Medical waste rules in Syracuse, NY
New York regulates regulated medical waste (RMW) through two agencies. The Department of Environmental Conservation (DEC) covers most generators, including physician, dental and veterinary practices, under 6 NYCRR Part 365; hospitals, nursing homes, diagnostic and treatment centers and clinical laboratories are regulated by the Department of Health under 10 NYCRR Part 70. Waste transporters are permitted by the DEC under 6 NYCRR Part 364.
- Segregation and containers: generators keep written policies for identifying and segregating RMW. Primary containers meet DOT standards (49 CFR 173.196, 173.197, 173.199); sharps go in rigid, leak-proof, puncture-resistant, closable containers; secondary containers carry the universal biohazard symbol or the word Biohazard, plus handling designations such as Incinerate Only for pharmaceuticals (6 NYCRR 365-1.2).
- Storage: RMW may be held in a designated storage area for up to 30 days at a temperature that prevents rapid decomposition and odor. A generator of less than 50 pounds a month may instead store until the container reaches its fill line or shows evidence of putrefaction, whichever comes first. Bulk containers: 21 days below 45°F or 14 days above; pathological waste, blood and animal waste 7 days.
- Transport: RMW leaves the site only with a transporter authorized under Part 364, and a hard copy of the medical waste tracking form accompanies each load.
- Records: quantities, categories, treatment documentation and tracking-form copies stay on site for at least three years.
- On-site treatment: a facility treating less than 500 pounds a month registers with the DEC under 6 NYCRR 360.15.
New York City adds its own handling rules for commercial generators; the DEC and DOH pages are the starting point for either.
Source: 6 NYCRR 365-1.2, Management of RMW by the generator.
Reviewed September 2026.
General information, not legal advice. Requirements change; we confirm what applies to your facility during onboarding.New York overviewAll states