Welcome to Maryland's Special (Regulated) Medical Waste Program

What is.docx.pdfWhat is Special Medical Waste? Special medical waste is sometimes known as hazardous medical waste or infectious medical waste (waste which has been or is likely to have been contaminated by an organism capable of causing disease in healthy humans)

In Maryland, the Department of Health and Mental Hygiene (DHMH) is responsible for the definition of special (regulated) medical waste and the criteria by which treatment methods are evaluated (as to whether the treatment creates a regulated or non-regulated waste product).

The Department of the Environment (MDE) is responsible for permitting and regulation of all aspects of special (regulated) medical waste transportation and also requires medical waste handlers to notify MDE of medical waste activity.

Note:  (Generators are only required to file a notification if they generate 50 pounds or more special medical waste in a calendar month or have more than 50 pounds of special medical waste on site at any time).


  1. DHMH is responsible for defining special medical waste and evaluating whether specific teatment methods are or are not acceptable means of treating special medical waste.
  2. MDE has regulations that govern all aspects of the transport and disposal of special medical waste.

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