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HOUSE OF REPRESENTATIVES > RECEIVED *
Quezon City > are. NAY 02 2017
Seventeenth Congress P
First Regular Session
HOUSE BILL No,2903 ;

Introduced by HONORABLE MARK 0. GO

EXPLANATORY NOTE

This bill seeks to establish a dialysis unit in one national govemment hospital in every
province and/or region as well as to provide free dialysis treatment for poor patients suffering

This is pursuant to the Constitutional mandate of the State to protect and promote the
right to health of the people and instill health consciousness among them,

‘The increasing number of cases of kidney failure in the Philippines is quite alarming.
According to the National Kidney and Transplant Institute, kidney disease, especially End Stage
Renal Disease (ESRD), is already the 7th leading cause of death among the Filipinos. One
Filipino develops chronic renal failure every hour or about 120 Filipinos per million population
Per year. More than 5,000 Filipino patients are presently undergoing dialysis and approximately
1.1 million people worldwide are on renal replacement therapy.

Majority of end-stage renal disease among Filipinos is secondary to of
diabetes, hypertension and chronic glomerulonephritis. As of 2013, there are about 23,000
dialysis patients and only about 300 to 500 kidney transplants are performed annually. There are
7,000 estimated cases of End Stage Renal Disease (ESRD) waiting for transplant and still
escalating every year.

i being costly and
in iit mainly in the provinces, patients compromise their health conditions. The cost of
8 kidney operation ranges from Php600,000 to 1 million pesos while a session of dialysis will
Cost @ patient more or less Php4,000.00. PhilHealth records show that in 2014, hemodialysis

In 2012, PhilHealth announced that it will subsidize the cost of kidney transplant up to
Php600,000 for ESRD patients. In 2015, it expanded its subsidy of dialysis treatment from 45 to
90 sessions annually covering P 2,500.00 per session.

With this very limited subsidy and accessibility of dialysis treatment, it is therefore
imperative to establish a dialysis unit in one national government hospital in every province
and/or region to cater to our poor patients suffering from Chronic Kidney Disease and avail
such procedure free of charge.

Ta view ofthe foregoing, the approval ofthis bills eamestly soyght. yy
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Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

Seventeenth Congress
First Regular Session

HOUSE BILL NO. 5503

Introduced by HONARABLE MARK 0. GO

AN ACT
MANDATING ONE NATIONAL GOVERNMENT HOSPITAL IN EVERY
PROVINCE AND/OR REGION TO ESTABLISH A DIALYSIS UNIT AND
PROVIDING FREE DIALYSIS TREATMENT TO POOR PATIENTS AND
APPROPRIATING FUNDS THEREFOR

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

SECTION 1. Short Title. — This Act shall be known as the “Regional Dialysis Center Act.”

SEC. 2. Declaration of Policy. -It is a declared policy of the State to adopt an integrated and
comprehensive approach to health development which shall endeavour to make essential
goods, health and other social services available to all the people at affordable cost. There
shall be priority for the needs of the underprivileged sick, elderly, disabled, women and
children. The state shall endeavour to provide free medical care to paupers.

It is also hereby declared as a policy of the State to improve the delivery of health care
Services to the people and to ensure hospital facilities are available, affordable and accessible
to the people.

SEC. 3. Identification of National Government Hospitals. — The Department of Health is
hereby authorized to identify one national government hospital in every province and/or
region that shall establish and maintain a dialysis unit. The DOH shall consider the status
and capability of the hospital including its area and facilities for the establishment of the said
dialysis unit.

SEC. 4. Establishment, Operation and Maintenance of a Dialysis Unit. ~ Within cighteen
(18) months from the effectivity of this Act, the identified national government hospital in
every province and/or region is hereby required to establish, operate and maintain a dialysis
unit in its hospital. The dialysis unit shall be equipped with complete dialysis machine,
equipment and supplies to be managed by qualified medical personnel.

SEC. 5. Free Dialysis Treatment to Poor Patients. — Dialysis treatment in the identified
national government hospital in every province and/or region shall be provided free of charge
to Poor patients whose combined annual family income does not exceed to Seventy Two
Thousand Pesos (Php 72,000.00).

SEC. 6. Implementing Rules and Regulations. — The Secretary of the Department of Health
shall promulgate the necessary rules and regulations to implement the provisions of this Act.


SEC. 7. Penalty. — Any hospital chief, administrator or office-in-charge who refuses to
accept poor dialysis patients and/or fails to comply with the provisions of this Act shall be
imposed a penalty of Fifty Thousand Pesos (Php50,000.00) but not more than One Hundred
Thousand Pesos (Php 100,000.00).

SEC. 8 Appropriations. — The Secretary of Health shall immediately include in the
Department's programs the implementation of this Act, the funding of which shall be
included in the annual General Appropriations Act.

SEC. 9. 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.

SEC. 10. Repealing Clause. - Any law, presidential decree or issuance, executive order,
letter of instruction, administrative order, rule or regulation contrary to or inconsistent with
the provisions of this Act are hereby repealed, modified or amended accordingly.

SEC. 11. Effectivity. — This Act shall take effect fifteen (15) days after its publication in at
least two (2) newspaper of general circulation.

Approved,