The College of Administrators of Health Services of Puerto Rico formally asked the Puerto Rico Energy Bureau on Oct 27 for a public hearing on a proposed electricity rate increase.^[1] The group, known in Spanish as the Colegio de Administradores de Servicios de Salud de Puerto Rico, or CASS, filed the request to oppose the proposed tariff hike.^[2] On the same day, administrators of health services in Puerto Rico also filed a formal legal complaint against LUMA.^[3] The college says the stakes are operational: CASS warned that high electricity rates harm health facility operations,^[4] and more than 800 health entities face electricity price increases.^[5] CASS has asked for special electricity rates for health facilities.^[6] The request lands weeks after a near-20% electricity rate increase took effect in early October 2026.^[7] LUMA Energy, for its part, reported a $48 million budget gap for September 2026.^[8] As of the college's filing, the Energy Bureau had not replied.^[9]