VIRGIN ISLANDS DEPARTMENT OF HEALTH 
OFFICE OF THE COMMISSIONER  
4006 ESTATE DIAMOND RUBY, STE. 4 
 
1303 HOSPITAL GROUND, SUITE 10 
CHRISTIANSTED 
 
CHARLOTTE AMALIE  
ST. CROIX, VI. 00820-5351 
 
ST. THOMAS, VI 00802-6722 
TEL: (340) 712-0173 
 
TEL: (340) 774-0117 
 
 
 
 
 
October 6, 2025 
Senator Carla Joseph 
Legislature of the United States Virgin Islands 
Capitol Building 
P.O. Box 1690 
St. Thomas, VI 00804  
District: St. Thomas - St. John 
Email: senatorjoseph@legvi.org 
 
Dear Senator Joseph, 
I would like to extend my sincere appreciation for the invitation to provide testimony regarding 
Bill No. 36-105 scheduled for October 9, 2025 at the Earle B. Ottley Legislative Hall. Due to a 
prior commitment that involves the Department’s Executive Team, we are unable to attend.  
We remain deeply engaged in the legislative process and have submitted our written testimony 
for consideration. We trust that our input will contribute meaningfully to the discussion and 
deliberations. 
Thank you for your continued leadership and for providing a platform for community voices to 
be heard. Please do not hesitate to reach out if any clarification or follow-up is needed regarding 
our testimony. 
Warm regards, 
 
Justa E. Encarnacion, RN, BSN, MBA/HCM 
Commissioner