,i  #aac? ,,congress  #a/ ,session  ,h4 
,r4 #bhia  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #ca1 #bjac ,mr4 
,pallone introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d ! ,solid  
,wa/e ,disposal ,act to require !       
,adm9i/rator ( ! ,environm5tal          
,protection ,ag5cy to promulgate        
regulations on ! managem5t ( m$ical     
wa/e4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,m$ical ,wa/e ,managem5t ,act (
 #bjac4  #b4 ,track+ & disposal ( m$ical
 wa/e  7a7 ,def9ition ( m$ical wa/e     
,section #ajjd ( ! ,solid ,wa/e         
,disposal ,act 7#db ,u4,s4,c4 #fijc7 is 
am5d$ by /rik+ p>agraph 7#dj7 & ins]t+ !
 foll[+3  7#dj7 7,a7 ,except z provid$ 9
 subp>agraph 7,c71 ! t]m m$ical wa/e    
means any solid wa/e :i* is g5]at$ 9 !  
diagnosis1 treatm5t1 or immunization (  
human be+s or animals1 9 rese>* p]ta9+  
!reto1 or 9 ! production or te/+ (      
biologicals4  7,b7 ,su* t]m includes !  
foll[+ types ( solid wa/e3  7i7         

,cultures & /ocks ( infecti\s ag5ts &   
associat$ biologicals1 includ+ cultures 
f m$ical & pa?ological laboratories1    
cultures & /ocks ( infecti\s ag5ts f    
rese>* & indu/rial laboratories1 wa/es f
 ! production ( biologicals1 disc>d$    
live & att5uat$ vacc9es1 & culture di%es
 & devices us$ to transf]1 inoculate1 & 
mix cultures4  7ii7 ,pa?ological wa/e1  
includ+ tissues1 organs1 & body p>ts t  
are remov$ dur+ surg]y or autopsy4      
7iii7 ,wa/e human blood & products (    
blood1 includ+ s]um1 plasma1 & o!r blood
 compon5ts4  7iv7 ,%>ps 7z su* t]m is   
def9$ by ! ,secret>y7 t h be5 us$ 9     
pati5t c>e or 9 m$ical1 rese>*1 or      
indu/rial laboratories1 includ+         
hypod]mic ne$les1 syr+es1 pa/eur        
pipettes1 brok5 glass1 & scalpel blades4
  7v7 ,contam9at$ c>casses1 body p>ts1 &
 b$d+ ( animals t h be5 expos$ to       
infecti\s ag5ts dur+ rese>*1 production 
( biologicals1 or te/+ ( ph>maceuticals4
  7vi7 ,wa/e f surg]y or autopsy t has  
be5 9 contact ) infecti\s ag5ts1 includ+

 soil$ dress+s1 sponges1 drapes1 lavage 
tubes1 dra9age sets1 und]pads1 &        
surgical gloves4  7vii7 ,laboratory wa/e
 f m$ical1 pa?ological1 ph>maceutical1  
or o!r rese>*1 comm]cial1 or indu/rial  
laboratories t has be5 9 contact )      
infecti\s ag5ts1 includ+ slides & cov]  
slips1 disposable gloves1 laboratory    
coats1 & aprons4  7viii7 ,dialysis wa/e 
t has be5 9 contact ) ! blood ( pati5ts 
und]go+ hemodialysis1 includ+ contam9at$
 disposable equipm5t & supplies su* z   
tub+1 filt]s1 disposable %eets1 t[els1  
gloves1 aprons1 & laboratory coats4     
7ix7 ,disc>d$ m$ical equipm5t & p>ts t h
 be5 9 contact ) infecti\s ag5ts4  7x7  
,solid wa/e t is likely to be contam9at$
 ) infecti\s ag5ts because ! wa/es h be5
 9 contact ) humans or animals t are    
qu>ant9$ to protect o!r humans or       
animals f communicable disease4  7xi7   
,solid wa/e g5]at$ dur+--  7,i7 !       
diagnosis or treatm5t ( disease 9 human 
be+s or animals2  7,,ii7 ! provision (  
m$ical s]vices 7includ+ immunizations7  

to human be+s or animals2  7,,iii7      
po/-mortem clean-up or autopsy          
prep>ations = human be+s or animals2    
7,,iv7 m$ical rese>* on human be+s or   
animals2  7,v7 ! op]ation ( a syr+e     
ex*ange program2 or  7,,vi7 ! production
 or te/+ ( a biological product 7z def9$
 9 section #cea ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bfb774     
7,c7 ,su* t]m does n include any haz>d\s
 wa/e id5tifi$ or li/$ "u subtitle ,c or
 any h\sehold wa/e z def9$ 9 regulations
 "u subtitle ,c4  7,d7 ,n lat] ?an ! la/
 day ( ! two-ye> p]iod beg9n+ on ! date 
( enactm5t ( ! ,m$ical ,wa/e ,managem5t 
,act ( #bjac1 ! ,adm9i/rator %all       
promulgate regulations li/+ types (     
m$ical wa/e4  4  7b7 ,am5dm5t ( ,solid  
,wa/e ,disposal ,act ,! ,solid ,wa/e    
,disposal ,act is am5d$ by /rik+        
subtitle ,j 7#db ,u4,s4,c4 #fiib et     
seq47 & ins]t+ ! foll[+3  ,j ,m$ical    
,wa/e ,managem5t ,program  #aajja4      
,m$ical wa/e managem5t program  7a7 ,9  
g5]al ,! ,adm9i/rator %all conduct a    

m$ical wa/e managem5t program = !       
purpose ( protect+ human heal? & !      
environm5t f m$ical wa/e4  7b7          
,compon5ts ( program ,! program "u      
subsection 7a7 %all provide = ! foll[+3 
7#a7 ,track+ m$ical wa/e f any g5]ator (
 su* wa/e to any disposal facility t    
disposes ( su* wa/e1 includ+ a          
recordkeep+ sy/em = g5]ators :o dispose 
( m$ical wa/e at ! same facility :]e !  
wa/e is g5]at$4  7#b7 ,a uni=m manife/  
=m prep>$ by ! g5]ator ( any m$ical wa/e
 t accompanies ! wa/e z x is be+        
transport$ f a g5]ator to a disposal    
facility4  7#c7 ,label+ & packag+       
requirem5ts t--  7,a7 fo/] safe h&l+ ( !
 wa/e2  7,b7 protect ! public f exposure
 to infecti\s disease2 &  7,c7 provide =
 ! id5tification ( ! g5]ator ( ! wa/e4  
7#d7 ,/orage requirem5ts1 includ+ a     
requirem5t = segregation ( ! wa/e at !  
po9t ( g5]ation & dur+ transportation4  
7#e7 ,prop] disposal ( m$ical wa/e ?r\gh
 appropriate me?ods ( disposal t--  7,a7
 are approv$ by ! ,adm9i/rator2 &  7,b7 

provide adequate protection = !         
environm5t & human heal?4  7#f7         
,monitor+ ( g5]ators & transport]s (    
m$ical wa/e & /orage & disposal         
facilities t /ore or dispose ( m$ical   
wa/e = compliance ) ! program "u ?is    
section4  7#g7 ,a requirem5t t su*      
g5]ators1 transport]s1 & facilities     
provide adequate tra9+ to individuals :o
 h&le m$ical wa/e to ensure compliance )
 ! program "u ?is section4  7#h7 ,a     
national plan = manag+ m$ical wa/e      
g5]at$ 9 ,/ates ) a %ortage ( disposal  
facilities4  7c7 ,exemptions  7#a7      
,prop]ly treat$ wa/e  7,a7 ,9 g5]al     
,subject to p>agraph 7#d71 !            
,adm9i/rator may make an exemption f "s 
or all ( ! requirem5ts ( ! program "u   
subsection 7a7 = m$ical wa/e treat$ 9 a 
me?od describ$ "u subp>agraph 7,b74     
7,b7 ,me?ods ( treatm5t ,= purposes (   
?is p>agraph1 ! ,adm9i/rator %all       
promulgate regulations e/abli%+ m9imum  
/&>ds = me?ods ( treat+ m$ical wa/e t   
significantly r$uce ! pot5tial h>m ( su*

 wa/e to ! environm5t & to human heal?4 
7#b7 ,/orage requirem5ts ,subject to    
p>agraph 7#d71 ! ,adm9i/rator may make  
an exemption to ! requirem5t "u         
subsection 7b77#d7 t m$ical wa/e be     
segregat$ f o!r wa/e ^u receipt ( a     
petition = su* an exemption f a g5]ator1
 transport]1 or /orage or disposal      
facility4  7#c7 ,individuals  7,a7 ,9   
g5]al ,subject to subp>agraph 7,b7 &    
p>agraph 7#d71 ! ,adm9i/rator %all make 
an exemption f ! program "u subsection  
7a7 = individuals :o g5]ate m$ical wa/e 
?r\gh p]sonal use ( m$ical or non-m$ical
 products outside ( a m$ical facility4  
7,b7 ,no exemption = l>ge volumes ( wa/e
 ,! ,adm9i/rator may n make an exemption
 "u subp>agraph 7,a7 = an individual :o 
g5]ates #ej p\nds or m ( m$ical wa/e 9  
any cal5d> mon?4  7#d7 ,protection ( !  
environm5t & human heal? ,! ,adm9i/rator
 may n make an exemption "u ?is         
subsection unless ! exemption does n    
endang] ! environm5t or human heal?1 z  
det]m9$ by ! ,adm9i/rator4  7d7         

,regulations  7#a7 ,9 g5]al ,= purposes 
( ! program "u ?is section1 n lat] ?an !
 la/ day ( ! "o-ye> p]iod beg9n+ on !   
date ( enactm5t ( ! ,m$ical ,wa/e       
,managem5t ,act ( #bjac1 ! ,adm9i/rator 
%all promulgate regulations on track+1  
label+1 packag+1 /or+1 h&l+1 monitor+1 &
 dispos+ ( m$ical wa/e4  7#b7 ,v>iation 
9 rules ,! regulations "u p>agraph 7#a7 
may include diff]5t rules = diff]5t     
types ( m$ical wa/e & = diff]5t types ( 
m$ical wa/e g5]ators4  #aajjb4 ,specific
 requirem5ts = g5]ators1 transport]s1 & 
/orage & disposal facilities  7a7       
,specific requirem5ts = g5]ators  7#a7  
,9 g5]al ,a g5]ator ( m$ical wa/e %all--
  7,a7 provide any transport] t is      
transport+ m$ical wa/e f ! g5]ator to a 
disposal facility--  7i7 ) a writt5     
assurance t ! g5]ator has compli$ ) all 
label+1 packag+1 & /orage requirem5ts "u
 section #aajja ) respect to su* m$ical 
wa/e2 &  7ii7 ) a prop]ly complet$      
manife/ =m = transport+ su* wa/e "u     
section #aajja7;b77#b72  7,b7 regi/] ) !

 ,adm9i/rator2 &  7,c7 provide !        
,adm9i/rator ) ! "n ( all transport]s   
us$ by ! g5]ator to transport m$ical    
wa/e4  7#b7 ,application to tattoo &    
body art e/abli%m5ts ,a body art        
e/abli%m5t 7includ+ a tattoo p>lor7 %all
 be consid]$ to be a g5]ator ( m$ical   
wa/e = purposes ( ?is subtitle4  7b7    
,specific requirem5ts = transport]s ,a  
transport] ( m$ical wa/e %all--  7#a7 n 
accept m$ical wa/e f a g5]ator )\t      
receiv+ a writt5 assurance1 ) reg>d to  
su* wa/e1 t is describ$ 9 subsection    
7a77#a77;,a72  7#b7 regi/] ) !          
,adm9i/rator2 &  7#c7 disclose to !     
,adm9i/rator ! numb] & type ( vehicles  
us$ by ! transport] to transport m$ical 
wa/e & ! equipm5t & me?ods us$ to ensure
 segregation & h&l+ ( su* wa/e 9        
accordance ) ?is subtitle4  7c7         
,specific requirem5ts = /orage          
facilities ,an own] or op]ator ( a      
/orage facility %all--  7#a7 provide    
notice ( ! /orage ( m$ical wa/e to !    
g5]ator ( t m$ical wa/e2 &  7#b7 regi/] 

) ! ,adm9i/rator4  7d7 ,specific        
requirem5ts = disposal facilities ,an   
own] or op]ator ( a disposal facility   
%all--  7#a7 provide notice ( ! disposal
 ( m$ical wa/e to ! g5]ator ( t m$ical  
wa/e2 &  7#b7 regi/] ) ! ,adm9i/rator4  
7e7 ,regi/ration ,! ,adm9i/rator may set
 appropriate requirem5ts = regi/ration  
"u ?is section & may collect reasonable 
regi/ration fees f g5]ators1            
transport]s1 & disposal facilities4  7f7
 ,availability ( fees ,subject to       
appropriations1 fees collect$ "u ?is    
section %all rema9 available = use by ! 
,adm9i/rator = purposes ( ! m$ical wa/e 
managem5t program "u ?is subtitle4      
#aajjc4 ,inspections  7a7 ,requirem5ts =
 ,access  7#a7 ,9 g5]al ,^u reque/ ( any
 (fic]1 employee1 or repres5tative ( !  
,environm5tal ,protection ,ag5cy duly   
designat$ by ! ,adm9i/rator1 = purposes 
( develop+ or assi/+ 9 ! developm5t (   
any regulation or report "u ?is subtitle
 or en=c+ any provision ( ?is subtitle1 
any p]son :o g5]ates1 /ores1 treats1    

transports1 disposes (1 or o!rwise h&les
 m$ical wa/e %all furni% in=mation      
relat+ to su* wa/e 7includ+ any manife/ 
=ms requir$ "u section #aajja71 conduct 
monitor+ or te/+1 & p]mit su* (fic]1    
employee1 or repres5tative at all       
reasonable times to h access to1 & to   
copy1 all records relat+ to su* wa/e4   
7#b7 ,specific activities au?oriz$ ,to  
c>ry out inspections = purposes ( !     
program "u section #aajja1 (fic]s1      
employees1 or repres5tatives describ$ "u
 p>agraph 7#a7 are au?oriz$ to--  7,a7  
ent] at reasonable times any build+1    
vehicle1 equipm5t1 conta9]1 or o!r item 
or place :]e m$ical wa/e is g5]at$1     
/or$1 treat$1 dispos$ (1 or transport$2 
7,b7 conduct monitor+ or te/+ relat+ to 
su* wa/e2  7,c7 inspect any su* wa/e &  
any conta9]s1 labels1 & docum5ts relat+ 
to su* wa/e2 &  7,d7 obta9 f any p]son--
  7i7 samples ( su* wa/e2 &  7ii7       
samples or copies ( su* conta9]s1       
labels1 & docum5ts4  7b7 ,proc$ures     
7#a7 ,prompt inspections ,ea* inspection

 "u ?is section %all be comm5c$ &       
complet$ ) reasonable promptness4  7#b7 
,samples  7,a7 ,9 g5]al ,if an (fic]1   
employee1 or repres5tative describ$ "u  
subsection 7a77#a7 obta9s any samples "u
 subsection 7a77#b77;,d71 prior to leav+
 ! site ( inspection ! (fic]1 employee1 
or repres5tative %all give to ! own]1   
op]ator1 or ag5t 9 *>ge a receipt       
describ+ ea* sample obta9$4  7,b7       
,analysis ,if any analysis is made ( su*
 samples1 a copy ( ! results ( su*      
analysis %all be furni%$ promptly to !  
own]1 op]ator1 or ag5t 9 *>ge ( ! site f
 :i* su* sample 0 tak54  7c7            
,availability to public ,! provisions ( 
section #cjjg7;b7 ( ?is ,act %all apply 
to records1 reports1 & in=mation obta9$ 
"u ?is section 9 ! same mann] & to !    
same ext5t z su* provisions apply to    
records1 reports1 & in=mation obta9$ "u 
section #cjjg4  #aajjd4 ,f$]al en=cem5t 
,! provisions ( section #cjjh 7except = 
subsection 7d77#g7 & to ! ext5t su*     
section applies to us$ oil7 %all apply  

to a violation ( ?is subtitle1 ) respect
 to m$ical wa/e1 9 ! same mann] & to !  
same ext5t z su* provisions apply to a  
violation ( subtitle ,c1 ) respect to   
haz>d\s wa/e except t any ref]5ce 9     
section #cjjh to--  7#a7 section #cjjf  
%all be treat$ z a ref]5ce to section   
#aajje2  7#b7 a p]mit "u ?is subtitle   
%all be treat$ z a ref]5ce to           
regi/ration "u section #aajjb2 &  7#c7  
au?orization to op]ate "u section       
#cjje7;e7 %all be treat$ z a ref]5ce to 
a regi/ration "u section #aajjb4        
#aajje4 ,au?oriz$ ,/ate m$ical wa/e     
programs ,! provisions ( section #cjjf  
7except = subsections 7g7 & 7h7 &       
p>agraphs 7#c7 & 7#d7 ( subsection 7c77 
%all1 to ! ext5t consi/5t1 apply to ?is 
subtitle1 ) respect to m$ical wa/e1 9 ! 
same mann] z su* provisions apply to    
subtitle ,c1 ) respect to haz>d\s wa/e1 
except t any ref]5ce 9 section #cjjf    
to--  7#a7 ! date ( enactm5t ( ?is ,act 
%all be treat$ z a ref]5ce to ! date (  
enactm5t ( ! ,m$ical ,wa/e ,managem5t   

,act ( #bjac2  7#b7 ! date ( promulgate 
( regulations "u sections #cjjb1 #cjjd1 
& #cjje1 %all be treat$ z a ref]5ce to !
 date ( promulgation ( regulations "u   
section #aajja1 #aajjb1 & #aajjc2 &     
7#c7 ,janu>y #ca1 #aihf1 %all be treat$ 
z a ref]5ce to ,decemb] #ca1 #bjac4     
#aajjf4 ,syr+e disposal program  7a7 ,9 
g5]al ,! ,adm9i/rator %all e/abli% a    
program on syr+e disposal to--  7#a7    
educate ! public ab\t acceptable me?ods 
= disposal ( us$ syr+es g5]at$ by       
individuals ?r\gh p]sonal use ( su*     
syr+es outside ( m$ical facilities1     
includ+ ?r\gh h\sehold use2 &  7#b7     
provide grants to ,/ate & local         
gov]nm5ts & nonpr(it & private          
entities--  7,a7 to educate ! public    
ab\t su* me?ods2 &  7,b7 to increase    
access to su* disposal me?ods4  7b7     
,acceptable disposal me?ods ,= purposes 
( ?is section1 acceptable me?ods (      
disposal ( us$ syr+es %all be det]m9$ by
 ! ,adm9i/rator & may include community 
drop-(f programs1 haz>d\s wa/e          

facilities t accept h\sehold wa/e1      
mail-back programs1 syr+e ex*ange       
programs1 & ne$le de/ruction devices4   
7c7 ,unacceptable disposal me?ods ,=    
purposes ( ?is section1 disposal--  7#a7
 9 h\sehold g>bage is n an acceptable   
disposal me?od unless ! syr+e has be5   
appropriately 7z det]m9$ by !           
,adm9i/rator7 /]iliz$ & de/roy$2 &  7#b7
 ?r\gh ! sewage sy/em is n an acceptable
 disposal me?od4  #aajjg4 ,reports to   
,congress  7a7 ,annual ,report  7#a7 ,9 
g5]al ,n lat] ?an "o ye> aft] ! date (  
enactm5t ( ! ,m$ical ,wa/e ,managem5t   
,act ( #bjac & annually !reaft]1 !      
,adm9i/rator %all report to ,congress on
 ! foll[+3  7,a7 ,! types1 numb]1 & size
 ( g5]ators ( m$ical wa/e 9 ! ,unit$    
,/ates4  7,b7 ,! types & am\nts ( m$ical
 wa/e g5]at$ 9 ! ,unit$ ,/ates4  7,c7 ,!
 me?ods curr5tly us$ to h&le1 /ore1     
transport1 treat1 & dispose ( ! m$ical  
wa/e1 includ+ ! ext5t to :i* su* wa/e is
 dispos$ ( 9 sew] sy/ems4  7,d7 ,!      
pres5t & pot5tial co/s--  7i7 to local  

economies1 p]sons1 & ! environm5t f !   
improp] h&l+1 /orage1 transportation1   
treatm5t1 or disposal ( m$ical wa/e2 &  
7ii7 to g5]ators1 transport]s1 & /orage 
& disposal facilities f regulations     
e/abli%+ requirem5ts relat$ to track+1  
h&l+1 /or+1 transport+1 treat+1 &       
dispos+ ( m$ical wa/e4  7,e7 ,available 
& pot5tially available me?ods = h&l+1   
/or+1 transport+1 & dispos+ ( m$ical    
wa/e & _! advantages & disadvantages4   
7,f7 ,available & pot5tially available  
me?ods = treat+ m$ical wa/e1 includ+    
me?ods ( /]ilization1 *emical treatm5t1 
& gr9d+4  7,g7 ,! advantages &          
disadvantages ( su* treatm5t me?ods1    
includ+ ! ext5t to :i* su* me?ods--  7i7
 r5d] m$ical wa/e non9fecti\s or less   
infecti\s2  7ii7 make m$ical wa/e       
unrecognizable2 &  7iii7 protect human  
heal? & ! environm5t4  7,h7 ,factors    
impact+ ! effectiv5ess ( ! treatm5t     
me?ods id5tifi$ 9 subp>agraph 7,f71     
includ+ quality control & quality       
assurance proc$ures1 ma9t5ance          

proc$ures1 & op]ator tra9+4  7,i7       
,available & pot5tially available me?ods
 = ! reuse or r$uction ( ! volume (     
m$ical wa/e g5]at$4  7b7 ,/udy & report 
on individual g5]ators  7#a7 ,/udy ,!   
,adm9i/rator %all conduct a /udy on--   
7,a7 ! type ( m$ical wa/e 7includ+ us$  
syr+es7 g5]at$ by individuals ?r\gh     
p]sonal use ( m$ical products outside ( 
m$ical facilities2  7,b7 ! volume ( su* 
wa/e2  7,c7 ! availability & co/ (      
disposal & treatm5t ( su* wa/e2  7,d7 ! 
impact on ! environm5t & human heal? (  
exclud+ su* wa/e f ! m$ical wa/e        
managem5t program "u section #aajja2 &  
7,e7 ! ext5t to :i* individuals are aw>e
 ( & use available disposal & treatm5t  
options = su* wa/e4  7#b7 ,report ,n    
lat] ?an ! la/ day ( ! "o-ye> p]iod     
beg9n+ on ! date ( enactm5t ( ! ,m$ical 
,wa/e ,managem5t ,act ( #bjac1 !        
,adm9i/rator %all submit a report to    
,congress conta9+--  7,a7 ! results ( ! 
/udy "u p>agraph 7#a72  7,b7 recomm5d$  
/&>ds = ! h&l+1 /orage1 treatm5t1 &     

disposal ( su* wa/e2 &  7,c7            
recomm5dations = educat+ ! public ab\t  
su* /&>ds4  7c7 ,consultation ,9 prep>+ 
! reports "u ?is section1 ! ,adm9i/rator
 %all consult ) appropriate ,/ate &     
local ag5cies4  #aajjh4 ,g5]al          
provisions  7a7 ,consultation  7#a7 ,9  
promulgat+ regulations "u ?is subtitle1 
! ,adm9i/rator %all consult ) ! ,/ates &
 may consult ) o!r int]e/$ p>ties4  7#b7
 ,! ,adm9i/rator %all also consult ) !  
,int]national ,jo9t ,commission 7z      
e/abli%$ by ! ,b\nd>y ,wat]s ,treaty (  
#aiji betwe5 ,canada & ! ,unit$ ,/ates7 
to det]m9e h[ to track m$ical wa/e ent]+
 ! ,unit$ ,/ates f ,canada4  7b7        
,pap]work ,r$uction ,act ,! promulgation
 ( su* regulations %all n be subject to 
! ,pap]work ,r$uction ,act ( #aihj4  7c7
 ,relation%ip to ,subtitle ,c ,no?+ 9   
?is subtitle %all affect ! au?ority ( ! 
,adm9i/rator to regulate m$ical wa/e "u 
subtitle ,c ( ?is ,act4  #aajji4        
,effective date ( regulations ,!        
regulations promulgat$ "u ?is subtitle  

%all take effect on ! la/ day ( !       
#ij-;day p]iod beg9n+ on ! date su*     
regulations are promulgat$4  4  7c7     
,table ( ,cont5ts ,! table ( cont5ts = !
 ,solid ,wa/e ,disposal ,act is am5d$ by
 /rik+ ! items relat+ to subtitle ,j &  
ins]t+ ! foll[+3  ,subtitle ,j--,m$ical 
,wa/e ,managem5t ,program ,sec4 #aajja4 
,m$ical wa/e managem5t program4 ,sec4   
#aajjb4 ,specific requirem5ts =         
g5]ators1 transport]s1 & /orage &       
disposal facilities4 ,sec4 #aajjc4      
,inspections4 ,sec4 #aajjd4 ,f$]al      
en=cem5t4 ,sec4 #aajje4 ,au?oriz$ ,/ate 
m$ical wa/e programs4 ,sec4 #aajjf4     
,syr+e disposal program4 ,sec4 #aajjg4  
,reports to ,congress4 ,sec4 #aajjh4    
,g5]al provisions4 ,sec4 #aajji4        
,effective date ( regulations4  4