While the last cruise passengers were able to disembark in early June, thousands of crew members are still awaiting repatriation without pay, and some are still contracting Covid-19 on board.
At the time of the previous extension, CLIA issued a statement saying they were "confident that future cruises will be healthy and safe, and will fully reflect the latest protective measures" but that they felt it was "appropriate to err on the side of caution to help ensure the best interests of our passengers and crewmembers".
The order issued Thursday affects mostly the big foreign-flag lines, but US -flag operators with smaller vessels also have been challenged to restart cruises after the coronavirus shutdown because of a variety of state and local restrictions.
From March 1 through July 10, there have been almost 3,000 cases of Covid-19 or similar illnesses and 34 deaths on cruise ships, according to the CDC.
Cruise ships won't be sailing passengers in United States waters until at least October after authorities extended their no-sail order by more than two months. These cases were part of 99 outbreaks on 123 different cruise ships.
According to US Coast Guard data, as of July 10, 2020, there are 67 ships in and around US waters with 14,702 crew onboard (file photo).
The Cruise Lines Worldwide Affiliation extended its voluntary suspension of operations for member carriers as a result of September 15.
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And, the Order applies to all cruise ships operating or seeking to operate, in waters subject to U.S. jurisdiction, including those that have previously voluntarily suspended operations.
The order required cruise lines to develop a comprehensive plan approved by CDC and the Coast Guard to address the outbreak through "maritime-focused solutions" including a response with limited reliance on government support.
Areas of "major concern" included a lack of detail about how crew would be monitored, what protective equipment they would have and how they would receive medical care.
Coronavirus infections are rising in 40 states, and daily deaths have climbed more than 20 per cent from a week ago.
In addition, 9 ships still have ongoing or resolving COVID-19 outbreaks on board.