; and (2) by adding at the end the following: (4) Waivers; record of waivers The Secretary— (A) may waive a requirement under paragraph (1) as the Secretary determines necessary; and (B) shall maintain a record of each waiver under subparagraph (A). . (b) Medical standards (1) In general Section 3523, as redesignated by section 2 of this Act, is amended— (A) in subsection (d)— (i) in paragraph (3)— (I) in subparagraph (A), by redesignating clauses (i) and (ii) as subclauses (I) and (II), respectively; and (II) by redesignating subparagraphs (A), (B), and (C) as clauses (i), (ii), and (iii), respectively; (ii) in paragraph (5), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively; (iii) by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively; and (iv) by striking The owner and inserting the following: (1) In general The owner ; (B) in subsection (e)— (i) in paragraph (1)— (I) in the matter preceding subparagraph (A), by striking under subsection (d) and inserting under paragraph (1) ; and (II) by redesignating subparagraphs (A), (B), and (C) as clauses (i), (ii), and (iii), respectively; (ii) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively; and (iii) by striking (e) and all that follows through The master and inserting the following: (2) Confidentiality of sexual assault examination and support information The master ; and (C) by inserting after subsection (d), as redesignated by paragraph (2)(C), the following: (e) Medical standards The owner of a vessel to which this section applies shall ensure that— (1) a physician is always present and available to treat any passengers who may be on board the vessel in the event of an emergency situation; (2) there are a sufficient number of qualified medical staff on the vessel to treat the number of passengers who may be on board the vessel, as determined by the Secretary, by regulation