Renewal of Determination that a Public Health Emergency Exists

As a result of the continued consequences of the opioid crisis affecting our nation, on this date and after consultation with public health officials as necessary, I, Alex M. Azar II, Secretary of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby renew, effective July 23, 2018, the October 26, 2017 determination by Acting Secretary Eric D. Hargan, which he previously renewed effective January 24, 2018, and which I previously renewed effective April 24, 2018, that a public health emergency exists nationwide as a result of the consequences of the opioid crisis.

July 23, 2018 _____________________________ Date

/s/ _____________________________ Alex M. Azar, II