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The Clean Air Act (CAA) is the comprehensive federal law that regulates air emissions from stationary and mobile sources.
Nearly all Puerto Ricans dually eligible for Medicare and full Medicaid benefits choose to enroll in Medicare Platino, a Medicare Advantage special needs plan, which covers Part A and B services as well as prescription drugs.
Clean Air Act permitting in Puerto Rico is the shared responsibility of the Puerto Rico Environmental Quality Board of the Commonwealth of Puerto Rico (for minor New Source Review (NSR), non-attainment NSR, and Part 70 Operating permits) and EPA Region 2.
Private health insurance There are a number of private health insurers in Puerto Rico and costs are much lower than in the US. Many insurers also tend to be more open to covering things like pre-existing conditions. In most policies, small co-payments are common.
Puerto Rico elected to expand Medicaid eligibility to the new adult group under the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) (CMS 2016a). Puerto Rico also provides Medicaid coverage to aged, blind, and disabled individuals through the medically needy option.