Skip to main content
U.S. flag

An official website of the United States government

Here’s how you know

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

    • Environmental Topics
    • Air
    • Bed Bugs
    • Cancer
    • Chemicals, Toxics, and Pesticide
    • Emergency Response
    • Environmental Information by Location
    • Health
    • Land, Waste, and Cleanup
    • Lead
    • Mold
    • Radon
    • Research
    • Science Topics
    • Water Topics
    • A-Z Topic Index
    • Laws & Regulations
    • By Business Sector
    • By Topic
    • Compliance
    • Enforcement
    • Laws and Executive Orders
    • Regulations
    • Report a Violation
    • Environmental Violations
    • Fraud, Waste or Abuse
    • About EPA
    • Our Mission and What We Do
    • Headquarters Offices
    • Regional Offices
    • Labs and Research Centers
    • Planning, Budget, and Results
    • Organization Chart
    • EPA History

Breadcrumb

  1. Home
  2. Stationary Sources of Air Pollution

Hospital, Medical, and Infectious Waste Incinerators (HMIWI): New Source Performance Standards (NSPS), Emission Guidelines, and Federal Plan Requirements Regulations

Hospital, Medical, and Infectious Waste Incinerators (HMIWI): New Source Performance Standards (NSPS), Emission Guidelines, and Federal Plan Requirements Regulations
Basic Information
Legal Authorities
  • 42 U.S.C. §7429
Federal Register Citations
  • 78 FR 54766
  • 78 FR 28052
  • 77 FR 24272
  • 76 FR 18407
  • 75 FR 27249
  • 74 FR 51368
  • 73 FR 72962
  • 72 FR 5510
  • 65 FR 49868
  • 64 FR 36426
  • 62 FR 48348
  • 61 FR 31736
  • 60 FR 10654
Code of Federal Regulations Citations
  • 40 CFR Part 60 Subpart Ce
  • 40 CFR Part 60 Subpart Ec
  • 40 CFR Part 62 Subpart HHH
Docket Numbers
  • EPA-HQ-OAR-2006-0534
  • EPA-HQ-OAR-2011-0405

On this page:

  • Rule Summary
  • Rule History
  • Additional Resources
  • Compliance

Rule Summary

Section 129 of the Clean Air Act (CAA), titled, “Solid Waste Combustion,” requires the EPA to develop and adopt standards for solid waste incineration units pursuant to CAA sections 111 and 129.

This suite of actions promulgate EPA’s new source performance standards (NSPS), emission guidelines (EG), and federal implementation plan (FIP) for hospital/medical/infectious waste incineration units (HMIWI). These final rules set limits for nine pollutants under CAA section 129:

  • Cadmium,
  • carbon monoxide,
  • hydrogen chloride,
  • lead,
  • mercury,
  • nitrogen oxides,
  • particulate matter,
  • polychlorinated dibenzo-p-dioxins and polychlorinated dibenzofurans, and
  • sulfur dioxide.

Rule History

09/06/2013 – Correction to Final Rule (78 FR 54766)

05/13/2013 – Final Rule (78 FR 28052)

04/23/2012 – Proposed Rule (77 FR 24272)

04/04/2011 – Final Rule (76 FR 18407)

05/14/2010 – Proposed Rule (75 FR 27249)

10/06/2009 – Final Rule (74 FR 51368)

12/01/2008 – Proposed Rule (73 FR 72962)

02/06/2007 – Proposed Rule (72 FR 5510)

08/15/2000 – Final Rule (65 FR 49868) (subpart HHH)

07/06/1999 – Proposed Rule (64 FR 36426) (subpart HHH)

09/15/1997 – Final Rule (62 FR 48348)

06/20/1996 – Notice of availability of supplemental information (61 FR 31736)

02/27/1995 – Proposed Rules (60 FR 10654)

Additional Resources

Hospital, Medical, and Infectious Waste Incinerators (HMIWI) Fact Sheets

2010 State Implementation Guidance Document with Appendices

Summary of Amended Regulation Controlling Emissions from Existing Hospital/Medical/Infectious Waste Incinerators (HIMWI)

Questions and Answers Regarding the 2009 New Source Performance Standards (NSPS) Emissions Guidelines, and State Plan Process for Hospital, Medical, and Infectious Waste Incinerators (HMIWI)

Medical Waste Incinerators: 1994 Background Information for Proposed Standards and Guidelines; Industry Profile Report for New and Existing Facilities

1997 State Implementation Guidance Document

Questions and Answers Regarding the 1997 State Plan Requirements for Hospital, Medical, and Infectious Waste Incinerators (HMIWI)

View the NSPS and EG supporting documents or the Federal Plan supporting documents in the docket folder to find additional related documents to this rule.

Related Rules

Commercial and Industrial Solid Waste Incineration Units (CISWI): New Source Performance Standards (NSPS) and Emission Guidelines (EG) for Existing Sources

Large Municipal Waste Combustors (LMWC): New Source Performance Standards (NSPS) and Emissions Guidelines

Small Municipal Waste Combustors (SMWC): New Source Performance Standards (NSPS) and Emission Guidelines

Sewage Sludge Incineration Units (SSI): New Source Performance Standards (NSPS) and Emission Guidelines

Other Solid Waste Incinerators (OSWI): New Source Performance Standards (NSPS) and Emission Guidelines for Existing Sources

Hazardous Waste Combustors: National Emission Standards for Hazardous Air Pollutants (NESHAP)

Non-Hazardous Secondary Materials Rulemakings

Compliance

Applicability Determination Index (ADI). The ADI is maintained by EPA's Office of Enforcement and Compliance Assurance (OECA) and provides a data base of memoranda dealing with applicability issues.  The database is searchable by Subpart.

Memorandum of Understanding Between the United States Environmental Protection Agency and the American Hospital Association

Applicability Flowchart: 2009 Amended Regulation Controlling Emissions from HIMWI

Stationary Sources of Air Pollution

  • Regulations
    • Industry Sector Groups
    • National Emission Standards for Hazardous Air Pollutants (NESHAP)
      • Area Source Standards
      • Risk and Technology Review Status
    • New Source Performance Standards
    • Good Neighbor Plan for the 2015 Ozone National Ambient Air Quality Standards
  • Small Business Assistance Program
Contact Us About Stationary Sources of Air Pollution
Contact Us to ask a question, provide feedback, or report a problem.
Last updated on March 27, 2025
  • Assistance
  • Spanish
  • Arabic
  • Chinese (simplified)
  • Chinese (traditional)
  • French
  • Haitian Creole
  • Korean
  • Portuguese
  • Russian
  • Tagalog
  • Vietnamese
United States Environmental Protection Agency

Discover.

  • Accessibility Statement
  • Budget & Performance
  • Contracting
  • EPA www Web Snapshot
  • Grants
  • No FEAR Act Data
  • Plain Writing
  • Privacy
  • Privacy and Security Notice

Connect.

  • Data
  • Inspector General
  • Jobs
  • Newsroom
  • Regulations.gov
  • Subscribe
  • USA.gov
  • White House

Ask.

  • Contact EPA
  • EPA Disclaimers
  • Hotlines
  • FOIA Requests
  • Frequent Questions
  • Site Feedback

Follow.