BILL ANALYSIS                                                                                                                                                                                                    �



                                                                SB 419
                                                                       

                      SENATE COMMITTEE ON ENVIRONMENTAL QUALITY
                        Senator S. Joseph Simitian, Chairman
                              2011-2012 Regular Session
                                           
           BILL NO:    SB 419            
           AUTHOR:     Simitian
           AMENDED:    As Introduced
           FISCAL:     Yes               HEARING DATE:     March 21, 2011
           URGENCY:    No                CONSULTANT:       Caroll 
           Mortensen
            
           SUBJECT  :    HOME-GENERATED SHARPS:  REPORTS

            SUMMARY  :    
           
            Existing law  :

           1) Under the Health and Safety Code: 

              a)    Defines "home-generated sharps waste" to mean 
                 hypodermic needles, pen needles, intravenous needles, 
                 lancets, and other devices that are used to penetrate 
                 the skin for the delivery of medications derived from a 
                 household, including a multifamily residence or 
                 household.  (Health and Safety Code �117671).

              b)    Prohibits the disposal of home-generated sharps waste 
                 in solid waste or recycling streams.  (�118286).

              c)    Permits hospitals and other health facilities, 
                 pharmacies, fire stations, and existing city and county 
                 household hazardous waste programs to accept 
                 home-generated sharps for disposal.  (�118147).

           2) Under the Integrated Waste Management Act of 1989:

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

              b)    Requires pharmaceutical manufacturers that sell or 
                 distribute a medication in California that is 
                 self-injected at home through the use of a hypodermic 









                                                                SB 419
                                                                 Page 2

                 needle, pen needle, intravenous needle, or any other 
                 similar device to submit to the Department of Resource 
                 Recovery and Recycling (DRRR) a plan that describes what 
                 actions, if any, the manufacturer supports for the safe 
                 management of sharps waste, as defined in Health and 
                 Safety Code �117671.

              c)    Requires that the report be submitted annually after 
                 the initial date of July 1, 2010, and be posted on 
                 DRRR's website as well as the manufacturer's website. 

            This bill  requires pharmaceutical manufacturers to provide 
           their reports to DRRR electronically and make them readily 
           accessible on their websites.

            COMMENTS  :

            1) Purpose of Bill  .  According to the author, this bill builds 
              upon his SB 486 (Chapter 591, Statutes of 2009).  That bill 
              requires pharmaceutical manufacturers who sell medications 
              that are routinely injected at home to submit annual plans 
              to DRRR describing  how they support and provide safe 
              sharps (e.g. syringes, pen needles) collection and disposal 
              programs. 

              This bill addresses implementation challenges learned after 
              the submission of the first round of reports required 
              pursuant to SB 486.  Many reports were submitted in 
              hard-copy form that required time for DRRR staff to scan 
              and post them.  Also, some stakeholders found it 
              challenging to find the manufacturer's report on their 
              websites.  
                 
              Ensuring that these reports are readily available to sharps 
              users was a key goal of the initial legislation.  Patients 
              who self-inject can use the information to identify and 
              evaluate what pharmaceutical companies are doing to assist 
              them in managing their sharps waste.   
                  
            2) Background  .  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 









                                                                SB 419
                                                                 Page 3

              of medication.  The need to keep the growing number of 
              sharps out of the municipal waste stream has gained serious 
              attention.  California was one 
              of the forerunners in that policy shift with the passage of 
              SB 1305 (Figueroa) Chapter 64, Statutes of 2006.  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.

            3) Status of the Issue  .  While disposal of sharps is illegal, 
              there is no statutory program in place to require the 
              management of sharps by manufacturers, pharmaceutical 
              companies, pharmacies, or others.  The Health and Safety 
              Code allows for a streamlined oversight structure for those 
              that do wish to provide a safe disposal for sharps to their 
              customers or the general public, but there is no mandate 
              for them to do so.  Some pharmacies and health care 
              providers have developed programs as a way to assist their 
              customers and have reported great success.  Many local 
              governments also provide some level of service.  However, 
              these programs do not compose an effective statewide 
              network to handle number of sharps generated.  They are 
              also often funded through local governments, and with 
              budget issues, some are in danger of postponing service.


            4) Related Legislation  .  SB 41 (Yee) among other things, would 
              amend the California Pharmacy Law to require pharmacies to 
              provide consumers with prescribed options for consumer 
              disposal of hypodermic needles and syringes.  This bill is 
              currently in the Senate Health Committee.

            
           SOURCE  :        Senator Simitian
            
           SUPPORT  :       Alameda County Board of Supervisors
                          California Sharps Coalition
                          Clean Water Action
                          National Multiple Sclerosis Society
                          Waste Management, Inc.
            
           OPPOSITION  :    None on file  









                                                                SB 419
                                                                 Page 4