BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 486
                                                                  Page 1

          Date of Hearing:   June 16, 2009

           ASSEMBLY COMMITTEE ON ENVIRONMENTAL SAFETY AND TOXIC MATERIALS
                                Wesley Chesbro, Chair
                    SB 486 (Simitian) - As Amended:  April 2, 2009

           SENATE VOTE  :   32-4
           
          SUBJECT  :   Medical waste: sharps.

           SUMMARY  :  Requires a pharmaceutical manufacturer that sells or  
          distributes a medication that is self-injected at home through  
          the use of a hypodermic needle, pen needle, intravenous needle,  
          or any other similar device to submit to the Integrated Waste  
          Management Board (IWMB) a plan that describes how the  
          manufacturer supports the safe collection and destruction of the  
          home-generated sharps waste.

          1) Requires that the report be submitted annually after July 1,  
             2010.

          2) Requires the plan to include, at a minimum, a description of  
             the actions taken by the manufacturer to do all of the  
             following:

             a)    Provide for the safe collection and destruction of the  
                home-generated sharps waste
               generated by its customers;

             b)    Educate consumers about safe management and collection  
                opportunities; and

            c)   Support efforts by retailers, pharmaceutical  
               distributors, manufacturers of injection devices and other  
               partners including local governments, health care  
               organizations, public health officers, solid waste service  
               providers and other groups with interest in protecting  
               public health and safety through the safe collection and  
               destruction of home-generated sharps waste.

          3) Requires the manufacturer to post and maintain a copy of the  
             plan on its Internet Web site.

          4) Requires the IWMB to post and maintain copies of the plans  
             submitted by the manufacturers on its Internet Web site.








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           EXISTING LAW:
           
          1)Establishes the Medical Waste Management Act (MWMA)  
            (California Health and Safety Code, Sections 117600 et. seq.)  
            which governs the management of medical waste in all  
            jurisdictions of the state.

          2)Establishes the Integrated Waste Management Act (IWMA) (Public  
            Resources Code 40000 et seq.) which does the following:

               i)     Authorizes local jurisdictions to include in the  
                 Household Hazardous Waste Elements, a program for the  
                 safe management of sharps waste.

               ii)    Requires the IWMB to develop model plans for the  
                 management of waste drugs generated from households.

           FISCAL EFFECT  :  Not known

           COMMENTS  :
           
           According to the author, with the prohibition of the disposal of  
          sharps in the waste stream and no convenient, cost effective  
          method of management identified, it is time to take steps to  
          find a solution to the problem.  The first step is to identify  
          what the companies that manufacturer the medicines that are  
          dispensed through a 'sharp' are doing to help their customers  
          address the disposal ban issue.

          Nationally, there are more than 3 billion sharps generated  
          annually.  Approximately 3% of the U.S. population self-injects;  
          this means approximately 8% of homes in the U.S. include people  
          who self-inject some type of medication.  The need to keep the  
          growing number of sharps out of the municipal waste stream has  
          gained serious attention.  Although illegal, most of these used  
          needles still end up in household trash and pose a significant  
          risk of injury and/or infection to children, custodial workers  
          and solid waste employees.

          According to the US Environmental Protection Agency, the  
          improper management of discarded needles and other sharps can  
          pose a health risk to the public and waste workers.  For  
          example, discarded needles may expose waste workers to potential  
          needle stick injuries and potential infection when containers  








                                                                  SB 486
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          break open inside garbage trucks or needles are mistakenly sent  
          to recycling facilities.  Janitors and housekeepers also risk  
          injury if loose sharps poke through plastic garbage bags.  Used  
          needles can transmit serious diseases, such as HIV and  
          hepatitis.

           REGISTERED SUPPORT / OPPOSITION  :

           Support
           
          Alameda Alliance of Health 
          Alameda County Board of Supervisors
          Alameda County Waste Management Authority
          Amylin Pharmaceuticals
          Arthritis Foundation
          Berkeley United Pharmacy
          Californians Against Waste
          California Hepatitis C Task Force 
          California Labor Federation - AFL-CIO
          California NeuroAlliance
          California Nurses Association 
          California Narcotics Officers' Association 
          California Primary Care Association
          California Product Stewardship Council 
          California Retailers Association 
          California Sharps Coalition
          California State Association of Counties 
          California Teamsters
          Central Contra Costa Solid Waste Authority
          Genentech
          HEPPAC
          National MS Society
          National MS Society - Northern California Chapter
          Republic Services Inc. 
          Santa Clara County Board of Supervisors 
          San Francisco Recycling and Disposal 
          Sierra Club
          UCLA- School of Nursing
          UNITE HERE!
          Waste Management

           Opposition
           
          Sanofi-aventis US









                                                                  SB 486
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           Analysis Prepared by  :    Bob Fredenburg / E.S. & T.M. / (916)  
          319-3965