Health and Safety Code — Part 19 | HSC — United States — California law | Esheria

Health and Safety Code

Part 19 of 87 · provisions 3,601–3,800

This section says the act is to be known as the Health and Safety Code.

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About this statute

The Legislature states findings supporting a unified, single-payer-style health care financing system for all Californians. The State Department of Health Services is renamed the State Department of Health Care Services, and its retained functions continue with the renamed department. The Director of Health Care Services is appointed by the Governor with Senate confirmation, the director receives a salary set by law, and the Governor may appoint up to two chief deputies on the director’s recommendation. The director has the powers of a department head under the cited Government Code chapter. The Department of Health Services has a Division of Rural Health, and that division must administer specified chapters and sections.

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Provisions of Health and Safety Code

Showing 200 of 17,333

  1. 1179.99.

    ## Health and Safety Code - HSC ## DIVISION 1. ADMINISTRATION OF PUBLIC HEALTH [135 - 1179.102] ( Division 1 enacted by Stats. 1939, Ch. 60. ) ## PART 6.3. CHILDREN’S HOSPITAL BOND ACT OF 2018 [1179.81 - 1179.102] ( Part 6.3 added November 6, 2018, by initiative Proposition 4, Sec. 1. ) ## CHAPTER 3. Fiscal Provisions [1179.89 - 1179.100] ( Chapter 3 added November 6, 2018, by initiative Proposition 4, Sec. 1. )

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    The bonds may be refunded under the referenced Government Code bond-law procedure.

    ## Health and Safety Code - HSC ## DIVISION 1. ADMINISTRATION OF PUBLIC HEALTH [135 - 1179.102] ( Division 1 enacted by Stats. 1939, Ch. 60. ) ## PART 6.3. CHILDREN’S HOSPITAL BOND ACT OF 2018 [1179.81 - 1179.102] ( Part 6.3 added November 6, 2018, by initiative Proposition 4, Sec. 1. ) ## CHAPTER 3. Fiscal Provisions [1179.89 - 1179.100] ( Chapter 3 added November 6, 2018, by initiative Proposition 4, Sec. 1. ) ## 1179.99. The bonds may be refunded in accordance with Article 6 (commencing with Section 16780) of Chapter 4 of Part 3 of Division 4 of Title 2 of the Government Code, which is a part of the State General Obligation Bond Law. Approval by the voters of the state for the issuance of the bonds described in this part includes the approval of the issuance of any bonds issued to refund any bonds originally issued under this part or any previously issued refunding bonds. (Added November 6, 2018, by initiative Proposition 4, Sec. 1. Effective December 19, 2018.)
  2. 11790.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

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    The department may help local community organizations start programs to prevent and treat alcohol and other drug use, if the county alcohol and drug program administrator asks for help. It may also charge a fee for that assistance.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11790. The department, at the request of the county alcohol and drug program administrator, may assist local community organizations in initiating effective programs to prevent and treat alcohol and other drug use. The department may charge a fee for this assistance. (Amended by Stats. 2024, Ch. 847, Sec. 17. (AB 2995) Effective January 1, 2025.)
  3. 117900.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    No person may haul medical waste unless they fall within one of five listed categories.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117900. No person shall haul medical waste unless the person is one of the following: (a) A registered hazardous waste hauler pursuant to the requirements of Chapter 6.5 (commencing with Section 25100) of Division 20. (b) A mail-back system approved by the United States Postal Service. (c) A common carrier allowed to haul pharmaceutical waste pursuant to Section 118029 or 118032. (d) A small quantity generator or a large quantity generator transporting limited quantities of medical waste with an exemption granted pursuant to either Section 117946 or Section 117976, respectively. (e) A registered trauma scene waste practitioner hauling trauma scene waste pursuant to Section 118321.5. (Amended by Stats. 2014, Ch. 564, Sec. 32. (AB 333) Effective January 1, 2015.)
  4. 117903.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A person must not treat medical waste unless permitted by the enforcement agency or the treatment is done by a medical waste generator using an approved method.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117903. No person shall treat medical waste unless the person is permitted by the enforcement agency as required by this part or unless the treatment is performed by a medical waste generator and is a treatment method approved pursuant to Chapter 8 (commencing with Section 118215). (Amended by Stats. 2014, Ch. 564, Sec. 33. (AB 333) Effective January 1, 2015.)
  5. 117904.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The enforcement agency may approve a home-generated sharps consolidation point, which must follow handling and tracking rules and gets limited exemptions from permit, registration, and fee requirements.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117904. (a) In addition to the consolidation points authorized pursuant to Section 118147, the enforcement agency may approve a location as a point of consolidation for the collection of home-generated sharps waste, which, after collection, shall be transported and treated as medical waste. (b) A consolidation location approved pursuant to this section shall be known as a “home-generated sharps consolidation point.” (c) A home-generated sharps consolidation point is not subject to the requirements of Chapter 9 (commencing with Section 118275), to the permit or registration requirements of this part, or to any permit or registration fees, with regard to the activity of consolidating home-generated sharps waste pursuant to this section. (d) A home-generated sharps consolidation point shall comply with all of the following requirements: (1) All sharps waste shall be placed in sharps containers. (2) Sharps containers ready for disposal shall not be held for more than seven days without the written approval of the enforcement agency. (e) An operator of a home-generated sharps consolidation point approved pursuant to this section shall not be considered the generator of that waste, but shall be listed on the tracking documents in compliance with the United States Postal Service requirements for waste shipped through mail back and on the tracking documents as required by the department. (f) The medical waste treatment facility which treats the sharps waste subject to this section shall maintain the tracking document required by Sections 118040 and 118165 with regard to that sharps waste. (Amended by Stats. 2015, Ch. 352, Sec. 2. (SB 225) Effective September 28, 2015.)
  6. 117905.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department is the enforcement agency for offsite treatment facilities.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117905. The department is the enforcement agency for offsite treatment facilities. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  7. 117908.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste from more than one generator may not be stored in a common storage facility unless that facility is registered with the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117908. The accumulated medical waste of more than one medical waste generator shall not be stored in a common storage facility unless that facility is registered with the enforcement agency. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  8. 11791.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

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    The department may develop and run a mass media alcohol and other drug education program using newspapers, radio, and television.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11791. The department may develop and implement a mass media alcohol and other drug education program involving newspapers, radio, and television in order to provide community education, develop public awareness, and motivate community action in alcohol and other drug use prevention, treatment, and rehabilitation. (Amended by Stats. 2024, Ch. 847, Sec. 18. (AB 2995) Effective January 1, 2025.)
  9. 117910.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must provide ongoing technical assistance and guidance to local enforcement agencies.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 3. Powers and Duties [117800 - 117910] ( Chapter 3 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117910. The department shall provide ongoing technical assistance and guidance to local enforcement agencies to assist them in their decisionmaking processes. This assistance shall include, but is not limited to, providing all of the following: (a) Technical studies and reports. (b) Copies of innovative facility operation plans. (c) Investigative findings and analysis of new waste management practices and procedures. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  10. 117915.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste containment and storage must follow Chapter 9, starting with Section 118275.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117915. Containment and storage of medical waste shall be in accordance with Chapter 9 (commencing with Section 118275). (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  11. 117918.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste must be treated using treatment technologies that comply with Chapter 8.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117918. Medical waste shall be treated using treatment technologies in accordance with Chapter 8 (commencing with Section 118215). (Amended by Stats. 2014, Ch. 564, Sec. 35. (AB 333) Effective January 1, 2015.)
  12. 11792.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

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    The department must distribute informational materials about the care and treatment of infants under six months old who have been exposed to alcohol or other drugs, after consulting the State Department of Public Health.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11792. (a) The department, in consultation with the State Department of Public Health, shall distribute informational materials on the care and treatment of infants under the age of six months who have been exposed to alcohol and other drugs. The informational materials shall include, but not be limited to, the following: (1) The signs and symptoms of an infant who has been exposed to alcohol and other drugs. (2) The health problems of infants who have been exposed to alcohol and other drugs. (3) The special feeding needs of infants who have been exposed to alcohol and other drugs. (4) The special care needs of infants who have been exposed to alcohol and other drugs, such as not overstimulating those infants who have been exposed to cocaine. (b) The informational materials developed pursuant to subdivision (a) may be distributed through hospitals, public health nurses, child protective services, alcohol and other drug facilities, educational networks, foster parent groups, medical professional offices, Medi-Cal programs, and county interagency task force groups, as well as any other agency that the department selects. (Amended by Stats. 2012, Ch. 36, Sec. 22. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  13. 117920.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department’s fee schedule for medical waste registrations and inspections must be adjusted annually, and local enforcement agencies must set fees high enough to cover their costs for this part.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117920. The fee schedule specified in Section 117923 shall be for the issuance of medical waste registrations and for conducting inspections pursuant to this chapter when the department serves as the enforcement agency for small quantity generators. This fee schedule shall be adjusted annually in accordance with Section 100425, or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department. Local enforcement agencies shall set fees that shall be sufficient to cover their costs in implementing this part with regard to small quantity generators required to be registered pursuant to Section 117925. (Amended by Stats. 2014, Ch. 564, Sec. 36. (AB 333) Effective January 1, 2015.)
  14. 117923.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    This section sets fees for certain medical waste facilities and generators.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117923. (a) The registration and inspection fee for small quantity generators using onsite treatment, including an autoclave, incinerator, or microwave technology, to treat medical waste is one hundred dollars ($100), that shall be paid once every two years. (b) The annual permit fee for a common storage facility permitted pursuant to Section 117928 is the amount specified in the following schedule: (1) For storage facilities serving 10 or fewer generators, the permit fee is one hundred dollars ($100). (2) For storage facilities serving 11 or more generators, but not more than 50 generators, the permit fee is two hundred fifty dollars ($250). (3) For storage facilities serving more than 50 generators, the permit fee is five hundred dollars ($500). (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  15. 117924.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    When the department is the enforcement agency, it must collect an annual medical waste generator fee of up to $25 from small quantity generators, with stated exceptions.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117924. (a) When the department is the enforcement agency, the department shall impose and cause the collection of an annual medical waste generator fee in an amount not to exceed twenty-five dollars ($25) on small quantity generators of medical waste, except for those small quantity generators that are required to register pursuant to Section 117925 and those generators generating only pharmaceutical waste as defined in paragraph (3) of subdivision (b) of Section 117690. Nothing in this part shall prevent the department from contracting with entities other than the department for these fee collection activities or from entering into agreements with medical waste transporters for the collection of these fees, if the department determines that such a fee collection arrangement would be cost effective. (b) If the department determines to enter into a contract with a medical waste transporter for the collection of the fees, the department shall do all of the following: (1) Establish that not more than 7.5 percent of the fees collected may be recovered by the medical waste transporter as administrative costs for the collection of those fees. (2) Establish that the administrative costs for the collection of the fees shall be the same for all medical waste transporters. (3) Prohibit any medical waste transporter from waiving the generator fee without the written approval of the department and only if the medical waste generator has made a written request for the waiver. (4) Require the medical waste transporter to report the fees collected pursuant to subdivision (a) to the department. (5) Prohibit the medical waste transporter from assuming the role of the department as an enforcement agent for purposes of collecting the medical waste generator fees. (6) Require medical waste transporters to include the following language in at least 12-point type on their invoices to medical waste generators: “Pursuant to Section 117924 of the California Health and Safety Code, the State Department of Public Health has contracted with us to collect your annual medical waste generator fee. The department may offset our costs of collection and administration in an amount that may not exceed 7.5 percent of the fee collected. We may not waive the fee without written approval of the department, and only if you have made a written request for the waiver.” (7) Ensure that generators subject to this section are required to pay the fee only once per year. (Amended by Stats. 2014, Ch. 564, Sec. 37. (AB 333) Effective January 1, 2015.)
  16. 117925.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Some small quantity generators must register with the enforcement agency, and generators that own or operate a medical waste treatment facility must also apply for a permit.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117925. (a) Each small quantity generator using onsite steam sterilization, incineration, or microwave technology to treat medical waste shall register with the enforcement agency. Small quantity generators owning or operating a medical waste treatment facility shall also apply for a permit for that treatment facility pursuant to Chapter 7 (commencing with Section 118130). (b) Small quantity generators using onsite treatment, as specified in subdivision (a), that operate as a business in the same building, or that are associated with a group practice in the same building, may register as one generator. (c) Small quantity generators using onsite treatment, as specified in subdivision (a), as specified in subdivision (b), operating in different buildings on the same or adjacent property, or as approved by the enforcement agency, may register as one generator. (d) “Adjacent,” for purposes of subdivision (c), means real property within 400 yards from the property boundary of the primary registration site. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  17. 117928.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A common storage facility for certain medical waste must have a permit from the enforcement agency before storage starts.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117928. (a) Any common storage facility for the collection of medical waste produced by small quantity generators operating independently, but sharing common storage facilities, shall have a permit issued by the enforcement agency prior to the commencement of storage of medical waste in the common storage facility. (b) A permit for any common storage facility specified in subdivision (a) may be obtained by any one of the following: (1) A provider of health care as defined in Section 56.05 of the Civil Code. (2) The registered hazardous waste transporter. (3) The property owner. (4) The property management firm responsible for providing tenant services to the medical waste generators. (Amended by Stats. 2014, Ch. 564, Sec. 38. (AB 333) Effective January 1, 2015.)
  18. 11793.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

    Verify source ↗

    The department may develop an objective program evaluation tool or method and evaluate state-supported alcohol and other drug use prevention and treatment programs.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11793. The department may develop an objective program evaluation device or methodology and evaluate state-supported alcohol and other drug use prevention and treatment programs. (Amended by Stats. 2024, Ch. 847, Sec. 19. (AB 2995) Effective January 1, 2025.)
  19. 117930.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Small quantity generators that treat waste onsite must register with the enforcement agency before treatment starts.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117930. Small quantity generators that treat waste onsite, pursuant to subdivision (a) of Section 117925, shall register with the enforcement agency prior to the commencement of treatment. (Added by renumbering Section 25041 by Stats. 1996, Ch. 536, Sec. 11. Effective January 1, 1997.)
  20. 117935.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A registered small quantity generator must file a medical waste management plan with the enforcement agency, using prescribed forms if they are provided.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117935. A small quantity generator required to register with the enforcement agency pursuant to Section 117930 shall file with the enforcement agency a medical waste management plan on forms prescribed by the enforcement agency, if provided. The plans shall contain, but are not limited to, all of the following: (a) The name of the person. (b) The business address of the person. (c) The type of business. (d) The types, and the estimated average monthly quantity, of medical waste generated. (e) The type of treatment used onsite. (f) The name and business address of the registered hazardous waste hauler used by the generator for backup treatment and disposal, for waste when the onsite treatment method is not appropriate due to the hazardous or radioactive characteristics of the waste. (g) The name of the registered hazardous waste hauler used by the generator to have untreated medical waste removed for treatment and disposal, if applicable. (h) The name of the common carrier used by the generator to transport pharmaceutical waste offsite for treatment and disposal pursuant to Section 118032, if applicable. (i) If applicable, the steps taken to categorize the pharmaceutical wastes generated at the facility to ensure that the wastes are properly disposed of as follows: (1) Pharmaceutical wastes classified by the federal Drug Enforcement Agency (DEA) as “controlled substances” are disposed of in compliance with DEA requirements. (2) The name and business address of the registered hazardous waste hauler used by the generator to have wastes that are not regulated pursuant to the federal Resource Conservation and Recovery Act of 1976 and nonradioactive pharmaceutical wastes regulated as medical waste safely removed for treatment in compliance with subdivision (b) of Section 118222 as waste requiring specific methods. (j) A closure plan for the termination of treatment at the facility using, at a minimum, one of the methods of decontamination specified in subdivision (a) or (b) of Section 118295, thereby rendering the property to an acceptable sanitary condition following the completion of treatment services at the site. (k) A statement certifying that the information provided is complete and accurate. (Amended by Stats. 2014, Ch. 564, Sec. 40. (AB 333) Effective January 1, 2015.)
  21. 117938.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Small quantity generators using certain onsite medical-waste treatment methods may face biennial inspection and possible permitting review, and treatment-equipment operators must be trained.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117938. (a) Small quantity generators using onsite steam sterilization, incineration, or microwave technology to treat medical waste are subject to biennial inspection of that onsite treatment facility by the enforcement agency and may be subject to the permitting requirements for onsite medical waste treatment facilities as determined by the enforcement agency. (b) (1) The operators of the treatment equipment specified in subdivision (a) shall be required to receive training in the operation of the treatment equipment, proper protective equipment to wear, if any, how to clean up spills, and other information required to operate the treatment equipment in a safe and effective manner. (2) Annual training for the operators shall be provided after the initial training has been completed. (3) The training shall be documented for each treatment operator and retained on file at the generator facility for a minimum of two years. Training shall comply with applicable federal Occupational Safety and Health Administration regulations, including those found in Section 1910 of Title 29 of the Code of Federal Regulations. (Amended by Stats. 2014, Ch. 564, Sec. 41. (AB 333) Effective January 1, 2015.)
  22. 11794.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

    Verify source ↗

    The department must screen and evaluate substance-misuse-related materials, may share recommended-material lists, and may charge only actual costs for providing the materials.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11794. The department shall, in consultation with the State Department of Education, screen and evaluate books, pamphlets, literature, movies, and other audiovisual aids related to the misuse of substances, including substance use disorders, and may prepare and disseminate lists of recommended materials to schools, public libraries, alcohol and other drug information centers, and other public and private agencies. The department may charge a fee, not exceeding actual costs, for providing the materials. (Amended by Stats. 2024, Ch. 847, Sec. 20. (AB 2995) Effective January 1, 2025.)
  23. 11794.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. )

    Verify source ↗

    The Legislature states that the department should work with public health officials and stakeholders to better inform medical doctors and other health professionals about diagnosing and treating alcohol misuse and substance use.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.5. Resources and Information [11788 - 11794.1] ( Chapter 3.5 added by Stats. 2004, Ch. 862, Sec. 61. ) ## 11794.1. It is the intent of the Legislature that the department, in collaboration with the State Department of Public Health and stakeholders in the medical and treatment provider communities, work to identify methods for better informing medical doctors and other health professionals of the benefits of diagnosing and treating alcohol misuse and substance use among their patient population, including, but not limited to, improved outreach efforts at the state and local levels and the use of information dissemination strategies, where appropriate. (Amended by Stats. 2012, Ch. 36, Sec. 23. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  24. 11794.5.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.6. Substance Use Disorder Workforce Development [11794.5 - 11794.6] ( Chapter 3.6 added by Stats. 2022, Ch. 7, Sec. 3. )

    Verify source ↗

    The Department of Health Care Services must prepare a statewide SUD workforce needs assessment report, submit it to the Legislature, and post it on its website.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.6. Substance Use Disorder Workforce Development [11794.5 - 11794.6] ( Chapter 3.6 added by Stats. 2022, Ch. 7, Sec. 3. ) ## 11794.5. (a) (1) On or before July 1, 2023, the State Department of Health Care Services shall develop a statewide substance use disorder (SUD) workforce needs assessment report that evaluates the current state of the SUD workforce, determines barriers to entry into the SUD workforce, and assesses the state’s systems for regulating and supporting the SUD workforce. The evaluation shall include an assessment of existing tuition, scholarship, and grant programs available to students, with a particular focus on those students who represent vulnerable populations, and provide recommendations for expanding these programs. The department shall submit this report to the Legislature and post the report on its internet website. (2) A report to be submitted pursuant to paragraph (1) shall be submitted in compliance with Section 9795 of the Government Code. (b) (1) The department may contract with a qualified individual, organization, or entity to implement subdivision (a). (2) Contracts entered into or amended pursuant to this section may be entered into on a noncompetitive bid basis, and are exempt from Chapter 6 (commencing with Section 14825) of Part 5.5 of Division 3 of Title 2 of the Government Code, Part 2 (commencing with Section 10100) of Division 2 of the Public Contract Code, the State Administrative Manual, and from the review or approval of any division of the Department of General Services. (Added by Stats. 2022, Ch. 7, Sec. 3. (AB 666) Effective January 1, 2023.)
  25. 11794.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.6. Substance Use Disorder Workforce Development [11794.5 - 11794.6] ( Chapter 3.6 added by Stats. 2022, Ch. 7, Sec. 3. )

    Verify source ↗

    The Department of Health Care Access and Information may run SUD workforce development programs, but the section becomes operative only if money is appropriated.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 3.6. Substance Use Disorder Workforce Development [11794.5 - 11794.6] ( Chapter 3.6 added by Stats. 2022, Ch. 7, Sec. 3. ) ## 11794.6. (a) The Department of Health Care Access and Information may implement SUD workforce development programming, including, but not limited to, any of the following elements: (1) Paid tuition for students attending vocational education programs related to substance use disorders approved by the Bureau for Private Postsecondary Education. (2) Stipends to cover costs related to testing, registration, and certification for individuals who are seeking registration and certification with a certifying organization approved by the department pursuant to Section 11833. (3) Stipends to cover costs of portfolio review for individuals who are seeking registration and certification with a certifying organization approved by the department pursuant to Section 11833. (4) Tuition reimbursement for undergraduate and graduate students who complete coursework in programs related to SUDs. (5) Tuition reimbursement for licensed mental health and medical professionals to complete SUD-specific courses. (6) Grants for behavioral health organizations to recruit and train individuals representing vulnerable populations. (b) This section shall become operative only upon appropriation. Upon an appropriation by the Legislature for these purposes, the department shall make reasonable efforts to implement the program elements specified in subdivision (a), so that SUD services can be expanded to meet the needs of those individuals seeking those services. (Added by Stats. 2022, Ch. 7, Sec. 3. (AB 666) Effective January 1, 2023. Conditionally operative as prescribed by its own provisions.)
  26. 117940.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Enforcement agencies must use chapter-consistent procedures when registering medical waste generators, and generators must update and renew small quantity generator registrations on time.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117940. (a) Each enforcement agency shall follow procedures consistent with this chapter in registering medical waste generators. (b) Each medical waste generator registration for small quantity generators issued by the enforcement agency shall be valid for two years. (c) An application for renewal of the registration for small quantity generators shall be filed with the enforcement agency on or before the expiration date. (d) Generators shall submit an updated application form when any of the information specified in their medical waste management plan, created pursuant to Section 117935, changes. The updated application form shall be submitted within 30 days of the change. (Amended by Stats. 2014, Ch. 564, Sec. 42. (AB 333) Effective January 1, 2015.)
  27. 117943.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A registered medical waste generator must keep certain treatment and tracking records for at least three years and provide specified documentation to the enforcement agency when asked.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117943. (a) A medical waste generator required to register pursuant to this chapter shall maintain for a minimum of three years individual treatment operating records, and if applicable, the tracking document for all untreated medical waste shipped offsite for treatment, and shall report or submit to the enforcement agency, upon request, all of the following: (1) Treatment operating records. Operating records shall be maintained in written or electronic form. (2) An emergency action plan complying with regulations adopted by the department. (3) Tracking documents or electronically archived tracking documents maintained by the facility and medical waste hauler of all untreated medical waste shipped offsite for treatment. (b) Documentation shall be made available to the enforcement agency onsite. (Amended by Stats. 2015, Ch. 352, Sec. 3. (SB 225) Effective September 28, 2015.)
  28. 117945.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A small quantity generator that is not required to register must keep specified medical-waste records on file and make the documentation available onsite to the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117945. (a) A small quantity generator who is not required to register pursuant to this chapter shall maintain on file in its office all of the following: (1) An information document stating how the generator contains, stores, treats, and disposes of any medical waste generated through any act or process of the generator. (2) Records required by the United States Postal Service of any medical waste shipped offsite for treatment and disposal. The small quantity generator shall maintain, or have available electronically at the facility or from the medical waste hauler or common carrier, these records, for not less than three years. (b) Documentation shall be made available to the enforcement agency onsite. (Amended by Stats. 2016, Ch. 86, Sec. 197. (SB 1171) Effective January 1, 2017.)
  29. 117946.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Some small-quantity medical waste generators may move limited amounts of medical waste to a central accumulation point if they meet listed conditions.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 4. Small Quantity Generator Requirements [117915 - 117946] ( Chapter 4 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117946. (a) A small quantity medical waste generator or parent organization that employs health care professionals who generate medical waste may transport medical waste generated in limited quantities up to 35.2 pounds to the central location of accumulation, provided that all of the following are met: (1) The principal business of the generator is not to transport or treat regulated medical waste. (2) The generator shall adhere to the conditions and requirements set forth in the materials of trade exception, as specified in Section 173.6 of Title 49 of the Code of Federal Regulations. (3) A person transporting medical waste pursuant to this section shall provide a form or log to the receiving facility, and the receiving facility shall maintain the form or log for a period of two years, containing all of the following information: (A) The name of the person transporting the medical waste. (B) The number of containers of medical waste transported. (C) The date the medical waste was transported. (b) A generator transporting medical waste pursuant to this section shall not be regulated as a hazardous waste hauler pursuant to Section 117660. (Added by Stats. 2014, Ch. 564, Sec. 45. (AB 333) Effective January 1, 2015.)
  30. 11795.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

    Verify source ↗

    Counties may apply to the department for alcohol- and drug-related funds, and the department must coordinate prevention, care, treatment, and rehabilitation efforts with counties.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11795. (a) The board of supervisors of each county may apply to the department for funds for the purpose of alleviating problems in its county related to alcohol abuse and other drug use. This part applies only to counties receiving state or federal funds allocated by the department under this part. (b) The department shall coordinate state and local alcohol and other drug use prevention, including care, treatment, and rehabilitation programs, for individuals with substance use disorders. It is the intent of the Legislature that the department and the counties maintain a cooperative partnership to ensure effective implementation of this chapter. (c) The Legislature grants responsibility to the county to administer and coordinate all county alcohol and other drug programs funded under this part. County alcohol and other drug programs shall account to the board of supervisors and to the state for their effective implementation. The county shall establish its own priorities for alcohol and other drug programs funded under this part, except with respect to funds that are allocated to the county for federally required programs and services. (Amended by Stats. 2024, Ch. 847, Sec. 21. (AB 2995) Effective January 1, 2025.)
  31. 117950.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Large quantity generators must register with the enforcement agency before generating medical waste, unless they qualify for the grouping rules in subdivisions (b) or (c).

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117950. (a) Each large quantity generator, except as specified in subdivisions (b) and (c), shall register with the enforcement agency prior to commencement of the generation of medical waste. (b) Large quantity generators operating as a business in the same building, or that are associated with a group practice in the same building, may register as one generator. (c) Large quantity generators as specified in subdivision (a), operating in different buildings on the same or adjacent property, or as approved by the enforcement agency, may register as one generator. (d) “Adjacent,” for purposes of subdivision (c), means real property within 400 yards from the property boundary of the primary registration site. All federal transportation requirements specified in Section 173.6 of Part 49 of the Code of Federal Regulations shall apply for purposes of transporting medical waste from adjacent properties. (Amended by Stats. 2014, Ch. 564, Sec. 46. (AB 333) Effective January 1, 2015.)
  32. 11796.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    Two or more counties may jointly establish county alcohol and other drug programs, and any county may contract to provide those services to another county.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11796. (a) (1) Two or more counties may jointly establish county alcohol and other drug programs pursuant to Article 1 (commencing with Section 6500) of Chapter 5 of Division 7 of Title 1 of the Government Code. (2) Any county may, by contract, furnish alcohol and other drug services to another county. (b) Unless otherwise expressly provided for or required by the context, this part relating to county alcohol and other drug programs shall apply to alcohol and other drug programs operated jointly by two or more counties. (Amended by Stats. 2012, Ch. 36, Sec. 24. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  33. 11796.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    Cities and counties are allowed to finance, administer, and contract for alcohol or other drug programs, subject to the stated exception.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11796.1. Except as provided in subdivision (b) of Section 11812, nothing in this part shall prevent any city or combination of cities from financing and administering directly an alcohol or other drug program or providing service by contracting with the county to provide and be reimbursed for services provided pursuant to the county alcohol and other drug program under Article 4 (commencing with Section 11810). In addition, where appropriate, any county may contract with a city, or combination of cities, to administer contracts with privately operated agencies to alleviate problems related to inappropriate alcohol use and other drug use. (Amended by Stats. 2004, Ch. 862, Sec. 64. Effective January 1, 2005.)
  34. 117960.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A large quantity generator that must register with the enforcement agency must file a medical waste management plan with that agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117960. A large quantity generator required to register with the enforcement agency shall file with the enforcement agency a medical waste management plan, on forms prescribed by the enforcement agency, if provided. The plans shall contain, but are not limited to, all of the following: (a) The name of the person. (b) The business address of the person. (c) The type of business. (d) The types, and the estimated average monthly quantity, of medical waste generated. (e) The type of treatment used onsite, if applicable. For generators with onsite medical waste treatment facilities, the treatment capacity of the onsite treatment facility. (f) The name and business address of the registered hazardous waste hauler used by the generator to have untreated medical waste removed for treatment, if applicable, and, if applicable, the name and business address of the common carrier transporting pharmaceutical waste pursuant to Section 118032. (g) The name and business address of the offsite medical waste treatment facility to which the medical waste is being hauled, if applicable. (h) An emergency action plan complying with regulations adopted by the department. (i) If applicable, the steps taken to categorize the pharmaceutical wastes generated at the facility to ensure that the wastes are properly disposed of as follows: (1) Pharmaceutical wastes classified by the federal Drug Enforcement Agency (DEA) as “controlled substances” are disposed of in compliance with DEA requirements. (2) The name and business address of the hazardous waste hauler used by the generator to have wastes that are not regulated pursuant to the federal Resource Conservation and Recovery Act of 1976 and nonradioactive pharmaceutical wastes regulated as medical wastes safely removed for treatment in compliance with subdivision (b) of Section 118222, as waste requiring specific methods. (j) A closure plan for the termination of treatment at the facility using, at a minimum, one of the methods of decontamination specified in subdivision (a) or (b) of Section 118295, thereby rendering the property to an acceptable sanitary condition following the completion of treatment services at the site. (k) A statement certifying that the information provided is complete and accurate. (Amended by Stats. 2014, Ch. 564, Sec. 48. (AB 333) Effective January 1, 2015.)
  35. 117965.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Large quantity generators must be inspected by the enforcement agency at least once a year.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117965. Large quantity generators shall be subject to at least annual inspection by the enforcement agency. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  36. 117967.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Large quantity generators that treat medical waste onsite must train equipment operators, provide annual follow-up training, and keep training records at the facility for at least two years.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117967. (a) Large quantity generators that treat medical waste onsite using steam sterilization, incineration, microwave technology, or other department approved treatment technology to treat medical waste shall train the operators of the equipment in its use, proper protective equipment to wear, if necessary, and how to clean up spills to ensure that the equipment is being operated in a safe and effective manner. (b) Annual training for the operators shall be provided after the initial training has been completed. (c) The training shall be documented and the documentation shall be retained at the facility for a minimum of two years. Training shall comply with applicable federal Occupational Safety and Health Administration regulations, including those found in Section 1910 of Title 29 of the Code of Federal Regulations. (Added by Stats. 2014, Ch. 564, Sec. 49. (AB 333) Effective January 1, 2015.)
  37. 11797.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    County-allocated funds must be used only for county alcohol and other drug services and must be tracked separately.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11797. (a) Funds allocated to the county pursuant to this part shall be used exclusively for county alcohol and other drug services as identified in the contract for alcohol and other drug services and shall be separately identified and accounted for. (b) The funds contained in each county’s Behavioral Health Subaccount of the Support Services Account of the Local Revenue Fund 2011 established pursuant to Section 30025 of the Government Code shall be considered state funds distributed by the principle state agency for the purposes of receipt of the federal block grant funds for prevention and treatment of substance use disorders described in Subchapter XVII of Chapter 6A of Title 42 of the United States Code to the extent that these funds are used for authorized alcohol and drug prevention and treatment activities. (Amended by Stats. 2024, Ch. 847, Sec. 22. (AB 2995) Effective January 1, 2025.)
  38. 117970.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Enforcement agencies must use the chapter’s procedures when registering medical waste generators, and generators must update and keep on file their medical waste management plan when it changes.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117970. (a) Each enforcement agency shall follow procedures consistent with this chapter in registering medical waste generators. (b) Each medical waste registration issued by the enforcement agency for large quantity generators shall be valid for one year. (c) An application for renewal of the registration shall be filed with the enforcement agency not less than 90 days prior to the expiration date. Failure to meet this requirement shall result in an assessment of a late fee. (d) Generators shall update their medical waste management plan, established pursuant to Section 117960, when any of the information in the plan changes and shall have the plan on file for review during an inspection or upon request. The updated plan shall be submitted within 30 days of the change. (Amended by Stats. 2014, Ch. 564, Sec. 50. (AB 333) Effective January 1, 2015.)
  39. 117971.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must recover its actual costs for certain medical waste inspection and enforcement services, and it cannot charge more than those actual costs.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117971. In addition to the fees collected pursuant to Section 117995, the department, in the implementation of this part, shall recover its actual costs for services related to large quantity medical waste generator followup inspections and enforcement activities necessary to ensure compliance with this part. In no event shall the department charge more than the actual costs incurred by the department. (Added by Stats. 2006, Ch. 74, Sec. 38. Effective July 12, 2006.)
  40. 117975.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A registered large quantity medical waste generator must keep certain records for at least two years and provide specified documents to the enforcement agency when requested.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117975. (a) A large quantity medical waste generator required to register pursuant to this chapter shall maintain for a minimum of two years individual treatment records and the tracking document for all untreated medical waste shipped offsite for treatment. The generator shall report or submit to the enforcement agency, upon request, all of the following: (1) Treatment operating records. Operating records shall be maintained in written or electronic form. (2) An emergency action plan in accordance with regulations adopted by the department. (3) Tracking documents or electronically archived tracking documents maintained by the facility or medical waste hauler of all untreated medical wastes shipped offsite for treatment. (b) Documentation shall be made available to the enforcement agency onsite as soon as feasible, but no more than two business days following the request. (Amended by Stats. 2015, Ch. 352, Sec. 5. (SB 225) Effective September 28, 2015.)
  41. 117976.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Certain large quantity medical waste generators and parent organizations may move limited medical waste up to 35.2 pounds to a central accumulation location if stated conditions are met.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117976. (a) A large quantity medical waste generator or parent organization that employs health care professionals who generate medical waste may transport medical waste generated in limited quantities up to 35.2 pounds to the central location of accumulation, provided that all of the following are met: (1) The principal business of the generator is not to transport or treat regulated medical waste. (2) The generator shall adhere to the conditions and requirements set forth in the materials of trade exception, as specified in Section 173.6 of Title 49 of the Code of Federal Regulations. (3) A person transporting medical waste pursuant to this section shall provide a form or log to the receiving facility, and the receiving facility shall maintain the form or log for a period of two years, containing all of the following information: (A) The name of the person transporting the medical waste. (B) The number of containers of medical waste transported. (C) The date the medical waste was transported. (b) A generator transporting medical waste pursuant to this section shall not be regulated as a hazardous waste hauler pursuant to Section 117660. (Added by Stats. 2014, Ch. 564, Sec. 53. (AB 333) Effective January 1, 2015.)
  42. 11798.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    Counties seeking funds for alcohol and other drug services must submit a contract to the department, and the contract must cover budgets, service details, reporting, audits, and use of funds.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11798. (a) Counties that apply for funds to provide alcohol and other drug services shall prepare and submit a contract for alcohol and other drug services to the department. The contract shall include a budget for all funds sources to be used to provide alcohol and other drug services. The funds identified in the contract shall be used exclusively for county alcohol and other drug services to the extent that the activities meet the requirements for receipt of the federal block grant funds for prevention and treatment of substance use disorders described in Subchapter XVII of Chapter 6A of Title 42 of the United States Code and shall be separately identified and accounted for. The county shall report utilization of those funds in an annual cost report pursuant to subdivision (b) of Section 11798.1. (b) The contract shall include provisions to ensure both of the following: (1) The appropriate expenditures of funds necessary to meet the requirements for receipt of federal block grant funds for prevention and treatment of substance use disorders described in Subchapter XVII of Chapter 6A of Title 42 of the United States Code and other applicable federal provisions for funds. (2) The provision of information necessary for the department to meet its oversight function, including, but not limited to, any required auditing, reporting, and data collection. (c) The contract shall specify the type, scope, and cost of the services to be provided. (d) The department, after consultation with county alcohol and drug program administrators, shall develop standardized forms to be used by the counties in the development and submission of the contracts. The forms shall include terms and conditions relative to county compliance with applicable laws. (e) Performance requirements shall be included within the terms of the contract and shall include, at a minimum, all of the following: (1) A provision for an adequate quality and quantity of service. (2) A provision for access to services for at-risk populations. (3) A provision requiring that all funds allocated by the state for alcohol and other drug programs shall be used exclusively for the purpose for which those funds are distributed. (4) A provision requiring that performance be in compliance with applicable state and federal laws, regulations, and standards. (5) Estimated numbers and characteristics of clients-participants by type of service. (f) The contract shall include a provision that allows the department access to financial and service records of the county and contractors of the county for the purpose of auditing the requirements in the contract and establishing the data necessary to meet federal auditing and reporting requirements. (g) The contract shall include a provision for resolution of disputed audit findings. (h) Where two or more counties jointly establish substance use programs or where a county contracts to provide services in another county pursuant to Section 11796, information regarding the arrangement shall be included in the contract for alcohol and other drug services. (i) The contract shall include a provision requiring the county to ensure the security of client records as required by state and federal law. (j) The contract shall be presented for public input, review, and comment, and the final contract shall be posted on the county’s internet website. (k) (1) Notwithstanding the rulemaking provisions of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this section by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions from the department until regulations are adopted pursuant to that chapter of the Government Code. (2) The department shall adopt emergency regulations no later than July 1, 2014. The department may subsequently readopt any emergency regulation authorized by this section that is the same as or is substantially equivalent to an emergency regulation previously adopted pursuant to this section. (3) The initial adoption of emergency regulations implementing this section and the one readoption of emergency regulations authorized by this subdivision shall be deemed an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare. Initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be exempt from review by the Office of Administrative Law. The initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be submitted to the Office of Administrative Law for filing with the Secretary of State and each shall remain in effect for no more than 180 days, by which time final regulations may be adopted. (Amended by Stats. 2024, Ch. 847, Sec. 23. (AB 2995) Effective January 1, 2025.)
  43. 11798.2.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    Counties with approved alcohol and drug services contracts bear the financial risk, may use noncounty providers, must file required data by November 1, and the department must adopt emergency regulations.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11798.2. (a) A county with an approved contract for alcohol and other drug services shall bear the financial risk in providing any alcohol or other drug services to the population described and enumerated in the approved contract. (b) The county shall not be precluded from contracting to purchase all or part of the delivery of alcohol and other drug services from noncounty providers. (c) Counties receiving funds shall submit to the department statistical data, as required in the contract, and end-of-year cost data no later than November 1 following the close of the fiscal year. (d) Whenever a county receives funds under a grant program for alcohol and other drug services, as well as under the county contract from either the federal or state government, or from any other grantor, public or private, and fails to include that grant program in the county budget for its alcohol and other drug program, the director shall not thereafter approve any, or provide, advance payment claims submitted by the county for state reimbursement under this part until the contract and county budget for its alcohol and other drug program has been reviewed to include that grant program, and the revised contract and budget are approved by the director. (e) (1) Except as provided in paragraphs (2) and (3), regulations adopted by the State Department of Alcohol and Drug Programs pursuant to former Section 11758.29 shall remain in effect unless amended or repealed by regulation adopted pursuant to this section. (2) Notwithstanding the rulemaking provisions of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this section to the extent that this section differs from former Section 11758.29 by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions from the department until regulations are adopted pursuant to that chapter of the Government Code. (3) (A) The department shall adopt emergency regulations no later than July 1, 2014. The department may subsequently readopt any emergency regulation authorized by this section that is the same as or is substantially equivalent to an emergency regulation previously adopted pursuant to this section. (B) The initial adoption of emergency regulations implementing the article and the one readoption of emergency regulations authorized by this subdivision shall be deemed an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare. Initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be exempt from review by the Office of Administrative Law. The initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be submitted to the Office of Administrative Law for filing with the Secretary of State and each shall remain in effect for no more than 180 days, by which time final regulations may be adopted. (Amended by Stats. 2024, Ch. 847, Sec. 24. (AB 2995) Effective January 1, 2025.)
  44. 11798.3.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. )

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    The department must review each county alcohol and other drug services contract for compliance and approve contracts that comply.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. General Provisions [11795 - 11798.3] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11798.3. The department shall review each county’s contract for alcohol and other drug services to determine that the contract complies with this division and with the standards adopted under this division. The department shall approve a contract that is in compliance. (Amended by Stats. 2024, Ch. 847, Sec. 25. (AB 2995) Effective January 1, 2025.)
  45. 117980.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste containment and storage must follow Chapter 9.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117980. Containment and storage of medical waste shall be in accordance with Chapter 9 (commencing with Section 118275). (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  46. 117985.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste must be treated using treatment technologies approved under Chapter 8.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117985. Medical waste shall be treated using treatment technologies approved in accordance with Chapter 8 (commencing with Section 118215). (Amended by Stats. 2014, Ch. 564, Sec. 54. (AB 333) Effective January 1, 2015.)
  47. 117990.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must adjust the medical waste fee schedule annually, and local enforcement agencies must set fees high enough to cover their implementation costs.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117990. The fee schedule specified in Section 117995 shall be for the issuance of medical waste registrations and onsite medical waste treatment facility permits when the department serves as the enforcement agency for large quantity generators. This fee schedule shall be adjusted annually in accordance with Section 100425, or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department. Local enforcement agencies shall set fees that shall be sufficient to cover their costs in implementing this part with regard to large quantity generators. (Amended by Stats. 2014, Ch. 564, Sec. 55. (AB 333) Effective January 1, 2015.)
  48. 117995.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Large quantity generators must pay the registration and annual permit fees listed for each facility type and bed range, with extra inspection/permit fees for onsite medical-waste treatment.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 5. Large Quantity Generator Requirements [117950 - 117995] ( Chapter 5 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 117995. The registration and annual permit fee for large quantity generators shall be set in following amounts: (a) (1) A general acute care hospital, as defined in subdivision (a) of Section 1250, that has one or more beds, but not more than 99 beds, shall pay six hundred dollars ($600), a facility with 100 or more beds, but not more than 199 beds, shall pay eight hundred sixty dollars ($860), a facility with 200 or more beds, but not more than 250 beds shall pay one thousand one hundred dollars ($1,100), and a facility with 251 or more beds shall pay one thousand four hundred dollars ($1,400). (2) In addition to the fees specified in paragraph (1), a general acute care hospital which is providing onsite treatment of medical waste shall pay an annual medical waste treatment facility inspection and permit fee of three hundred dollars ($300), if the facility has one or more beds but not more than 99 beds, five hundred dollars ($500), if the facility has 100 or more beds but not more than 250 beds, and one thousand dollars ($1,000), if the facility has 251 or more beds. (b) A specialty clinic, providing surgical, dialysis, or rehabilitation services, as defined in subdivision (b) of Section 1204, shall pay three hundred fifty dollars ($350). (c) A skilled nursing facility, as defined in subdivision (c) of Section 1250, that has one or more beds, but not more than 99 beds shall pay two hundred seventy-five dollars ($275), a facility with 100 or more beds, but not more than 199 beds shall pay three hundred fifty dollars ($350), and a facility with 200 or more beds shall pay four hundred dollars ($400). (d) An acute psychiatric hospital, as defined in subdivision (b) of Section 1250, shall pay two hundred dollars ($200). (e) An intermediate care facility, as defined in subdivision (d) of Section 1250, shall pay three hundred dollars ($300). (f) A primary care clinic, as defined in Section 1200.1, shall pay three hundred fifty dollars ($350). (g) A licensed clinical laboratory, as defined in paragraph (3) of subdivision (a) of Section 1206 of the Business and Professions Code, shall pay two hundred dollars ($200). (h) A health care service plan facility, as defined in subdivision (f) of Section 1345, shall pay three hundred fifty dollars ($350). (i) A veterinary clinic or veterinary hospital shall pay two hundred dollars ($200). (j) A large quantity generator medical office shall pay two hundred dollars ($200). (k) In addition to the fees specified in subdivisions (b) to (j), inclusive, a large quantity generator of medical waste which is providing onsite treatment of medical waste shall pay an annual medical waste treatment facility inspection and permit fee of three hundred dollars ($300). (l) The department may collect annual fees and issue permits on a biennial basis. (Amended by Stats. 2006, Ch. 74, Sec. 39. Effective July 12, 2006.)
  49. 1180.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    The agency must lead and coordinate efforts to reduce seclusion and behavioral restraints in covered facilities, with related information-sharing, cooperation, recommendations, and a resource-based implementation exception.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180. (a) The California Health and Human Services Agency, in accordance with their mission, shall provide the leadership and coordination necessary to reduce the use of seclusion and behavioral restraints in facilities that are licensed, certified, or monitored by departments that fall within its jurisdiction. (b) The agency may make recommendations to the Legislature for additional facilities, or for additional units or departments within facilities, that should be included within the requirements of this division in the future, including, but not limited to, emergency rooms. (c) At the request of the secretary, the involved state departments shall provide information regarding existing training protocols and requirements related to the utilization of seclusion and behavioral restraints by direct care staff who work in facilities within their jurisdiction. All involved state departments shall cooperate in implementing any training protocols established pursuant to this division. It is the intent of the Legislature that training protocols developed pursuant to this division be incorporated into existing training requirements and opportunities. It is further the intent of the Legislature that, to the extent feasible, the training protocols developed pursuant to Section 1180.2 be utilized in the development of training protocols developed pursuant to Section 1180.3. (d) The secretary, or his or her designee, is encouraged to pursue federal and private funding to support the development of a training protocol that can be incorporated into the existing training activities for direct care staff conducted by the state, facilities, and educational institutions in order to reduce the use of seclusion and behavioral restraints. (e) The secretary or his or her designee shall make recommendations to the Legislature on how to best assess the impact of serious staff injuries sustained during the use of seclusion or behavioral restraints, on staffing costs, and on workers’ compensation claims and costs. (f) The agency shall not be required to implement this section if implementation cannot be achieved within existing resources, unless additional funding for this purpose becomes available. The agency and involved departments may incrementally implement this section in order to accomplish its goals within existing resources, through the use of federal or private funding, or upon the subsequent appropriation of funds by the Legislature for this purpose, or all of these. (Added by Stats. 2003, Ch. 750, Sec. 2. Effective January 1, 2004.)
  50. 1180.1.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    This section defines terms used in the division on seclusion and behavioral restraints in facilities.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.1. For purposes of this division, the following definitions apply: (a) “Behavioral restraint” means “mechanical restraint” or “physical restraint” as defined in this section, used as an intervention when a person presents an immediate danger to self or to others. It does not include restraints used for medical purposes, including, but not limited to, securing an intravenous needle or immobilizing a person for a surgical procedure, or postural restraints, or devices used to prevent injury or to improve a person’s mobility and independent functioning rather than to restrict movement. (b) “Containment” means a brief physical restraint of a person for the purpose of effectively gaining quick control of a person who is aggressive or agitated or who is a danger to self or others. (c) “Mechanical restraint” means the use of a mechanical device, material, or equipment attached or adjacent to the person’s body that he or she cannot easily remove and that restricts the freedom of movement of all or part of a person’s body or restricts normal access to the person’s body, and that is used as a behavioral restraint. (d) “Physical restraint” means the use of a manual hold to restrict freedom of movement of all or part of a person’s body, or to restrict normal access to the person’s body, and that is used as a behavioral restraint. “Physical restraint” is staff-to-person physical contact in which the person unwillingly participates. “Physical restraint” does not include briefly holding a person without undue force in order to calm or comfort, or physical contact intended to gently assist a person in performing tasks or to guide or assist a person from one area to another. (e) “Seclusion” means the involuntary confinement of a person alone in a room or an area from which the person is physically prevented from leaving. “Seclusion” does not include a “timeout,” as defined in regulations relating to facilities operated by the State Department of Developmental Services. (f) “Secretary” means the Secretary of California Health and Human Services. (g) “Serious injury” means significant impairment of the physical condition as determined by qualified medical personnel, and includes, but is not limited to, burns, lacerations, bone fractures, substantial hematoma, or injuries to internal organs. (Amended by Stats. 2008, Ch. 179, Sec. 135. Effective January 1, 2009.)
  51. 1180.2.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    State departments must support facilities with training and data systems on seclusion and behavioral restraints, and certain facilities must report incidents; developmental-services facilities may not place individuals with developmental disabilities in seclusion.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.2. (a) This section shall apply to the state hospitals operated by the State Department of State Hospitals and facilities operated by the State Department of Developmental Services that utilize seclusion or behavioral restraints. (b) The State Department of State Hospitals and the State Department of Developmental Services shall develop technical assistance and training programs to support the efforts of facilities described in subdivision (a) to reduce or eliminate the use of seclusion and behavioral restraints in those facilities. (c) Technical assistance and training programs should be designed with the input of stakeholders, including clients and direct care staff, and should be based on best practices that lead to the avoidance of the use of seclusion and behavioral restraints, including, but not limited to, all of the following: (1) Conducting an intake assessment that is consistent with facility policies and that includes issues specific to the use of seclusion and behavioral restraints as specified in Section 1180.4. (2) Utilizing strategies to engage clients collaboratively in assessment, avoidance, and management of crisis situations in order to prevent incidents of the use of seclusion and behavioral restraints. (3) Recognizing and responding appropriately to underlying reasons for escalating behavior. (4) Utilizing conflict resolution, effective communication, de-escalation, and client-centered problem solving strategies that diffuse and safely resolve emerging crisis situations. (5) Individual treatment planning that identifies risk factors, positive early intervention strategies, and strategies to minimize time spent in seclusion or behavioral restraints. Individual treatment planning should include input from the person affected. (6) While minimizing the duration of time spent in seclusion or behavioral restraints, using strategies to mitigate the emotional and physical discomfort and ensure the safety of the person involved in seclusion or behavioral restraints, including input from the person about what would alleviate their distress. (7) Training in conducting an effective debriefing meeting as specified in Section 1180.5, including the appropriate persons to involve, the voluntary participation of the person who has been in seclusion or behavioral restraints, and strategic interventions to engage affected persons in the process. The training should include strategies that result in maximum participation and comfort for the involved parties to identify factors that lead to the use of seclusion and behavioral restraints and factors that would reduce the likelihood of future incidents. (d) (1) The State Department of State Hospitals and the State Department of Developmental Services shall take steps to establish a system of mandatory, consistent, timely, and publicly accessible data collection regarding the use of seclusion and behavioral restraints in facilities described in this section. It is the intent of the Legislature that data be compiled in a manner that allows for standard statistical comparison. (2) The State Department of State Hospitals and the State Department of Developmental Services shall develop a mechanism for making this information publicly available on the Internet. (3) Data collected pursuant to this section shall include all of the following: (A) The number of deaths that occur while persons are in seclusion or behavioral restraints, or where it is reasonable to assume that a death was proximately related to the use of seclusion or behavioral restraints. (B) The number of serious injuries sustained by persons while in seclusion or subject to behavioral restraints. (C) The number of serious injuries sustained by staff that occur during the use of seclusion or behavioral restraints. (D) The number of incidents of seclusion. (E) The number of incidents of use of behavioral restraints. (F) The duration of time spent per incident in seclusion. (G) The duration of time spent per incident subject to behavioral restraints. (H) The number of times an involuntary emergency medication is used to control behavior, as defined by the State Department of State Hospitals. (e) A facility described in subdivision (a) shall report each death or serious injury of a person occurring during, or related to, the use of seclusion or behavioral restraints. This report shall be made to the agency designated in subdivision (i) of Section 4900 of the Welfare and Institutions Code no later than the close of the business day following the death or injury. The report shall include the encrypted identifier of the person involved, and the name, street address, and telephone number of the facility. (f) A facility described in subdivision (a) and that is operated by the State Department of Developmental Services shall not place any individual with a developmental disability in seclusion. (g) (1) On a monthly basis, a facility described in subdivision (a) that is operated by the State Department of Developmental Services shall report to the protection and advocacy agency described in subdivision (i) of Section 4900 all of the following: (A) The number of incidents of the use of behavioral restraints and the duration of time spent per incident of restraint. (B) The number of times an involuntary emergency medication is used to control behavior. (2) The reports required pursuant to paragraph (1) shall include the name, street address, and telephone number of the facility. (Amended by Stats. 2025, Ch. 241, Sec. 15. (SB 857) Effective January 1, 2026.)
  52. 1180.3.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    This section requires the secretary or designee to develop training and data-collection systems for facilities using seclusion or behavioral restraints, and lets agencies phase implementation if resources are limited.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.3. (a) This section shall apply to psychiatric units of general acute care hospitals, acute psychiatric hospitals, psychiatric health facilities, psychiatric residential treatment facilities, crisis stabilization units, community treatment facilities, group homes, skilled nursing facilities, intermediate care facilities, community care facilities, and mental health rehabilitation centers. (b) (1) The secretary or their designee shall develop technical assistance and training programs to support the efforts of facilities to reduce or eliminate the use of seclusion and behavioral restraints in those facilities that utilize them. (2) Technical assistance and training programs should be designed with the input of stakeholders, including clients and direct care staff, and should be based on best practices that lead to the avoidance of the use of seclusion and behavioral restraints. In order to avoid redundancies and to promote consistency across various types of facilities, it is the intent of the Legislature that the technical assistance and training program, to the extent possible, be based on that developed pursuant to Section 1180.2. (c) (1) The secretary or their designee shall take steps to establish a system of mandatory, consistent, timely, and publicly accessible data collection regarding the use of seclusion and behavioral restraints in all facilities described in subdivision (a) that utilize seclusion and behavioral restraints. In determining a system of data collection, the secretary should utilize existing efforts, and direct new or ongoing efforts, of associated state departments to revise or improve their data collection systems. The secretary or their designee shall make recommendations for a mechanism to ensure compliance by facilities, including, but not limited to, penalties for failure to report in a timely manner. It is the intent of the Legislature that data be compiled in a manner that allows for standard statistical comparison and be maintained for each facility subject to reporting requirements for the use of seclusion and behavioral restraints. (2) The secretary shall develop a mechanism for making this information, as it becomes available, publicly available on the internet. For data currently being collected, this paragraph shall be implemented as soon as it reasonably can be achieved within existing resources. As new reporting requirements are developed and result in additional data becoming available, this additional data shall be included in the data publicly available on the internet pursuant to this paragraph. (3) At the direction of the secretary, the departments shall cooperate and share resources for developing uniform reporting for all facilities. Uniform reporting of seclusion and behavioral restraint utilization information shall, to the extent possible, be incorporated into existing reporting requirements for facilities described in subdivision (a). (4) Data collected pursuant to this subdivision shall include all of the data described in paragraph (3) of subdivision (d) of Section 1180.2. (5) The secretary or their designee shall work with the state departments that have responsibility for oversight of the use of seclusion and behavioral restraints to review and eliminate redundancies and outdated requirements in the reporting of data on the use of seclusion and behavioral restraints in order to ensure cost-effectiveness. (d) Neither the agency nor any department shall be required to implement this section if implementation cannot be achieved within existing resources, unless additional funding for this purpose becomes available. The agency and involved departments may incrementally implement this section in order to accomplish its goals within existing resources, through the use of federal or private funding, or upon the subsequent appropriation of funds by the Legislature for this purpose, or all of these. (Amended by Stats. 2022, Ch. 589, Sec. 2. (AB 2317) Effective January 1, 2023.)
  53. 1180.4.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    Facilities covered by this section must assess each person promptly, follow specific safety rules for seclusion and restraints, and avoid or limit dangerous restraint practices.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.4. (a) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall conduct an initial assessment of each person prior to a placement decision or upon admission to the facility, or as soon thereafter as possible. This assessment shall include input from the person and from someone whom the person desires to be present, such as a family member, significant other, or authorized representative designated by the person, and if the desired third party can be present at the time of admission. This assessment shall also include, based on the information available at the time of initial assessment, all of the following: (1) A person’s advance directive regarding de-escalation or the use of seclusion or behavioral restraints. (2) Identification of early warning signs, triggers, and precipitants that cause a person to escalate, and identification of the earliest precipitant of aggression for persons with a known or suspected history of aggressiveness, or persons who are currently aggressive. (3) Techniques, methods, or tools that would help the person control the person’s behavior. (4) Preexisting medical conditions or any physical disabilities or limitations that would place the person at greater risk during restraint or seclusion. (5) Any trauma history, including any history of sexual or physical abuse that the affected person feels is relevant. (b) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 may use seclusion or behavioral restraints for behavioral emergencies only when a person’s behavior presents an imminent danger of serious harm to self or others. (c) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall not use either of the following: (1) A physical restraint or containment technique that obstructs a person’s respiratory airway or impairs the person’s breathing or respiratory capacity, including techniques in which a staff member places pressure on a person’s back or places the staff member’s body weight against the person’s torso or back. (2) A pillow, blanket, or other item covering the person’s face as part of a physical or mechanical restraint or containment process. (d) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall not use physical or mechanical restraint or containment on a person who has a known medical or physical condition and there is reason to believe that the use would endanger the person’s life or seriously exacerbate the person’s medical condition. (e) (1) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall not use prone mechanical restraint on a person at risk for positional asphyxiation as a result of one of the following risk factors that are known to the provider: (A) Obesity. (B) Pregnancy. (C) Agitated delirium or excited delirium syndromes. (D) Cocaine, methamphetamine, or alcohol intoxication. (E) Exposure to pepper spray. (F) Preexisting heart disease, including, but not limited to, an enlarged heart or other cardiovascular disorders. (G) Respiratory conditions, including emphysema, bronchitis, or asthma. (2) Paragraph (1) shall not apply when written authorization has been provided by a physician, made to accommodate a person’s stated preference for the prone position or because the physician judges other clinical risks to take precedence. The written authorization may not be a standing order, and shall be evaluated on a case-by-case basis by the physician. (f) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall avoid the deliberate use of prone containment techniques whenever possible, utilizing the best practices in early intervention techniques, such as de-escalation. If prone containment techniques are used in an emergency situation, a staff member shall observe the person for any signs of physical duress throughout the use of prone containment. Whenever possible, the staff member monitoring the person shall not be involved in restraining the person. (g) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall not place a person in a facedown position with the person’s hands held or restrained behind the person’s back. (h) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall not use physical restraint or containment as an extended procedure. A facility described in subdivision (a) of Section 4684.80 or paragraph (1) of subdivision (a) of Section 4698 of the Welfare and Institutions Code that is licensed by the State Department of Social Services shall not use physical restraint or containment for more than 15 consecutive minutes. The department may, by regulation, authorize an exception to the 15-minute maximum duration if necessary to protect the immediate health and safety of residents or others from risk of imminent serious physical harm and the use of physical restraint or containment conforms to the facility program plan approved by the State Department of Developmental Services pursuant to subdivision (i) of Section 4684.81 or subdivision (d) of Section 4698, as applicable, of the Welfare and Institutions Code. (i) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall keep under constant, face-to-face human observation a person who is in seclusion and in any type of behavioral restraint at the same time. Observation by means of video camera may be utilized only in facilities that are already permitted to use video monitoring under federal regulations specific to that facility. (j) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall afford to persons who are restrained the least restrictive alternative and the maximum freedom of movement, while ensuring the physical safety of the person and others, and shall use the least number of restraint points. (k) A person in a facility described in subdivision (a) of Section 1180.2 and subdivision (a) of Section 1180.3 has the right to be free from the use of seclusion and behavioral restraints of any form imposed as a means of coercion, discipline, convenience, or retaliation by staff. This right includes, but is not limited to, the right to be free from the use of a drug used in order to control behavior or to restrict the person’s freedom of movement, if that drug is not a standard treatment for the person’s medical or psychiatric condition. (Amended by Stats. 2025, Ch. 241, Sec. 16. (SB 857) Effective January 1, 2026.)
  54. 1180.5.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    Facilities covered by this section must review each seclusion or behavioral restraint episode, hold a debriefing within 24 hours, and document the debriefing and any resulting treatment plan changes.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.5. (a) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall conduct a clinical and quality review for each episode of the use of seclusion or behavioral restraints. (b) A facility described in subdivision (a) of Section 1180.2 or subdivision (a) of Section 1180.3 shall, as quickly as possible but no later than 24 hours after the use of seclusion or behavioral restraints, conduct a debriefing regarding the incident with the person, and, if the person requests it, the person’s family member, domestic partner, significant other, or authorized representative, if the desired third party can be present at the time of the debriefing at no cost to the facility, as well as with the staff members involved in the incident, if reasonably available, and a supervisor, to discuss how to avoid a similar incident in the future. The person’s participation in the debriefing shall be voluntary. The purposes of the debriefing shall be to do all of the following: (1) Assist the person to identify the precipitant of the incident, and suggest methods of more safely and constructively responding to the incident. (2) Assist the staff to understand the precipitants to the incident, and to develop alternative methods of helping the person avoid or cope with those incidents. (3) Help treatment team staff devise treatment interventions to address the root cause of the incident and its consequences, and to modify the treatment plan. (4) Help assess whether the intervention was necessary and whether it was implemented in a manner consistent with staff training and facility policies. (c) The facility shall, in the debriefing, provide both the person and staff the opportunity to discuss the circumstances resulting in the use of seclusion or behavioral restraints, and strategies to be used by the staff, the person, or others that could prevent the future use of seclusion or behavioral restraints. (d) The facility staff shall document in the person’s record that the debriefing session took place and any changes to the person’s treatment plan that resulted from the debriefing. (Added by Stats. 2003, Ch. 750, Sec. 2. Effective January 1, 2004.)
  55. 1180.55.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    For incidents involving seclusion or behavioral restraints in a short-term residential therapeutic program, the facility must notify the affected foster child, give incident descriptions within seven days, and send the written description to the State Department of Social Services. The department must review reported incidents, investigate certain ones, and publish program-specific data online by January 1, 2026.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.55. (a) In the case of an incident involving the use of seclusion or behavioral restraints in a short-term residential therapeutic program, the facility shall, in conjunction with its process for a clinical and quality review and a debriefing as described in Section 1180.5, comply with all of the following steps: (1) By no later than the day following the incident, notify any foster child who has been subject to seclusion or behavioral restraints of their personal rights, as specified in Section 16001.9 of the Welfare and Institutions Code, including, among others, the right to be provided with the contact information of the Community Care Licensing Division of the State Department of Social Services and the Office of the State Foster Care Ombudsperson, the right to contact either or both of these offices immediately upon request regarding any violations of the foster child’s rights, the right to speak to representatives of these offices confidentially, and the right to be free from threats or punishment for making complaints. (2) Within seven days, provide a description of the incident, in both oral and written forms, to the person who was subject to seclusion or behavioral restraints and, as applicable, to the person’s parent, foster parent, guardian, Indian custodian, or other authorized representative, and attorney, if any, and for Indian children, as defined by subdivisions (a) and (b) of Section 224.1 of the Welfare and Institutions Code, the tribal representative. At a minimum, the description shall contain information on all of the following: (A) The actions taken during the incident. (B) The rationale for the actions. (C) The personnel implementing the actions. (D) The duration of the incident. (3) Within seven days, provide a copy of the written description described in paragraph (2) to the State Department of Social Services. (b) (1) The State Department of Social Services shall review all reported incidents involving the use of seclusion or behavioral restraints and shall investigate any incidents that indicate a potential health and safety concern or licensing violation. As part of the assessment to determine if an investigation is required, the department shall determine whether the use of seclusion or behavioral restraints potentially violated any licensing laws and regulations or violated the licensee’s approved emergency intervention plan. (2) If the department determines that an incident involving the use of seclusion or behavioral restraints should be investigated, the department shall provide the Office of the State Foster Care Ombudsperson with a copy of the incident report. The ombudsperson shall exercise their discretion in determining whether to investigate the incident pursuant to paragraph (3) of subdivision (a) of Section 16164 of the Welfare and Institutions Codes. (c) (1) By January 1, 2026, the department shall display, on its internet website, data that is specific to short-term residential therapeutic programs and that displays all of the following: (A) Data collected pursuant to paragraph (4) of subdivision (c) of Section 1180.3, with regard to seclusion or behavioral restraints, as applicable to short-term residential therapeutic programs. (B) Written descriptions collected pursuant to subdivision (a), subject to the limitations described in subdivision (d). (C) The number and types of licensing administrative actions taken against a short-term residential therapeutic program or individual associated with the short-term residential therapeutic program for the improper use of seclusion or behavioral restraints. (D) Completed investigation reports. (2) The department shall update the data described in paragraph (1) biannually. (d) (1) Data described in subdivision (c) shall exclude any personally identifiable information of the person, personnel, or other individuals listed in paragraph (2) of subdivision (a). (2) This section shall be implemented to the extent not in conflict with any applicable federal or state privacy laws. (Added by Stats. 2024, Ch. 628, Sec. 2. (SB 1043) Effective January 1, 2025.)
  56. 1180.6.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. )

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    These state departments must report yearly to the Legislature on progress implementing this division, including barriers to full implementation.

    ## Health and Safety Code - HSC ## DIVISION 1.5. USE OF SECLUSION AND BEHAVIORAL RESTRAINTS IN FACILITIES [1180 - 1180.6] ( Division 1.5 added by Stats. 2003, Ch. 750, Sec. 2. ) ## 1180.6. The State Department of Public Health, the State Department of State Hospitals, the State Department of Social Services, the State Department of Developmental Services, and the State Department of Health Care Services shall annually provide information to the Legislature, during Senate and Assembly budget committee hearings, about the progress made in implementing this division. This information shall include the progress of implementation and barriers to achieving full implementation. (Amended by Stats. 2013, Ch. 23, Sec. 6. (AB 82) Effective June 27, 2013.)
  57. 11800.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. )

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    The board of supervisors must designate a county health agency or department to run the alcohol and other drug program and appoint an administrator for it.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11800. (a) The board of supervisors shall designate a health-related county agency or department that shall administer the county alcohol and other drug program. The board of supervisors or the head of the designated health-related agency or department shall appoint an alcohol and drug program administrator, who shall report to the head of the agency or department through administrative channels designated by the board of supervisors. The county alcohol and other drug program shall be placed at the same administrative level and have responsibility and authority similar to other major health programs in the county. (b) In accordance with regulations adopted by the department, the alcohol and drug program administrator shall be qualified by his or her ability, training, and experience to administer or coordinate and monitor the county alcohol and other drug program. (Amended by Stats. 2004, Ch. 862, Sec. 68. Effective January 1, 2005.)
  58. 118000.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste may only be sent to approved facilities or, in limited cases, to a transfer station or another registered generator for consolidation before treatment and disposal.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118000. (a) Medical waste shall only be transported to a permitted medical waste treatment facility, or to a transfer station or another registered generator for the purpose of consolidation before treatment and disposal. (b) Facilities for the transfer of medical waste shall be annually inspected and issued permits in accordance with the regulations adopted pursuant to this part. (c) Medical waste transported out of state shall be consigned to a permitted medical waste treatment facility in the receiving state. If there is no permitted medical waste treatment facility in the receiving state or if the medical waste is crossing an international border, the medical waste shall be treated in accordance with Chapter 8 (commencing with Section 118215) prior to being transported out of the state. (Amended by Stats. 2014, Ch. 564, Sec. 56. (AB 333) Effective January 1, 2015.)
  59. 11801.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. )

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    The county’s alcohol and drug program administrator must handle county contract preparation, discrimination compliance, annual reporting, fund and program administration, program evaluation, quality assurance, county representation, and any other needed acts.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11801. The alcohol and drug program administrator, acting through administrative channels designated pursuant to Section 11795, shall do all of the following: (a) Coordinate and be responsible for the preparation of the county contract. (b) Ensure compliance with applicable laws relating to discrimination against any person because of any characteristic listed or defined in Section 11135 of the Government Code. (c) Submit an annual report to the board of supervisors reporting all activities of the alcohol and other drug program, including a financial accounting of expenditures, number of persons served, and a forecast of anticipated needs for the upcoming year. (d) Be directly responsible for the administration of all alcohol or other drug program funds allocated to the county under this part, administration of county operated programs, and coordination and monitoring of programs that have contracts with the county to provide alcohol and other drug services. (e) Ensure the evaluation of alcohol and other drug programs, including the collection of appropriate and necessary client data and program information, pursuant to Chapter 6 (commencing with Section 11825). (f) Ensure program quality in compliance with appropriate standards pursuant to Chapter 7 (commencing with Section 11830). (g) Participate and represent the county in meetings of the County Behavioral Health Directors Association of California pursuant to Section 11811.5 for the purposes of representing the counties in their relationship with the state with respect to policies, standards, and administration for alcohol and other drug services. (h) Perform any other acts that may be necessary, desirable, or proper to carry out the purposes of this part. (Amended by Stats. 2024, Ch. 847, Sec. 26. (AB 2995) Effective January 1, 2025.)
  60. 11802.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. )

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    County alcohol and drug education funds must be jointly administered and at least 33% must go to primary prevention programs.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11802. (a) Money deposited in the county alcohol abuse education and prevention fund pursuant to Section 1463.25 of the Penal Code shall be jointly administered by the administrator of the county’s alcohol and other drug program and the county office of education subject to the approval of the board of supervisors and the county office of education. A minimum of 33 percent of the fund shall be allocated to primary prevention programs in the schools and community. Primary prevention programs developed and implemented under this section shall emphasize cooperation in planning and program implementation of alcohol abuse education and prevention among schools and community alcohol and other drug abuse agencies. Coordination shall be demonstrated through an interagency agreement among county offices of education, school districts, and the county alcohol and drug program administrator. (b) Programs funded, planned, and implemented under this section shall emphasize a joint school-community primary education and prevention program that may include: (1) School and classroom-oriented programs, including, but not limited to, programs designed to encourage sound decisionmaking, an awareness of values, an awareness of alcohol and its effects, enhanced self-esteem, social and practical skills that will assist students toward maturity, enhanced or improved school climate and relationships among all school personnel and students, and furtherance of cooperative efforts of school- and community-based personnel. (2) School- or community-based nonclassroom alternative programs, or both, including, but not limited to, positive peer group programs, programs involving youth and adults in constructive activities designed as alternatives to alcohol use, and programs for special target groups, such as women, ethnic minorities, and other high-risk, high-need populations. (3) Family-oriented programs, including, but not limited to, programs aimed at improving family relationships and involving parents constructively in the education and nurturing of their children, as well as in specific activities aimed at preventing alcohol abuse. (c) The money deposited under subdivision (a) shall supplement and not supplant any local funds made available to support the county’s alcohol abuse education and prevention efforts. (d) If the county has a drug abuse primary prevention program, it may choose to combine or coordinate its drug and alcohol abuse education and prevention programs. (Amended by Stats. 2004, Ch. 862, Sec. 70. Effective January 1, 2005.)
  61. 118025.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste must be hauled by a registered hazardous waste hauler, the U.S. Postal Service, or a person with a listed exception.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118025. All medical waste shall be hauled by a registered hazardous waste hauler, the United States Postal Service, or by a person with an exception granted pursuant to Section 117946 for small quantity generators or pursuant to Section 117976 for large quantity generators. (Amended by Stats. 2014, Ch. 564, Sec. 58. (AB 333) Effective January 1, 2015.)
  62. 118027.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A qualified solid waste collector who unknowingly transports medical waste incidentally is exempt for that waste. If untreated medical waste is found at a landfill or materials recovery facility, the transporter must contact the generator, and the facility operator may arrange proper disposal.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118027. A person who is authorized to collect solid waste, as defined in Section 40191 of the Public Resources Code, who unknowingly transports medical waste to a solid waste facility, as defined in Section 40194 of the Public Resources Code, incidental to the collection of solid waste, is exempt from the provisions of the Medical Waste Management Act with regard to that waste. If a solid waste transporter discovers that he or she has hauled untreated medical waste to a landfill or materials recovery facility, he or she shall contact the originating generator of the medical waste to respond to the landfill or recovery facility to provide ultimate proper disposal of the medical waste. The solid waste facility operator may, at its discretion and after contacting the generator, make arrangements for the proper treatment and disposal of the medical waste at a facility approved by the department. Title to the waste remains with the generator. Reimbursement costs for the proper management of discovered waste shall be the originating generator’s responsibility. (Amended by Stats. 2014, Ch. 564, Sec. 59. (AB 333) Effective January 1, 2015.)
  63. 118029.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste haulers in California generally must meet federal transport requirements, register as hazardous waste haulers, and file annual notices and generator lists with the department.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118029. (a) Haulers of medical waste in California, with the exception of those using a materials of trade exception as specified in Sections 117946 and 117976, and United States Department of Transportation licensed common carriers hauling pharmaceutical waste, shall meet all United States Department of Transportation requirements for transporting medical waste and shall be hazardous waste haulers in California. On or before July 1 of each year, a registered hazardous waste hauler that transports medical waste shall so notify the department, and provide, in a format that conforms to the protocol requirements for submission of data to the department, the following information: (1) Business name, address, and telephone number. (2) Name of owner, operator, and contact person. (3) Hazardous waste transporter registration number. (4) The number of vehicles and trailers transporting medical waste within the state as of that date. (5) Types and quantities of medical waste collected, in pounds. (6) The names of the generators whose waste has been transported by the hauler and the amounts of medical waste transported, by waste type category. (b) Each registered hazardous waste hauler shall provide to the department a list of all medical waste generators serviced by that person during the previous 12 months. That list shall include the business name, business address, mailing address, telephone number, and other information as required by the department to collect annual fees pursuant to Section 117924. The list shall be provided to the department within 10 days of the close of the earliest calendar quarter ending September 30, December 31, March 31, or June 30, or as otherwise required by the department. (Amended by Stats. 2014, Ch. 564, Sec. 60. (AB 333) Effective January 1, 2015.)
  64. 11803.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. )

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    If the county has an alcohol and other drug advisory board, the county administrator may give the board periodic reports and information, and may orient board members.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Administration [11800 - 11803] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11803. If the county has an alcohol and other drug advisory board, the alcohol and drug program administrator, acting through administrative channels designated pursuant to Section 11795, may do either or both of the following: (a) Provide reports and information periodically to the advisory board regarding the status of alcohol and other drug programs in the county and keep the advisory board informed regarding changes in relevant state, federal, and local laws or regulations or improvements in program design and services that may affect the county alcohol and other drug program. (b) Provide for the orientation of the members of the advisory board, including, but not limited to, the provision of information and materials on alcohol and other drug problems and programs, planning, procedures, and site visits to local programs. (Added by Stats. 2012, Ch. 36, Sec. 32. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  65. 118032.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Some pharmaceutical waste generators and parent organizations are exempt from Section 118000(a) if they meet specific recordkeeping, transport, and notice requirements.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118032. A pharmaceutical waste generator or parent organization that employs health care professionals who generate pharmaceutical waste is exempt from the requirements of subdivision (a) of Section 118000 if all of the following requirements are met: (a) The generator or parent organization has on file one of the following: (1) If the generator or parent organization is a small quantity generator required to register pursuant to Chapter 4 (commencing with Section 117925), a medical waste management plan prepared pursuant to Section 117935. (2) If the generator or parent organization is a small quantity generator not required to register pursuant to Chapter 4 (commencing with Section 117925), the information document maintained pursuant to subdivision (a) of Section 117945. (3) If the generator or parent organization is a large quantity generator, a medical waste management plan prepared pursuant to Section 117960. (b) The generator or health care professional who generated the pharmaceutical waste transports the pharmaceutical waste himself or herself, or directs a member of his or her staff to transport the pharmaceutical waste to a parent organization or another health care facility for the purpose of consolidation before treatment and disposal, or contracts with a common carrier to transport the pharmaceutical waste to a permitted medical waste treatment facility or transfer station. (c) Except as provided in subdivision (d), all of the following requirements are met: (1) Prior to shipment of the pharmaceutical waste, the generator notifies the intended destination facility that it is shipping pharmaceutical waste to it and provides a copy of the tracking document, as specified in Section 118040. (2) The generator and the facility receiving the pharmaceutical waste maintain the tracking document, as specified in Section 118040. (3) The facility receiving the pharmaceutical waste notifies the generator of the receipt of the pharmaceutical waste shipment and any discrepancies between the items received and the tracking document, as specified in Section 118040, evidencing diversion of the pharmaceutical waste. (4) The generator notifies the enforcement agency of any discrepancies between the items received and the tracking document, as specified in Section 118040, evidencing diversion of the pharmaceutical waste. (d) (1) Notwithstanding subdivision (c), if a health care professional who generates pharmaceutical waste returns the pharmaceutical waste to the parent organization for the purpose of consolidation before treatment and disposal over a period of time, a single-page form or multiple entry log may be substituted for the tracking document, if the form or log contains all of the following information: (A) The name of the person transporting the pharmaceutical waste. (B) The number of containers of pharmaceutical waste. This clause does not require any generator to maintain a separate pharmaceutical waste container for every patient or to maintain records as to the specified source of the pharmaceutical waste in any container. (C) The date that the pharmaceutical waste was returned. (2) The form or log described in paragraph (1) shall be maintained in the files of the health care professional who generates the pharmaceutical waste and the parent organization or another health care facility that receives the pharmaceutical waste. (3) This subdivision does not prohibit the use of a single document to verify the return of more than one container to a parent organization or another health care facility, provided the form or log meets the requirements specified in paragraphs (1) and (2). (Amended by Stats. 2015, Ch. 352, Sec. 6. (SB 225) Effective September 28, 2015.)
  66. 118033.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Generators must keep separated pharmaceutical waste secure from unauthorized access, and suspected or confirmed tampering, unauthorized access, or loss must be reported to the appropriate state licensing authority.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118033. The pharmaceutical waste that is separated from medical waste by the generator shall be maintained in a manner to secure the pharmaceutical waste contents from access by unauthorized individuals. Any suspected or confirmed tampering of, unauthorized access to, or loss of this pharmaceutical waste shall be reported to the appropriate state licensing authority. (Added by Stats. 2012, Ch. 689, Sec. 8. (AB 1442) Effective January 1, 2013.)
  67. 118035.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste may not be unloaded, reloaded, or moved to another vehicle before it reaches a permitted treatment facility, except at a permitted transfer station or during a vehicle breakdown or other emergency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118035. For the purpose of transferring medical waste prior to reaching a permitted medical waste treatment facility, medical waste shall not be unloaded, reloaded, or transferred to another vehicle at any location, except at a permitted medical waste transfer station or in the case of a vehicle breakdown or other emergency. (Added by renumbering Section 25062.5 by Stats. 1996, Ch. 536, Sec. 14. Effective January 1, 1997.)
  68. 118040.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Medical waste transporters must keep and provide tracking documents, and certain facilities must submit tracking data.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118040. (a) Except with regard to sharps waste consolidated by a home-generated sharps consolidation point approved pursuant to Section 117904, a hazardous waste transporter transporting medical waste shall maintain a completed tracking document in compliance with subdivision (b) for the purpose of tracking the medical waste from the point when the waste leaves the generator facility until it receives final treatment. At the time that the medical waste is received by a hazardous waste transporter, the transporter shall provide the medical waste generator with a copy of the tracking document. The transporter transporting medical waste shall maintain its copy of the tracking document for three years. (b) The tracking document shall include, but not be limited to, all of the following information: (1) The name, address, telephone number, and registration number of the transporter, unless transported pursuant to Section 117946 or 117976. (2) The type of medical waste transported and the quantity or aggregate weight of medical waste transported. (3) The name, address, and telephone number of the generator. (4) The name, address, telephone number, permit number, and the signature of an authorized representative of the permitted facility receiving the medical waste. (5) The date that the medical waste is collected or removed from the generator’s facility, the date that the medical waste is received by the transfer station, the registered large quantity generator, or point of consolidation, if applicable, and the date that the medical waste is received by the treatment facility. (c) A hazardous waste transporter transporting medical waste in a vehicle shall have the tracking document in his or her possession while transporting the medical waste. The tracking document shall be shown upon demand to any enforcement agency personnel or officer of the Department of the California Highway Patrol. If the medical waste is transported by rail, vessel, or air, the railroad corporation, vessel operator, or airline shall enter on the shipping papers any information concerning the medical waste that the enforcement agency may require. (d) A hazardous waste transporter transporting medical waste shall provide the facility receiving the medical waste with the original tracking document. (e) Each hazardous waste transporter and each medical waste treatment facility shall provide tracking data periodically and in a format as determined by the department. (Amended by Stats. 2015, Ch. 352, Sec. 7. (SB 225) Effective September 28, 2015.)
  69. 118045.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must charge fees for a transfer station permit application and for the annual permit.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 6. Medical Waste Haulers [118000 - 118045] ( Chapter 6 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118045. (a) The department shall charge an application fee for a permit for a transfer station equal to one hundred dollars ($100) for each hour which the department spends on processing the application, but not more than ten thousand dollars ($10,000), or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department. (b) In addition to the fee specified in subdivision (a), the annual permit fee for a transfer station is two thousand dollars ($2,000), or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department. (Amended by Stats. 2014, Ch. 564, Sec. 64. (AB 333) Effective January 1, 2015.)
  70. 11805.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 3. County Advisory Board [11805- 11805.] ( Article 3 added by Stats. 1979, Ch. 679. )

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    Each county may have an advisory board on alcohol and other drug problems, appointed by the board of supervisors.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 3. County Advisory Board [11805- 11805.] ( Article 3 added by Stats. 1979, Ch. 679. ) ## 11805. Each county may have an advisory board on alcohol and other drug problems appointed by the board of supervisors. The advisory board may be independent, be under the jurisdiction of another health-related or human services advisory board established pursuant to any provision of state law, or have the same membership as that other advisory board. (Amended by Stats. 2004, Ch. 862, Sec. 71. Effective January 1, 2005.)
  71. 11810.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    The Legislature intends to give counties broad flexibility in using alcohol and other drug program funds and in planning related services.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11810. It is the intent of the Legislature to provide maximum flexibility in the use of federal and state alcohol and other drug program funds. County government is therefore given broad authority in determining the methods for encouragement of citizen participation, the scope of problem analysis, and the methods of planning for alcohol and other drug program services. (Amended by Stats. 2004, Ch. 862, Sec. 73. Effective January 1, 2005.)
  72. 11811.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    Counties may choose the services they use to address alcohol and other drug problems, but those services must include prevention and treatment.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811. Counties shall have broad discretion in the choice of services they utilize to alleviate the alcohol and other drug problems of specific population groups and the community. Those services shall include services for alcohol and other drug use prevention and treatment. (Amended by Stats. 2024, Ch. 847, Sec. 27. (AB 2995) Effective January 1, 2025.)
  73. 11811.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    This section says prevention and early intervention activities for alcohol and other drug use should promote positive change, reduce use, reduce stigma, inform the public, help professionals recognize problems, and encourage early help-seeking.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.1. (a) The major purpose of prevention and early intervention activities includes, but is not limited to, all of the following: (1) To facilitate positive change in community and individual understanding, values, attitudes, environmental factors, and behavior concerning alcohol and its inappropriate use and other drug use. (2) To reduce the likelihood of the inappropriate use of alcohol and other drugs by developing and implementing public policies designed to reduce or limit alcohol and other drug consumption. (3) To lessen the stigmatization of persons who seek help for problems related to inappropriate alcohol use and other drug use. (4) To provide information so that the public may make informed personal and public policy decisions regarding the inappropriate use and nonuse of alcoholic beverages and other drugs. (5) To enlighten the “helping professions” to recognize persons with alcohol and other drug problems and to offer them appropriate services. (6) To encourage persons to seek early help for their alcohol or other drug problems. (b) The Legislature recognizes that the effective provision of the activities specified in subdivision (a) will result in an increased demand upon, and utilization of, existing services to individuals with substance use disorders and their families. However, the Legislature believes that provision of effective prevention and early intervention activities over the next decade will result in saving taxpayers funds that might otherwise have to be expended for higher health and safety costs. (Amended by Stats. 2024, Ch. 847, Sec. 28. (AB 2995) Effective January 1, 2025.)
  74. 11811.3.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    A county may provide additional alcohol and drug services or programs for county employees, and may use allocated funds for authorized services.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.3. In addition to the services described in Section 11811, a county may provide other services or programs pursuant to this section, including, but not limited to, the following: (a) (1) Occupational programs for county employees designed to help recognize employees with alcohol and other drug problems that affect their job performance and to encourage these employees to seek services to alleviate those problems. (2) It is the intent of the Legislature to encourage every county to institute a program described in paragraph (1) for its own employees in order to set an example for the community regarding local government’s attitude toward alcohol and other drug problems. (b) (1) Counties may use funds allocated to them by the department for any other services authorized in Section 11811 or this section. (2) It is the intent of the Legislature that counties make maximum utilization of vocational rehabilitation services, where reasonable and appropriate to do so. A county, pursuant to a resolution by the board of supervisors, may utilize funds for other authorized services pursuant to Section 11811. (Amended by Stats. 2004, Ch. 862, Sec. 76. Effective January 1, 2005.)
  75. 11811.5.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    A county may use certain funds for county alcohol and other drug program planning, development, administration, and related expenses if federal funding conditions are met.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.5. To the extent the activities meet the provisions for receipt of the federal block grant funds for prevention and treatment of substance use disorders described in Subchapter XVII of Chapter 6A of Title 42 of the United States Code and other applicable federal provisions for funds, a county may also utilize funds for the following: (a) Planning, program development, and administration by the county. The department shall establish uniform definitions of the elements of county alcohol and other drug program administration and shall set the minimum and maximum levels of administrative services, taking into account the total funds expended pursuant to the contract. (b) In conducting planning, evaluation, and research activities to develop and implement the county alcohol and other drug program, counties may contract with appropriate public or private agencies. (c) Actual and necessary expenses incurred by the alcohol and drug program administrator relating to attendance at not more than four meetings each year of the administrators, any other meetings called by the director, and reasonable dues for any related activities and meetings. Each administrator of a county who receives funds under this part shall attend each quarterly meeting, unless a waiver is provided for by the department. (Amended by Stats. 2024, Ch. 847, Sec. 29. (AB 2995) Effective January 1, 2025.)
  76. 11811.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    The department must consult specified county and alcohol-and-drug program officials when setting standards and regulations, and it may also consult program administrators on other related matters.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.6. The department shall consult with county behavioral health directors, alcohol and drug program administrators, or both, in establishing standards pursuant to Chapter 7 (commencing with Section 11830) and regulations pursuant to Chapter 8 (commencing with Section 11835), shall consult with alcohol and drug program administrators on matters of major policy and administration, and may consult with alcohol and drug program administrators on other matters affecting persons with alcohol and other drug problems. The administrators shall consist of all legally appointed alcohol and drug administrators in the state as designated pursuant to subdivision (a) of Section 11800. (Amended by Stats. 2015, Ch. 455, Sec. 2. (SB 804) Effective January 1, 2016.)
  77. 11811.7.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    Services financed under this part must be voluntary, and they should encourage service users and their families to join community self-help groups and to abstain from alcohol and illegal drugs.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.7. Services financed under this part shall: (a) Be provided on a voluntary basis only, except as provided in Article 1.5 (commencing with Section 5170) of Chapter 2 of Part 1 of Division 5 of the Welfare and Institutions Code. (b) Encourage persons utilizing services, and members of their family, to participate in community self-help groups providing ongoing support to individuals with substance use disorders and their family members. (c) Encourage individuals experiencing a substance use disorder to abstain from the use of alcohol and illegal drugs. (Amended by Stats. 2024, Ch. 847, Sec. 30. (AB 2995) Effective January 1, 2025.)
  78. 11811.8.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    Some listed costs are not eligible for state funding under this part.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11811.8. The following costs shall not be eligible for state funding pursuant to this part: (a) The costs involved in a peace officer bringing a person in for 72-hour treatment and evaluation. (b) The costs of court proceedings or court-ordered evaluation pursuant to Article 3 (commencing with Section 5225) of Chapter 2 of Part 1 of Division 5 of the Welfare and Institutions Code, and the apprehension of the person ordered to evaluation when necessary. (c) The costs of court proceedings in cases of appeal on 14-day intensive treatment. (d) The costs of legal proceedings in conservatorship. (e) The court costs in postcertification proceedings. (f) The cost of providing a public defender or other court-appointed attorneys in proceedings for those unable to afford this assistance. (Amended by Stats. 1984, Ch. 1328, Sec. 38.)
  79. 11812.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    Counties must use available private alcohol and other drug programs first when they are as good and cost-effective as public options, keep covered personal records confidential, and the department may require funding-related information from counties and providers.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11812. The following conditions apply to county expenditures of funds pursuant to this part: (a) Where the services specified in the contract for alcohol and other drug services are provided pursuant to other general health or social programs, only that portion of the services dealing with alcohol and other drug problems may be financed under this part. (b) (1) Each county shall utilize available privately operated alcohol and other drug programs and services in the county prior to utilizing new county-operated programs and services, or city-operated programs and services pursuant to Section 11796.1, when the available privately operated programs and services are as favorable in quality and cost as are those operated by the county or city. When these privately operated programs and services are not available, the county shall make a reasonable effort to encourage the development of privately operated programs and services prior to developing county-operated or city-operated programs and services. (2) The county alcohol and drug program administrator shall demonstrate to the board of supervisors, and to the department, prior to development of any new program or service, that reasonable efforts have been made to comply with paragraph (1). All available local public or private programs and services, as described in paragraph (1), that are appropriate shall be utilized prior to using services provided by hospitals. (c) All personal information and records obtained by the county, any program that has a contract with the county, or the department pursuant to this section are confidential and may be disclosed only in those instances designated in Section 5328 of the Welfare and Institutions Code. (1) Any person may bring an action against an individual who has willingly and knowingly released confidential information or records concerning that person in violation of this section, for the greater of the following amounts: (A) Five hundred dollars ($500). (B) Three times the amount of actual damages, if any, sustained by the plaintiff. (2) (A) Any person may, in accordance with Chapter 3 (commencing with Section 525) of Title 7 of Part 2 of the Code of Civil Procedure, bring an action to enjoin the release of confidential information or records in violation of this chapter, and may in the same action seek damages as provided in this section. (B) It is not a prerequisite to an action under this section that the plaintiff suffer or be threatened with actual damages. (d) The department may require that each county and any public or private provider of alcohol and other drug services that receives any funds under this part provide any information requested by the department relating to any application for or receipt of federal or other nonstate funds, including fees, donations, grants, and other revenues, for alcohol and other drug services provided by these agencies. (Amended by Stats. 2024, Ch. 847, Sec. 31. (AB 2995) Effective January 1, 2025.)
  80. 11812.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    The department must urge the county to develop specific policies and procedures for treating people with both substance use and mental health disorders.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11812.6. In addition to any other services authorized under this chapter, the department shall urge the county to develop within existing resources specific policies and procedures to address the unique treatment problems presented by individuals who have a substance use disorder and also have a mental health disorder. Priority may be given to developing policies and procedures that relate to the diagnosis and treatment of homeless persons who have mental health disorders and have a substance use disorder. (Amended by Stats. 2024, Ch. 847, Sec. 32. (AB 2995) Effective January 1, 2025.)
  81. 11813.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    A county is not barred from using its own funds for alcohol and other drug programs and services on top of the funds allocated by the department.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11813. Nothing in this part shall prohibit a county from appropriating funds for alcohol and other drug programs and services in addition to the funds allocated by the department. (Amended by Stats. 2004, Ch. 862, Sec. 82. Effective January 1, 2005.)
  82. 118130.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Offsite medical waste treatment facilities and transfer stations must be permitted and inspected by the department, and onsite medical waste treatment facilities must be permitted and inspected by the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118130. All offsite medical waste treatment facilities and transfer stations shall be permitted and inspected by the department. All onsite medical waste treatment facilities shall be permitted and inspected by the enforcement agency. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  83. 118135.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person operating an offsite medical waste treatment facility must obtain a permit from the department before starting operations.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118135. Each person operating an offsite medical waste treatment facility shall obtain a permit pursuant to this chapter from the department prior to commencement of the treatment facility’s operation. (Amended by Stats. 2014, Ch. 564, Sec. 65. (AB 333) Effective January 1, 2015.)
  84. 11814.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    The department must issue county alcohol and other drug program allocations, base them on county population, give small-population counties a minimum amount, and send preliminary and final allocation notices on specified timelines.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11814. (a) The department shall issue allocations to contracting counties for alcohol and other drug programs. (b) In issuing allocations to contracting counties, it is the intent of the Legislature that counties shall allocate all funds received pursuant to state and federal laws and regulations. (c) The department shall estimate an allocation of federal funds available for each county to use as the basis for submission of the contract. In making allocations, the department shall base its allocations on the population of each county. However, the department shall ensure that each small population county receives a minimum amount of funds to provide adequate alcohol and other drug services. The department may take into account other factors in making the allocations, including, but not limited to, factors that relate to the level of alcohol and other drug problems in the county. No later than 45 days after introduction of the Budget Bill, the department shall notify each county regarding its preliminary allocation under this division and estimated amount of the federally required maintenance of effort statewide expenditure levels on authorized activities, as defined in the federal Substance Abuse Prevention and Treatment Block Grant funds (42 U.S.C. Sec. 300x-30), pending enactment of the Budget Bill. The 1984–85 fiscal year shall establish the base funding for the county alcohol and drug allocation for local programs. Beginning with the 1985–86 fiscal year, cost-of-living adjustments, if granted, shall be considered as tied to the base allocation established in the 1984–85 fiscal year, plus any subsequent cost-of-living adjustments. The department shall notify each county regarding its final allocation after enactment of the Budget Bill. (d) (1) Notwithstanding any other provision in this section, the director may reduce federal funding allocations, on a dollar-for-dollar basis, to a county that has reduced or anticipates reducing expenditures in a way that would result in a decrease in the federal Substance Abuse Prevention and Treatment Block Grant funds (42 U.S.C. Sec. 300x-30). (2) Prior to making any reductions pursuant to this subdivision, the director shall notify all counties that county underspending will reduce the federal Substance Abuse Prevention and Treatment Block Grant maintenance of effort (MOE). Upon receipt of notification, a county may submit a revision to the county budget initially submitted pursuant to subdivision (a) of Section 11798 in an effort to maintain the statewide Substance Abuse Prevention and Treatment Block Grant MOE. (3) Pursuant to subdivision (b) of Section 11798.1, a county shall notify the department in writing of proposed local changes to the county’s expenditure of funds. The department shall review and may approve the proposed local changes depending on the level of expenditures needed to maintain the statewide Substance Abuse Prevention and Treatment Block Grant MOE. (e) (1) Notwithstanding the rulemaking provisions of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific the amendments to this section made by the act that added this subdivision by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions from the department until regulations are adopted pursuant to that chapter of the Government Code. (2) The department shall adopt emergency regulations no later than July 1, 2014. The department may subsequently readopt any emergency regulation authorized by this section that is the same as or is substantially equivalent to an emergency regulation previously adopted pursuant to this section. (3) The initial adoption of emergency regulations implementing the amendments to this section and the one readoption of emergency regulations authorized by this subdivision shall be deemed an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare. Initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be exempt from review by the Office of Administrative Law. The initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be submitted to the Office of Administrative Law for filing with the Secretary of State and each shall remain in effect for no more than 180 days, by which time final regulations may be adopted. (Amended by Stats. 2012, Ch. 36, Sec. 37. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  85. 118140.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A health care facility that accepts medical waste from its own staff physicians and surgeons who are small quantity generators must be treated as an onsite treatment facility and must be permitted and inspected by the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118140. A health care facility accepting medical waste for treatment from the physicians and surgeons who are on the staff of the facility and who are small quantity generators shall be classified as an onsite treatment facility and shall be permitted and inspected by the enforcement agency. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  86. 118145.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A health care facility that accepts medical waste from adjacent small quantity generators is classified as an onsite treatment facility and must be permitted and inspected by the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118145. A health care facility accepting medical waste for treatment from small quantity generators that are adjacent to the facility shall be classified as an onsite treatment facility and shall be permitted and inspected by the enforcement agency. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  87. 118147.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A registered medical waste generator may accept home-generated sharps waste if the listed handling and plan requirements are met.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118147. Notwithstanding any other provision of this chapter, a registered medical waste generator, which is a facility specified in subdivisions (a) and (b) of Section 117705, may accept home-generated sharps waste, to be consolidated with the facility’s medical waste stream, subject to all of the following conditions: (a) The generator of the sharps waste, a member of the generator’s family, or a person authorized by the enforcement agency transports the sharps waste to the medical waste generator’s facility. (b) The sharps waste is accepted at a central location at the medical waste generator’s facility. (c) A reference to, and a description of, the actions taken pursuant to this section are included in the facility’s medical waste management plan adopted pursuant to Section 117960. (Added by renumbering Section 25070.4 by Stats. 1996, Ch. 536, Sec. 16. Effective January 1, 1997.)
  88. 118150.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Each enforcement agency must use procedures consistent with the Medical Waste Management Act and the chapter’s regulations when issuing medical waste permits.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118150. Each enforcement agency shall follow procedures that are consistent with the Medical Waste Management Act and the regulations adopted pursuant to this chapter, when issuing medical waste permits. (Amended by Stats. 2014, Ch. 564, Sec. 66. (AB 333) Effective January 1, 2015.)
  89. 118155.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person who must obtain an offsite medical waste treatment facility permit must file an application with the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118155. A person required to obtain an offsite medical waste treatment facility permit pursuant to this part shall file with the enforcement agency an application containing, but not limited to, all of the following: (a) The name of the applicant. (b) The business address of the applicant. (c) The type of treatment provided, the treatment capacity of the facility, a characterization of the waste treated at this facility and the estimated average monthly quantity of waste treated at the facility. (d) A disclosure statement, as provided in Section 25112.5, except for onsite medical waste treatment facilities. (e) A plan for closure of the facility using, at minimum, one of the methods of decontamination specified in subdivision (a) or (b) of Section 118295, thereby rendering the property to an acceptable sanitary condition following the ending of treatment services at the site. (f) Any other information required by the enforcement agency for the administration or enforcement of this part or the regulations adopted pursuant to this part. (Amended by Stats. 2014, Ch. 564, Sec. 67. (AB 333) Effective January 1, 2015.)
  90. 118160.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Before issuing or renewing an offsite medical waste treatment facility permit, the department must review the applicant’s compliance history. If recent violations show a recurring pattern of noncompliance or a significant risk, the department must deny the permit or add permit conditions.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118160. (a) Prior to issuing or renewing a permit for an offsite medical waste treatment facility, the department shall review the compliance history of the applicant, under any local, state, or federal law or regulation governing the control of medical waste or pollution. (b) The department shall, pursuant to this section, deny a permit, or specify additional permit conditions, to ensure compliance with applicable regulations, if the department determines that in the three-year period preceding the date of application the applicant has violated laws or regulations identified in subdivision (a) at a facility owned or operated by the applicant, and the violations demonstrate a recurring pattern of noncompliance or pose, or have posed, a significant risk to public health and safety or to the environment. (c) In making the determination of whether to deny a permit or to specify additional permit conditions, the department shall take both of the following into consideration: (1) Whether a permit denial or permit condition is appropriate or necessary given the severity of the violation. (2) Whether the violation has been corrected in a timely fashion. (Amended by Stats. 2014, Ch. 564, Sec. 68. (AB 333) Effective January 1, 2015.)
  91. 118165.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Operators of medical waste treatment facilities must keep individual records for three years and provide specified information to the enforcement agency when requested.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118165. On and after April 1, 1991, all persons operating a medical waste treatment facility shall maintain individual records for a period of three years and shall report or submit to the enforcement agency upon request, all of the following information: (a) The type of treatment facility and its capacity. (b) All treatment facility operating records. (c) Copies of the tracking documents for all medical waste it receives for treatment from offsite generators, hazardous waste haulers, or, pursuant to Section 118032, common carriers. (Amended by Stats. 2012, Ch. 689, Sec. 10. (AB 1442) Effective January 1, 2013.)
  92. 11817.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

    Verify source ↗

    The department may reallocate certain unexpended or unallocated federal funds among counties, and may do so by amending county contracts.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11817.1. The department may reallocate among counties any unexpended federal funds that occur during the fiscal year in programs or services or any allocations either not applied for by a county or not in compliance with this part. Reallocations may be made to counties by amendment to their county contracts. (Amended by Stats. 2012, Ch. 36, Sec. 38. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  93. 11817.3.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    The department must determine and allocate certain additional federal funds to counties within 90 days, and the allocation must follow federal and Budget Act requirements.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11817.3. (a) There shall be an appropriation from the Budget Act to the department to fund programs and services to alleviate problems related to inappropriate alcohol use or other drug use as provided for in this part. However, if the state receives additional funds from the federal government after the enactment of the Budget Act, which funds may be augmented by the Director of Finance to the appropriation described in this section in accordance with the Budget Act, then the department shall determine the amount of those funds to be used for allocation to counties, and shall allocate that amount to counties through amendments to executed contracts, within 90 days of receipt of the additional funds to support programs and services to alleviate alcohol-related and other drug-related problems as described in this subdivision. The allocation of all funds pursuant to this subdivision shall comply with federal requirements and with any requirements pursuant to Section 28.00 of the Budget Act. (b) The requirement set forth in subdivision (a) that the department determine the amount of additional funds to be used for allocation to counties and allocate that amount to counties within 90 days, shall be waived when the 90-day period does not allow sufficient time for completion of the notification period pursuant to Section 28.00 of the Budget Act. (Amended by Stats. 2012, Ch. 36, Sec. 39. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  94. 11817.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    Payments or advances to counties or other state agencies may be made by Controller’s warrant if they are properly chargeable to department appropriations.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11817.6. Payments or advances of funds to counties or other state agencies, which are properly chargeable to appropriations to the department may be made by a Controller’s warrant drawn against funds appropriated to the department or funds administered by the department. (Amended by Stats. 2012, Ch. 36, Sec. 41. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  95. 11817.8.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    The department must audit county-related expenditures, set an annual audit plan, and adopt emergency regulations by July 1, 2014. Counties may appeal audit findings and, in limited cases, keep disputed amounts while an appeal is pending.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11817.8. (a) It is the intent of the Legislature that the state and the counties work together to minimize audit exceptions. Audit findings as contained in the department audit reports may be appealed by counties directly to the department. Counties may retain disputed audit amounts while an audit appeal is pending and then only to the extent that the audit appeal is resolved in favor of the county and the amount is in the county’s favor. (b) The department shall audit the expenditures of counties, direct contractors, and county subcontractors. The department shall develop an annual audit plan that will identify the counties, direct contractors, and county subcontractors funded in whole or in part with the funds administered by the department. The annual audit plan shall consist of a sufficient number of audits and financial reviews to provide reasonable assurance that federal and state funds have been used for their intended purpose in accordance with applicable funding requirements and restrictions contained in statutes, regulations, and contracts. (c) The department may conduct investigations, audits, and financial related reviews on other than a routine basis of any county, direct contractor, or county subcontractor funded in whole or in part with funds administered by the department, as the department deems necessary and appropriate. (d) Counties may audit the expenditures of organizations funded in whole or in part with funds administered by the department. (e) A county shall repay to the department amounts of state and federal funds found, as a result of an audit, not to have been expended in accordance with the requirements set forth in this part, federal block grant law, federal or state regulations pertaining to alcohol or other drug abuse services, and the conditions set forth in any contract for alcohol and other drug abuse services or an interagency agreement. For organizations or services and the conditions set forth in any combination of state, federal, or other public funds, where a clear audit trail shows that the source and application of these funds is not maintained, repayment shall be determined by prorating audit findings between each funding source. (f) For those audits conducted by the department, the director shall administratively establish policies and procedures for the resolution of disputed audit findings. The department shall consult with county administrators when proposing changes in the procedures for the resolution of disputed audit findings. (g) There is established in the State Treasury an Audit Repayment Trust Fund. The money in the fund shall be available upon appropriation by the Legislature. (h) The department may deny or withhold payments or advances of funds to a county if the department finds, by audit or otherwise, that a program is not in compliance with this part or the contract. (i) Notwithstanding subdivision (a) of Section 53134 of the Government Code, audits performed pursuant to this section shall be conducted by qualified state or local government auditors or independent public accountants in accordance with generally accepted governing auditing standards, as prescribed by Government Auditing Standards, issued by the Comptroller General of the United States. These audits shall be completed no later than six months after the completion of the audit fieldwork. (j) (1) Notwithstanding the rulemaking provisions of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific the amendments to this section made by the act that added this subdivision by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions from the department until regulations are adopted pursuant to that chapter of the Government Code. (2) The department shall adopt emergency regulations no later than July 1, 2014. The department may subsequently readopt any emergency regulation authorized by this section that is the same as or is substantially equivalent to an emergency regulation previously adopted pursuant to this section. (3) The initial adoption of emergency regulations implementing the amendments to this section and the one readoption of emergency regulations authorized by this subdivision shall be deemed an emergency and necessary for the immediate preservation of the public peace, health, safety, or general welfare. Initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be exempt from review by the Office of Administrative Law. The initial emergency regulations and the one readoption of emergency regulations authorized by this section shall be submitted to the Office of Administrative Law for filing with the Secretary of State and each shall remain in effect for no more than 180 days, by which time final regulations may be adopted. (Amended by Stats. 2012, Ch. 36, Sec. 42. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  96. 118170.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A medical waste permit is valid for five years, and renewal must be filed with the enforcement agency at least 90 days before the permit expires.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118170. (a) A medical waste permit issued by the enforcement agency to a medical waste treatment facility shall be valid for five years. (b) An application for renewal of the permit shall be filed with the enforcement agency not less than 90 days prior to the expiration date. If a permittee fails to make a timely application for renewal, the medical waste permit shall expire on the expiration date. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  97. 118175.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A medical waste permit may be renewed if the permittee was substantially compliant or timely fixed prior violations, and it may be transferred only with enforcement agency approval within specified corporate relationships.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118175. (a) A medical waste permit may be renewed if the enforcement agency finds the permittee has been in substantial compliance with this part and the regulations adopted pursuant to this part during the preceding permitted period or that the permittee corrected previous violations in a timely manner. (b) Upon approval of the enforcement agency, a permit may be transferred from one subsidiary to another subsidiary of the same corporation, from a parent corporation to one of its subsidiaries, or from a subsidiary to a parent corporation. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  98. 11818.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    This section limits which county drug-program expenses may be paid with appropriated funds, sets how county contract costs are calculated, and requires providers to share prior cost and revenue information with the county.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11818. (a) (1) Expenditures made by a county and a county’s provider that may be reimbursed using appropriated funds include salaries of personnel, approved facilities and services provided through contract, operation, maintenance, and service costs, depreciation of county facilities as established in the State of California’s Auditing Standards and Procedures for Counties, lease of facilities where there is no intention to, nor option to, purchase, and other expenditures that may be approved by the director. (2) Expenditures made by a county and a county’s provider that may not be paid using appropriated funds include expenditures for initial capital improvement, the purchase or construction of buildings, except for equipment items and remodeling expenses as may be provided in regulations of the department, compensation to members of a local advisory board on drug programs, except actual and necessary expenses incurred in the performance of official duties, and expenditures for a purpose for which state reimbursement is claimed under any other law. (b) (1) Except as provided in Chapter 3 (commencing with Section 11758.10), the cost of services specified in the county contract shall be based upon reimbursement of actual costs as determined with standard accounting practices. The county may enter into contracts with providers at actual cost or a negotiated rate. The provider shall make available to the county information on prior years’ actual cost of providing the services and actual revenues. (2) (A) Providers that receive a combination of Medi-Cal funding and other federal or state funding for the same service element and location shall be reimbursed for actual costs as limited by Medi-Cal reimbursement requirements, as specified in Title XIX of the federal Social Security Act (42 U.S.C. Sec. 1396 et seq.), the Medicaid state plan, subdivisions (c) and (d) of Section 51516 of Title 22 of the California Code of Regulations, except that reimbursement for non-Medi-Cal reimbursable services shall not be limited by Medi-Cal rate requirements or customary charges to privately paying clients. (B) For those providers who operate under a negotiated rate for non-Medi-Cal reimbursable services, the rates shall be treated as provisional rates, subject to yearend settlement of actual costs. (Amended by Stats. 2012, Ch. 36, Sec. 43. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  99. 11818.5.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    Counties must submit annual cost reports and service-participant reporting to the department, and the department must review, audit, and set reporting procedures.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11818.5. (a) Counties shall submit a cost report reflecting the expenditure of funds expended pursuant to the county contract. An annual cost report for the fiscal year ending June 30 shall be submitted to the department by November 1. (b) Each county shall be responsible for reviewing its contracts with providers of services and the department may audit these contracts. The cost reports shall be reviewed by the department and interim settlements of claims shall be made expeditiously with each county. Final settlement shall be made at the time of audit, which shall be completed within three years of the date the cost report was accepted for interim settlement by the department. If the audit is not completed within three years, the interim settlement shall be considered as the final settlement. (c) Counties shall report estimated numbers and characteristics of clients-participants by type of service and shall report actual numbers and characteristics of clients-participants served by type of service with the annual cost report. The department shall specify forms and procedures to be followed in reporting this information. The fiscal reporting system established pursuant to this section shall supersede the requirements of paragraph (2) of subdivision (b) of Section 16366.7 of the Government Code for a quarterly fiscal reporting system. (Amended by Stats. 2012, Ch. 36, Sec. 44. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  100. 118180.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A person who must obtain a medical waste permit must keep a valid permit for every facility it operates, and the permit can end early if it is suspended, revoked, transferred with the facility, or surrendered when operations stop.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118180. A person required to obtain a medical waste permit shall, at all times, possess a valid permit for each facility in operation. A medical waste permit shall terminate prior to its expiration date if suspended or revoked pursuant to Section 118350 or, notwithstanding Section 118355, if either of the following occurs: (a) The permittee sells or otherwise transfers the facility, except as specified in subdivision (b) of Section 118175. (b) The permittee surrenders the permit to the enforcement agency because the permittee ceases operation. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  101. 118185.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The enforcement agency must issue a medical waste permit if the applicant meets the compliance conditions, and it must decide whether to issue the permit within 180 days after the application is complete unless the applicant waives that deadline.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118185. The enforcement agency shall issue a medical waste permit upon evaluation, inspection, or records review of the applicant if the applicant is in substantial compliance with this part and the regulations adopted pursuant to this part and the applicant has corrected any previous violations. A decision to issue or not to issue the permit shall be made by the enforcement agency within 180 days of the time that the application is deemed complete, unless waived by the applicant. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  102. 11819.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. )

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    The Legislature says county alcohol programs and local health system agencies should work together in a harmonious way.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 4. State-County Partnership [11795 - 11819.1] ( Chapter 4 added by Stats. 1979, Ch. 679. ) ## ARTICLE 4. County Alcohol and Other Drug Program [11810 - 11819.1] ( Heading of Article 4 amended by Stats. 2004, Ch. 862, Sec. 72. ) ## 11819.1. The Legislature recognizes the need for increased potential for coordination between county alcohol programs and local health system agencies established pursuant to Public Law 93-641. Therefore, the Legislature encourages a harmonious working relationship between local health system agencies and county alcohol programs. (Repealed and added by Stats. 1984, Ch. 1328, Sec. 55.5.)
  103. 118190.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The enforcement agency may impose conditions or prohibitions on handling or treating medical waste when issuing, renewing, or revising a treatment facility permit.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118190. When issuing, renewing, or revising any treatment facility permit, the enforcement agency may prohibit or condition the handling or treatment of medical waste to protect the public health and safety. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  104. 118195.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    If a medical waste permit is denied, the enforcement agency must notify the applicant in writing, and the applicant may request a hearing within 20 days after the notice is mailed.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118195. An enforcement agency shall inform an applicant for a medical waste permit, in writing, upon the denial of any application for the permit. Within 20 days after the enforcement agency mails the notice, the applicant may present a written petition for a hearing to the enforcement agency. Upon receipt by the enforcement agency of the petition in proper form, the petition shall be set for hearing. If the department is the enforcement agency, the proceedings shall commence with the filing of a statement of issues and shall be conducted in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, and the department has all the powers granted to a department in that chapter. If the department is not the enforcement agency, the hearings shall be held in accordance with the ordinance adopting the medical waste management program. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  105. 11820.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 5. State and County Relationships to Health Planning Agencies [11820- 11820.] ( Chapter 5 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. State Agencies [11820- 11820.] ( Article 1 added by Stats. 1979, Ch. 679. )

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    The Legislature says coordinated planning by federal, state, and local agencies can help reduce alcohol and other drug problems, and it encourages interested people to give advice and comments on those agencies’ health plans.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 5. State and County Relationships to Health Planning Agencies [11820- 11820.] ( Chapter 5 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. State Agencies [11820- 11820.] ( Article 1 added by Stats. 1979, Ch. 679. ) ## 11820. The Legislature recognizes the potential positive impact that federal, state, and local agencies can have on the alleviation of alcohol and other drug problems through better coordinated planning and utilization of limited health resources. The Legislature encourages persons concerned with alcohol and other drug problems to become involved as much as possible in providing advice and comments on health plans of those agencies. (Amended by Stats. 2012, Ch. 36, Sec. 45. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  106. 118200.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The enforcement agency must evaluate, inspect, and review medical waste treatment facility records for compliance with this part.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118200. The enforcement agency shall evaluate, inspect, and review the records of medical waste treatment facilities for compliance with this part. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  107. 118205.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The fee schedule for medical waste treatment facility permits must cover permit issuance and inspections, be adjusted annually, and may be changed by regulation to match actual implementation costs.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118205. The fee schedule specified in Section 118210 shall cover the issuance of medical waste treatment facility permits and an inspection program, when the department serves as the enforcement agency. This fee schedule shall be adjusted annually in accordance with Section 100425. The department may adjust by regulation the fees specified in Section 118210 to reflect the actual costs of implementing this chapter. Local enforcement agencies shall set fees that shall be sufficient to cover their costs in implementing this part with regard to large quantity generators. (Amended by Stats. 2014, Ch. 564, Sec. 69. (AB 333) Effective January 1, 2015.)
  108. 118210.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must charge set fees for offsite medical waste treatment facilities, including an annual permit fee and an initial application fee.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 7. Medical Waste Treatment Facility Permits [118130 - 118210] ( Chapter 7 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118210. (a) The department shall charge an annual permit fee for an offsite medical waste treatment facility equal to either one hundred twenty-seven ten thousandths of a cent ($0.0127) for each pound of medical waste treated or twelve thousand dollars ($12,000), whichever is greater. The department may collect annual fees and issue permits on a biennial basis. (b) The department shall charge an initial application fee for each type of treatment technology at an offsite medical waste treatment facility equal to one hundred dollars ($100) for each hour the department spends processing the application, but not more than fifty thousand dollars ($50,000), or as provided in the regulations adopted by the department. (Amended by Stats. 2006, Ch. 74, Sec. 40. Effective July 12, 2006.)
  109. 118215.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    People who generate or treat medical waste must have it treated before disposal, unless a listed exception applies.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118215. (a) Except as provided in subdivisions (b) and (c), a person generating or treating medical waste shall ensure that the medical waste is treated by one of the following methods, thereby rendering it solid waste, as defined in Section 40191 of the Public Resources Code, prior to disposal: (1) (A) Incineration at a permitted medical waste treatment facility in a controlled-air, multichamber incinerator, or other method of incineration approved by the department which provides complete combustion of the waste into carbonized or mineralized ash. (B) Treatment with an alternative technology approved pursuant to paragraph (3), which, due to the extremely high temperatures of treatment in excess of 1300 degrees Fahrenheit, has received express approval from the department. (2) Steam sterilization at a permitted medical waste treatment facility or by other sterilization, in accordance with all of the following operating procedures for steam sterilizers or other sterilization: (A) Standard written operating procedures shall be established for biological indicators, or for other indicators of adequate sterilization approved by the department, for each steam sterilizer, including time, temperature, pressure, type of waste, type of container, closure on container, pattern of loading, water content, and maximum load quantity. (B) Recording or indicating thermometers shall be checked during each complete cycle to ensure the attainment of 121° Centigrade (250° Fahrenheit) for at least one-half hour, depending on the quantity and density of the load, to achieve sterilization of the entire load. Thermometers, thermocouples, or other monitoring devices identified in the facility operating plan shall be checked for calibration annually. Records of the calibration checks shall be maintained as part of the facility’s files and records for a period of two years or for the period specified in the regulations. (C) Heat-sensitive tape, or another method acceptable to the enforcement agency, shall be used on each biohazard bag or sharps container that is processed onsite to indicate that the waste went through heat treatment. If the biohazard bags or sharps containers are placed in a large liner bag within the autoclave for treatment, heat-sensitive tape or another method acceptable to the enforcement agency only needs to be placed on the liner bag and not on every hazardous waste bag or sharps container being treated. (D) The biological indicator Geobacillus stearothermophilus, or other indicator of adequate sterilization as approved by the department, shall be placed at the center of a load processed under standard operating conditions at least monthly to confirm the attainment of adequate sterilization conditions. (E) Records of the procedures specified in subparagraphs (A), (B), and (D) shall be maintained for a period of not less than two years. (3) (A) Other alternative medical waste treatment methods which are both of the following: (i) Approved by the department. (ii) Result in the destruction of pathogenic micro-organisms. (B) Any alternative medical waste treatment method proposed to the department shall be evaluated by the department and either approved or rejected pursuant to the criteria specified in this subdivision. (b) Fluid blood or fluid blood products may be discharged to a public sewage system without treatment if its discharge is consistent with waste discharge requirements placed on the public sewage system by the California regional water quality control board with jurisdiction. (c) (1) A medical waste that is a biohazardous laboratory waste, as defined in subparagraph (B) of paragraph (1) of subdivision (b) of Section 117690, may be treated by a chemical disinfection if the waste is liquid or semiliquid and the chemical disinfection method is recognized by the National Institutes of Health, the Centers for Disease Control and Prevention, or the American Biological Safety Association, and if the use of chemical disinfection as a treatment method is identified in the site’s medical waste management plan. (2) If the waste is not treated by chemical disinfection, in accordance with paragraph (1), the waste shall be treated by one of the methods specified in subdivision (a). (3) Following treatment by chemical disinfection, the medical waste may be discharged to the public sewage system if the discharge is consistent with waste discharge requirements placed on the public sewage system by the California regional water control board, and the discharge is in compliance with the requirements imposed by the owner or operator of the public sewage system. If the chemical disinfection of the medical waste causes the waste to become a hazardous waste, the waste shall be managed in accordance with the requirements of Chapter 6.5 (commencing with Section 25100) of Division 20. (Amended by Stats. 2014, Ch. 564, Sec. 70. (AB 333) Effective January 1, 2015.)
  110. 118220.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Pathology waste of a human nature must be disposed of by interment, incineration, or approved alternative treatment technologies.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118220. Pathology waste of a human nature, as defined in subparagraph (A) of paragraph (2) of subdivision (b) of Section 117690, shall be disposed of by interment, incineration, or alternative treatment technologies approved to treat this type of waste, pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215. (Amended by Stats. 2014, Ch. 564, Sec. 71. (AB 333) Effective January 1, 2015.)
  111. 118222.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Certain medical wastes must be treated by incineration or another approved treatment method before disposal.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118222. (a) Pathology waste that meets the conditions of paragraph (2) of subdivision (b) of Section 117690 and trace chemotherapy waste that meets the conditions of paragraph (5) of subdivision (b) of Section 117690 shall be treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215 prior to disposal. (b) Pharmaceutical waste from health care settings that meets the conditions specified in paragraph (3) of subdivision (b) of Section 117690 shall be treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or paragraph (3) of subdivision (a) of Section 118215 prior to disposal. (Amended by Stats. 2014, Ch. 564, Sec. 72. (AB 333) Effective January 1, 2015.)
  112. 118225.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Sharps waste must be rendered noninfectious before disposal, using incineration, steam sterilization, or a department-approved alternative method.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118225. (a) Sharps waste shall be rendered noninfectious prior to disposal by one of the following methods: (1) Incineration. (2) Steam sterilization. (3) Disinfection using an alternative treatment method approved by the department. (b) Sharps waste rendered noninfectious pursuant to this section may be disposed of as solid waste if the waste is not otherwise hazardous. (c) Onsite medical waste treatment facilities treating sharps waste pursuant to paragraph (2) or (3) of subdivision (a) shall ensure that, prior to disposal, the treated sharps waste is destroyed or that public access to the treated sharps waste is prevented. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  113. 118230.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    A permitted hazardous waste incinerator operator may also accept medical waste for incineration.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118230. An operator of a hazardous waste incinerator permitted pursuant to Section 25200 may also accept medical waste for incineration. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  114. 118235.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Medical waste treatment facilities with a medical waste permit must give the enforcement agency an emergency action plan and follow that plan.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118235. Each medical waste treatment facility issued a medical waste permit shall provide the enforcement agency with an emergency action plan that the facility shall follow to ensure the proper disposal of medical waste in the event of equipment breakdowns, natural disasters, or other occurrences. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  115. 118240.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Animals that die from infectious disease, or are euthanized after suspected exposure, must be treated with a department-approved technology when a veterinarian or local health officer believes the carcass poses a human infection risk.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118240. Notwithstanding Section 9141 of the Food and Agricultural Code, animals that die from infectious diseases or that are euthanized because they are suspected of having been exposed to infectious disease shall be treated with a treatment technology approved by the department for that use if, in the opinion of the attending veterinarian or local health officer, the carcass presents a danger of infection to humans. (Amended by Stats. 2014, Ch. 564, Sec. 73. (AB 333) Effective January 1, 2015.)
  116. 118245.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The department must charge a $2,500 application fee for evaluating an alternative treatment technology, plus $100 per hour for processing the application, subject to a $5,000 total cap unless department regulations provide otherwise within regulatory-cost limits.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 8. Treatment [118215 - 118245] ( Chapter 8 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118245. The department shall charge an application fee for evaluation of an alternative treatment technology of two thousand five hundred dollars ($2,500) and shall charge an additional fee equal to one hundred dollars ($100) per hour for each hour which the department spends on processing the application, but not more than a total of five thousand dollars ($5,000), or as provided in the regulations adopted by the department, not to exceed the reasonable regulatory costs of the department. (Amended by Stats. 2014, Ch. 564, Sec. 74. (AB 333) Effective January 1, 2015.)
  117. 11825.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. Statewide Evaluation [11825 - 11826] ( Article 1 repealed and added by Stats. 1984, Ch. 1328, Sec. 58. )

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    The department may set reasonable criteria to evaluate how programs and services perform under county alcohol and other drug services contracts.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. Statewide Evaluation [11825 - 11826] ( Article 1 repealed and added by Stats. 1984, Ch. 1328, Sec. 58. ) ## 11825. The department may establish reasonable criteria to evaluate the performance of programs and services that are described in the county contract for alcohol and other drug services. (Amended by Stats. 2024, Ch. 847, Sec. 33. (AB 2995) Effective January 1, 2025.)
  118. 11826.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. Statewide Evaluation [11825 - 11826] ( Article 1 repealed and added by Stats. 1984, Ch. 1328, Sec. 58. )

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    The department may review, study, report on, share, and evaluate alcohol and other drug program services and administration.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 1. Statewide Evaluation [11825 - 11826] ( Article 1 repealed and added by Stats. 1984, Ch. 1328, Sec. 58. ) ## 11826. The department may do all of the following: (a) Review and conduct evaluation studies of service delivery to clients in programs receiving state allocated funds. (b) Conduct investigative reporting. (c) Disseminate evaluation studies, reports, articles, and other reference documents. (d) Evaluate the administration of county alcohol and other drug programs to determine whether the county provides for adequate administration of the county alcohol and other drug program. (Amended by Stats. 2004, Ch. 862, Sec. 95. Effective January 1, 2005.)
  119. 11827.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. )

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    The Legislature says counties may evaluate local alcohol and other drug programs in different ways, as long as the evaluation reflects local needs and priorities and measures progress toward planning objectives.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11827. The Legislature recognizes that local program effectiveness may be evaluated in a variety of ways, but should reflect the needs and priorities of the local community and attempt to measure the achievement of objectives determined through the planning process described in this part. The Legislature further recognizes that the conducting of these evaluations is essential to holding county alcohol and other drug programs accountable for their use of funds and increasing program effectiveness. The Legislature recognizes the beneficial results of the local evaluation process to those participating in this process. The Legislature desires to encourage experimentation and diversity in the methods utilized by counties to evaluate the county alcohol and other drug programs’ achievement of their objectives, including, but not limited to, evaluations of individuals’ progress, changes in utilization rates, changes in community attitudes, and measurement of specific programmatic goals in order to advance our knowledge about the effectiveness of programs in alleviating alcohol and other drug problems. (Amended by Stats. 2012, Ch. 36, Sec. 47. (SB 1014) Effective June 27, 2012. Operative July 1, 2012, by Sec. 83 of Ch. 36.)
  120. 118275.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person handling medical waste must separate, package, label, and store it in specified containers and ways.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118275. (a) To containerize or store medical waste, at the point of generation and while collected in that room, a person shall do all of the following: (1) Medical waste, as defined in Section 117690, shall be contained separately from other waste at the point of origin in the producing facility. Sharps containers may be placed in biohazard bags or in containers with biohazard bags. (2) Biohazardous waste, as defined in paragraph (1) of subdivision (b) of Section 117690, shall be placed in a biohazard bag and labeled in compliance with Section 117630. (3) Sharps waste, as defined in paragraph (4) of subdivision (b) of Section 117690, including sharps and pharmaceutical waste containerized pursuant to paragraph (7), shall be contained in a United States Food and Drug Administration (USFDA) approved sharps container that meets USFDA labeling requirements and is handled pursuant to Section 118285. (4) Trace chemotherapy waste, as defined in paragraph (5) of subdivision (b) of Section 117690, shall be segregated for storage, and, when placed in a secondary container, that container shall be labeled with the words “Chemotherapy Waste,” “CHEMO,” or other label approved by the department on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the biohazardous waste pursuant to Section 118222. Sharps waste that is contaminated through contact with, or having previously contained, chemotherapeutic agents, shall be placed in sharps containers labeled in accordance with the industry standard with the words “Chemotherapy Waste,” “CHEMO,” or other label approved by the department, and shall be segregated to ensure treatment of the sharps waste pursuant to Section 118222. (5) Pathology waste, as defined in paragraph (2) of subdivision (b) of Section 117690, shall be segregated for storage and, when placed in a secondary container, that container shall be labeled with the words “Pathology Waste,” “PATH,” or other label approved by the department on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the waste pursuant to Section 118222. (6) Pharmaceutical waste, as defined in paragraph (3) of subdivision (b) of Section 117690, shall be segregated for storage in accordance with the facility’s medical waste management plan. When this waste is prepared for shipment offsite for treatment, it shall be properly containerized for shipment in compliance with United States Department of Transportation and the United States Drug Enforcement Administration (DEA) requirements. (A) Pharmaceutical wastes classified by the DEA as “controlled substances” shall be disposed of in compliance with DEA requirements. (B) Nonradioactive pharmaceutical wastes that are not subject to the federal Resource Conservation and Recovery Act of 1976 (Public Law 94-580), as amended, and that are regulated as medical waste are placed in a container or secondary container labeled with the words “HIGH HEAT” or “INCINERATION ONLY,” or with another label approved by the department, on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the biohazardous waste pursuant to Section 118222. (7) A person may consolidate into a common container, which may be reusable, sharps waste, as defined in paragraph (4) of subdivision (b) of Section 117690, and pharmaceutical wastes, as defined in paragraph (3) of subdivision (b) of Section 117690, provided that both of the following apply: (A) The consolidated waste is treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or (3) of subdivision (a) of Section 118215 prior to disposal. That alternative treatment shall render the waste unrecoverable and nonhazardous. (B) The container meets the requirements of Section 118285. The container shall be labeled with the biohazardous waste symbol and the words “HIGH HEAT” or “INCINERATION ONLY,” or with another label approved by the department, on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the waste pursuant to this subdivision. (b) To containerize medical waste being held for shipment offsite for treatment, the waste shall be labeled, as outlined in subdivision (a), on the lid and sides of the container. (c) When medical waste is containerized pursuant to subdivisions (a) and (b) there is no requirement to label the containers with the date that the waste started to accumulate. (Amended by Stats. 2015, Ch. 352, Sec. 8. (SB 225) Effective September 28, 2015.)
  121. 11828.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. )

    Verify source ↗

    Each county must ensure funded programs are evaluated, and the department may help counties design and carry out those evaluations.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11828. Each county shall ensure the evaluation of all funded programs to determine whether they have achieved their objectives as determined in the planning process. In addition, recognizing the difficulty and expense of conducting effective county alcohol and other drug program evaluation, the department may assist counties in developing evaluation designs for implementation by counties to measure progress of individuals with a substance use disorder, changes in community attitudes toward inappropriate alcohol use and other drug problems, changes in the incidence and prevalence of alcohol and other drug problems within the county, or other objectives identified in the planning process. The department, in cooperation with counties that choose to participate, may assist and fund counties to implement the evaluation designs developed. Counties may contract with public or private agencies and utilize funds allocated under this part for purposes of conducting the evaluations. (Amended by Stats. 2024, Ch. 847, Sec. 34. (AB 2995) Effective January 1, 2025.)
  122. 118280.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person handling biohazard bags must tie them, store and label waste in approved containers, and follow storage-time and transport rules.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118280. To containerize biohazard bags, a person shall do all of the following: (a) The bags shall be tied to prevent leakage or expulsion of contents during all future storage and handling. When containers are prepared for transport offsite from the facility, they shall be prepared in compliance with United States Department of Transportation requirements. (b) (1) Medical waste may be placed into a biohazard bag not to exceed three pounds or one gallon and tied, as required in subdivision (a), in a patient room and shall be immediately transported upon completion of the procedure directly from the point of generation and placed into a biohazard container stored in a soiled utility room or other biohazardous waste storage area without having first been placed into a secondary container in the patient room. (2) Medical waste may be placed into a biohazard bag hung on a hamper stand in a surgery suite and the bag removed from the hamper stand after completion of the procedure, taken out of the surgery suite, and placed into a biohazard container stored in a soiled utility room or other biohazard waste storage area. (c) Biohazardous waste, except as provided in subdivision (b), shall be bagged in accordance with subdivision (b) of Section 118275 and placed for storage, handling, or transport in a rigid container that may be disposable, reusable, or recyclable. Containers shall be leak resistant, have tight-fitting covers, and be kept clean and in good repair. Containers may be recycled with the approval of the enforcement agency. Containers may be of any color and shall be labeled with the words “Biohazardous Waste” or with the international biohazard symbol and the word “BIOHAZARD” on the lid and sides so as to be visible from any lateral direction. Containers shall comply with United States Department of Transportation requirements when prepared for transport offsite from the facility. (d) Biohazardous waste shall not be removed from the biohazard bag until treatment as prescribed in Chapter 8 (commencing with Section 118215) is completed, except to eliminate a safety hazard, or by the enforcement officer in performance of an investigation pursuant to Section 117820. Biohazardous waste shall not be disposed of before being treated as prescribed in Chapter 8 (commencing with Section 118215). (e) (1) Except as provided in paragraph (5), a person generating biohazardous waste shall comply with the following requirements: (A) If the person generates 20 or more pounds of biohazardous waste per month, the person shall not contain or store that waste above 0° Centigrade (32° Fahrenheit) at an onsite location for more than seven days without obtaining prior written approval of the enforcement agency. (B) If a person generates less than 20 pounds of biohazardous waste per month, the person shall not contain or store that waste above 0° Centigrade (32° Fahrenheit) at an onsite location for more than 30 days. (2) A person may store biohazardous waste at or below 0° Centigrade (32° Fahrenheit) at an onsite location for not more than 90 days without obtaining prior written approval of the enforcement agency. (3) A person may store biohazardous waste at a permitted transfer station at or below 0° Centigrade (32° Fahrenheit) for not more than 30 days without obtaining prior written approval of the enforcement agency. (4) A person shall not store biohazardous waste above 0° Centigrade (32° Fahrenheit) at a location or facility that is offsite from the generator for more than seven days before treatment. (5) Notwithstanding paragraphs (1) to (4), inclusive, if the odor from biohazardous or sharps waste stored at a facility poses a nuisance, the enforcement agency may require more frequent removal. (f) Waste that meets the definition of pharmaceutical waste in paragraph (3) of subdivision (b) of Section 117690 shall not be subject to the limitations on storage time prescribed in subdivision (e). A person may store that pharmaceutical waste at an onsite location for not longer than 90 days when the container is ready for disposal, unless prior written approval from the enforcement agency is obtained. The container shall be emptied at least once per year, unless prior written approval from the enforcement agency is obtained. A person may store that pharmaceutical waste at a permitted transfer station for not longer than 30 days without obtaining prior written approval from the enforcement agency. A person shall not store pharmaceutical waste at a location or facility that is offsite from the generator for more than 30 days before treatment. (g) The containment and storage time for wastes consolidated in a common container pursuant to paragraph (7) of subdivision (a) of Section 118275 shall not exceed the storage time for any category of waste set forth in this section. (Amended by Stats. 2014, Ch. 564, Sec. 76. (AB 333) Effective January 1, 2015.)
  123. 118285.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person handling sharps waste must put it in a sharps container, secure full containers for disposal, label them correctly, and not store them for more than 30 days without written approval from the enforcement agency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118285. To containerize sharps waste, a person shall do all of the following: (a) Place all sharps waste into a sharps container. (b) Tape closed or tightly lid full sharps containers ready for disposal to preclude loss of contents. (c) Store sharps containers ready for disposal for not more than thirty days without the written approval of the enforcement agency. (d) Label sharps containers with the words “sharps waste” or with the international biohazard symbol and the word “BIOHAZARD.” (Amended by Stats. 2006, Ch. 166, Sec. 6. Effective January 1, 2007.)
  124. 118286.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person may not knowingly put home-generated sharps waste into ordinary waste, recycling, greenwaste, commercial waste, or roll-off containers. It must be transported in a sharps container or an enforcement-agency-approved container, and it may only be managed at listed facilities.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118286. (a) A person shall not knowingly place home-generated sharps waste in any of the following containers: (1) Any container used for the collection of solid waste, recyclable materials, or greenwaste. (2) Any container used for the commercial collection of solid waste or recyclable materials from business establishments. (3) Any roll-off container used for the collection of solid waste, construction, and demolition debris, greenwaste, or other recyclable materials. (b) Home-generated sharps waste shall be transported only in a sharps container, or other containers approved by the enforcement agency, and shall only be managed at any of the following: (1) A household hazardous waste facility pursuant to Section 25218.13. (2) A “home-generated sharps consolidation point” as defined in subdivision (b) of Section 117904. (3) A medical waste generator’s facility pursuant to Section 118147. (4) A facility through the use of a medical waste mail-back container approved by the United States Postal Service. (Amended by Stats. 2014, Ch. 564, Sec. 77. (AB 333) Effective January 1, 2015.)
  125. 11829.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. )

    Verify source ↗

    The department may share information about evaluation projects with counties and interested persons statewide.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 6. Evaluation [11825 - 11829] ( Chapter 6 added by Stats. 1979, Ch. 679. ) ## ARTICLE 2. County Program Evaluation [11827 - 11829] ( Article 2 added by Stats. 1979, Ch. 679. ) ## 11829. The department may disseminate information about the evaluation projects to all counties and interested persons throughout the state in order to advance the knowledge of the field about these evaluation methodologies. (Amended by Stats. 1984, Ch. 1328, Sec. 61.)
  126. 118290.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A small quantity generator may store properly containerized medical waste in a permitted common storage facility.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118290. Any small quantity generator who has properly containerized the medical waste according to the requirements of this article may store the waste in a permitted common storage facility. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  127. 118295.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person must wash and decontaminate reusable rigid containers for medical waste each time they are emptied, unless the containers were fully protected from contamination by disposable liners, bags, or similar devices removed with the waste.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118295. A person shall thoroughly wash and decontaminate reusable rigid containers for medical waste by a method approved by the enforcement agency each time they are emptied, unless the surfaces of the containers have been completely protected from contamination by disposable liners, bags, or other devices removed with the waste. These containers shall be maintained in a clean and sanitary manner. Approved methods of decontamination include, but are not limited to, agitation to remove visible soil combined with one of the following procedures: (a) Exposure to hot water of at least 82° Centigrade (180° Fahrenheit) for a minimum of 15 seconds. (b) Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes: (1) Hypochlorite solution (500 ppm available chlorine). (2) Phenolic solution (500 ppm active agent). (3) Iodoform solution (100 ppm available iodine). (4) Quaternary ammonium solution (400 ppm active agent). (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  128. 11830.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    The department must consider the listed goals and objectives when implementing this part.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11830. The department shall take the following goals and objectives into consideration in the implementation of this part: (a) The significance of community-based programs to alcohol and other drug recovery shall not be diminished. (b) Opportunities for low-income and special needs populations to receive alcohol and other drug recovery or treatment services shall be encouraged. (Amended by Stats. 2024, Ch. 847, Sec. 35. (AB 2995) Effective January 1, 2025.)
  129. 11830.01.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    The department must maintain a death investigation policy and licensed facilities must report resident deaths and later submit missing relevant information within set deadlines.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11830.01. (a) The department’s death investigation policy shall be designed to ensure that a resident’s death is addressed and investigated by the department in a timely manner. (b) The telephonic and written reports of resident deaths occurring in a licensed facility that are required to be reported to the department shall include, but not be limited to, a description of the event or incident, including the time, location, and nature of the event or incident, a list of immediate actions that were taken, including persons contacted, and a description of the followup action that is planned, including, but not limited to, steps taken to prevent a future death. (c) A telephonic report required under subdivision (b), which includes the event or incident and all information required under subdivision (b) that is known at the time of the report, shall be submitted to the department within one working day of the event or incident. (d) A written report required under subdivision (b), which includes all information required under subdivision (b), shall be submitted to the department within seven calendar days of the event or incident. (e) A licensed facility shall submit to the department, within 30 days of the initial incident, any relevant information that was not known at the time of the initial incident. (f) If the department identifies any violations of Chapter 7.5 (commencing with Section 11834.01) or any regulations adopted thereunder during its investigation of a resident’s death, the department shall issue a written notice of deficiency to the facility. In the notice of deficiency, the department shall specify instructions to address any violations, including, but not limited to, the timeframe to respond to deficiencies. (g) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this section through the use of all-county letters, provider bulletins, or similar instructions without taking any further regulatory action. (Amended by Stats. 2025, Ch. 189, Sec. 2. (AB 1356) Effective January 1, 2026.)
  130. 118300.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    If a medical waste generator, hazardous waste hauler, or treatment facility has a leak or spill of medical waste, it must be decontaminated using procedures adopted by the department.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118300. Any leak or spill of a medical waste by a medical waste generator, hazardous waste hauler, or treatment facility shall be decontaminated by procedures adopted by the department. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  131. 118305.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person may not use reusable medical-waste containers for solid waste or other purposes unless they have been decontaminated under Section 118295 and all medical-waste labels removed.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118305. A person shall not use reusable pails, drums, dumpsters, or bins used for medical waste for the containment of solid waste, or for other purposes, except after being decontaminated by the procedures specified in Section 118295 and removal of all medical waste labels. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  132. 118307.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Medical waste stored before transfer must be kept in a locked area or under direct supervision or surveillance, and intermediate storage areas must be marked with the biohazard symbol or specified signage.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118307. Medical waste that is stored in an area prior to transfer to the designated accumulation area, as defined in Section 118310, shall be stored in an area that is either locked or under direct supervision or surveillance. Intermediate storage areas shall be marked with the international biohazard symbol or the signage described in Section 118310. These warning signs shall be readily legible from a distance of five feet. This section does not apply to the rooms in which medical waste is generated. (Amended by Stats. 2014, Ch. 564, Sec. 78. (AB 333) Effective January 1, 2015.)
  133. 11831.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    If a program or facility cannot accept a client after initial assessment, it is encouraged to make a reasonable effort to refer the client to other programs, facilities, or services, as far as possible.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831. To the maximum extent possible, a reasonable effort to refer a client to other programs, facilities, or services is encouraged for any program or facility which is unable to accept a client after initial assessment. (Added by Stats. 1989, Ch. 919, Sec. 4.)
  134. 11831.12.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

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    Licensed facilities and certified programs must disclose their license or certification number and scheduled expiration date in response to inquiries, on websites, and in advertising or marketing, subject to stated link-and-language options for website and marketing disclosures.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.12. (a) A facility licensed by the department pursuant to Chapter 7.5 (commencing with Section 11834.01) shall disclose its license number and the date that the license is scheduled to expire in all of the following circumstances: (1) To any person who inquires about the facility’s license in writing, verbally, electronically, or by any other method of communication between the person and the facility. (2) By posting on the internet website of the facility in a clear and conspicuous manner the following language and a link to the department’s internet website that contains the facility’s license number and expiration date: “Licensed by the State Department of Health Care Services.” (3) Included in any print, audio, or electronic advertising or marketing of the facility in a clear and conspicuous manner. For the purpose of complying with this paragraph, a facility may include the following language and a link to the department’s internet website that contains its license number and expiration date, as described in paragraph (2): “Licensed by the State Department of Health Care Services.” (b) A program certified by the department pursuant to Chapter 7.1 (commencing with Section 11832) shall disclose its certification number and the date that the certification is scheduled to expire in all of the following circumstances: (1) To any person who inquires about the certification of the program or the services provided by the program in writing, verbally, electronically, or by any other method of communication between the person and the program. (2) By posting on the internet website of the program or the services provided by the program in a clear and conspicuous manner the following language and a link to the department’s internet website that contains its certification number and expiration date: “Certified by the State Department of Health Care Services.” (3) Included in any print, audio, or electronic advertising or marketing of the program or the services provided by the program in a clear and conspicuous manner. For the purpose of complying with this paragraph, a program may include the following language and a link to the department’s internet website that contains its certification number and expiration date, as described in paragraph (2): “Certified by the State Department of Health Care Services.” (Amended by Stats. 2023, Ch. 42, Sec. 26. (AB 118) Effective July 10, 2023.)
  135. 11831.5.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    Licensed recovery or treatment facilities and certified programs must add a public disclosure to their website and intake paperwork, and the department must publish related violation information online.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.5. (a) An operator of a licensed alcoholism or drug abuse recovery or treatment facility, as defined in Section 11834.02, or a certified alcohol or other drug program shall include on its internet website and intake form paperwork a disclosure that an individual may check the internet website of the State Department of Health Care Services to confirm whether the facility’s license or program’s certification has been placed in probationary status, been subject to a temporary suspension order, been revoked, or the operator has been given a notice of operation in violation of law. The disclosure shall include a link to the department’s internet website that contains the Probationary Status, Temporary Suspension Order, Revoked and Notice of Operation in Violation of Law Program List. The department shall indicate on its internet website containing this list, in a location and font that is easy to see and read, that notices issued to recovery residences, as defined in Section 11833.05, for a violation of Section 11834.30, are not included in this list. (b) A violation of subdivision (a) shall be subject to penalty by the department pursuant to Section 11831.7. (c) The department shall post on its internet website, in a location easily navigable from a link on its main homepage that is prominently located and clearly and conspicuously labeled, an identification and summary of each violation the department has issued for the facilities and programs included on the list described in subdivision (a). A summary of each violation shall include all of the following: (1) Name of the entity or person to whom the department issued the violation. (2) A citation to the relevant statute, regulation, or standard. (3) A summary of the department’s decision to issue the violation. (4) Date the department issued the violation. (5) Any other information the department determines is necessary for the public to recognize the entity or person who received the violation and understand the basis for the violation. (d) The department shall implement this section to protect the public it serves by providing sufficient information regarding those who violate the state laws it administers. The department shall not implement this section by posting information on its internet website that violates privacy rights and protections provided by state or federal law. (Amended by Stats. 2025, Ch. 402, Sec. 1. (SB 83) Effective January 1, 2026.)
  136. 11831.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    Certain alcohol and drug recovery or treatment facilities, related owners and workers, and certified programs must not pay or receive anything of value for referring a person seeking recovery or treatment services.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.6. (a) The following persons, programs, or entities shall not give or receive remuneration or anything of value for the referral of a person who is seeking alcohol or other drug recovery or treatment services: (1) An alcohol or other drug recovery or treatment facility licensed under this part. (2) An owner, partner, officer, or director, or shareholder who holds an interest of at least 10 percent in an alcohol or other drug recovery or treatment facility licensed under this part. (3) A person employed by, or working for, an alcohol or other drug recovery or treatment facility licensed under this part, including, but not limited to, registered and certified counselors and licensed professionals providing counseling services. (4) An alcohol or other drug program certified by the department in accordance with Chapter 7.1 (commencing with Section 11832). (5) An owner, partner, officer, or director, or shareholder who holds an interest of at least 10 percent in an alcohol or other drug program certified by the department in accordance with Chapter 7.1 (commencing with Section 11832). (6) A person employed by, or working for, an alcohol or other drug program certified by the department in accordance with Chapter 7.1 (commencing with Section 11832), including, but not limited to, registered and certified counselors and licensed professionals providing counseling services. (b) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may, if it deems appropriate, implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions from the department, until regulations are adopted. (Amended by Stats. 2024, Ch. 847, Sec. 36. (AB 2995) Effective January 1, 2025.)
  137. 11831.65.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    Certain treatment programs and facilities must use separate housing contracts and cannot tie housing offers to treatment participation.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.65. (a) A laboratory or certified outpatient treatment program that leases, manages, or owns housing units that are offered to individuals who concurrently utilize laboratory or outpatient services shall maintain separate contracts for the housing. The contract shall clearly state that payment for housing is the responsibility of the individual and does not depend on insurance benefits. The contract shall include a repayment plan for any subsidized rent, and the laboratory or certified outpatient treatment program shall make a good faith effort to collect the debt. The offer for housing shall not depend on the individual’s agreement to receive services from either the laboratory or the certified outpatient treatment program. (b) An alcohol or other drug recovery or treatment facility licensed under this part shall only offer an individual discounted housing following discharge from the facility if all of the following conditions are met: (1) An alcohol or other drug recovery or treatment facility and the individual enter into a written contract for housing that is separate from the contract for treatment, if the individual also pursues outpatient treatment. (2) The contract described in paragraph (1) includes a repayment plan for any subsidized rent, and the alcohol or other drug recovery or treatment facility makes a good faith effort to collect the debt. (3) The offer for housing is not dependent upon the individual’s agreement to attend outpatient treatment at a program that is owned or operated by the alcohol or other drug recovery or treatment facility. (c) An alcohol or other drug recovery or treatment facility licensed under this part shall only offer transportation services to an individual who is seeking recovery or treatment services if all of the following conditions are met: (1) Any ground transportation provided to an individual who is seeking recovery or treatment services is for a distance of less than 125 miles. (2) Any air transportation provided to an individual who is seeking recovery or treatment services includes a return ticket that may be used by the individual upon discharge. (3) A return ticket not used by an individual upon discharge is made available to the individual upon request for a period of one year following the individual’s discharge. (d) This section does not prohibit a person, program, or entity from providing an individual educational or informational materials about community resources, including, but not limited to, housing assistance. (Amended by Stats. 2024, Ch. 847, Sec. 37. (AB 2995) Effective January 1, 2025.)
  138. 11831.7.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    The department may investigate chapter violations and, if it finds one, impose penalties or licensing actions on covered recovery, treatment, outpatient, or counselor licenses/certifications; it must also establish an enforcement program.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.7. (a) The department may investigate allegations of violations of this chapter. The department may, upon finding a violation of this chapter or any regulation adopted pursuant to this chapter, do any of the following: (1) Assess a penalty upon an alcohol or other drug recovery or treatment facility licensed under this part. (2) Suspend or revoke the license of an alcohol or other drug recovery or treatment facility licensed under Chapter 7.5 (commencing with Section 11834.01), or deny an application for licensure, extension of the licensing period, or modification to a license. Article 4 (commencing with Section 11834.35) of Chapter 7.5 shall apply to any action taken pursuant to this paragraph. (3) Assess a penalty upon an alcohol or other drug outpatient program certified by the department in accordance with Chapter 7.1 (commencing with Section 11832). (4) Suspend or revoke the certification of an alcohol or other drug outpatient program certified by the department in accordance with Chapter 7.1 (commencing with Section 11832). (5) Suspend or revoke the registration or certification of a counselor for a violation of this chapter. (b) The department may investigate allegations against a licensed professional providing counseling services at an alcohol or other drug recovery or treatment program licensed, certified, or funded under this part, and recommend disciplinary actions, including, but not limited to, termination of employment at a program and suspension and revocation of licensure by the respective licensing board. (c) The department shall establish an enforcement program focused on the oversight duties of this chapter. Staff of the enforcement program shall have responsibilities, including, but not limited to, all of the following: (1) Provide the department with analytical support for the development and administration of this chapter. (2) Provide the department with general oversight and monitoring focused on investigations and enforcement of this chapter. (3) Provide the department with legal guidance in the interpretation of this chapter. (d) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code), the department may, if it deems appropriate, implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions from the department, until regulations are adopted. (Amended by Stats. 2024, Ch. 847, Sec. 38. (AB 2995) Effective January 1, 2025.)
  139. 11831.9.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. )

    Verify source ↗

    Operators of certain alcohol or other drug recovery or treatment facilities, and certified programs, must not make false or misleading claims in marketing or online content.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7. Quality Assurance [11830 - 11831.9] ( Chapter 7 repealed and added by Stats. 1984, Ch. 1328, Sec. 64. ) ## 11831.9. (a) The Legislature recognizes that consumers with substance use disorders have disabling conditions, and that these consumers and their families are vulnerable and at risk of being easily victimized by fraudulent marketing practices that adversely impact the delivery of health care. To protect the health, safety, and welfare of this vulnerable population, an operator of a licensed alcohol or other drug recovery or treatment facility, as defined in Section 11834.02, or a certified alcohol or other drug program, shall not do any of the following: (1) Make a false or misleading statement or provide false or misleading information about the entity’s products, goods, services, or geographical locations in its marketing, advertising materials, or media, or on its internet website or on a third-party internet website. (2) Make a false or misleading statement or provide false or misleading information about medical treatments or medical services offered in its marketing, advertising materials, or media, or on its internet website, on a third-party internet website, or in its social media presence. (3) Include on its internet website a picture, description, staff information, or the location of an entity, along with false contact information that surreptitiously directs the reader to a business that does not have a contract with the entity. (4) Include on its internet website false information or an electronic link that provides false information or surreptitiously directs the reader to another internet website. (b) The department may investigate an allegation of a violation of this section and, upon finding a violation of this section, or any regulation adopted to enforce this section, may impose one or more of the sanctions described in Section 11831.7 in accordance with regulations adopted pursuant to that section. (Amended by Stats. 2024, Ch. 847, Sec. 39. (AB 2995) Effective January 1, 2025.)
  140. 118310.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Medical waste accumulation areas must be secured against unauthorized access and marked with specific warning signs.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118310. A designated accumulation area used for the storage of medical waste containers prior to transportation or treatment shall be secured so as to deny access to unauthorized persons and shall be marked with warning signs on, or adjacent to, the exterior of entry doors, gates, or lids. The storage area may be secured by use of locks on entry doors, gates, or receptacle lids. The wording of warning signs shall be in English, “CAUTION—BIOHAZARDOUS WASTE STORAGE AREA—UNAUTHORIZED PERSONS KEEP OUT,” and in Spanish, “CUIDADO—ZONA DE RESIDUOS—BIOLOGICOS PELIGROSOS—PROHIBIDA LA ENTRADA A PERSONAS NO AUTORIZADAS,” or in another language, in addition to English, determined to be appropriate by the infection control staff or enforcement agency. A warning sign concerning infectious waste, as that term was defined by Section 25117.5 as it read on December 31, 1990, that sign having been installed before April 1, 1991, meets the requirements of this section, until the sign is changed and as long as the sign is not moved. Warning signs shall be readily legible during daylight from a distance of at least 25 feet. Any enclosure or designated accumulation area shall provide medical waste protection from animals and natural elements and shall not provide a breeding place or a food source for insects or rodents. (Amended by Stats. 2006, Ch. 166, Sec. 8. Effective January 1, 2007.)
  141. 118315.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    A person must not use a trash chute to transfer medical waste.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118315. A person shall not use a trash chute to transfer medical waste. (Added by Stats. 1995, Ch. 415, Sec. 6. Effective January 1, 1996.)
  142. 11832.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department has sole authority to certify alcohol or other drug programs, and it must issue certifications for two years to programs that meet the chapter’s requirements.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832. (a) The department has the sole authority in state government to certify alcohol or other drug programs. (b) In administering this chapter, the department shall issue certifications for a period of two years to those alcohol or other drug programs that meet the requirements set forth in this chapter. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  143. 11832.1.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department must charge a fee for certifying alcohol or other drug programs.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.1. The department shall charge a fee for the certification of alcohol or other drug programs, in accordance with Chapter 7.3 (commencing with Section 11833.01). (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  144. 11832.10.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department has sole authority to set minimum qualifications for certain alcohol or other drug program administrators and staff.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.10. (a) The department shall have the sole authority in state government to establish the minimum qualifications of an alcohol or other drug program administrator and staff who provide any of the services identified in Section 11832.2. (b) Nothing in this section shall be construed to apply to credentialing or licensing of individuals or to certification qualifications established pursuant to Chapter 7.2 (commencing with Section 11833). (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  145. 11832.11.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Programs must report certain incidents to the department and promptly notify it of specified organizational and contact changes.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.11. (a) A program shall submit, in a form and manner determined by the department, a report to the department of any of the following events: (1) Death of any person that occurs at the program. (2) Injury of any client at the program that requires emergency medical treatment. (3) Cases of communicable disease reportable under Sections 2500 and 2502 of Title 17 of the California Code of Regulations. (4) Catastrophes such as flooding, tornado, earthquake, or any other natural disaster. (5) Fires or explosions that occur in or on the premises. (b) A program shall notify the department, in a timely manner, of any of the following: (1) Change to the program’s organizational structure. (2) Change in the program’s mailing address, facility telephone number, or email address. (3) Change to the operational days and hours of the program, including any planned temporary pause in operations. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  146. 11832.12.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department must conduct onsite compliance visits at least once during each certification period, and it may also do announced or unannounced site visits at any time.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.12. (a) The department shall conduct onsite visits for compliance at least once during each certification period. (b) The department may conduct announced or unannounced site visits at any time to any alcohol or other drug program certified pursuant to this chapter to determine compliance with applicable statutes and regulations. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  147. 11832.13.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department may inspect buildings and records of alcohol or other drug programs at a reasonable time, with or without notice.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.13. (a) The department may enter and inspect any building, or portion thereof, that contains an alcohol or other drug program and its records, at a reasonable time, with or without notice, to secure information regarding compliance with, or to prevent a violation of, this chapter or any regulation adopted pursuant to this chapter. (b) Failure of an alcohol or other drug program to allow the department to enter and inspect the building and records shall result in the department taking legal action to gain entry by an inspection warrant issued pursuant to Title 13 (commencing with Section 1822.50) of Part 3 of the Code of Civil Procedure. The alcohol or other drug program shall pay for all costs associated with legal action required to gain entry. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  148. 11832.14.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The director can suspend, revoke, or deny alcohol and other drug program certifications for listed reasons, and can temporarily suspend a certification to protect health or safety.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.14. (a) The director may suspend or revoke any certification issued under this chapter, as well as any other certification issued under this chapter held by the same person or entity, or deny an application for certification, renewal of a certification, or modification of a certification, upon any of the following grounds and in the manner provided in this chapter: (1) Violation by the program of any provision of this chapter or regulations adopted pursuant to this chapter. (2) Repeated violation by the program of any of the provisions of this chapter or regulations adopted pursuant to this chapter. (3) Aiding, abetting, or permitting the violation of, or any repeated violation of, any of the provisions described in paragraph (1) or (2). (4) Conduct in the operation of a program that is inimical to the health, morals, welfare, or safety of an individual receiving services from the program or to the people of the State of California. (5) Misrepresentation of any material fact in obtaining certification, including, but not limited to, providing false information or documentation to the department. (6) Refusal to allow the department entry into the building to determine compliance with the requirements of this chapter or regulations adopted pursuant to this chapter. (7) Failure to pay any civil penalties assessed by the department. (b) The director may temporarily suspend any certification, as well as any other alcohol or other drug program certification issued under this chapter held by the same person or entity, prior to any hearing when, in the opinion of the director, the action is necessary to protect individuals who receive services from any substantial threat to health or safety. The director shall notify the program of the temporary suspension and the effective date of the temporary suspension and at the same time shall serve the program with an accusation. Upon receipt of a notice of defense to the accusation by the program, the director shall, within 15 days, set the matter for hearing, and the hearing shall be held as soon as possible. The temporary suspension shall remain in effect until the time the hearing is completed and the director has made a final determination on the merits. However, the temporary suspension shall be deemed vacated if the director fails to make a final determination on the merits within 30 days after the department receives the proposed decision from the Office of Administrative Hearings. (c) The department may terminate review of an application for a certification under this chapter from any person or entity that previously had a certification issued under this chapter suspended or revoked for a period of five years from the date of the final decision and order. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  149. 11832.15.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department must handle certification suspension, revocation, and denial proceedings under the Government Code, and it must process certification revocations promptly.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.15. (a) Proceedings for the suspension, revocation, or denial of a certification under this chapter shall be conducted in accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code, and the department shall have all the powers granted by those provisions. In the event of conflict between this chapter and the Government Code, the Government Code shall prevail. (b) In all proceedings conducted in accordance with this section, the standard of proof to be applied shall be by the preponderance of the evidence. (c) The department shall commence and process certification revocations under this chapter in a timely and expeditious manner. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  150. 11832.16.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    If an application for certification is withdrawn after filing, the department may still proceed or deny the certification unless it consents in writing. The department also keeps disciplinary authority even if a certification is suspended, expires, is forfeited, cancelled, or surrendered without written consent.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.16. (a) The withdrawal of an application for a certification after it has been filed with the department shall not, unless the department consents in writing to the withdrawal, deprive the department of its authority to institute or continue a proceeding against the applicant for the denial of the certification upon any ground provided by law or to enter an order denying the certification upon any of these grounds. (b) The suspension, expiration, or forfeiture by operation of law of a certification issued by the department, or its suspension, forfeiture, or cancellation by order of the department or by order of a court of law, or its surrender without the written consent of the department, shall not deprive the department of its authority to institute or continue a disciplinary proceeding against the program upon any ground provided by law or to enter an order suspending or revoking the certification or otherwise taking disciplinary action against the program on any ground provided by law. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  151. 11832.17.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    A certification ends automatically before its expiration date if the program is sold, transferred, surrendered to the department, moved to a different location, operated by a sole proprietor who dies, or abandoned/ceased.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.17. A certification shall terminate by operation of law, prior to its expiration date, when any of the following conditions occur: (a) The program is sold or otherwise transferred. (b) The program surrenders its certification to the department. (c) The program relocates from the address identified on the certification to a different location. (d) The certified alcohol or other drug program is operated by a sole proprietor and the sole proprietor dies. (e) The program abandons the certification or otherwise ceases operation. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  152. 11832.18.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    If a program is suspected of violating Section 11832.7, the department must inspect it and may issue a notice, daily civil penalties, and other civil proceedings-related warnings.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.18. (a) If a program is alleged to be in violation of Section 11832.7, the department shall conduct a site visit to investigate the allegation. If the department finds evidence that the program is providing treatment, recovery, withdrawal management, or medication-assisted treatment services without a certification, the department shall issue a written notice to the program stating that it is operating in violation of Section 11832.7. The notice shall include all of the following: (1) The date by which the program shall cease providing services. (2) Notice that the department may assess against the program a civil penalty of two thousand dollars ($2,000) per day for every day the program continues to provide services beyond the date specified in the notice. (3) Notice that the case may be referred for civil proceedings if the program continues to provide services beyond the date specified in the notice. (4) Inform the program of the certification requirements of this chapter. (b) A person or entity found to be in violation of Section 11832.7 shall be prohibited from applying for initial certification for a period of five years from the date of the notice specified in subdivision (a). (c) The department may levy a civil penalty for a violation of Section 11832.7 in an amount not to exceed two thousand dollars ($2,000) per day for every day the program continues to provide services beyond the date specified in a notice pursuant to subdivision (a). (Amended by Stats. 2026, Ch. 27, Sec. 25. (SB 164) Effective June 29, 2026.)
  153. 11832.19.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The director may sue to stop a violation of Section 11832.7, and the court must issue an injunction if the allegations are proven true.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.19. (a) The director may bring an action to enjoin the violation of Section 11832.7 in the superior court in and for the county in which the violation occurred. Any proceeding under this section shall conform to the requirements of Chapter 3 (commencing with Section 525) of Title 7 of Part 2 of the Code of Civil Procedure, except that the director shall not be required to allege facts necessary to show or tending to show lack of adequate remedy at law or irreparable damage or loss. (b) With respect to any and all actions brought pursuant to this section alleging an actual violation of Section 11832.7, the court shall, if it finds the allegations to be true, issue an order enjoining the program from continuance of the violation. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  154. 11832.2.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    This section defines “alcohol or other drug program” as a business entity in California that provides certain treatment, recovery, withdrawal management, or addiction-medication services, and excludes licensed individual health care practitioners acting within their license or certificate.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.2. (a) As used in this chapter, “alcohol or other drug program” or “program” means a business entity with a physical location in the State of California that provides one or more of the following services to clients: (1) Treatment services. (2) Recovery services. (3) Withdrawal management services. (4) Medications for addiction treatment. (b) An individual health care practitioner duly licensed and regulated under Division 2 (commencing with Section 500) of the Business and Professions Code, acting within the scope of their license or certificate is not a program as described in subdivision (a). (Amended by Stats. 2026, Ch. 27, Sec. 24. (SB 164) Effective June 29, 2026.)
  155. 11832.20.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department may levy civil penalties on certificate holders or programs that violate this chapter or its regulations, and it must give notice before assessing any penalty.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.20. (a) (1) In addition to the penalties of suspension or revocation of a certification issued under this chapter, the department may also levy a civil penalty for violation by a certificate holder of this chapter or the regulations adopted pursuant to this chapter. (2) The amount of the civil penalty, as determined by the department, shall not be less than two hundred fifty dollars ($250) or more than five hundred dollars ($500) per day for each violation, except where the nature or seriousness of the violation or the frequency of the violation warrants a higher penalty or an immediate civil penalty assessment, or both, as determined by the department. In no event shall a civil penalty assessment exceed one thousand dollars ($1,000) per day. (3) A program that is cited for repeating the same violation within 24 months of the first violation is subject to a civil penalty of five hundred dollars ($500) for the first day and seven hundred fifty dollars ($750) for each day the violation continues until the deficiency is corrected. (4) A program that has been assessed a civil penalty pursuant to paragraph (3) that repeats the same violation within 24 months of the violation subject to paragraph (3) is subject to a civil penalty of five hundred dollars ($500) for the first day and one thousand dollars ($1,000) for each day the violation continues until the deficiency is corrected. (b) Prior to the assessment of any civil penalty, the department shall provide the program with notice requiring the program to correct the deficiency within the period of time specified in the notice. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  156. 11832.21.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department may seek and use civil and administrative remedies to enforce this chapter, and it may combine them as it thinks advisable.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.21. The civil and administrative remedies available to the department pursuant to this chapter are not exclusive, and may be sought and employed in any combination deemed advisable by the department to enforce this chapter. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  157. 11832.22.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Some exempt alcohol or other programs may apply to the department for certification; if a facility voluntarily gets certified, it becomes subject to this chapter’s enforcement and requirements.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.22. (a) Any alcohol or other program operating in a setting that is exempt from mandatory certification under subdivision (b) of Section 11832.3 may voluntarily apply to the department for certification. (b) Any facility that voluntarily obtains certification pursuant to this section is subject to the enforcement and requirements of this chapter and any regulations adopted pursuant to this chapter. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  158. 11832.23.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department must adopt regulations to implement this chapter, and it may use provider bulletins, written guidelines, or similar instructions until those regulations are adopted.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.23. (a) The department shall adopt regulations necessary to implement this chapter. (b) Notwithstanding the rulemaking provisions of the Administrative Procedure Act (Chapter 3.5 commencing with Section 11340 of Part 1 of Division 3 of Title 2 of the Government Code), the department may, if it deems appropriate, implement, interpret, or make specific this chapter by means of provider bulletins, written guidelines, or similar instructions from the department, until regulations are adopted. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  159. 11832.24.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Certain alcohol or other drug programs certified by the department are treated as certified under this chapter until the stated certification expiration date, and they must comply with chapter requirements, including renewal.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.24. Any alcohol or other drug program certified by the department under the alcohol or other drug program certification standards developed in accordance with Section 11830.1, as it read on June 30, 2023, shall be deemed certified under this chapter until the expiration date set forth on the certification in place as of June 30, 2023. The alcohol or other drug program shall be subject to, and comply with, the requirements of this chapter, including the process to renew its certification. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  160. 11832.25.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Certain alcohol or other drug programs must apply for certification by January 1, 2024, and must obtain certification and be in compliance by January 1, 2025.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.25. Notwithstanding Sections 11832.3 and 11832.7, any alcohol or other drug program that is not deemed certified pursuant to Section 11832.24 shall apply for certification no later than January 1, 2024, and shall obtain certification, and be in compliance with this chapter, no later than January 1, 2025. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  161. 11832.3.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Most alcohol or other drug programs must be certified by the department, but programs in listed licensed or public settings are exempt.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.3. (a) Except as provided in subdivision (b), any alcohol or other drug program shall be certified by the department in accordance with this chapter. (b) Any alcohol or other drug program operating in the following settings are exempt from certification under this chapter: (1) Adult alcoholism or drug abuse recovery or treatment facilities, driving-under-the-influence programs, and narcotic treatment programs licensed by the department. (2) Clinics licensed by the State Department of Public Health in accordance with Chapter 1 (commencing with Section 1200) of Division 2. (3) Health facilities licensed by the State Department of Public Health in accordance with Chapter 2 (commencing with Section 1250) of Division 2. (4) Community care facilities licensed by the State Department of Social Services in accordance with Chapter 3 (commencing with Section 1500) of Division 2. (5) Residential care facilities for persons with chronic, life-threatening illness licensed by the State Department of Social Services in accordance with Chapter 3.01 (commencing with Section 1568.01) of Division 2. (6) Residential care facilities for the elderly licensed by the State Department of Social Services in accordance with Chapter 3.2 (commencing with Section 1569) of Division 2. (7) Adult day health care centers licensed by the State Department of Social Services in accordance with Chapter 3.3 (commencing with Section 1570) of Division 2. (8) Public elementary and secondary schools as defined in the Education Code. (9) County jails and state correctional institutions, including juvenile justice facilities. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  162. 11832.4.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Applicants for certification under this chapter must send the department a complete written application, the required certification fee, an initial application fee, and any other documents the department specifies.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.4. A person or entity applying for a certification pursuant to this chapter shall submit all of the following to the department: (a) A complete written application. (b) A certification fee, as established in accordance with Chapter 7.3 (commencing Section 11833.01). (c) An initial application fee. (d) Any other documentation specified by the department. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  163. 11832.5.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    The department may certify an alcohol or other drug program if the application, fees, and documents are complete, an onsite review is finished, and the applicant can comply with the chapter and related regulations.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.5. (a) The department may issue a certification to an alcohol or other drug program upon all of the following: (1) Submission of a complete application, fees, and documentation in accordance with Section 11832.4. (2) Completion of an onsite review. (3) Determination that the applicant can comply with this chapter and any regulations adopted pursuant to this chapter. (b) The department shall terminate review of an application for either of the following reasons: (1) Failure to comply with Section 11832.4. (2) Prior revocation of an applicant’s certification issued by the department, or an adult alcoholism or drug abuse recovery or treatment facility license, within five years from the date of the application submission. (c) Termination of review shall require submission of a new application. (d) The department may deny the issuance of a certification for any of the following reasons: (1) Failure of the applicant to demonstrate the ability to comply with this chapter or the regulations adopted pursuant to this chapter. (2) Failure of the applicant to remedy any deficiency identified pursuant to this chapter or the regulations adopted pursuant to this chapter. (3) Failure of the applicant to comply with this division or with Division 4 (commencing with Section 9000) of Title 9 of the California Code of Regulations. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  164. 11832.6.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    A certification lasts two years from issuance. The department may renew it for additional two-year periods if the program applies before expiration, pays the required fees, and stays in compliance.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.6. (a) A certification shall be valid for a period of two years from the date of issuance. (b) The department may renew a certification for subsequent two-year periods if, prior to the expiration date on the certification, an alcohol or other drug program submits a completed written application for renewal, pays the required fees, and remains in compliance with this chapter and any regulations adopted pursuant to this chapter, as determined by the department. (c) Failure to submit to the department the required written application for renewal, or failure to submit to the department the required fees prior to the expiration date on the certification, shall result in the automatic expiration of the certification at the end of the two-year period. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  165. 11832.7.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    A person or entity may not establish, operate, manage, conduct, or maintain an alcohol or other drug program in this state unless it first gets certification under this chapter, subject to a stated exception.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.7. Except as provided in subdivision (b) of Section 11832.3, no person, firm, partnership, association, or local government entity shall establish, operate, manage, conduct, or maintain an alcohol or other drug program within this state without first obtaining a certification pursuant to this chapter. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  166. 11832.8.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Alcohol or other drug programs must adopt policies and procedures that comply with this chapter and related regulations, and keep them in an operations manual.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.8. (a) An alcohol or other drug program shall adopt policies and procedures that are consistent with this chapter and any regulations adopted pursuant to this chapter. (b) All policies and procedures shall be kept in an operation manual and address and include, at a minimum, all of the following: (1) Admission and discharge. (2) Client rights. (3) Services. (4) Medications. (5) Staff and client code of conduct. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  167. 11832.9.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. )

    Verify source ↗

    Certified alcohol and other drug programs must offer MAT directly or use an effective referral process, and they must maintain a department-approved MAT policy.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.1. Certification of Alcohol and Other Drug Programs [11832 - 11832.25] ( Chapter 7.1 added by Stats. 2023, Ch. 42, Sec. 32. ) ## 11832.9. (a) Alcohol and other drug programs that are certified in accordance with this chapter shall either offer medications for addiction treatment (MAT) directly to clients, or have an effective referral process in place with narcotic treatment programs, community health centers, or other MAT providers. (b) An effective referral process shall include an established relationship with an MAT provider and transportation to appointments for MAT. Providing contact information for an MAT provider does not meet the requirement of an effective referral. (c) Certified alcohol and other drug programs shall implement and maintain an MAT policy approved by the department. The MAT policy shall do all of the following: (1) Explain how a client receives information about the benefits and risks of MAT. (2) Describe the availability of MAT at the program, if applicable, or the referral process for MAT. (3) Identify an evidence-based assessment for determining a client’s MAT needs. (4) Address administration, storage, and disposal of MAT, if applicable. (5) Outline training for staff about the benefits and risks of MAT. (6) Outline training for staff on the MAT policy. (d) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this section through the use of all-county letters, provider bulletins, or similar instructions, without taking any further regulatory action. (Added by Stats. 2023, Ch. 42, Sec. 32. (AB 118) Effective July 10, 2023.)
  168. 118320.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. )

    Verify source ↗

    Medical waste generally cannot be processed with compactors or grinders until it has been treated and turned into solid waste, except under subdivision (b).

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9. Containment and Storage [118275 - 118320] ( Chapter 9 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118320. (a) Except as provided in subdivision (b), compactors or grinders shall not be used to process medical waste until after the waste has been treated pursuant to Chapter 8 (commencing with Section 118215) and rendered solid waste. (b) (1) Grinding or compacting may be used when it is an integral part of an alternative treatment method approved by the department. (2) A compactor may be used to compact medical waste if the type of medical waste compactor proposed to be used is evaluated by the department, and approved by the department prior to its use pursuant to the following criteria: (A) The compactor operates without the release of liquids or pathogenic microorganisms from the medical waste during placement of the medical waste into, or removal of the medical waste from, the compactor units, and during the compaction process. (B) The compacted medical waste will not release liquids or pathogens during any subsequent handling and no residual waste will be left in the compactor unit after the process is completed. (C) Compactor operations and maintenance personnel will not be at any substantial increased risk of exposure to pathogens. (D) The compactor has been demonstrated not to have any adverse effects on any treatment method. If only specific treatment methods are compatible with the compaction process, the department shall condition its approval of the compactor for use only in conjunction with treatment methods, with regard to which no adverse effects have been demonstrated. (c) Medical waste in bags or other containers shall not be subject to compaction by any compacting device and shall not be placed for storage or transport in a portable or mobile trash compactor, except as allowed pursuant to subdivision (b). (Added by renumbering Section 25088 by Stats. 1996, Ch. 536, Sec. 19. Effective January 1, 1997.)
  169. 118321.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    This chapter is named the Trauma Scene Waste Management Act and states that trauma scene waste handling should be regulated.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321. (a) This chapter shall be known, and may be cited, as the Trauma Scene Waste Management Act. (b) The Legislature hereby finds and declares that it is in the interests of the health and safety of the public and the solid waste industry to regulate the handling and treatment of waste that, but for contamination with large quantities of human blood or body fluids as a result of death, serious injury, or illness, would be solid waste. (c) The Legislature further finds and declares that, in the interest of safe and uniform management of trauma scene waste, practitioners of trauma scene management should be subject to regulation by the department. (Added by Stats. 1997, Ch. 732, Sec. 12. Effective January 1, 1998.)
  170. 118321.1.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    Trauma scene waste management practitioners must register with the department and, if registered, pay a $200 annual fee; the department must register qualified applicants and issue the hauling permit, and registered practitioners are exempt from certain medical-waste registration requirements.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.1. (a) A trauma scene waste management practitioner shall register with the department on forms provided by the department. (b) The department shall register a trauma scene waste management practitioner and issue a trauma scene waste hauling permit to a trauma scene waste management practitioner who submits a completed application form and the registration fee, upon approval of the application by the department. (c) A registered trauma scene waste management practitioner is exempt from the registration requirements imposed pursuant to Chapter 6 (commencing with Section 118025) or Article 6.5 (commencing with Section 25167.1) of Chapter 6.5 of Division 20 upon haulers of medical waste. (d) Registered trauma scene waste management practitioners shall pay an annual fee of two hundred dollars ($200) to the department for deposit in the fund. The fee revenues deposited in the fund pursuant to this subdivision may be expended by the department, upon appropriation by the Legislature, for the implementation of this chapter. (Amended by Stats. 2014, Ch. 564, Sec. 79. (AB 333) Effective January 1, 2015.)
  171. 118321.2.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    The department must keep an inventory of registered trauma scene waste management practitioners and share the list with specified local officials, and with other public agencies and the public upon request.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.2. (a) The department shall maintain an inventory of registered trauma scene waste management practitioners. (b) The department shall submit a list of registered trauma scene waste management practitioners to all local agency health officers and directors of environmental health, county administrators, and county sheriffs, and shall make the list available, upon request, to other public agencies and to the public. (Added by Stats. 1997, Ch. 732, Sec. 12. Effective January 1, 1998.)
  172. 118321.3.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    The department is the sole enforcement agency for trauma scene waste, and it must set standards and procedures for documentation and cleanup guidance.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.3. (a) Notwithstanding Section 117650, the department shall be the sole enforcement agency with regard to the management of trauma scene waste. (b) The department, working with the trauma scene waste management industry and the health care industry, shall establish the following standards: (1) Documentation of personal protection required to be provided for, and used by, workers in accordance with the California Occupational and Safety Administration’s bloodborne pathogen standards. (2) Technologies and chemicals appropriate to the task of cleanup and disinfecting. (c) The department may adopt regulations pursuant to which trauma scene waste management practitioners shall document both of the following: (1) Identification of trauma scene waste within the scope of this chapter. (2) Compliance with disposal requirements, including, but not limited to, tracking the transportation of trauma scene waste. (d) The department shall adopt procedures to provide information to trauma scene waste management practitioners recommending procedures for removing trauma scene waste from trauma scenes. (Added by Stats. 1997, Ch. 732, Sec. 12. Effective January 1, 1998.)
  173. 118321.4.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    A trauma scene waste management practitioner who transports trauma scene waste is treated as the generator of that waste for this part.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.4. As specified in Section 117705, a trauma scene waste management practitioner who transports trauma scene waste shall be deemed the generator of the trauma scene waste for purposes of this part. (Added by Stats. 1997, Ch. 732, Sec. 12. Effective January 1, 1998.)
  174. 118321.5.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

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    Trauma scene waste must be removed immediately after the removal phase ends, and then transported to a permitted medical waste transfer station or treatment facility; it may instead be stored in a dedicated freezer at the practitioner’s business location for up to 14 days, unless the department approves otherwise.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.5. (a) Trauma scene waste shall be removed from the trauma scene immediately upon completion of the removal phase of a trauma scene waste removal operation. (b) Trauma scene waste shall be transported to a permitted medical waste transfer station or treatment facility pursuant to subdivision (a) of Section 118000, or may be stored in a dedicated freezer at the business location of the trauma scene waste management practitioner for a period of not more than 14 days, or as otherwise approved by the department. (Amended by Stats. 2014, Ch. 564, Sec. 80. (AB 333) Effective January 1, 2015.)
  175. 118321.6.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. )

    Verify source ↗

    This section says the chapter does not reduce the state safety agency’s jurisdiction and does not stop a business from hiring or contracting for trauma-scene cleanup or consultative services when those services are incidental to the person’s main work.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 9.5. Trauma Scene Waste Management [118321 - 118321.6] ( Chapter 9.5 added by Stats. 1997, Ch. 732, Sec. 12. ) ## 118321.6. (a) This chapter does not limit or abridge the jurisdiction of the Division of Occupational Safety and Health of the Department of Industrial Relations. (b) This chapter does not prohibit a business from employing or contracting with a person to provide cleanup or consultative services, including those services provided by an industrial hygienist, with respect to trauma scene waste if those services are incidental to the principal course and scope of services provided by the person. (Added by Stats. 1997, Ch. 732, Sec. 12. Effective January 1, 1998.)
  176. 118325.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Certain local and state enforcement officials may sue to stop violations of this part or its regulations, and the court must enjoin proven violations.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118325. (a) (1) An enforcement agency, district attorney, county counsel, city attorney, or city prosecutor may bring an action to enjoin the violation, or threatened violation, of this part or the regulations adopted pursuant to this part, in the superior court in the county where the violation occurred or is about to occur. Any proceeding under this section shall be in accordance with Chapter 3 (commencing with Section 525) of Title 7 of Part 2 of the Code of Civil Procedure, except that the enforcement agency, district attorney, county counsel, city attorney, or city prosecutor is not required to allege facts necessary to show or tending to show the lack of an adequate remedy at law or irreparable damage or loss. (2) If a county counsel or the district attorney brings an action pursuant to paragraph (1), the county counsel or the district attorney shall, within seven days of the filing of the action, notify the district attorney or county counsel, as applicable, of the county where the violation occurred or is about to occur. (b) With respect to any action brought pursuant to this section alleging actual violation of this part or the regulations adopted pursuant to this part, the court shall, if it finds the allegations to be true, issue its order enjoining the continuance of the violation. (Amended by Stats. 2023, Ch. 154, Sec. 15. (SB 642) Effective January 1, 2024.)
  177. 11833.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.2. Personnel Requirements [11833- 11833.] ( Chapter 7.2 added by Stats. 2023, Ch. 42, Sec. 35. )

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    The department controls counselor qualification standards for alcohol or other drug recovery and treatment programs, and counselors and certifying organizations must meet registration, competency, notice, and review requirements unless a listed exemption applies.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.2. Personnel Requirements [11833- 11833.] ( Chapter 7.2 added by Stats. 2023, Ch. 42, Sec. 35. ) ## 11833. (a) The department shall have the sole authority in state government to determine the qualifications, including the appropriate skills, education, training, and experience of personnel working within alcohol or other drug recovery and treatment programs licensed, certified, or funded under this part. (b) (1) The department shall determine the required core competencies for registered and certified counselors working within an alcohol or other drug recovery and treatment program described in subdivision (a). The department shall consult with affected stakeholders in developing these requirements. (2) Core competencies shall include all of the following elements: (A) Knowledge of the current Diagnostic and Statistical Manual of Mental Disorders. (B) Knowledge of the American Society of Addiction Medicine (ASAM) criteria and continuum of ASAM levels of care, or other similar criteria and standards as approved by the department. (C) Cultural competence, including for people with disabilities, and its implication for treatment. (D) Case management. (E) Utilization of electronic health records systems. (F) Knowledge of medications for addiction treatment. (G) Clinical documentation. (H) Knowledge of cooccurring substance use and mental health conditions. (I) Confidentiality. (J) Knowledge of relevant law and ethics. (K) Understanding and practicing professional boundaries. (L) Delivery of services in the behavioral health delivery system. (3) Core competency requirements described in paragraph (2) shall align with national certification domains and competency exams. The hours completed for the core competency requirements under paragraph (2) shall count toward the education requirements for substance use disorder counselor certification. (4) Hour requirements for registered counselors shall not be lower than the hour requirements approved by the department for certified peer support specialists. (5) Counselors shall have six months from the time of registration to complete the core competency requirements under paragraph (2). A counselor shall provide to the certifying organization that they are registered with proof of completion of the required hours within that timeframe. (6) The department shall not implement the core competency requirements described in paragraph (2) for registered and certified counselors registering or certifying with a state-approved substance use disorder counselor certifying organization before July 1, 2025. (7) Counselors in good standing that registered with a state-approved substance use disorder counselor certifying organization prior to July 1, 2025, are exempt from the requirements detailed in paragraph (4). (8) For the purposes of this subdivision, “in good standing” means registrants with an active registration status. (9) Counselors in good standing that are registered with a state-approved substance use disorder counselor certifying organization and have a master’s degree in psychology, social work, marriage and family therapy, or counseling are exempt from the core competency requirements in paragraph (2). (10) The department shall not specify and implement the hour requirements pursuant to paragraph (4) before July 1, 2025. (c) (1) Except as set forth in subdivision (d), an individual providing counseling services working within a program described in subdivision (a) shall be registered with, or certified by, a certifying organization approved by the department to register and certify counselors. (2) The department shall not approve a certifying organization that does not, prior to registering or certifying an individual, contact other department-approved certifying organizations to determine whether the individual has ever had their registration or certification revoked or has been removed from a postgraduate practicum for an ethical or professional violation. (d) (1) The following individuals are exempt from the requirement in paragraph (1) of subdivision (c) to be registered or certified by a department-approved certifying organization: (A) A graduate student affiliated with university programs in psychology, social work, marriage and family therapy, or counseling, who is completing their supervised practicum hours to meet postgraduate requirements. (B) An associate registered with the Board of Behavioral Sciences. (C) A licensed professional, as defined by the department. (2) A program providing practicum for graduate students exempted from registration or certification in paragraph (1) shall notify department-approved certifying organizations if a graduate student is removed from the practicum as a result of an ethical or professional conduct violation, as determined by either the university or the program. (e) If a counselor’s registration or certification has been previously revoked or the individual has been removed from a postgraduate practicum for an ethical or professional conduct violation, the certifying organization shall deny the request for registration and shall send the counselor a written notice of denial. The notice shall specify the counselor’s right to appeal the denial in accordance with applicable statutes and regulations. (f) The department shall have the authority to conduct periodic reviews of certifying organizations to determine compliance with all applicable laws and regulations, including subdivision (e), and to take actions for noncompliance, including revocation of the department’s approval. (g) (1) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department, without taking any further regulatory action, shall implement, interpret, or make specific the changes made to this section in the 2021–22 Legislative Session by means of all-county letters, plan letters, plan or provider bulletins, or similar instructions. (2) The department shall adopt regulations to implement the changes made to this section in the 2021–22 Legislative Session by December 31, 2025, in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code. (Amended by Stats. 2024, Ch. 847, Sec. 40. (AB 2995) Effective January 1, 2025.)
  178. 11833.01.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. )

    Verify source ↗

    This chapter applies to programs, facilities, or services certified under Chapter 7.1 or licensed under Chapter 7.5, or both.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. ) ## 11833.01. This chapter applies to all programs, facilities, or services certified pursuant to Chapter 7.1 (commencing with Section 11832) or licensed pursuant to Chapter 7.5 (commencing with Section 11834.01), or both. (Amended by Stats. 2023, Ch. 42, Sec. 36. (AB 118) Effective July 10, 2023.)
  179. 11833.02.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. )

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    The department must charge licensure or certification fees to all programs, set and publish the fee structure, and create a hardship fee waiver process.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. ) ## 11833.02. (a) The department shall charge a fee to all programs for licensure or certification by the department, regardless of the form of organization or ownership of the program. (b) The department may establish fee scales using different capacity levels, categories based on measures other than program capacity, or any other category or classification that the department deems necessary or convenient to maintain an effective and equitable fee structure. (c) Licensing and certification fees shall be evaluated annually, taking into consideration the overall cost of the residential and outpatient licensing and certification activities of the department, including initial issuance, renewals, complaints, enforcement activity, related litigation, and any other program activity relating to licensure and certification, plus a reasonable reserve. Any excess fees remaining in the Residential and Outpatient Program Licensing Fund pursuant to Section 11833.03 at the end of each fiscal year shall be carried forward and taken into consideration in setting the amount of fees imposed in the immediately subsequent fiscal year. (d) No sooner than July 1, 2027, the department is authorized to approve a fee increase, up to and including 5 percent on an annual basis, as needed to address the costs of licensing and certification activities identified in subdivision (c). (e) If the department proposes new fees or an increase in fees in excess of 5 percent, the department shall submit those new fees or fee increases to the Legislature for approval no later than April 1 of each year as part of the spring finance letter process. New fees or fee increases in excess of 5 percent shall not be implemented without legislative approval. (f) The department shall issue a provider bulletin pursuant to Section 11833.04 setting forth the fee structure. The department shall, on an annual basis, publish the current fee structure on the department’s internet website. (g) To provide access to quality substance use disorder services, the department shall develop a process for programs and facilities to apply for a hardship fee waiver. The department shall issue a provider bulletin pursuant to Section 11833.04 detailing the process to apply for a hardship fee waiver that includes eligibility requirements for demonstrated need by July 1, 2024. (h) Unless funds are specifically appropriated from the General Fund in the annual Budget Act or other legislation to support the division, the Licensing and Certification Division, no later than the beginning of the 2010–11 fiscal year, shall be supported entirely by federal funds and special funds. (Amended by Stats. 2023, Ch. 191, Sec. 4. (SB 137) Effective September 13, 2023.)
  180. 11833.03.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. )

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    The Residential and Outpatient Program Licensing Fund is created in the State Treasury, and certain fees, fines, and penalties must be deposited into it.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. ) ## 11833.03. The Residential and Outpatient Program Licensing Fund is hereby established in the State Treasury. All fees, fines, and penalties collected from residential and outpatient programs collected in accordance with this chapter shall be deposited in this fund. The money in the fund shall be available upon appropriation by the Legislature for the purposes of supporting the licensing and certification activities of the department. (Added by Stats. 2007, Ch. 177, Sec. 9. Effective August 24, 2007.)
  181. 11833.04.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. )

    Verify source ↗

    The department may put new fees, fee changes, and a hardship fee waiver process in place through provider bulletins or similar director instructions, without regulatory action. It must also notify and consult interested parties and appropriate stakeholders.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.3. Licensing and Certification Program Funding [11833.01 - 11833.04] ( Chapter 7.3 added by Stats. 2007, Ch. 177, Sec. 9. ) ## 11833.04. Notwithstanding the rulemaking provisions of the Administrative Procedure Act, Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement new fees or fee changes and a hardship fee waiver process by means of provider bulletins or similar instructions from the director without taking regulatory action. The department shall notify and consult with interested parties and appropriate stakeholders regarding new fees or fee changes and the hardship fee waiver process established pursuant to this chapter. (Amended by Stats. 2023, Ch. 191, Sec. 5. (SB 137) Effective September 13, 2023.)
  182. 11833.05.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.4. Licensing and Certification Program Disclosures [11833.05- 11833.05.] ( Chapter 7.4 added by Stats. 2018, Ch. 784, Sec. 1. )

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    Certified programs and licensed facilities must disclose certain ownership, financial, and contractual relationships to the department.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.4. Licensing and Certification Program Disclosures [11833.05- 11833.05.] ( Chapter 7.4 added by Stats. 2018, Ch. 784, Sec. 1. ) ## 11833.05. (a) A program certified by the department pursuant to Chapter 7.1 (commencing with Section 11832) or a facility licensed by the department pursuant to Chapter 7.5 (commencing with Section 11834.01) shall disclose to the department if any of its agents, partners, directors, officers, or owners, including a sole proprietor and member, has either of the following: (1) Ownership or control of, or financial interest in, a recovery residence. (2) Any contractual relationship with an entity that regularly provides professional services or substance use disorder treatment or recovery services to clients of programs certified or facilities licensed by the department, if the entity is not part of the program certified or facility licensed by the department. (b) All programs certified or facilities licensed by the department shall make the disclosures pursuant to subdivision (a) upon initial licensure or certification, upon renewal of licensure or certification, and upon a licensed facility or certified program acquiring or starting a relationship that meets the description in paragraph (1) or (2) of subdivision (a). (c) The department may suspend or revoke the certification of a program or license of a facility for failing to disclose the information required in subdivision (a). (d) The department shall take action pursuant to Section 11834.31 against an unlicensed facility that is disclosed as a recovery residence pursuant to paragraph (1) of subdivision (a). This subdivision does not require an investigation of a recovery residence that is not alleged to be operating in violation of Section 11834.30. (e) The department may refer a substantiated complaint against a recovery residence to other enforcement entities as appropriate under state or federal law, including the Department of Insurance, the Department of Managed Health Care, the Attorney General, and the United States Attorney General. (f) For the purposes of this section, “recovery residence” means a residential dwelling that provides primary housing for individuals who seek a cooperative living arrangement that supports personal recovery from a substance use disorder and that does not require licensure by the department or does not provide licensable services, pursuant to Chapter 7.5 (commencing with Section 11834.01). A recovery residence may include, but is not limited to, residential dwellings commonly referred to as “sober living homes,” “sober living environments,” or “unlicensed alcohol and drug free residences.” (Amended by Stats. 2024, Ch. 847, Sec. 41.5. (AB 2995) Effective January 1, 2025.)
  183. 118330.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. )

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    The enforcement agency may order compliance and impose an administrative penalty for medical-waste violations that may release waste into the environment, and affected persons have hearing and appeal rights.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118330. (a) Whenever the enforcement agency determines that a violation or threatened violation of this part or the regulations adopted pursuant to this part has resulted, or is likely to result, in a release of medical waste into the environment, the agency may issue an order to the responsible person specifying a schedule for compliance or imposing an administrative penalty of not more than five thousand dollars ($5,000) per violation. A person who, after notice and an opportunity for hearing, violates an order issued pursuant to this section is guilty of a misdemeanor. (1) If the department is the enforcement agency, the department shall provide notice, issue the order, and conduct the administrative hearing pursuant to subdivisions (d) and (f). (2) If the department is not the enforcement agency, the provisions of subdivisions (b) to (e), inclusive, apply. (b) (1) In establishing the amount of the administrative penalty and ordering that the violation be corrected pursuant to this section, the enforcement agency shall take into consideration the nature, circumstances, extent, and gravity of the violation, the violator’s past and present efforts to prevent, abate, or clean up conditions posing a threat to the public health or safety or the environment, the violator’s ability to pay the penalty, and the deterrent effect that the imposition of the penalty would have on both the violator and the regulated community. (2) If the amount of the administrative penalty is set after the person is served with the order pursuant to subdivision (c) or after the order becomes final, the person may request a hearing to dispute the amount of the administrative penalty and is entitled to the same process as provided in subdivision (c), whether or not the person disputed the facts of the violation through that process. (3) An administrative penalty assessed pursuant to this section shall be in addition to any other penalties or sanctions imposed by law. (c) (1) An order issued pursuant to this section shall be served by personal service or certified mail and shall inform the person served of the right to a hearing. (2) A person served with an order pursuant to paragraph (1) and who has been unable to resolve the violation with the enforcement agency may, within 15 days after service of the order, request a hearing by filing with the enforcement agency a notice of defense. The notice shall be filed with the agency that issued the order. A notice of defense shall be deemed filed within the 15-day period if it is postmarked within that 15-day period. If no notice of defense is filed within the 15-day time period, the order shall become final. (3) Except as otherwise provided in paragraph (4), a person requesting a hearing on an order issued pursuant to this section may select the hearing officer specified in either subparagraph (A) or (B) of paragraph (4) in the notice of defense filed with the enforcement agency pursuant to paragraph (2). If a notice of defense is filed, but no hearing officer is selected, the enforcement agency may select the hearing officer. (4) Within 90 days of receipt of the notice of defense by the enforcement agency, the hearing shall be scheduled using one of the following: (A) An administrative law judge of the Office of Administrative Hearings of the Department of General Services, who shall conduct the hearing in accordance with Chapter 4.5 (commencing with Section 11400) of Part 1 of Division 3 of Title 2 of the Government Code, and the enforcement agency shall have all the authority granted to an agency by those provisions. (B) (i) A hearing officer designated by the enforcement agency, who shall conduct the hearing in accordance with Chapter 4.5 (commencing with Section 11400) of Part 1 of Division 3 of Title 2 of the Government Code, and the enforcement agency shall have all the authority granted to an agency by those provisions. When a hearing is conducted by an enforcement agency hearing officer pursuant to this clause, the enforcement agency shall issue a decision within 60 days after the hearing is conducted. Each hearing officer designated by an enforcement agency shall meet the requirements of Section 11425.30 of the Government Code and any other applicable restriction. (ii) An enforcement agency, or a person requesting a hearing on an order issued by an enforcement agency, may select the hearing process specified in this subparagraph in a notice of defense filed pursuant to paragraph (2) only if the enforcement agency has selected a designated hearing officer and established a program for conducting a hearing in accordance with this paragraph. (5) The hearing decision issued pursuant to this subdivision shall be effective and final upon issuance by the enforcement agency. A copy of the decision shall be served by personal service or by certified mail upon the party served with the order, or their representative, if any. (6) The person has a right to appeal the hearing decision if, within 30 days of the date of receipt of the final decision pursuant to paragraph (5), the person files a written notice of appeal with the enforcement agency. The appeal shall be in accordance with the Administrative Procedure Act (Chapters 4.5 (commencing with Section 11400) and 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the Government Code). (7) A decision issued pursuant to paragraph (6) may be reviewed by a court pursuant to Section 11523 of the Government Code. In all proceedings pursuant to this subdivision, the court shall uphold the decision of the enforcement agency if the decision is based upon substantial evidence in the record as a whole. The filing of a petition for writ of mandate shall not stay an action required pursuant to this chapter or the accrual of any penalties assessed pursuant to this chapter. This subdivision does not prohibit the court from granting any appropriate relief within its jurisdiction. (d) A provision of an order issued under this section, except the imposition of an administrative penalty, shall take effect upon issuance of the order by the enforcement agency if the enforcement agency finds that the violation or violations of law associated with that provision may pose an imminent and substantial danger to the public health or safety or the environment. A request for a hearing or appeal, as provided in subdivision (c) or (f) shall not stay the effect of that provision of the order pending a hearing decision. If the enforcement agency determines that any or all provisions of the order are so related that the public health or safety or the environment can be protected only by immediate compliance with the order as a whole, the order as a whole, except the imposition of an administrative penalty, shall take effect upon issuance by the enforcement agency. A request for a hearing shall not stay the effect of the order as a whole pending a hearing decision. (e) The enforcement agency shall consult with the district attorney, county counsel, or city attorney on the development of policies to be followed in exercising the authority delegated pursuant to this section as it relates to the authority of the enforcement agency to issue orders. (f) (1) The department shall serve an order issued pursuant to this section by personal service or certified mail and shall inform the person served of the right to a hearing. (2) A person served with an order pursuant to paragraph (1) may appeal the order by sending a written request for hearing to the department within 20 days after service of the order. If a request for hearing is not made within the 20-day time period, the order shall become final. Payments of any administrative penalty shall be made within 30 days of the date the order becomes final. (3) Any hearings conducted by the department pursuant to this section shall be conducted pursuant to the procedures specified in Section 131071. (Amended by Stats. 2016, Ch. 86, Sec. 198. (SB 1171) Effective January 1, 2017.)
  184. 118335.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. )

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    Authorized enforcement representatives may inspect certain medical-waste facilities and vehicles and copy related records; inspections usually require consent or a warrant, except in a public-health or safety emergency.

    ## Health and Safety Code - HSC ## DIVISION 104. ENVIRONMENTAL HEALTH [106500 - 119406] ( Division 104 added by Stats. 1995, Ch. 415, Sec. 6. ) ## PART 14. MEDICAL WASTE [117600 - 118360] ( Part 14 added by Stats. 1995, Ch. 415, Sec. 6. ) ## CHAPTER 10. Enforcement [118325 - 118345] ( Chapter 10 added by Stats. 1995, Ch. 415, Sec. 6. ) ## 118335. (a) In order to carry out the purpose of this part, any authorized representative of the enforcement agency may do any of the following: (1) Enter and inspect a facility for which a medical waste permit or registration has been issued, for which a medical waste permit or registration application has been filed, or that is subject to registration or permitting requirements pursuant to this part. Enter and inspect a vehicle for which a hazardous waste hauler registration has been issued, for which an application has been filed for a hazardous waste hauler registration, or that is subject to registration requirements pursuant to this part. (2) Inspect and copy any records, reports, test results, or other information related to the requirements of this part or the regulations adopted pursuant to this part. (b) The inspection shall be made with the consent of the owner or possessor of the facilities or, if consent is refused, with a warrant duly issued pursuant to Title 13 (commencing with Section 1822.50) of Part 3 of the Code of Civil Procedure. However, in the event of an emergency affecting the public health or safety, an inspection may be made without consent or the issuance of a warrant. (c) Any traffic officer, as defined in Section 625 of the Vehicle Code, and any peace officer, as defined in Section 830.1 or 830.2 of the Penal Code, may enforce Chapter 6 (commencing with Section 118000) and this chapter, and for purposes of enforcing these chapters, traffic officers and these peace officers are authorized representatives of the department. (Amended by Stats. 2014, Ch. 564, Sec. 81. (AB 333) Effective January 1, 2015.)
  185. 11834.01.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    The department controls licensing for adult alcohol or other drug recovery or treatment facilities and must perform specified licensing and compliance steps.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.01. The department has the sole authority in state government to license adult alcohol or other drug recovery or treatment facilities. (a) In administering this chapter, the department shall issue new licenses for a period of two years to those programs that meet the criteria for licensure set forth in Section 11834.03. (b) Onsite program visits for compliance shall be conducted at least once during the license period. (c) The department may conduct announced or unannounced site visits to facilities licensed pursuant to this chapter for the purpose of reviewing for compliance with all applicable statutes and regulations. (d) The department shall, on or before January 1, 2027, offer a combined application for entities seeking licensure as an alcohol or other drug recovery or treatment facility to simultaneously apply to provide incidental medical services as defined in Section 11834.026. (e) An additional fee shall not be charged for the combined application described in subdivision (d) in excess of the charges established in accordance with Sections 11833.02 and 11834.03. (f) Any necessary rules and regulations for the purpose of implementing this section may be adopted as emergency regulations in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). The adoption of emergency regulations pursuant to this section shall be deemed to be an emergency and necessary for the immediate preservation of the public peace, health and safety, or general welfare. (Amended by Stats. 2025, Ch. 569, Sec. 5. (AB 1037) Effective January 1, 2026.)
  186. 11834.015.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    The department must adopt a minimum care standard for licensed facilities and require licensees to keep using it.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.015. (a) The department shall adopt the American Society of Addiction Medicine treatment criteria, or an equivalent evidence-based standard, as the minimum standard of care for licensed facilities and shall require a licensee to maintain those standards with respect to the level of care to be provided by the licensee. (b) (1) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department, without taking any further regulatory action, may implement, interpret, and make specific this section by means of all-county letters, plan letters, information notices, or similar instructions, until regulations are promulgated or amended in accordance with paragraph (2). (2) The department shall promulgate or amend regulations, as necessary, to implement, interpret, and make specific this section in accordance with the requirements of Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, by January 1, 2030. (Amended by Stats. 2026, Ch. 27, Sec. 26. (SB 164) Effective June 29, 2026.)
  187. 11834.02.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    This section defines “facility,” “adults,” and “emancipated minors,” and allows a facility to serve adolescents only if the department issues a waiver.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.02. (a) As used in this chapter, “alcohol or other drug recovery or treatment facility” or “facility” means a premises, place, or building that provides residential nonmedical services to adults who are recovering from problems related to alcohol, drug, or alcohol and drug misuse or addiction, and who need alcohol, drug, or alcohol and drug recovery treatment or withdrawal management services. (b) As used in this chapter, “adults” may include, but is not limited to, all of the following: (1) Mothers over 18 years of age and their children. (2) Emancipated minors, which may include, but is not limited to, mothers under 18 years of age and their children. (c) As used in this chapter, “emancipated minors” means persons under 18 years of age who have acquired emancipation status pursuant to Section 7002 of the Family Code. (d) Notwithstanding subdivision (a), an alcohol or other drug recovery or treatment facility may serve adolescents upon the issuance of a waiver granted by the department pursuant to regulations adopted under subdivision (c) of Section 11834.50. (Amended by Stats. 2026, Ch. 27, Sec. 27. (SB 164) Effective June 29, 2026.)
  188. 11834.025.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    A licensed facility providing incidental medical services must get a signed certification from each program participant, and the department must set the form and adopt implementing regulations.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.025. (a) (1) As a condition of providing incidental medical services, as defined in subdivision (a) of Section 11834.026, at a facility licensed by the department, the facility, within a reasonable period of time, as defined by the department in regulations, shall obtain from each program participant, a signed certification described in subdivision (b) from a health care practitioner. (2) For purposes of this chapter, “health care practitioner” means a person duly licensed and regulated under Division 2 (commencing with Section 500) of the Business and Professions Code, who is acting within the scope of practice of their license or certificate. (b) The department shall develop a standard certification form for use by a health care practitioner. The form shall include, but not be limited to, a description of the alcohol or other drug recovery or treatment services that an applicant needs. (c) (1) The department shall adopt regulations, on or before July 1, 2018, to implement this section. The regulations shall be adopted in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). (2) Notwithstanding the rulemaking provisions of the Administrative Procedure Act, the department may, if it deems appropriate, implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions from the department only until the department adopts regulations. (Amended by Stats. 2024, Ch. 847, Sec. 44. (AB 2995) Effective January 1, 2025.)
  189. 11834.026.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Licensed recovery or treatment facilities may allow incidental medical services on site if listed conditions are met, and the department must set rules and timelines for implementation.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.026. (a) As used in this section, “incidental medical services” means services that are in compliance with the community standard of practice and are not required to be performed in a licensed clinic or licensed health facility, as defined by Section 1200 or 1250, respectively, to address medical issues associated with either withdrawal from alcohol or other drugs or the provision of alcohol or other drug recovery or treatment services, including all of the following categories of services that the department shall further define by regulation: (1) Obtaining medical histories. (2) Monitoring health status to determine whether the health status warrants transfer of the patient in order to receive urgent or emergent care. (3) Testing associated with withdrawal management services. (4) Providing alcohol or other drug recovery, treatment, or withdrawal management services. (5) Overseeing patient self-administered medications. (6) Treating substance use disorders, including withdrawal management services. (b) Incidental medical services do not include the provision of general primary medical care. (c) Notwithstanding any other law, a licensed alcohol or other drug recovery or treatment facility may permit incidental medical services to be provided to a resident at the facility premises by, or under the supervision of, one or more physicians and surgeons licensed by the Medical Board of California or the Osteopathic Medical Board who are knowledgeable about addiction medicine, or one or more other health care practitioners acting within the scope of practice of their license and under the direction of a physician and surgeon, and who are also knowledgeable about addiction medicine, if all of the following conditions are met: (1) The facility, in the judgment of the department, has the ability to comply with the requirements of this chapter and all other applicable laws and regulations to meet the needs of a resident receiving incidental medical services pursuant to this chapter. The department shall specify in regulations the minimum requirements that a facility shall meet in order to be approved to permit the provision of incidental medical services on its premises. The license of a facility approved to permit the provision of incidental medical services shall reflect that those services are permitted at the facility premises. (2) The physician and surgeon and any other health care practitioner has signed an acknowledgment on a form provided by the department that they have been advised of and understand the statutory and regulatory limitations on the services that may legally be provided at a licensed alcohol or other drug recovery or treatment facility and the statutory and regulatory requirements and limitations for the physician and surgeon or other health care practitioner and for the facility, related to providing incidental medical services. The licensee shall maintain a copy of the signed form at the facility for a physician and surgeon or other health care practitioner providing incidental medical services at the facility premises. (3) A physician and surgeon or other health care practitioner shall assess a resident, prior to that resident receiving incidental medical services, to determine whether it is medically appropriate for that resident to receive these services at the premises of the licensed facility. A copy of the form provided by the department shall be signed by the physician and surgeon and maintained in the resident’s file at the facility. (4) The resident has signed an admission agreement. (A) The admission agreement, at a minimum, shall describe the incidental medical services that the facility may permit to be provided and shall state that the permitted incidental medical services will be provided by, or under the supervision of, a physician and surgeon. (B) The department shall not require an admission agreement to require a person to have been abstinent, to not be intoxicated, or to otherwise not be under the influence in order to be admitted into care, be considered for treatment, or continue treatment. (C) The department shall specify in regulations, at a minimum, the content and manner of providing the admission agreement, and any other information that the department deems appropriate. The facility shall maintain a copy of the signed admission agreement in the resident’s file. (5) Once incidental medical services are initiated for a resident, the physician and surgeon and facility shall monitor the resident to ensure that the resident remains appropriate to receive those services. If the physician and surgeon determines that a change in the resident’s medical condition requires other medical services or that a higher level of care is required, the facility shall immediately arrange for the other medical services or higher level of care, as appropriate. (6) The facility maintains in its files a copy of the relevant professional license or other written evidence of licensure to practice medicine or perform medical services in the state for the physician and surgeon and any other health care practitioner providing incidental medical services at the facility. (d) The department is not required to evaluate or have any responsibility or liability with respect to evaluating the incidental medical services provided by a physician and surgeon or other health care practitioner at a licensed facility. This section does not limit the department’s ability to report suspected misconduct by a physician and surgeon or other health care practitioner to the appropriate licensing entity or to law enforcement. (e) A facility licensed and approved by the department to allow provision of incidental medical services shall not by offering approved incidental medical services be deemed a clinic or health facility within the meaning of Section 1200 or 1250, respectively. (f) Other than incidental medical services permitted to be provided or any urgent or emergent care required in the case of a life-threatening emergency, including the administration of naloxone hydrochloride, or any other opioid antagonist that is approved by the United States Food and Drug Administration for treatment of an opioid overdose, this section does not authorize the provision at the premises of the facility of any medical or health care services or any other services that require a higher level of care than the care that may be provided within a licensed alcohol or other drug recovery or treatment facility. (g) This section does not require a residential treatment facility licensed by the department to provide incidental medical services or any services not otherwise permitted by law. (h) (1) On or before July 1, 2024, the department shall adopt regulations to implement this section in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). (2) Notwithstanding the rulemaking provisions of the Administrative Procedure Act, the department may, if it deems appropriate, implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions from the department until regulations are adopted. (Amended by Stats. 2026, Ch. 27, Sec. 28. (SB 164) Effective June 29, 2026.)
  190. 11834.03.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Applicants for licensure must file a completed application, approved fire clearance, and the required fee with the department. If the applicant wants to permit services under Section 11834.026, they must also provide proof of the physician and surgeon’s valid license and any other information the department requests.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.03. (a) A person or entity applying for licensure shall file with the department, on forms provided by the department, all of the following: (1) A completed written application for licensure. (2) A fire clearance approved by the State Fire Marshal or local fire enforcement officer. (3) A licensure fee, established in accordance with Chapter 7.3 (commencing with Section 11833.01). (b) (1) If an applicant intends to permit services pursuant to Section 11834.026, the applicant shall submit evidence of a valid license of the physician and surgeon who will provide or oversee those services, and any other information the department deems appropriate. (2) The department shall establish and collect an additional licensure fee for an application that includes a request to provide services pursuant to Section 11834.026. The fee shall be set at an amount sufficient to cover the reasonable costs to the department of the additional assessment and investigation necessary to license facilities to provide these services, including, but not limited to, processing applications, issuing licenses, and investigating reports of noncompliance with licensing regulations. (Amended by Stats. 2015, Ch. 744, Sec. 4. (AB 848) Effective January 1, 2016.)
  191. 11834.09.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    The department may issue a single license for an alcohol or other drug recovery or treatment facility if the application, fire clearance, fee, and compliance review requirements are met.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.09. (a) (1) The department may issue a single license to operate an alcohol or other drug recovery or treatment facility upon receipt of a completed written application, fire clearance, and licensing fee subject to the department’s review and determination that the applicant can comply with this chapter and regulations adopted pursuant to this chapter. (2) Whenever the department issues a license pursuant to paragraph (1), the department shall concurrently provide written notification of the issuance of the license to the city in which the facility is located. If the facility is located within an unincorporated area, the notice shall instead be provided to the county. The notice shall include the name and mailing address of the licensee and the location of the facility. (b) Failure to submit a completed written application, fire clearance, and payment of the required licensing fee in a timely manner shall result in termination of the department’s licensure review and shall require submission of a new application by the applicant. (c) Failure of the applicant to demonstrate the ability to comply with this chapter or the regulations adopted pursuant to this chapter shall result in departmental denial of the application for licensure. (d) Initial licenses for new facilities shall be provisional for one year. During the term of the provisional license, the department may revoke the license for good cause. For the purposes of this section, “good cause” means failure to operate in compliance with this chapter or the regulations adopted pursuant to this chapter. A licensee may not reapply for an initial license for five years following a revocation of a provisional license. (e) On or before July 1, 2022, the department shall adopt regulations to implement this section in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). (f) Notwithstanding the rulemaking provisions of the Administrative Procedure Act, the department may implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions, until regulations are adopted. (Amended by Stats. 2025, Ch. 368, Sec. 1. (AB 492) Effective January 1, 2026.)
  192. 11834.10.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Licensees may not run an alcohol or other drug recovery or treatment facility beyond the license limits, and certain facilities must maintain specified insurance coverage.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.10. (a) A licensee shall not operate an alcohol or other drug recovery or treatment facility beyond the conditions and limitations specified on the license. (b) Licensed services offered or provided by a licensed alcohol or other drug recovery or treatment facility, including, but not limited to, incidental medical services as defined in Section 11834.026, shall be specified on the license and provided exclusively: (1) Within the licensed facility. (2) Within any facilities identified on a single license by street address. (c) Only residents of the licensed alcohol or other drug recovery or treatment facility shall receive licensed services. (d) A licensee that serves more than six residents shall, at all times, maintain all of the following insurance coverages, which shall include as an additional insured any government entity with which the licensee has a contract: (1) Commercial general liability insurance that includes coverage for premises liability, products and completed operations, contractual liability, personal injury and advertising liability, abuse, molestation, sexual actions, and assault and battery, with minimum coverage amounts for bodily injury or property damage of not less than one million dollars ($1,000,000) per occurrence. (2) Commercial or business automobile liability insurance covering all owned vehicles, hired or leased vehicles, nonowned vehicles, and borrowed and permissive uses, with minimum coverage amounts for bodily injury or property damage of not less than one million dollars ($1,000,000) per occurrence. (3) Workers’ compensation insurance, as required by law. Notwithstanding subdivision (b) of Section 3700 of the Labor Code, a certificate of self-insurance obtained pursuant to that subdivision does not satisfy this requirement. (4) Employer’s liability insurance, with minimum coverage amounts for bodily injury or disease of not less than one hundred thousand dollars ($100,000) per occurrence. (5) Professional liability and errors and omissions insurance that includes an endorsement for contractual liability, with minimum coverage amounts of one million dollars ($1,000,000) per occurrence and two million dollars ($2,000,000) aggregate. If applicable, the contract shall include an endorsement for defense and indemnification of any government entity with which the licensee has contracted. (e) A licensee that serves six or fewer residents shall, at all times, maintain general liability insurance coverage. (f) (1) A licensee may meet the insurance requirements of this section by procuring coverage from an admitted insurer, or a nonadmitted insurer that is eligible to insure a home state insured under Chapter 6 (commencing with Section 1760) of Part 2 of Division 1 of the Insurance Code. (2) Notwithstanding paragraph (1), the workers’ compensation insurance required by this section shall be obtained as required by Section 3700 of the Labor Code. (g) The department may adopt regulations to implement this section in accordance with the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). (h) Notwithstanding the rulemaking provisions of the Administrative Procedure Act, the department may implement, interpret, or make specific this section by means of provider bulletins, written guidelines, or similar instructions. (Amended by Stats. 2024, Ch. 847, Sec. 47. (AB 2995) Effective January 1, 2025.)
  193. 11834.15.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    The department may assess civil penalties under Sections 11834.31 and 11834.34.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.15. The department may assess civil penalties in accordance with Sections 11834.31 and 11834.34. (Amended by Stats. 2007, Ch. 177, Sec. 12. Effective August 24, 2007.)
  194. 11834.16.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    A license lasts two years from issuance. The department may extend it for additional two-year periods if the licensee submits a completed extension application and the required fee before the expiration date. If either item is not submitted on time, the license expires automatically at the end of the two-year period.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.16. A license shall be valid for a period of two years from the date of issuance. The department may extend the licensure period for subsequent two-year periods upon submission by the licensee of a completed written application for extension and payment of the required licensing fee prior to the expiration date shown on the license. Failure to submit to the department the required written application for extension of the licensing period, or failure to submit to the department the required licensing fee prior to the expiration date on the license, shall result in the automatic expiration of the license at the end of the two-year licensing period. (Added by Stats. 1993, Ch. 741, Sec. 10. Effective January 1, 1994.)
  195. 11834.17.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Local governments may not adopt or enforce fire- and life-safety building rules for alcohol or other drug recovery facilities that are more restrictive than State Fire Marshal standards.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.17. A city, county, city and county, or district shall not adopt or enforce a building ordinance or local rule or regulations relating to the subject of fire and life safety in alcohol or other drug recovery facilities that is more restrictive than those standards adopted by the State Fire Marshal. (Amended by Stats. 2024, Ch. 847, Sec. 48. (AB 2995) Effective January 1, 2025.)
  196. 11834.18.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Licensed alcohol or other drug recovery or treatment facilities are exempt from rent controls imposed by state or local government entities.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 1. General Provisions [11834.01 - 11834.18] ( Article 1 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.18. (a) This chapter does not authorize the imposition of rent regulations or controls for licensed alcohol or other drug recovery or treatment facilities. (b) Licensed alcohol or other drug recovery or treatment facilities shall not be subject to controls on rent imposed by any state or local agency or other local government or entity. (Amended by Stats. 2024, Ch. 847, Sec. 49. (AB 2995) Effective January 1, 2025.)
  197. 11834.20.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Counties and cities must permit and encourage enough alcohol or other drug recovery or treatment facilities to meet local need.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.20. (a) The Legislature hereby declares that it is the policy of this state that each county and city shall permit and encourage the development of sufficient numbers and types of alcohol or other drug recovery or treatment facilities as are commensurate with local need. (b) The provisions of this article apply equally to any chartered city, general law city, county, city and county, district, and any other local public entity. (c) For the purposes of this article, “six or fewer persons” does not include the licensee or members of the licensee’s family or persons employed as facility staff. (Amended by Stats. 2024, Ch. 847, Sec. 50. (AB 2995) Effective January 1, 2025.)
  198. 11834.21.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Certain licensed facilities, licensing agencies, and client-placement agencies may invoke this article; interested parties are also not barred from suing to do so.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.21. (a) Any person licensed under this chapter who operates or proposes to operate an alcohol or other drug recovery or treatment facility, the department or other public agency authorized to license such a facility, or any public or private agency that uses or may use the services of the facility to place its clients, may invoke the provisions of this article. (b) This section shall not be construed to prohibit any interested party from bringing suit to invoke the provisions of this article. (Amended by Stats. 2024, Ch. 847, Sec. 51. (AB 2995) Effective January 1, 2025.)
  199. 11834.22.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Covered alcohol or other drug recovery or treatment facilities serving six or fewer persons are exempt from certain local business-related fees and taxes.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.22. An alcohol or other drug recovery or treatment facility which serves six or fewer persons shall not be subject to any business taxes, local registration fees, use permit fees, or other fees to which other single-family dwellings are not likewise subject. This section does not forbid the imposition of local property taxes, fees for water service and garbage collection, fees for inspections not prohibited by Section 11834.23, local bond assessments, and other fees, charges, and assessments to which other single-family dwellings are likewise subject. Neither the State Fire Marshal nor any local public entity shall charge any fee for enforcing fire inspection regulations pursuant to state law or regulation or local ordinance, with respect to alcohol or other drug recovery or treatment facilities which serve six or fewer persons. (Amended by Stats. 2024, Ch. 847, Sec. 52. (AB 2995) Effective January 1, 2025.)
  200. 11834.23.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. )

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    Small alcohol or other drug recovery or treatment facilities serving six or fewer people are treated like single-family residences for local land-use purposes, and local rules may not single them out.

    ## Health and Safety Code - HSC ## DIVISION 10.5. ALCOHOL AND OTHER DRUG PROGRAMS [11750 - 11975] ( Heading of Division 10.5 amended by Stats. 2025, Ch. 569, Sec. 4. ) ## PART 2. STATE GOVERNMENT'S ROLE TO ALLEVIATE PROBLEMS RELATED TO THE INAPPROPRIATE USE OF ALCOHOLIC BEVERAGES AND OTHER DRUG USE [11760 - 11872] ( Heading of Part 2 amended by Stats. 2004, Ch. 862, Sec. 43. ) ## CHAPTER 7.5. Licensing [11834.01 - 11834.50] ( Chapter 7.5 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## ARTICLE 2. Local Regulation [11834.20 - 11834.25] ( Article 2 added by Stats. 1984, Ch. 1667, Sec. 2. ) ## 11834.23. (a) Whether or not unrelated persons are living together, an alcohol or other drug recovery or treatment facility that serves six or fewer persons shall be considered a residential use of property for the purposes of this article. In addition, the residents and operators of the facility shall be considered a family for the purposes of any law or zoning ordinance that relates to the residential use of property pursuant to this article. (b) For the purpose of all local ordinances, an alcohol or other drug recovery or treatment facility that serves six or fewer persons shall not be included within the definition of a boarding house, rooming house, institution or home for the care of minors, the aged, or persons with mental health disorders, foster care home, guest home, rest home, community residence, or other similar term that implies that the alcohol or other drug recovery or treatment home is a business run for profit or differs in any other way from a single-family residence. (c) This section does not forbid a city, county, or other local public entity from placing restrictions on building heights, setback, lot dimensions, or placement of signs of an alcohol or other drug recovery or treatment facility that serves six or fewer persons as long as the restrictions are identical to those applied to other single-family residences. (d) This section does not forbid the application to an alcohol or other drug recovery or treatment facility of any local ordinance that deals with health and safety, building standards, environmental impact standards, or any other matter within the jurisdiction of a local public entity. However, the ordinance shall not distinguish alcohol or other drug recovery or treatment facilities that serve six or fewer persons from other single-family dwellings or distinguish residents of alcohol or other drug recovery or treatment facilities from persons who reside in other single-family dwellings. (e) A conditional use permit, zoning variance, or other zoning clearance shall not be required of an alcohol or other drug recovery or treatment facility that serves six or fewer persons that is not required of a single-family residence in the same zone. (f) Use of a single-family dwelling for purposes of an alcohol or other drug recovery facility serving six or fewer persons shall not constitute a change of occupancy for purposes of Part 1.5 (commencing with Section 17910) of Division 13 or local building codes. However, this section does not supersede Section 13143 or 13143.6, to the extent those sections are applicable to alcohol or other drug recovery or treatment facilities serving six or fewer residents. (Amended by Stats. 2024, Ch. 847, Sec. 53. (AB 2995) Effective January 1, 2025.)

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