# Inscite — Hazardous Materials Safety Interpretation

**Citation:** 99-0106  
**Type / status:** guidance / guidance  
**Agency:** Pipeline and Hazardous Materials Safety Administration  
**Effective:** Not stated  
**Published:** 2000-03-24

99-0106 response to Inscite concerning 173.134.

## Document text

<<<PAGE 1>>>

Washington, D.C.
research and
MAR 24 2000
Edward Krisiunas, MT (ASCP),
Reference No. 99-0106
CIC, MPH
Director, Inscite
115 Lyons Road
Burlington, CT 06013
•
Dear Mr. Krisiunas:
This is in response to your letter concerning a provision in 49 CFR 173.134 that excepts waste
transported from households from regulation under the Hazardous Materials Regulations
(HMR; 49 CFR Parts 171-180). You asked for a clarification of what constitutes household
waste. You also asked us to explain why regulated medical waste (RMW) that is transported
by a courier from a physician's office is regulated under the HMR but it is not regulated when
generated by a home health care provider and discarded in household waste. I apologize for
the delay in responding and any inconvenience this may have caused.
Household waste is not subject to the requirements in the HMR. (See § 173.134(b)(1)(v).)
In 1989, the Environmental Protection Agency (EPA) published an interim final rule (54 FR
12326, 12339) that implemented a two-year demonstration program for regulating medical
waste. EPA excluded from regulation medical waste from households, including that generated
by a home health care provider. I have enclosed a copy of the preamble discussion on
household waste that appeared in the EPA final rule. We agreed with EPA's position. When
we amended our infectious substance requirements in the HMR and added a definition for
RMW, we provided a similar exclusion for household waste (56 FR 66124, 66142).
I hope this satisfies your request.
Sincerely,
Hothe 2. Mithell
Hattie L. Mitchell, Chief
Regulatory Review and Reinvention
Office of Hazardous Materials Standards
Enclosures
173.134
990106
-

<<<PAGE 2>>>

mack
$173.134
INSCITE
BURLINGTON,
115 LYONS ROA
PHONE • (860) 675-1217
:т 0601
LEADERSHIP THROUGH KNOWLEDGE
OFFICES IN BURLINGTON. CTAND HOUSTON Tx
FAX
• (860) 675-1311
99-0106
April 14, 1999
Hattie Mitchell
Abele by
U.S. Department of Transportation
Research and Special Programs Administration Program
400 Seventh Avenue, S.W
Washington, D.C. 20509
Dear Ms. Mitchell,
I am writing in response to your letter to Dr. Woodard, Reference # 99-0009, on the
transportation of "Regulated Medical Waste, 6.2, UN 3291, PG I' by couriers.
The letter states "intrastate and interstate shippers and carriers, including couriers of
hazardous materials, which includes certain RMW, are subject to the HMR. Examples of waste
materials that are excepted from regulation under the HMR are waste from households, and
corpses or anatomical remains intended for cremation or interment".
I request a clarification on what constitutes household waste and what appears to be the
exception of HMR for couriers who remove RMW from households. I raise this issue because I
believe this is inconsistent with your regulations.
MR - removal of RMW from a doctor or dentist's office by a courier service require
Your statement above clearly indicates couriers of hazardous materials are subject to the
mpliance with the HMR. I believe the logic that applies here is what is the waste (RMW), wh
is generating the waste (healthcare professional), and who is removing the waste (courier).
Would not the same logic apply to RMW generated in the home by the same health care
professional and transported in commerce by the same courier service?
The use of home health care has expanded not only in the U.S but also across the world.
Procedures, services, and treatment once conducted in the acute care setting are now occurring in
offices and residences. The resulting waste stream generated pursuant to these services includes
but is not limited to sharps and chemotherapeutic agents in both settings. In both instances, the
healthcare professionals generate the same hazardous material. In both instances, the courier
transportation in commerce.
would be transporting the same type of hazardous material. These couriers are conducting
I believe the exception for waste from households, which you referenced in your letter to
Dr. Woodard, applies to waste actually generated by the homeowner as a consequence of the
homeowner's personal healthcare and disposed of by the homeowner along with other non-
1
in-site (in' sit' ) n. 1 the ability to see and understand clearly the inner nature of things

<<<PAGE 3>>>

INSCITE
LEADERSHIP THROUGH KNOWLEDGE
hazardous household waste. I would agree it is unrealistic and impossible to regulate the
ndividual homeowner. In most instances, the US EPA does not regulate hazardous waste
enerated by the homeowner for purely practical reasons. This is addressed by programs in plac
at the local level to assist homeowners in the disposal of hazardous waste materials and other
hazardous materials they may accumulate. I note emphasis on who is generating the waste and
the transportation in commerce of that waste.
The movement of health care from the acute care setting to the home environment has
I look forward to your response.
Regards,
Eel Kusunos
Edward Krisiunas, MT(ASCP), CIC, MPH
Director
Cc:
Alan Roberts, RSPA
Ed Mazzulo, RSPA
Alan Woodard, Ph.D., NYSDEC
2
in-site (in' sit') n. 1 the ability to see and understand clearly the inner nature of things
-

## Provenance

- Official: Yes
- Source: <https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/legacy/interpretations/Interpretation%20Files/1999/990106.pdf>
- Source ID: `phmsa`
- SHA-256: `4cb20fb45e5760fca28de5dfa00852484b169a9523f51ffff8738af6e13ff76b`
- Retrieved: 2026-08-20T00:59:31.977Z
- Exported: 2026-08-25T17:14:52.414Z
- Document slug: `phmsa-interpretation-99-0106`

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