California Integrated Waste Management Board 1 Consideration of Model Programs and Procedures for the Collection and Proper Disposal of Pharmaceutical Waste As Required by Public Resources Sections and Discussion of Management of Sharps

California Integrated Waste Management Board Agenda Item Purpose 2 Update the Board on Implementation of SB 1305 Approve Criteria and Procedures for Model Pharmaceutical Waste Collection and Disposal Programs

California Integrated Waste Management Board SB

California Integrated Waste Management Board SB Enacted into Law in 2006 Concerns from the Solid Waste Management and Hospitality Workers re: Needle Sticks at MRFs, Recycling Centers, Landfills, Trash Cans

California Integrated Waste Management Board 5

Sharps Generation 6 U.S. - 3 Billion Home-Generated Sharps Generated California – Approximately 300 Million

California Integrated Waste Management Board SB 1305 Requirements 7 Amended MWMA to Define Home-Generated Sharps Illegal to Dispose of “Home-Generated” Sharps in Trash, Recycling, or Green Waste Containers Can Only be Transported in Containers Approved by CDPH or the LEA.

California Integrated Waste Management Board Where Can Sharps Be Disposed? 8 HHW Facilities Medical Waste Generator Facilities Home-Generated Sharps Consolidation Points Medical Waste Mail-Back Containers

California Integrated Waste Management Board SB 1305 Implementation Strategy 9 Educate Local Government Staff About the Law Develop Educational Materials & Disseminate Develop a Searchable Web Based Data Base Increase the Number of Collection Locations by Soliciting Pharmacies

California Integrated Waste Management Board SB 1305 Implementation Strategy 10 Work with the California Diabetes Educators and Chronic Disease Organizations Work with LEAs Re: How to Handle Sharps Found at Landfills, Recycling Centers, or MRFs

California Integrated Waste Management Board SB 1305 Implementation Strategy 11 Meet with Retailers Re: Corporate Retail Take Back Programs Work with PSI and CPSC to Implement EPR Programs Work with Hospitals, Clinics, and Medical Organizations to Become Collection Locations Research and Facilitate the Use of Source Reduction Devices

California Integrated Waste Management Board Accomplishments 12 3 Stakeholder Meetings Sharps Web Page HHWIE Meetings Sharps Searchable Database

California Integrated Waste Management Board Accomplishments 13 Developed Educational Materials Sent Out Materials to 6,000 Pharmacies List Serv – 400 Contacts

California Integrated Waste Management Board Ongoing Sharps Issues 14 Business and Professions Code Lack of Continuous Funding in Some Areas Lack of Retail Pharmacies Making It a Corporate Policy to Collect Sharps Lack of Knowledge About the New Law by Self- Injectors and Home-Health Care Providers

California Integrated Waste Management Board Ongoing Issues 15 Lack of Any Type of Enforcement Power Re: Throwing in the Trash Lack of Program Consistency from Jurisdiction to Jurisdiction No Requirement on Mfrs. Or Retailers to Take Back Sharps Except in SLO.

California Integrated Waste Management Board Questions? 16

California Integrated Waste Management Board SB 966 Procedures for Model Pharmaceutical Waste Collection Programs 17

California Integrated Waste Management Board SB Enacted in 2007 Due to Pharmaceuticals Entering Waterways and Drinking Water

California Integrated Waste Management Board SB 966 Requirements 19 Requires the Board to: Evaluate Other State, Local, and Other Governmental Entity Programs Develop Model Programs for the Collection and Proper Disposal of Drug Waste.

California Integrated Waste Management Board SB 966 Requirements 20 Requires the Board to: Establish Criteria and Procedures for the Implementation of Model Programs. Make the Model Programs Available No Later Than December 1, Submit a Report to the Legislature on Drug Take Back Programs and the Potential Implementation of a Statewide Program by 2010

California Integrated Waste Management Board Criteria for Model Programs 21 1.Operate at No Cost to the Consumer for the Safe Take Back and Disposal 2. Protect the Public Health and Safety & Environment 3. Protect the Health and Safety of Consumers

California Integrated Waste Management Board Criteria for Model Programs Provide for Reporting to the Board 5. Protect Against Diversion of Drug Waste 6. Provide Educational Materials for Consumers

California Integrated Waste Management Board Plan to Implement SB Developed and Met With Working Group Conducted Stakeholder Meetings - 3 Spoke at HHWIEs and WSPPN Meetings Gathered Info via Survey & Internet Developed Criteria and Procedures

California Integrated Waste Management Board Plan to Implement SB 966 (cont.) 24 Sent out Criteria and Procedures for Comments Held Stakeholder Workshop Submitted to the Board for Comments and Approval

California Integrated Waste Management Board Take Back Program Survey 25 Surveyed Programs in CA and in Other States. Received 23 Completed Surveys & 4 from Out of State. Most Collect at HHW Facilities

California Integrated Waste Management Board Take Back Program Survey (cont.) 26 Collect at Police Stations, Pharmacies, Public Facilities, and by Mail Back Programs. Attachment 2 Summarizes How the Surveyed Programs Meet the SB 966 Criteria.

California Integrated Waste Management Board Proposed Criteria and Procedures for Collection of Drug Waste 27

California Integrated Waste Management Board Proposed Criteria and Procedures for Collection of Drug Waste 28 Written to Comply With Statute Assist Organizations or Local Govt in Developing Collection Programs.

California Integrated Waste Management Board Proposed Criteria and Procedures for Collection of Drug Waste 29 Developed from: Statutory Requirements Completed Surveys Working Group Input Stakeholder Comments

California Integrated Waste Management Board 30 Proposed Criteria and Procedures for Collection of Drug Waste Sections (I) Permanent Collection and Disposal Programs (II) Government-Sponsored One Time or Periodic Collection Events (III) Pharmaceutical Waste Collection and Disposal Programs Through a Mail Back Program

California Integrated Waste Management Board Proposed Criteria and Procedures for Collection of Drug Waste 31 What Can be Collected Controlled Substances How to Collect Pharmaceuticals Security Signage Data Collection Education

California Integrated Waste Management Board Proposed Criteria and Procedures for Collection of Drug Waste (cont.) 32 Logistics Govt. Authorization – Permits Budget Advertising Equipment Staffing

California Integrated Waste Management Board Dissemination of the Procedures 33

California Integrated Waste Management Board Dissemination of the Procedures 34 Post on the Board’s Sharps and Pharma Listserv Post on the National Listserv Provided to Local Govts. and HHW Programs

California Integrated Waste Management Board Ongoing Issues Re: Pharms 35

California Integrated Waste Management Board Ongoing Issues Re: Pharms 36 The Business and Professions Code (B&P Code) Collection of Controlled Substances and Illegal Drug Diversion Ongoing Funding Places a Burden on Locals to Collect Pharms Not Eligible for HHW grant funds.

California Integrated Waste Management Board Ongoing Issues Re: Pharmas 37 No Take Back Policies Regarding Mfrs. And Retailers Insufficient Funding for Education and Outreach

California Integrated Waste Management Board Questions? 38