Medical Waste Regulations in Kansas (2026)

Generator registration, storage limits, approved treatment, transport rules, and penalties under Kansas Department of Health and Environment, Bureau of Waste Management, with the primary statute behind every line.

Last verified against primary sources.
Changelog
  • Initial publication. Confirmed against K.A.R. 28-29-27 (Cornell LII full text) and K.S.A. 65-3406, 65-3409, and 65-3419 (Kansas Revisor of Statutes), plus KDHE Bureau of Waste Management guidance.

Kansas medical waste rules at a glance

Regulated medical waste rules in Kansas, at a glance
Governing agencyKansas Department of Health and Environment, Bureau of Waste Management
Primary statute / rule
Generator registrationKansas does not impose a medical-waste-specific generator registration or permit under K.A.R. 28-29-27. Medical services waste is regulated as a solid waste, and generators must segregate it at the point of origin, collect it at least daily, and manage storage, treatment, and disposal per the rule, but no standalone registration number or annual report is required of the generator by that regulation. [source]
On-site storage time limitK.A.R. 28-29-27 sets no fixed number of days for on-site storage. It requires only that all medical services waste be stored in a manner and container that will prevent the transmission of disease or the causing of injury, with sharps in a rigid, puncture-resistant, closed container, so the storage time limit is no fixed limit set in state code. [source]
Approved treatment methods
  • Steam sterilization (autoclaving)
  • Chemical treatment to destroy disease-transmission potential
  • Incineration, with the resulting ash disposed in a sanitary landfill
  • Grinding, melting, or pulverizing of sharp objects to destroy injury potential
  • Discharge of liquid medical waste to a sanitary sewer
[source]
Transport / manifest rulesUnder K.A.R. 28-29-27 the waste transporter or disposal firm must be notified of the types of waste, and containers transported off site must be labeled or color coded in accordance with 29 CFR 1910.1030(g)(1)(i). The rule does not mandate a state cradle-to-grave medical-waste manifest, and any landfill disposal of waste classified as special waste flows through the separate special-waste authorization under K.A.R. 28-29-109. [source]
On-site treatment allowed?Yes. K.A.R. 28-29-27 expressly contemplates on-site processing, including sterilizing infectious wastes by autoclaving or chemical treatment and grinding, melting, or pulverizing sharps, before any off-site transport. [source]
Penalty rangeA violation of the Solid Waste Management Act under K.S.A. 65-3409(a) is a class A misdemeanor. Under K.S.A. 65-3419 a civil penalty of up to $5,000 for each violation applies, with every day of a continuing violation deemed a separate violation. [source]

What is unique about Kansas

Kansas does not run a dedicated medical-waste licensing program. Infectious and medical waste is handled as a solid waste under a single short regulation, K.A.R. 28-29-27, administered by the KDHE Bureau of Waste Management, rather than as hazardous waste, so generators face no medical-waste registration and no state-imposed maximum on-site storage clock. The rule is performance-based: store so as to prevent disease transmission or injury, notify the hauler of the waste types, and label or color code off-site containers per the federal OSHA bloodborne pathogens standard at 29 CFR 1910.1030(g)(1)(i).

Frequently asked questions

Which Kansas agency regulates medical and infectious waste?

The Kansas Department of Health and Environment (KDHE), through its Bureau of Waste Management, regulates medical services waste as a solid waste under K.A.R. 28-29-27, with statutory authority from the Solid Waste Management Act (K.S.A. 65-3401 et seq., and the secretary's rulemaking power at K.S.A. 65-3406).

Is there a maximum time medical waste can be stored on site in Kansas?

No. K.A.R. 28-29-27 sets no fixed storage time limit. It requires only that the waste be stored in a manner and container that prevents disease transmission or injury, with sharps in a rigid, puncture-resistant, closed container, and that it be collected at least daily at the point of generation.

What treatment methods are allowed for medical waste in Kansas?

K.A.R. 28-29-27 allows sterilizing infectious waste by autoclaving or chemical treatment, incineration with the ash landfilled, grinding, melting, or pulverizing of sharps, and discharge of liquid medical waste to a sanitary sewer.

Does Kansas require a medical-waste manifest or generator registration?

No state medical-waste manifest or generator registration is required by K.A.R. 28-29-27. The generator must notify the transporter or disposal firm of the waste types and label or color code off-site containers per 29 CFR 1910.1030(g)(1)(i). Waste landfilled as special waste is processed through the separate K.A.R. 28-29-109 authorization.

Can treated medical waste go to a regular Kansas landfill?

Yes. Once medical services waste is rendered noninfectious by autoclaving, chemical treatment, or incineration, or sharps are ground, melted, or pulverized to destroy injury potential, it may be disposed of as solid waste. Landfill disposal of waste classified as special waste flows through the separate special-waste authorization under K.A.R. 28-29-109, and the generator must notify the transporter or disposal firm of the waste types and label or color code off-site containers per 29 CFR 1910.1030(g)(1)(i).