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                               * * * * *