Household Sewage Treatment Systems (HSTS) are ubiquitous in areas of Ohio where public sewers are not available, with most located in rural and semi-urban areas. Some estimates show a universe of one million systems with nearly 30% failing or near failure. Several forms of government at the local and state level work together to both regulate and provide funding for HSTS. Learn how HSTS are regulated by local health districts, the Ohio Department of Health, and Ohio EPA. Learn about the grant opportunities available to local health districts to assist low-income homeowners in repairing or replacing failing HSTS and connecting failing HSTS to public sewers. Click HERE to watch a helpful YouTube video that explains the regulation and funding of Household Sewage Treatment Systems in Ohio.