handling, storage,
transportation, treatment, and disposal of medical waste, and
potential guidelines for the handling, storage, treatment,
and disposal of medical waste by households and small quantity
Available and potentially available methods for the reuse
or reduction of the volume of medical waste generated.
The Administrator shall submit two interim reports to Congress on
the topics listed in subsection (a) of this section. The interim
reports shall contain the information on the topics available to
the Administrator at the time of submission. One interim report
shall be due 9 months after November 1, 1988, and one shall be due
12 months after the effective date of regulations under this
In preparing the reports under this section, the Administrator
shall consult with appropriate State and local agencies.