BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   SB 419|
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                                 THIRD READING


          Bill No:  SB 419
          Author:   Simitian (D)
          Amended:  As introduced
          Vote:     21

           
           SENATE ENVIRONMENTAL QUALITY COMMITTEE  : 5-0, 03/21/11
          AYES: Simitian, Strickland, Hancock, Kehoe, Lowenthal
          NO VOTE RECORDED: Blakeslee, Pavley

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Solid waste: home-generated sharps

           SOURCE  :     Author


           DIGEST  :    This bill requires pharmaceutical manufacturers 
          to provide their annual reports on disposal of sharps waste 
          to the Department of Resources Recycling and Recovery 
          (DRRR) electronically and make them readily available on 
          their websites.

           ANALYSIS  :    

          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 
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                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 
                needle, pen needle, intravenous needle, or any other 
                similar device to submit to 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.

           Background  .  Nationally, there are more than 3 billion 
          sharps generated annually.  Approximately three percent of 
          the U.S. population self-injects; this means approximately 
          eight percent 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.  California was one of the 

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          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.

           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.

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

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

           SUPPORT  :   (Verified  4/7/11)

          Alameda County Board of Supervisors
          California Sharps Coalition
          Clean Water Action
          National Multiple Sclerosis Society Waste Management, Inc.


           ARGUMENTS IN SUPPORT  :    According to the author, this bill 
          builds upon his SB 486 (Chapter 591, Statutes of 2009) 
          which requires pharmaceutical manufacturers who sell 
          medications that are routinely injected at home to submit 

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          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.  
          

          DLW:mw  4/8/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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