[House Document 119-75]
[From the U.S. Government Publishing Office]




119th Congress, 1st Session - - - - - - - - - - - - - House Document 119-75

 
 PROCLAMATION REGARDING NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR 
   POLLUTANTS: ETHLYLENE OXIDE EMISSIONS STANDARDS FOR STERILIZATION 
             FACILITIES RESIDUAL RISK AND TECHNOLOGY REVIEW

                               __________

                                MESSAGE

                                  from

                     THE PRESIDENT OF THE UNITED STATES

                              transmitting

A PROCLAMATION PROVIDING EXEMPTION FOR CERTAIN STATIONARY SOURCES FROM 
     COMPLIANCE WITH THE FINAL RULE PUBLISHED BY THE ENVIRONMENTAL 
 PROTECTION AGENCY TITLED ``NATIONAL EMISSION STANDARDS FOR HAZARDOUS 
 AIR POLLUTANTS: ETHYLENE OXIDE EMISSIONS STANDARDS FOR STERILIZATION 
FACILITIES RESIDUAL RISK AND TECHNOLOGY REVIEW'', PURSUANT TO 42 U.S.C. 
       7412(i)(4); PUBLIC LAW 91-604, SEC. 4(a); (84 STAT. 1686).




    July 22, 2025.--Message and accompanying papers referred to the 
       Committee on Energy and Commerce and ordered to be printed
To the Congress of the United States:
    Consistent with applicable law, including section 112(i)(4) 
of the Clean Air Act, 42 U.S.C. 7412(i)(4), I hereby report 
that I have issued a proclamation providing exemption for 
certain stationary sources from compliance with the final rule 
published by the Environmental Protection Agency titled 
National Emission Standards for Hazardous Air Pollutants: 
Ethylene Oxide Emissions Standards for Sterilization Facilities 
Residual Risk and Technology Review, 89 FR 24090 (EtO Rule), 
which imposes new emissions-control requirements on commercial 
sterilization facilities.
    As reflected in the proclamation of July 17, 2025 
(Regulatory Relief for Certain Stationary Sources to Promote 
American Security with Respect to Sterile Medical Equipment) 
(Proclamation), the use of ethylene oxide is critical for the 
sterilization of medical equipment, which protects patients 
against infection and the transmission of disease. The 
continued utilization of ethylene oxide by commercial 
sterilization facilities is essential to ensuring that our 
Nation provides its sick and injured with the best outcomes 
possible--an objective that is at the forefront of the Federal 
Government's responsibility to the American people.
    In the Proclamation, I determined that the technology to 
implement the EtO Rule is not available. Such technology does 
not exist in a commercially viable form sufficient to allow 
implementation of and compliance with the EtO Rule by the 
compliance dates set forth in the EtO Rule. I further 
determined in the Proclamation that it is in the national 
security interests of the United States to issue an exemption 
from the EtO Rule to certain stationary sources subject to the 
EtO Rule, as identified in Annex I of the Proclamation. This 
exemption applies to all compliance deadlines established under 
the EtO Rule, with each such deadline extended by 2 years from 
the date originally required for such deadline.
    I am enclosing a copy of the Proclamation I have issued and 
Annex I thereto.

                                                   Donald J. Trump.
    The White House, July 21, 2025.

 Regulatory Relief for Certain Stationary Sources to Promote American 
           Security With Respect to Sterile Medical Equipment

                              ----------                              


            By the President of the United States of America

                             A Proclamation

    1. The use of ethylene oxide is critical for the 
sterilization of medical equipment, which protects patients 
against infection and the transmission of disease. The 
continued utilization of ethylene oxide by commercial 
sterilization facilities is essential to ensuring that our 
Nation provides its sick and injured with the best outcomes 
possible--an objective that is at the forefront of the Federal 
Government's responsibility to the American people.
    2. On April 5, 2024, the Environmental Protection Agency 
published a final rule, pursuant to section 112 of the Clean 
Air Act, 42 U.S.C. 7412, titled National Emission Standards for 
Hazardous Air Pollutants: Ethylene Oxide Emissions Standards 
for Sterilization Facilities Residual Risk and Technology 
Review, 89 FR 24090 (EtO Rule). The EtO Rule imposes new 
emissions-control requirements on commercial sterilization 
facilities.
    3. The EtO Rule places severe burdens on commercial 
sterilization facilities. About 50 percent of all sterile 
medical devices in the United States are sterilized with 
ethylene oxide, and sterilization with ethylene oxide may be 
the only method of sterilizing many medical devices without 
damaging them. By requiring compliance with standards premised 
on the application of emissions-control technologies that do 
not exist in a commercially viable form, the EtO Rule risks 
making critical sterile medical devices unavailable to care for 
patients in our civilian and military medical systems. The 
current compliance timeline as set forth at 89 FR 24101-24103 
of the EtO Rule will likely force existing sterilization 
facilities to close down, seriously disrupting the supply of 
medical equipment. Our Nation would be unable to adequately 
supply the sterilized medical equipment that medical personnel 
need to safely treat their patients in hospitals, operating 
rooms, and other medical facilities. In short, the current 
compliance timeline would undermine our national security.
    NOW, THEREFORE, I, DONALD J. TRUMP, President of the United 
States of America, by the authority vested in me by the 
Constitution and the laws of the United States, including 
section 112(i)(4) of the Clean Air Act, 42 U.S.C. 7412(i)(4), 
do hereby proclaim that certain stationary sources subject to 
the EtO Rule, as identified in Annex I of this proclamation, 
are exempt from compliance with the EtO Rule for a period of 2 
years beyond the EtO Rule's relevant compliance dates 
(Exemption). This Exemption applies to all compliance deadlines 
established under the EtO Rule applicable to the stationary 
sources listed in Annex I, with each such deadline extended by 
2 years from the date originally required for such deadline. 
The effect of this Exemption is that, during each such 2-year 
period, these stationary sources will remain subject to the 
emissions and compliance obligations in effect prior to the 
issuance of the EtO Rule. In support of this Exemption, I 
hereby make the following determinations:
          a. The technology to implement the EtO Rule is not 
        available. Such technology does not exist in a 
        commercially viable form sufficient to allow 
        implementation of and compliance with the EtO Rule by 
        the compliance dates set forth in the EtO Rule.
          b. It is in the national security interests of the 
        United States to issue this Exemption for the reasons 
        stated in paragraphs 1 and 3 of this proclamation.
    IN WITNESS WHEREOF, I have hereunto set my hand this 
seventeenth day of July, in the year of our Lord two thousand 
twenty-five, and of the Independence of the United States of 
America the two hundred and fiftieth.

                                                   Donald J. Trump.