; and (B) provide for the protection of the public health with respect to poisoning and the maintenance of the related capabilities listed in subsection (a). (d) Waiver of accreditation requirements (1) In general The Secretary may grant a waiver of the accreditation requirements of subsection (c) with respect to a nonaccredited poison control center that applies for a grant under this section if such center can reasonably demonstrate that the center will obtain such an accreditation within a reasonable period of time as determined appropriate by the Secretary. (2) Renewal The Secretary may renew a waiver under paragraph (1). (3) Limitation In no case may the sum of the number of years for a waiver under paragraph (1) and a renewal under paragraph (2) exceed 5 years. (e) Supplement not supplant Amounts made available to a poison control center under this section shall be used to supplement and not supplant other Federal, State, or local funds provided for such center. (f) Maintenance of effort A poison control center, in utilizing the proceeds of a grant under this section, shall maintain the annual recurring expenditures of the center for its activities at a level that is not less than 80 percent of the average level of such recurring expenditures maintained by the center for the preceding 3 fiscal years for which a grant is received. (g) Authorization of appropriations There is authorized to be appropriated to carry out this section, $29,600,000 for each of fiscal years 2020 through 2024. The Secretary may utilize an amount not to exceed 6 percent of the amount appropriated pursuant to the preceding sentence for each fiscal year for coordination, dissemination, technical assistance, program evaluation, data activities, and other program administration functions, which are determined by the Secretary to be appropriate for carrying out the program under this section. . (b) Applicability Section 1273 of the Public Health Service Act, as amended by subsection (a), applies beginning on October 1, 2019.