1-1 By: Hirschi (Senate Sponsor - Zaffirini) H.B. No. 1644 1-2 (In the Senate - Received from the House May 4, 1995; 1-3 May 5, 1995, read first time and referred to Committee on Natural 1-4 Resources; May 12, 1995, reported favorably by the following vote: 1-5 Yeas 9, Nays 0; May 12, 1995, sent to printer.) 1-6 A BILL TO BE ENTITLED 1-7 AN ACT 1-8 relating to the improper disposal of medical waste; providing 1-9 criminal penalties. 1-10 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-11 SECTION 1. Chapter 361, Health and Safety Code, is amended 1-12 by adding Subchapter S to read as follows: 1-13 SUBCHAPTER S. MEDICAL WASTE; CRIMINAL PENALTIES 1-14 Sec. 361.560. DEFINITIONS. In this subchapter: 1-15 (1) "Appropriate regulatory agency" means the Texas 1-16 Natural Resource Conservation Commission, the Texas Department of 1-17 Health, or any other agency authorized to regulate the handling and 1-18 disposal of medical waste. 1-19 (2) "Large quantity generator" means a person who 1-20 generates more than 50 pounds of medical waste per month. 1-21 (3) "Medical waste" includes animal waste, bulk blood 1-22 and blood products, microbiological waste, pathological waste, 1-23 sharps, and special waste from health care-related facilities as 1-24 those terms are defined in 25 TAC Section 1.132 (Tex. Dept. of 1-25 Health, Definition, Treatment, and Disposition of Special Waste 1-26 from Health Care-Related Facilities). The term does not include 1-27 medical waste produced on farmland and ranchland as defined in 1-28 Section 252.001(6), Agriculture Code. 1-29 (4) "Small quantity generator" means a person who 1-30 generates 50 pounds or less of medical waste per month. 1-31 Sec. 361.561. RADIOACTIVE MEDICAL WASTE. Disposal of 1-32 radioactive medical waste is governed by Chapter 401. 1-33 Sec. 361.562. GENERATION, STORAGE, TREATMENT, AND DISPOSAL; 1-34 LARGE QUANTITY GENERATOR; OFFENSES AND PENALTIES. (a) A person 1-35 who is a large quantity generator commits an offense if the person, 1-36 acting intentionally or knowingly with respect to the person's 1-37 conduct: 1-38 (1) generates, collects, stores, processes, exports, 1-39 or disposes of, or causes or permits to be generated, collected, 1-40 stored, processed, exported, or disposed of, any medical waste 1-41 without all permits required by the appropriate regulatory agency 1-42 or in knowing violation of any material condition or requirement of 1-43 a permit or of an applicable interim status rule or standard; 1-44 (2) generates, collects, stores, treats, transports, 1-45 or disposes of, or causes or permits to be generated, collected, 1-46 stored, treated, transported, or disposed of, or otherwise handles 1-47 any medical waste, and knowingly destroys, alters, conceals, or 1-48 fails to file any record, report, manifest, or other document 1-49 required to be maintained or filed under rules or regulations 1-50 adopted by the appropriate regulatory agency. 1-51 (b) A person who commits an offense under this section shall 1-52 be subject on conviction to: 1-53 (1) a fine of not less than $1,000 or more than 1-54 $10,000 for each act of violation and each day of violation; 1-55 (2) imprisonment not to exceed 10 years; or 1-56 (3) both fine and imprisonment. 1-57 (c) If it is shown on the trial of a person that the person 1-58 has previously been convicted of an offense under this section, the 1-59 offense is punishable by: 1-60 (1) a fine of not less than $2,000 or more than 1-61 $20,000 for each act of violation and each day of violation; 1-62 (2) imprisonment not to exceed 20 years; or 1-63 (3) both fine and imprisonment. 1-64 (d) A person other than an individual who commits an offense 1-65 under this section shall be subject on conviction to a fine of not 1-66 less than $5,000 or more than $50,000. 1-67 (e) If it is shown on the trial of a person other than an 1-68 individual that the person has previously been convicted of an 2-1 offense under this section, the offense is punishable by a fine of 2-2 not less than $10,000 or more than $100,000. 2-3 Sec. 361.5625. GENERATION, STORAGE, TREATMENT, AND DISPOSAL; 2-4 SMALL QUANTITY GENERATORS; OFFENSES AND PENALTIES. (a) A person 2-5 who is a small quantity generator commits an offense if the person, 2-6 acting intentionally or knowingly with respect to the person's 2-7 conduct: 2-8 (1) generates, collects, stores, processes, exports, 2-9 or disposes of, or causes or permits to be generated, collected, 2-10 stored, processed, exported, or disposed of, any medical waste 2-11 without all permits required by the appropriate regulatory agency 2-12 or in knowing violation of any material condition or requirement of 2-13 a permit or of an applicable interim status rule or standard; 2-14 (2) generates, collects, stores, treats, transports, 2-15 or disposes of, or causes or permits to be generated, collected, 2-16 stored, treated, transported, or disposed of, or otherwise handles 2-17 any medical waste, and knowingly destroys, alters, conceals, or 2-18 fails to file any record, report, manifest, or other document 2-19 required to be maintained or filed under rules or regulations 2-20 adopted by the appropriate regulatory agency. 2-21 (b) A person who commits an offense under this section shall 2-22 be subject on conviction to a fine not to exceed $500 for each act 2-23 of violation and each day of violation. 2-24 (c) If it is shown on the trial of a person that the person 2-25 has previously been convicted of an offense under this section, the 2-26 offense is punishable by: 2-27 (1) a fine not to exceed $2,000 for each act of 2-28 violation and each day of violation; 2-29 (2) confinement in jail for a term not to exceed 180 2-30 days; or 2-31 (3) both fine and confinement. 2-32 (d) A person other than an individual who commits an offense 2-33 under this section shall be subject on conviction to a fine of not 2-34 less than $2,000 or more than $20,000. 2-35 (e) If it is shown on the trial of a person other than an 2-36 individual that the person has previously been convicted of an 2-37 offense under this section, the offense is punishable by a fine of 2-38 not less than $4,000 or more than $40,000. 2-39 Sec. 361.563. TRANSPORTATION OF MEDICAL WASTE; OFFENSE AND 2-40 PENALTIES. (a) A person commits an offense if the person, acting 2-41 intentionally or knowingly with respect to the person's conduct: 2-42 (1) transports, or causes or permits to be 2-43 transported, for storage, processing, or disposal, any medical 2-44 waste to any location that does not have all required permits; 2-45 (2) transports without a manifest, or causes or 2-46 permits to be transported without a manifest, any medical waste 2-47 required to be accompanied by a manifest under rules or regulations 2-48 adopted by the appropriate regulatory agency; 2-49 (3) operates any vehicle transporting medical waste, 2-50 or which is authorized to transport medical waste, in violation of 2-51 any rule or regulation prescribed by the appropriate regulatory 2-52 agency, including cleaning and safety regulations, which 2-53 specifically relate to the transportation of medical waste. 2-54 (b) A person who commits an offense under this section shall 2-55 be subject on conviction to: 2-56 (1) a fine of not less than $500 or more than $10,000 2-57 for each act of violation and each day of violation; 2-58 (2) confinement not to exceed one year; or 2-59 (3) both fine and confinement. 2-60 (c) If it is shown on the trial of a person that the person 2-61 has previously been convicted of an offense under this section, the 2-62 offense is punishable by: 2-63 (1) a fine of not less than $1,000 or more than 2-64 $20,000 for each act of violation and each day of violation; 2-65 (2) confinement not to exceed two years; or 2-66 (3) both fine and confinement. 2-67 (d) A person other than an individual who commits an offense 2-68 under this section shall be subject on conviction to a fine of not 2-69 less than $5,000 or more than $50,000. 2-70 (e) If it is shown on the trial of a person other than an 3-1 individual that the person has previously been convicted of an 3-2 offense under this section, the offense is punishable by a fine of 3-3 not less than $10,000 or more than $100,000. 3-4 Sec. 361.564. FALSE OR MISLEADING STATEMENTS; OFFENSE AND 3-5 PENALTIES. (a) A person commits an offense if the person: 3-6 (1) knowingly makes a false material statement, or 3-7 knowingly causes or knowingly permits to be made a false material 3-8 statement, to any person who prepares any regulated medical waste 3-9 label, manifest, application, permit, plan, registration, record, 3-10 report, or other document required by a valid and currently 3-11 effective order, rule, or regulation of the appropriate regulatory 3-12 agency; 3-13 (2) knowingly omits material information, or causes or 3-14 permits material information to be omitted, from any regulated 3-15 medical waste label, manifest, application, permit, plan, 3-16 registration, record, report, or other document required by a valid 3-17 and currently effective order, rule, or regulation of the 3-18 appropriate regulatory agency. 3-19 (b) A person who commits an offense under this section shall 3-20 be subject on conviction to: 3-21 (1) a fine of not less than $500 or more than $10,000 3-22 for each act of violation and each day of violation; 3-23 (2) confinement not to exceed one year; or 3-24 (3) both fine and confinement. 3-25 (c) If it is shown on the trial of a person that the person 3-26 has previously been convicted of an offense under this section, the 3-27 offense is punishable by: 3-28 (1) a fine of not less than $1,000 or more than 3-29 $20,000 for each act of violation and each day of violation; 3-30 (2) confinement not to exceed two years; or 3-31 (3) both fine and confinement. 3-32 (d) A person other than an individual that commits an 3-33 offense under this section shall be subject on conviction to a fine 3-34 of not less than $2,000 or more than $20,000. 3-35 (e) If it is shown on the trial of a person other than an 3-36 individual that the person has previously been convicted of an 3-37 offense under this section, the offense is punishable by a fine of 3-38 not less than $4,000 or more than $40,000. 3-39 Sec. 361.565. ENDANGERMENT OFFENSES. (a) A person commits 3-40 an offense if, acting intentionally or knowingly, the person 3-41 transports, processes, stores, exports, or disposes of, or causes 3-42 to be transported, processed, stored, exported, or disposed of, 3-43 medical waste in violation of this chapter and thereby knowingly 3-44 places any other person in imminent danger of death or serious 3-45 bodily injury. 3-46 (b) A person who commits an offense under Subsection (a) is 3-47 punishable upon conviction by: 3-48 (1) a fine of not less than $2,500 or more than 3-49 $250,000; 3-50 (2) imprisonment for not more than 15 years; or 3-51 (3) both fine and imprisonment. 3-52 (c) A person other than an individual who commits an offense 3-53 under Subsection (a) shall be subject upon conviction to a fine of 3-54 not less than $5,000 or more than $1 million. 3-55 (d) If an offense committed by an individual under 3-56 Subsection (a) results in death or serious bodily injury to any 3-57 person, the individual may be punished by: 3-58 (1) a fine of not less than $5,000 or more than 3-59 $500,000; 3-60 (2) imprisonment for not less than two years or more 3-61 than 30 years; or 3-62 (3) both fine and imprisonment. 3-63 (e) If an offense committed by a person other than an 3-64 individual under Subsection (a) results in death or serious bodily 3-65 injury to any person, the person shall be subject upon conviction 3-66 to a fine of not less than $10,000 or more than $1,500,000. 3-67 (f) A person commits an offense if the person, acting 3-68 intentionally or knowingly with respect to the person's conduct, 3-69 transports, processes, stores, exports, or disposes of medical 3-70 waste in violation of this chapter, thereby placing any other 4-1 person in imminent danger of death or serious bodily injury, unless 4-2 the conduct charged is done in strict compliance with all required 4-3 permits or with a valid and currently effective order issued or 4-4 rule adopted by the appropriate regulatory agency. 4-5 (g) An offense under Subsection (f) is punishable for an 4-6 individual by: 4-7 (1) a fine of not less than $1,500 or more than 4-8 $150,000; 4-9 (2) imprisonment for not more than five years; or 4-10 (3) both fine and imprisonment. 4-11 (h) An offense under Subsection (f) is punishable for a 4-12 person other than an individual by a fine of not less than $3,000 4-13 or more than $300,000. 4-14 (i) If an offense committed under Subsection (f) results in 4-15 death or serious bodily injury to any person, an individual may be 4-16 punished by: 4-17 (1) a fine of not less than $3,000 or more than 4-18 $300,000; 4-19 (2) imprisonment for not less than two years or more 4-20 than 10 years; or 4-21 (3) both fine and imprisonment. 4-22 (j) If an offense committed by a person other than an 4-23 individual under Subsection (f) results in death or serious bodily 4-24 injury to any person, the person may be punished by a fine of not 4-25 less than $6,000 or more than $600,000. 4-26 (k) A person commits an offense if the person, acting 4-27 intentionally or knowingly with respect to the person's conduct, 4-28 releases or causes or permits the release of a medical waste into 4-29 the environment, thereby placing any other person in imminent 4-30 danger of death or serious bodily injury, unless the release is 4-31 made in strict compliance with all required permits or a valid and 4-32 currently effective order issued or rule adopted by the appropriate 4-33 regulatory agency. 4-34 (l) An offense under Subsection (k) is punishable for an 4-35 individual by: 4-36 (1) a fine of not less than $1,500 or more than 4-37 $150,000; 4-38 (2) imprisonment for not more than five years; or 4-39 (3) both fine and imprisonment. 4-40 (m) An offense under Subsection (k) is punishable for a 4-41 person other than an individual by a fine of not less than $3,000 4-42 or more than $300,000. 4-43 (n) If an offense committed by an individual under 4-44 Subsection (k) results in death or serious bodily injury to any 4-45 person, the individual may be punished by: 4-46 (1) a fine of not less than $3,000 or more than 4-47 $300,000; 4-48 (2) imprisonment for not less than two years or more 4-49 than 10 years; or 4-50 (3) both fine and imprisonment. 4-51 (o) If an offense committed by a person other than an 4-52 individual under Subsection (k) results in death or serious bodily 4-53 injury to any person, the person may be punished by a fine of not 4-54 less than $6,000 or more than $600,000. 4-55 (p) A person commits an offense if the person, acting 4-56 recklessly with respect to the person's conduct, releases or causes 4-57 or permits the release of a medical waste into the environment, 4-58 thereby placing any other person in imminent danger of death or 4-59 serious bodily injury, unless the release is made in strict 4-60 compliance with all required permits or a valid and currently 4-61 effective order issued or rule adopted by the appropriate 4-62 regulatory agency. 4-63 (q) An offense under Subsection (p) is punishable for an 4-64 individual by: 4-65 (1) a fine of not less than $1,000 or more than 4-66 $100,000; 4-67 (2) confinement in jail not to exceed one year; or 4-68 (3) both fine and confinement. 4-69 (r) An offense under Subsection (p) is punishable for a 4-70 person other than an individual by a fine of not less than $2,500 5-1 or more than $250,000. 5-2 (s) If an offense committed by an individual under 5-3 Subsection (p) results in death or serious bodily injury to any 5-4 person, the individual may be punished by: 5-5 (1) a fine of not less than $2,000 or more than 5-6 $200,000; 5-7 (2) confinement for not less than one year or more 5-8 than two years; or 5-9 (3) both fine and confinement. 5-10 (t) If an offense committed by a person other than an 5-11 individual under Subsection (p) results in death or serious bodily 5-12 injury to any person, the person may be punished by a fine of not 5-13 less than $5,000 or more than $500,000. 5-14 Sec. 361.566. AFFIRMATIVE DEFENSE; KNOWLEDGE REQUIREMENT. 5-15 (a) It is an affirmative defense to prosecution under Section 5-16 361.565 that the conduct charged was freely consented to by the 5-17 person endangered and that the danger and conduct charged were 5-18 reasonably foreseeable hazards of the person's occupation, 5-19 business, or profession or a medical treatment or medical or 5-20 scientific experimentation conducted by professionally approved 5-21 methods and the person endangered had been made aware of the risks 5-22 involved before giving consent. 5-23 (b) In a prosecution of an offense under Section 361.565(a), 5-24 in determining whether a defendant who is an individual knew that 5-25 the violation placed another individual in imminent danger of death 5-26 or serious bodily injury, the defendant is responsible only for the 5-27 defendant's actual awareness or actual belief possessed. Knowledge 5-28 possessed by a person other than the defendant may not be 5-29 attributed to the defendant. To prove a defendant's actual 5-30 knowledge, circumstantial evidence may be used, including evidence 5-31 that the defendant took affirmative steps to be shielded from 5-32 relevant information. 5-33 Sec. 361.567. VENUE. Venue for prosecution for an alleged 5-34 violation under this section is in the county in which the 5-35 violation is alleged to have occurred or in Travis County. 5-36 SECTION 2. If any section, sentence, clause, or part of this 5-37 Act shall, for any reason, be held invalid, such invalidity shall 5-38 not affect the remaining portions of the Act, and it is hereby 5-39 declared to be the intention of this legislature to have passed 5-40 each section, sentence, clause, or part irrespective of the fact 5-41 that any other section, sentence, clause, or part may be declared 5-42 invalid. 5-43 SECTION 3. (a) The changes in law made by this Act apply 5-44 only to a criminal offense committed or a violation that occurs on 5-45 or after the effective date of this Act. For the purposes of this 5-46 Act, a criminal offense is committed or a violation occurs before 5-47 the effective date of this Act if any element of the offense or 5-48 violation occurs before that date. 5-49 (b) A criminal offense committed or violation that occurs 5-50 before the effective date of this Act is covered by the law in 5-51 effect when the criminal offense was committed or the violation 5-52 occurred, and the former law is continued in effect for this 5-53 purpose. 5-54 SECTION 4. This Act takes effect September 1, 1995. 5-55 SECTION 5. The importance of this legislation and the 5-56 crowded condition of the calendars in both houses create an 5-57 emergency and an imperative public necessity that the 5-58 constitutional rule requiring bills to be read on three several 5-59 days in each house be suspended, and this rule is hereby suspended. 5-60 * * * * *