CASS announced it will advance legislation in the Puerto Rico Legislature to establish special preferential electricity tariffs for medical and healthcare institutions. ^[1] CASS warned that unmitigated electricity rate increases would result in reduced healthcare services, restricted patient access, and higher patient costs. ^[2] The College of Healthcare Services Administrators of Puerto Rico (CASS) attended the Energy Regulator on November 2 to oppose proposed electricity rate increases and request formal consultation for the health sector. ^[3] The College of Administrators of Health Services of Puerto Rico is requesting a special electricity tariff for all health institutions due to rising energy costs. ^[4] Tania Conde Sterling, president of the College of Administrators of Health Services of Puerto Rico, stated a 175-bed acute care hospital could see monthly electricity costs rise by approximately $60,000. ^[5][7] Health facilities require uninterrupted stable electricity to operate specialized medical equipment, operating rooms, and refrigeration for blood and medications. ^[6]