Pharmaceutical Waste #california #medical #waste #management #act


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Pharmaceutical Waste

Pharmaceuticals and Personal Care Products Events

4th National Prescription Drug Take-Back Day

The Drug Enforcement Administration (DEA) along with local law enforcement will be hosting another collection event. This event is an opportunity for the public to prevent pill abuse and theft by ridding their homes of potentially dangerous expired, unused, and unwanted prescription drugs.

Date: Saturday April 28, 2012
Time: 10:00 am – 2:00 pm PST

Collection sites in your area will be listed on the U.S. DEA National Drug Take Back Initiative web page at http://www.deadiversion.usdoj.gov/drug_disposal/takeback/index.html in March 2012.

For more information on past DTSC sponsored symposia or PPCP related conferences, please refer to the Archived PPCP Events web page.

What are Pharmaceuticals and Personal Care Products (PPCPs)?

Pharmaceuticals and personal care products (PPCPs) comprise a diverse group of chemicals including, but not limited to, prescription and over-the-counter human drugs, veterinary drugs, diagnostic agents, nutritional supplements, and other consumer products such as fragrances, cosmetics, and sun-screen agents. 1,2,3,4 The term PPCPs refers to the products we use for personal health or cosmetic reasons. 2 We swallow them, rub them on to our skin, have them injected or administer them to our pets. We get them with a prescription or purchase them over the counter.

Why is DTSC Interested in PPCPs?

PPCPs are an emerging issue. PPCPs can be introduced into the environment through many routes. 1,3,4 Treated and untreated domestic sewage containing excreted PPCPs and their metabolites following human use represents an important source of these compounds in the environment. Other sources which can potentially introduce PPCPs into the environment include: leaching from landfills following disposal of expired and unused products; disposal of expired and unused PPCPs in the toilet; release of unabsorbed externally applied PPCPs (e.g. lotions) to surface waters from activities such as swimming; excreta from animals including pets and other domestic animals; use of sewage solids and manure for soil amendment and fertilization; and industrial manufacturing waste streams.

How are These Chemicals Affecting the Environment?

The U.S. Geologic Services has reported that PPCPs such as steroids, prescription and nonprescription drugs, antibiotics, hormones, and fragrances have been detected in water samples collected from streams considered susceptible to contamination from various wastewater sources such as those downstream from intense urbanization or livestock. 5 Potential risk to aquatic organisms due to exposure to PPCPs in the environment has been identified as a primary concern given that aquatic organisms may be continually exposed to chemicals, including multi-generational exposures. 2,3 There is also concern for subtle effects on ecological receptors when exposed to low concentrations. For humans, consumption of potable water which may contain trace concentrations (in the part per trillion to part per billion) of various PPCPs has been identified as one of the primary potential routes of exposure. 5 To date, much research has focused on the potential for pathogen resistance to antibiotics and endocrine distribution by natural and synthetic sex steroids. 2,3 At this time, many unknowns remain regarding the potential for adverse effects on ecological receptors and humans from exposure to PPCPs in the environment. As new information becomes available, this will facilitate more detailed evaluations of the potential toxicological significance of the detection of PPCPs in the environment. More about the toxicological issues associated with PPCPs.

What are the Regulatory Issues Associated with Pharmaceutical Management?

For a long time, the regulatory distinction between hazardous waste (as defined in the law and by U.S. EPA and DTSC in regulation) and medical waste (with its own definitions) has hampered a truly environmentally-protective approach to the very complex issues surrounding pharmaceutical management. Only recently have environmental agencies begun to grapple with these issues. There are many levels of this very complex problem that, as a multi-media, multi-disciplinary scientific agency, DTSC intends to explore. More about the regulatory issues around pharmaceutical management.

How Can I Reduce or Prevent Releases of This Waste to the Environment?

Educate ourselves, family members, friends and coworkers about this emerging environmental issue. DTSC created this web page as an information portal on this topic and related subjects.

For most of us, we have been trained to get rid of old or unwanted drugs by flushing them down the toilet. This practice evolved from our desire to keep potentially dangerous drugs out of the hands of others, especially children. However, recent research is showing that this may be the least environmentally friendly method of disposing of old or unwanted drugs. The proper disposal practice may vary depending on county you live in or the wastewater agency that serves your region. Before disposing of old or unwanted drugs, consult your local wastewater agency or household hazardous waste center on the proper disposal practice for your area.

Other actions you might consider to reduce the amount of PPCPs entering the environment are to store your medications properly so they will be useful until their established shelf life. Pay attention to the storage instructions just as you do the dosage instructions.

For old or used pharmaceuticals, currently there is not a best pollution prevention alternative, elimination or substitution. Practice Greenhealth has a web page with information regarding pharmaceutical wastes from health care facilities.

Other DTSC Associated Activities

The Office of Pollution Prevention and Technology Development (OPPTD) is preparing the first SB14 Assessment Report on the pharmaceutical industries’ efforts to reduce hazardous waste. The pharmaceutical industry assessment report will profile each of the 27 California facilities captured by SB14 and listed under Standard Industrial Classification (SIC) 2833, 2834, 2835, and 2836. Each profile will contain individual facility site information, its major waste stream reduction accomplishments from 1999 to 2002 and their projections for further reducing these major waste streams from 2003 to 2006. More about the SB 14 pharmaceutical industry assessment.

Citations and Links to Other Resources/Websites


16/10/2017

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How Much Birth Control Would Cost Under The AHCA #birth #control,


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Here’s How Much Your Birth Control May Cost Under AHCA

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The American Health Care Act. the GOP health care plan that aims to repeal and replace Obamacare, has narrowly passed in the House, and currently awaits a vote in the Senate.

The controversial bill has been met with considerable pushback, as it would ultimately leave 24 million Americans without health insurance by 2026, according to an analysis from the Congressional Budget Office.

Should the legislation pass, women are poised to face especially complex challenges when it comes to accessing birth control, which has been covered by Obamacare thanks to the “birth control benefit .”

The Affordable Care Act requires insurance plans to cover all Food and Drug Administration (FDA)-approved methods of birth control for women without having to pay any out-of-pocket costs.

Under the AHCA, however, women would no longer be able to reap any of those benefits.

While Republicans may view a woman’s access to birth control as a “nitty-gritty detail ” in crafting health care legislation, any woman of child-bearing age can assure you the issue is far from trivial.

Let’s talk about how much each contraceptive method actually costs when you pay out-of-pocket.

While the prices vary depending on the circumstances, for most brands, a pack of birth control pills (which typically provides a month’s worth of contraception) can cost as much as $50 .

However, it’s important to remember that only 17 percent of women who use a form of birth control are taking the pill.

The intrauterine device, or IUD, is another commonly used method, though it demands a much steeper price out-of-pocket.

Popular IUD brands like Mirena and Kyleena can cost anywhere between $500 and over $800 .

Similarly, a birth control implant can set you back $800 without insurance .

Unfortunately, the prices aren’t much kinder on your wallet as you make your way through the rest of the viable birth control options. Without insurance, you could pay up to $250 for the Depo-Provera shot. and $80 a month for the Nuvaring .

Mind you, these costs don’t even factor in the doctors’ visits to obtain these prescriptions, nor the follow-up visits, all of which do not come free without insurance.

So, what about Planned Parenthood?

Fortunately, clinics like Planned Parenthood provide amazing resources to women seeking forms of contraception but lack the health insurance to pay for it.

Not so fortunately, the latest version of AHCA plans to nix federal funding of the organization and bar patients from using any Medicaid dollars to access treatment at Planned Parenthood clinics.

To put this in perspective, in 2015, approximately 43 percent of Planned Parenthood’s budget. or around $500 million, came from federal grants and reimbursements, according to NPR.

Moreover, 60 percent of Planned Parenthood’s federal funding comes from Medicaid and Title X reimbursements for preventative and primary care, which includes not only birth control, but cancer screenings. as well.

Even if the AHCA manages to garner enough votes in the Senate, this does not mean Planned Parenthood will vanish overnight.

But they will lose a huge chunk of their funds, and we as patients could see an extremely alarming drop in the quality of their services.

Plus, according to the Government Accountability Office, approximately 390,000 women could lose access to preventative care. and as many as 650,000 women would receive reduced preventative care.

Cecile Richards, president of the Planned Parenthood Federation of America, discussed the potential impact of the GOP health care plan in the following statement:

This is the worst bill for women’s health in a generation. This disastrous legislation once again makes being a woman a pre-existing condition; ‘defunds’ Planned Parenthood; guts maternity coverage; strips 24 million of their health insurance; lets insurance companies charge people with pre-existing conditions exorbitant rates; forces new moms back to work shortly after giving birth; and reduces access to contraception.

In short, this bill makes it harder to prevent unintended pregnancy, harder to have a healthy pregnancy, and harder to raise a family. Alarm bells should be ringing in every house across America.

Richards urges the Senate to “ listen to the American people and reject the worst bill for women’s health in a generation.”

While it’s up to your health care provider whether or not to cover birth control, and some states, like New York. have made a plan to continue making coverage mandatory, the Trump administration has made it painfully clear that women’s health is at the bottom of their priority list.

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Why Guys Need To Go On More Man Dates


30/09/2017

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HITECH Act Enforcement Interim Final Rule #meaningful #use #hitech #act


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HITECH Act Enforcement Interim Final Rule

The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, was signed into law on February 17, 2009, to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act addresses the privacy and security concerns associated with the electronic transmission of health information, in part, through several provisions that strengthen the civil and criminal enforcement of the HIPAA rules.

Section 13410(d) of the HITECH Act, which became effective on February 18, 2009, revised section 1176(a) of the Social Security Act (the Act) by establishing:

  • Four categories of violations that reflect increasing levels of culpability;
  • Four corresponding tiers of penalty amounts that significantly increase the minimum penalty amount for each violation; and
  • A maximum penalty amount of $1.5 million for all violations of an identical provision.

It also amended section 1176(b) of the Act by:

  • Striking the previous bar on the imposition of penalties if the covered entity did not know and with the exercise of reasonable diligence would not have known of the violation (such violations are now punishable under the lowest tier of penalties); and
  • Providing a prohibition on the imposition of penalties for any violation that is corrected within a 30-day time period, as long as the violation was not due to willful neglect.

This interim final rule conforms HIPAA’s enforcement regulations to these statutory revisions that are currently effective under section 13410(d) of the HITECH Act. This interim final rule does not make amendments with respect to those enforcement provisions of the HITECH Act that are not yet effective under the applicable statutory provisions.

This interim final rule will become effective on November 30, 2009. HHS has invited public comments on the interim final rule, which will be considered if received by December 29, 2009.

Content created by Office for Civil Rights (OCR)
Content last reviewed on July 26, 2013


21/09/2017

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Americans for Financial Reform – Accountability, Fairness, Security – Americans for


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April 11, 2016 4:21 pm | Comments Off on Message to Congress: The CFPB Has Our Back!

What made the latest congressional hearings on the Consumer Financial Protection Bureau different from other hearings? A delegation of consumer advocates from around the country wearing lime-green t-shirts that said “Stand Up for the CFPB” and The CFPB Has My Back.” They were there to remind lawmakers that the great majority of Americans, across party lines, don t just like the idea of such an agency; they also support the major steps it has taken to bring a sense of fair play to the financial marketplace.

October 25, 2016 8:50 | Comments Off on New AFR Report: Wall Street Money in Washington 2015-16

October 24, 2016 17:10 | Comments Off on AFR Voting Record for 2015-16: Where They Stand on Financial Reform

July 15, 2016 14:23 | Comments Off on Bipartisan Poll: Americans Express Broad Support for Financial Regulation and the Work of the CFPB

May 30, 2017 10:47 am

According to the advocacy group Americans for Financial Reform, payday and title lenders spent more than $15 million on campaign contributions during the 2014 election cycle. The top recipient, with nearly $224,000 in donations from the industry, was the National Republican Congressional Committee. The largest individual recipient, with $210,500 in payday and title loan cash, was — you guessed it — Hensarling.

May 28, 2017 8:04 am

The [Hensarling] bill would make it easier for Wall Street megabanks – plus other mortgage lenders, payday lenders, credit card companies and debt collectors. to make windfall profits by cheating people or putting the stability of the financial system at risk. That’s from an email blast [the National Consumer Law Center] sent out in conjunction with Americans for Financial Reform.

May 25, 2017 8:29 am

When the CFPB was created in 2010 under the Dodd Frank Act, the appointment of an independent director was meant to help shield the agency from lobbying forces and powerful groups on Wall Street, says Brian Simmonds Marshall, policy counsel for Americans for Financial Reform

May 25, 2017 7:59 am

Without exception, the proposals we ve seen to de-fund or restructure the Consumer Financial Protection Bureau are about making it less effective at doing its job, says Carter Dougherty, spokesman for Americans for Financial Reform All these proposed changes to the CFPB would do is make it easier for Wall Street and assorted predatory lenders to rip people off.’

May 23, 2017 10:52 am

Without exception, the proposals we ve seen to de-fund or restructure the Consumer Financial Protection Bureau are about making it less effective at doing its job,” said Brian Marshall, policy counsel at AFR. “The agency has won relief worth $12 billion for 29 million Americans since it started work. All these proposed changes to the CFPB would do is make it easier for Wall Street and assorted predatory lenders to rip people off.

May 23, 2017 10:24 am

From a statement by the Save our Retirement Coalition: Retirement savers need an enforceable fiduciary standard and a Department of Labor that is prepared to hold firms accountable for compliance. Until the full complement of rule requirements takes effect, their hard earned savings will continue to be at risk as a result of conflicted advice from financial professionals who put their own financial interests ahead of their customers’ best interests. Yesterday’s decision was an important step forward, but there is still a long road ahead.

May 19, 2017 11:34 am

In the face of supporting evidence described above, in addition to harming retirement savers, the Department would be exposing itself to significant legal risk to change course and further delay the Rule now.

May 18, 2017 2:10 pm

Alexis Goldstein, a senior policy analyst at Americans for Financial Reform described the idea of eliminating the program as horrifying, noting that borrowers are struggling to manage their student debt, pushing them to put off home-buying and other financial milestones. Eliminating a forgiveness program would only make that worse, she said. It seems both ill-conceived from a policy perspective and just cruel. ”


16/08/2017

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Department of Labor – OFCCP – How to File a Complaint


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Because of temporary technical difficulties, the online complaint form cannot be electronically submitted. Please complete the form and submit it by mail or fax to the appropriate OFCCP regional office, or deliver it in person to any OFCCP district or field office.

How to File a Complaint

Do you believe that an employer doing business with the Federal Government has discriminated against you in hiring or employment? Do you believe that the reason for the discrimination was based on your race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran? Did you ask about or discuss your pay or that of a co worker and you were fired, demoted, or disciplined because of it? If you answered yes to any of these questions, you can file a complaint with the Office of Federal Contract Compliance Programs (OFCCP). An individual, organization, or group can even file a complaint on your behalf, or for anyone who may be the victim of employment discrimination by an employer doing business with the Federal Government.

You must file a complaint alleging discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, or based on compensation inquiries, discussions, or disclosures, within 180 days from the date of the alleged discrimination, unless the time for filing is extended for good cause shown. Some examples of what might be good cause include, the existence of some extraordinary circumstance that prohibited you from filing before the deadline such as a significant health issue, military deployment, incarceration, or possibly being unaware of the discrimination. These are only a few of the possible examples of good cause. If your complaint alleges a violation based on disability or status as a protected veteran, it must be filed within 300 days unless the time for filing is extended for good cause shown. Extensions of the filing time require approval by the Director of OFCCP.

You should include a description of the alleged discrimination and any other related information that would help OFCCP investigate your complaint. OFCCP will be revising its complaint form and instructions because of recent regulatory changes. Until that process is completed, please mark the box next to sex to allege discrimination based on sexual orientation and gender identity. If you are alleging discrimination based on discussing pay, please write pay secrecy in the place where the other bases for an OFCCP violation are listed and indicate that pay secrecy is the basis of the complaint clearly in the narrative section of the complaint form. As is always the case, you should describe the actions that you believe resulted in the discrimination in the narrative section.

Complete and File the Complaint Form

Step 1:

Download the electronic Complaint of Discrimination in Employment Under Federal Government Contracts form. If you have difficulty downloading the form you may need to install free software that converts PDF files to viewable documents. For your convenience, we have provided a link to software provided by Adobe Systems Incorporated . This link is in no way an endorsement of either Adobe Systems Incorporated or Adobe Software.

Step 2:

Complete the Complaint of Discrimination in Employment Under Federal Government Contracts form and submit it by:

  • filing the complaint form electronically with the appropriate OFCCP Regional Office ; or
  • mailing or faxing the complaint form to the appropriate OFCCP Regional Office ; or
  • filing the complaint form in person with any OFCCP District or Area office .

The appropriate OFCCP regional office location is the office that covers the location where the alleged discrimination occurred. Your signature is required on the complaint form, if it is not on the form when you submit it, we will ask you to sign your form later. You may also submit a complaint by letter that includes all the information requested on the complaint form.

We will review your complaint form, or letter of complaint, and contact you if we need more information.

Step 3:

Call or visit any OFCCP District Area office if you have questions about the complaint process, want to discuss your complaint, or would like to learn where to file a complaint.

We Want to Know What You Think

OFCCP continues to be interested in improving its relationship with its customers, improving the technical assistance and outreach materials we provide to the public. If you have interacted with OFCCP through any of the ways listed below and you see areas where we can improve, please let us know by sending an email with your comments and suggestions to OFCCP s public mailbox .

  • Compliance evaluation
  • Complaint investigation
  • Technical assistance event
  • Outreach event
  • Telephone/help desk inquiry/email inquiry
  • Used, reviewed, or received technical assistance or outreach materials

29/07/2017

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Alliance Payroll Services #alliance #payroll #services, #applicant #tracking, #payroll #processing, #tax


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One Online System, One Solution

Affordable Care Act Nirvana

Powerful Online Payroll Processing

Complete Benefit Administration

Single Database vs. Single Sign On

Alliance Payroll Services invests heavily in the best technology to deliver a better user experience. Unlike Single Sign On systems, our online system houses all employee data in a single database. Because of this, data changes are recognized across all active modules so that you never need to enter the data twice. Additionally, you can run cross module and EIN reports with just a few clicks on your keyboard.

  • Eliminate errors that occur when entering, or importing data, from several different systems.
  • Save endless amounts of time by storing all of your data in ONE secure system.
SSAE 16 Audited

Being a responsible protector of employee data is a mission critical operation. To help ensure we are taking all necessary measures to protect data, we undergo an annual SSAE 16 Audit. We are happy to provide you with a copy of our most recent audit which covers all operational systems and controls in place to protect your data.

We understand that the user experience is best defined by our clients, not a team of programmers locked up in a darkroom with a whiteboard. As an Alliance Payroll Services client you become a part of our development team. We created an Ideas Community that allows everyone of our over 7500 system users to have a voice in how our system features are updated.

When a user feels a feature needs to be added or improved they go to our Ideas Community. Once in the Ideas Community they can post, research, and vote on ideas they want enhanced. Users can have conversations with other users. Since 2009 over 95% of all system updates have originated in our Ideas Community.


14/06/2017

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