​Renewal of De​​term​ination 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 October 16, 2019, the October 26, 2017 determination by former Acting Secretary Eric D. Hargan, which he previously renewed effective January 24, 2018, and which I previously renewed effective April 24, 2018, July 23, 2018, October 21, 2018, January 19, 2019, April 19, 2019 and July 18, 2019, that a public health emergency exists nationwide as a result of the consequences of the opioid crisis.