; (ii) in paragraph (5), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins of such clauses so as to align with clause (i) of section 3523(c)(1)(A); (iii) by redesignating paragraphs (1) through (5) as subparagraphs (A) through (E), respectively, and adjusting the margins of such subparagraphs so as to align with subparagraph (A) of section 3523(c)(1); 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, and adjusting the margins of such clauses so as to align with clause (i) of section 3523(c)(1)(A); (ii) by redesignating paragraphs (1) and (2) as subparagraphs (A) and (B), respectively, and adjusting the margins of such subparagraphs so as to align with subparagraph (A) of section 3523(c)(1); 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 amended by subparagraphs (A) and (B) of this paragraph, the following: (e) Medical standards (1) In general The owner of a vessel to which this section applies shall ensure that— (A) 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; (B) there are a sufficient number of qualified medical staff members on the vessel to treat the number of passengers who may be on board the vessel, as determined by the Secretary, by regulation; (C) the vessel is in compliance with the Health Care Guidelines for Cruise Ship Medical Facilities established by the American College of Emergency Physicians, or any successor standard