Republic of the Pailippines
HOUSE OF REPRESENTATIVES
Quezon City

Fifteenth Congress
Second Regular Session

ory
COMMITTEE REPORT NO._2208

Sobepigeg fa apRFommmeS on Civil Service and Professional Regulation and Appropriations

Re! House Bio, Ged
Recommending its approval in substitution of House Bill No, 2832
joseph Emilio A. Abaya and

Sponsors: Representatives Andres D. Selvacion, Jr.
Dr. Janeste £. Garin

Me. Speaker:

The Commiitees on Civil Service and Professional Regulation and Appropriations to which was
referred House Bill No, 2831 introduced by Rep. Dr. Janette L. Garin, entitled:

AN ACT
EXPANDING THE SCOPE OF THE PRACTICE OF MIDWIFERY.
AMENDING FOR THE PURPOSE REPUBLIC ACT 7392, OTHERWISE
KNOWN AS THE PHILIPPINE MIDWIFERY ACT OF 1992, AND FOR
OTHER PURPOSES
have considered the same and recommend that the attached House Bill No, _Y* ag
entitled:

AN ACT
EXPANDING THE SCOPE OF THE PRACTICE OF MIDWIFERY.
AMENDING FOR THE PURPOSE REPUBLIC AC} 7392, OTHERWISE
KNOWN AS THE, PHILIPPINE MIDWIFERY ACT OF 1992, AND FOR

OTHER PURPOSES

be approved in substitution of House Bill No. 2831. and with Reps. Dr. Janette L. Garin, Andres
D. Salvacion. Jr., Joseph Emilio A. Abaya, Dary Grace J, Abayon, Salvador H, Escudero lil,
Rodolfo B. Albano, Rufus B. Rodriguez. Juan Edgardo M. Angara, Rafael V. Mariano. Anthory
Rolando T. Golez, Jr, Philip A. Pichay, Carlos M. Padilla, Jocelyn S. Limkaichong, Kaka #
Bag-ao and Leopoldo N. Bataoil as authors thereof.


Respectfully submitted,

HON. AND! ). NACION, JR.
Chairman,

Committee 09 Civil Sttvice

and Professivnal Reguiation

THE HONORABLE SPEAKER
HOUSE OF REPRESENTATIVES
QUEZON CITY


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

Fifteenth Congress
Second Regular Session

HOUSE BILLNO._ be dd

TNoduced by Representalives Dr Janete T. Garin, Andres D. Salvacon
Joseph Emilio A. Abaya, Daryl Grace J Atayon, Salvador i. Escudero I. Rodclfo
A ntoane. Rufus B. Rodriguez, Juan Edgardo M. Angara, Rafael V | Mariano
‘amhony Rolando 7. Golez, Jr, Philip A. Pichay. Carlos M. Padita Jocelye 3.
Limkaichong, Kaka J. Bag-a0 and Leapoldo N. Bataoil

AN ACT
EXPANDING THE SCOPE OF THE PRACTICE OF MIDWIFERY, AMENDING FOR
THE PURPOSE REPUBLIC ACT 7392, OTHERWISE KNOWN AS THE
PHILIPPINE MIDWIFERY ACT OF 4992, AND FOR OTHER PURPOSES

Be it enacted by the Senate and House of Representatives of the Philipines in
Congress assembled.

SECTION 4. Article It, Section 23 of Republic Act 7392 is hereby emenced
to read as follows:

“Sec, 23. Practice of Midwifery Defined. — The practice of
midwifery consists in perform.ng or rendering. or offering to perform or
render, for a fee. salary. or other reward or compensation, services
requiring an understanding of the principles and application of
procedures and techniques in the supervision and care of womer
during pregnancy, labor and puerperium management of normal
deliveries, including the performance of internal examination during
labor except when the patient is with antenatal bleeding, health
education of the patient, family and community: primary health care
services in the community. including nutrition and family pianning, in
carrying out the written order of physicians with regard to antenatal.
intra-natal and post-natal care of the normal pregnant mother in giving
immunization, including oral and parenteral dispensing of oxytocic drug
after delivery of placenta, suturing parietal lacerations to contro!

bleeding, to give intraverous fiuid during obstetrical emergencies


ADMINISTER LIFESAVING DRUGS SUCH AS MAGNESIUM
2 SULPHATE. OXYTOCIN, STEROIDS AND ORAL ANTIBIOTICS
3 'NHEN NO PHYSICIAN IS AVAILABLE. provided they [have been]
ARE APPROPRIATELY trained for that ourpose[.] AND CERTIFIED
PROFICIENT TO PERFORM THE NECESSARY CARE AND
SERVICES TO PREVENT MATERNAL DEATHS. MIDWIVES ARE
> ALSO HERESY ALLOWED TO ADMINISTER ESSENTIAL
8 NEWBORN CARE INCLUDING, BUT NOT LIMITED TO,
9 IMMUNIZATION and {may inject) INJECTING Vitamin K to the
1 newborn: Provided, however, That this orovisicn shall not apply to
stucents in midwifery schools who perform midwifery service under the
m supervision of their instructors], nor to emergency cases].

THE DEPARTMENT OF HEALTH (DOH) SHALL ISSUE
GUIDELINES ON THE ACCREDITATION OF MIDWIVES TO
PERFORM EMERGENCY OBSTETRIC AND NEONATAL CARE

6 EEMONC}. ALL PRACTICING M.DWIVES WHO INTEND TO
~ PERFORM E/EmONC MUST APPLY FOR AND ACQUIRE
18 4CCREDITATION FROM THE DOH AFTER NECESSARY

TRAININGS AND EXAMINATION AND COMPLIANCE OF OTHER
REQUIREMENTS AS MAY BE DETERMINED BY DOH.
BEC. 2. Anew provision is inserted betwee Sections 23 and 24 of Republic
Act No 7392. to read as follows:
“SEC. 24. CONTINUING PROFESS'ONAL EDUCATION. — A
REGISTERED MIDWIFE !S REQUIRED TO MAINTAIN

3 SOMPETENCE BY CONTINUAL LEARNING THROUGH
26 SONTINUING PROFESSIONAL EDUCATION (CPE) TO BE
37 PROVIDED BY THE ACCREDITED PROFESSIONAL

ORGANIZATION OR ANY RECOGNIZED PROFESSIONAL
MIDWIFERY ORGANIZATION: PROVIDEC, THAT THE PROGRAM
AND ACTIVITY FOR THE CONTINUING PROFESSIONAL
EDUCATION SHALL BE SUBMITTED TO AND APPROVED BY THE
PROFESSIONAL REGULATION COMMISSION, AFTER QUE
CONSULTATION WITH THE BOARD OF MIDWIFERY: PROVIDED,


FURTHER, THAT THE EARNED CPE UNITS SHALL 3€
MANDATORILY REQUIRED FOR THE RENEWAL OF T+
3 PROFESSIONAL IDENTIFICATION CARD OF A REGISTERED
: MIDWIFE.”

SEC. 3. The following provisions shall be inserted between Sections 26 ana
& 27 of Republic Act 7392. to read as follows:

: “SEC. 28 HEALTH HUMAN RESOURCE PRODUCTION.
8 UTILIZATION, PLACEMENT AND DEVELOPMENT. ~ THE BOARD,
IN COORDINATION WITH THE ACCREDITED PROFESSIONAL
ORGANIZATION AND APPROPRIATE GOVERNMENT OR PRIVATE
: AGENCIES, SHALL INITIATE. UNDERTAKE AND CONDUST
s STUDIES ON HEALTH HUMAN RESOURCE PRODUCTION.
8 UTILIZATION, PLACEMENT AND DEVELOPMENT FOR THE

4 CONTINUING PROFESSIONALIZATION OF MIDWIFERY.

as “SEC. 29° COMPREHENSIVE MIDWIFERY PROGRAM. —
w WITHIN ONE (1) YEAR FROM THE EFFECTIVITY OF THIS ACT.
a7 THE BOARD, IN COORDINATION WITH THE ACCREDITED
is PROFESSIONAL ORGANIZATION, NATIONAL ORGANIZATIONS
9 ACCREDITED SERVICE PROVIDERS AND THE DEPARTMENT OF

HEALTH IS HEREBY MANDATED TO FORMULATE AND DEVELOP
A COMPREHENSIVE MIDWIFERY PROGRAM THAT INCLUDES A
VALID ASSESSMENT OF CAREER PERFORMANCE AND
POTENTIAL, THUS. UPGRADE THE LEVEL OF SKILL AND

ao) COMPETENCE OF MIDWIVES IN THE COUNTRY, SUCH AS BUT
25 NOT LIMITED TO THE AREAS OF SKILL OF MATERNAL AND

CHILD CARE AND SUCH OTHER AREAS AS MAY BE
2 DETERMINED BY THE BOARD THE BENEFICIARIES OF THE
3s PROGRAM ARE OBLIGED TO SERVE IN ANY RURAL OR
28 COMMUNITY HOSPITAL FOR A PERIOD OF AT LEAST TWO (2)
38 YEARS FROM THE DATE OF THE COMPLETION OF THE
3B PROGRAM.

“SEC. 30. SALARY AND COMPENSATION. - IN ORDER TO.
ENHANCE THE GENERAL WELFARE AND COMMITMENT TO



SERVICE AND PROFESSIONALISM OF MIDWIVES, THE MINIMUM
BASE PAY OF MIDWIVES WORKING IN PUBLIC HEALTH
INSTITUTIONS SHALL NOT BE LOWER THAN THE 1°" STEP OF
THE HIRING RATE PRESCRIBED FOR THE POS'TIONS UNDER
RA, NO. 6768, OTHERWISE KNOWN AS THE "COMPENSATION
AND POSITION CLASSIFICATION ACT CF 4989" AS AMENDED

“SEC, 31. FUNDING FOR THE COMPREHENSIVE
MIDWIFERY PROGRAM — THE ANNUAL FINANCIAL
REQUIREMENT NEEDED TO TRAIN AT LEAST TEN PERCENT
(10%) OF MIDWIVES OF THE PARTICIPATING GOVERNMENT
HOSPITAL SHALL BE INCLUDED IN THE ANNUAL GENERAL
APPROPRIATIONS ACT: PROVIDED, THAT THE DEPARTMENT
OF HEALTH SHALL SET THE CRITERIA FOR THE AVAILMENT OF
THIS PROGRAM.”
SEC. 4. Within one (1) year from the effectivity of this Act, the Professional

Ragulation Commission In coordination with the Department of Health and the

accredited professional organization of registered midwives, shall promulgate a new

implementing rules and regulations of R.A. 7392 which shall be published in at least

two {2) newspapers of general circulation.
SEC. 5. If any part or provision of this Act shall be held unconstitutional 0°

snvald, other provisions which are not affected hereby shall continue to be in full

force and effect,
SEC, 6. All laws, issuances or parts thereof

herepy repealed or modified accordingly
SEC. 7, This Act shall take effect fifteen (15) days after its publication in the
of general circulation

inconsistent with this Act are

Official Gazette or al least two (2) newspapers
Approved,


FACT SHEET
House Bill No. 2831

AN ACT
EXPANDING THE SCOPE OF THE PRACTICE OF MIDWIFERY,
AMENDING FOR THE PURPOSE REPUBLIC ACT 7392,
OTHERWISE KNOWN AS THE PHILIPPINE MIDWIFERY ACT OF
1992, AND FOR OTHER PURPOSES

introduced by: REPRESENTATIVE DR. JANETTE L. GARIN

Committee Referral: COMMITTEE ON CIVIL SERVICE AND
PROFESSIONAL REGULATION (Primary)
Committee Chairperson. REP. ANDRES D. SALVACION, JR.
Committee Referral: COMMITTEE ON APPROPRIATIONS (Secondary)
Committee Chairperson: REP. JOSEPH EMILIO A. ABAYA

OBJECTIVE:

‘© To strengthen and expand the scope of the practice of midwifery in the
Philippines by granting additional powers as well as enhance the general
welfare and commitment to service and professionalism of midwives.

KEY PROVISIONS:

2 The practice of midwifery is row expanded by allowing a midwife the
following: (a) to administer life-saving drugs such as magnesium sulphate,
oxytocin, steroids and oral antibiotics when no physician is avaitabie: and
{b) to administer essential newborn care including, but not limited to,
Immunization and injecting Vitamin K to the newbom.

*® The Oepartment of Health (DOH) shall issue guidelines on the
accreditation of midwives to perform emergency obstetric and neonatal
care (E/EMONC) and that ail practicing midwives who intend to perform
EJEMONC must get accreditation from DOH after necessary trainings and
examination and other requirements as may be required by DOH.

© Continuing Professional Education (CPE) is now a requirement to all
registered midwives,

© A comprehensive midwifery program is now mandated and it inciudes a
valid assessment of career performance and potential of midwives.

¢ The minimum base pay of midwives working in public health institutions
shall not be lower than the 1* step of the hiring rate prescribed for the
positions under R.A No. 6758 (The Compensation and Position
Classification Act of 1989)

RELATED LAWS:

+ R.A No, 7392, Philippine Midwifery Act of 1992
* RA No. 6758, Compensation and Position Ciassification Act of 1989