Public Health Emergency - Leading a Nation Prepared
January 8, 2020
These waivers and modifications will become effective at 4:00 P.M. Eastern Standard Time on January 10, 2020, but will have retroactive effect to December 28, 2019, 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 declaration on January 7, 2020, pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, of an emergency as a result of earthquakes in the Commonwealth of Puerto Rico; and my January 8, 2020, determination, pursuant to section 319 of the Public Health Service Act, that a public health emergency as a result of the consequences of earthquakes exists and has existed since December 28, 2019, in the Commonwealth of Puerto Rico.
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