Republic of the Phi
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

TWENTIETH CONGRESS
FIRST REGULAR SESSION

House Bill No. 13 74

INTRODUCED BY Rep. ZIAUR-RAHMAN ALONTO ADIONG

EXPLANATORY NOTE

The right to health is a fundamental human right enshrined in the 1987 Philippine
Constitution, which mandates the State to adopt an integrated and comprehensive
approach to health development. As such, public health insurance programs like the
National Health Insurance Program (NHIP), administered by the Philippine Health
Insurance Corporation (PhilHealth), must continuously evolve to be inclusive and
responsive to the needs of Filipino families.

This bill seeks to amend Republic Act No. 7875, as amended by R.A. 9241 and R.A.
10606, by expanding the definition of “dependent” to ensure that more vulnerable
and marginalized family members of PhilHealth members are afforded access to
health services.

Specifically, the bill includes individuals with psychosocial and neurodevelopmental
disabilities within the scope of qualified dependents. These conditions are often
overlooked despite their profound and lasting impact on a person’s ability to live
independently and access healthcare without financial burden.

To ensure integrity in implementation, the bill mandates that the determination of
incapacity be made in accordance with guidelines to be set by the National Council
on Disability Affairs (NCDA), with certification from appropriate government agencies
such as the Department of Social Welfare and Development (DSWD), the Department
of Health (DOH), or the local government unit’s Disability Affairs Office.

Ultimately, this measure strengthens our public health safety net by acknowledging
the evolving needs of Filipino families, particularly those caring for persons with
disabilities. It is a step forward in the nation’s commitment to inclusive healthcare,
disability rights, and social protection.

!

-RAHMAN ALONTO ADIONG
, Lanao Del Sur


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

TWENTIETH CONGRESS
FIRST REGULAR SESSION

House Bill No. 1374

INTRODUCED BY Rep. ZIAUR-RAHMAN ALONTO ADIONG

AN ACT
AMENDING R.A. 7875 OR THE NATIONAL HEALTH INSURANCE ACT
OF 1995 AS AMENDED BY R.A. 9241 AND R.A. 10606 TO EXPAND
THE DEFINITION OF DEPENDENT

Be it enacted by the Senate and House of Representatives of the Philippines in
Congress assembled:

Section 1. DEPENDENTS. Section 4(f) of Republic Act 7875, as amended by
R.A. 9241 and further amended by R.A. 10606, shall be amended further to read as:

XXX
f) Dependent - The legal dependents of a member are:

1) the legitimate spouse who is not a member;

2) the unmarried and unemployed legitimate,
legitimated, illegitimate, acknowledged children as
appearing in the birth certificate; legally adopted or step-
children below twenty-one (21) years of age;

3)children who are twenty-one (21) years old and
above but suffering from congenital disability, either
physical, mental, PSYCHOSCOCIAL,
NEURODEVELOPMENTAL, or any disability aequired that
renders them MAINLY dependent on the member for
support;

(4) the parents who are sixty (60) years old or above
whose monthly income is below an amount to be determined
by the Corporation in accordance with the guiding principles
set forth in Article I of this Act; and

"(5) parents with permanent disability that render
them totally dependent on the member for subsistence.


THE DETERMINATION OF INCAPACITY MUST
FOLLOW GUIDELINES TO BE SET BY THE
NATIONAL COUNCIL ON DISABILITY AFFAIRS
AND MAY BE CERTIFIED BY THE DEPARTMENT OF
SOCIAL WELFARE AND DEVELOPMENT OR THE
DEPARTMENT OF HEALTH OR BY LOCAL
GOVERNMENT UNIT’S DISABILITY AFFAIRS
OFFICE.

xxx

Section 2. IMPLEMENTING RULES AND REGULATIONS. The Government
Service Insurance System shall make the necessary changes to incorporate the
following changes into the existing IRR of Republic Act 7875, as amended by R.A.
9241 and further amended by R.A. 10606 within 60 days from the effectivity of this
Act.

Section 3. APPROPRIATIONS. The funds necessary for the implementation of the
provisions of this Act shall be included in the annual appropriations of each agency
concerned.

Section 4. SEPARABILITY CLAUSE. if any provision or part hereof is held invalid
or unconstitutional, the remainder of the law or the provision not otherwise affected
shall remain valid and subsisting.

Section 5. REPEALING CLAUSE. The provision of Republic Act 7875, as amended
by R.A. 9241 and further amended by R.A. 10606 is hereby amended. Except as
otherwise expressly provided in this Act, all other laws, decrees, executive orders,
proclamations and administrative regulations or parts thereof inconsistent herewith
are hereby repealed or modified accordingly.

Section 6. EFFECTIVITY CLAUSE. This Act shall take effect fifteen (15) days after
its publication in at least two (2) national newspapers of general circulation.

Approved,