Public Health Emergency - Leading a Nation Prepared
September 19, 2017
These waivers and modifications will become effective at 6:00 P.M. Eastern Standard Time on September 21, 2017, but will have retroactive effect to September 16, 2017, in the Territory of the U.S. Virgin Islands, and to September 17, 2017, in the Commonwealth of Puerto Rico, and continue through the period described in Section 1135(e). Notwithstanding the foregoing, the waivers described in paragraphs 1(c) and 2 above are in effect for a period of time not to exceed 72 hours from implementation of a hospital disaster protocol but not beyond the period described in Section 1135(e), and such waivers are not effective with respect to any action taken thereunder that discriminates among individuals on the basis of their source of payment or their ability to pay.
The waivers and modifications described herein apply in the geographic area covered by the President’s declarations, pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, of an emergency as a result of Hurricane Maria on September 18, 2017, in the Territory of the U.S. Virgin Islands and in the Commonwealth of Puerto Rico; and my September 19, 2017, determination, pursuant to section 319 of the Public Health Service Act, that a public health emergency exists and has existed as a result of the consequences of Hurricane Maria since September 16, 2017, in the Territory of the U.S. Virgin Islands, and since September 17, 2017, in the Commonwealth of Puerto Rico.
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