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EIGHTEENTH CONGRESS OF THE 
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REPUBLIC OF THE PHILIPPINES 
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First Regular Session 
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S. No
SENATE
1236
•19 
DEC 16 
P 2«3
R E C tl'bD & Y
Introduced by SENATOR RONALD "BATO" DELA ROSA
AN ACT
PROVIDING 
COMPREHENSIVE 
RENAL 
REPLACEMENT THERAPY 
FOR 
PATIENTS W ITH END STAGE RENAL DISEASE, APPROPRIATING FUNDS 
THEREFOR AND FOR OTHER PURPOSES
EXPLANATORY NOTE
Chronic Kidney Disease (CKD) is one of the primary causes of mortality among 
Filipinos. According to the Department of Health, at least one Filipino dies every hour 
from kidney failure.
Alarmingly, the number of Filipino suffering from kidney disease is on the rise. 
In 2017 Philippine Renal Disease Registry, 21,535 Filipino was reported to have started 
dialysis treatment as compare with 18,603 patients recorded in 2015. This does not 
include patients who failed to get dialysis treatment due to high costs and 
unavailability of health facilities.
The proposed bill seeks to establish a comprehensive renal replacement 
therapy facility for patients with End Stage Renal Disease (ESRD). This will enable 
the life-saving therapy to be more accessible to CKD or ESRD. In addition, the bill 
mandates the Department of Health to create CKD prevention strategies and health 
promotion activities which include, among others, advocacy activities targeting 
relatives of dialysis patients who are at high risk for developing CKD themselves, the 
provision of instructional materials and regular educational activities on the common


symptoms of kidney disease and advisories on the appropriate protocols for the 
diagnostic evaluation of possible kidney disease.
This legislative measure will not only provide accessible curative health services 
for CKD patients but will also halt the rise in kidney-related diseases incidence through 
effective health promotion.
In view of the foregoing, the swift passage of this bill is earnestly sought.
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R O N A LD /B A T ^' DELA ROSA


EIGHTEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
SENATE
S. No. 1236
' j  
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' . 7> . - a; .
cf oi uif
*19 DEC 16 P2-03
RECtiVcD BV.
Introduced by SENATOR RONALD "BATO" DELA ROSA
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AN ACT
PROVIDING 
COMPREHENSIVE 
RENAL 
REPLACEMENT THERAPY 
FOR 
PATIENTS W ITH END STAGE RENAL DISEASE, APPROPRIATING FUNDS 
THEREFOR AND FOR OTHER PURPOSES
Section 1. Short Title. - This Act shall be known as the "Comprehensive Renal 
Replacement Therapy Act".
Sec. 2. Declaration o f Policy. - It is the declared policy of the State to protect and 
promote the right to health of every Filipino and instill health consciousness among 
them. Towards this end, the government shall ensure that Filipinos have access to a 
comprehensive set of cost-effective and quality curative and palliative health care 
services.
Sec. 3. Definition o f Terms. - As used in this Act:
(a) "End Stage Renal Disease (ESRD)" refers to the final stage of chronic kidney 
disease in which the kidneys no longer function well enough to meet the needs 
of daily life.
(b ) "Renal replacement therapy" refers to therapy which replaces some or most of 
the functions of the normal kidney which includes fluid removal and/or solute 
clearance. This may be in the form of kidney transplantation, peritoneal dialysis 
and hemodialysis.
(c) "Kidney transplant" refers to a surgical procedure to place a healthy kidney from 
a live or deceased donor into a person whose kidneys no longer function 
properly.


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(d) "Peritoneal dialysis" refers to a treatment for kidney failure and a type of dialysis 
that uses the peritoneum in a person's abdomen as the membrane through 
which fluid and dissolved substances are exchanged with the blood.
(e) "Hemodialysis" refers to a medical procedure to remove fluid and waste 
products from the blood and to correct electrolyte imbalances. This is 
accomplished using a machine and a dialyzer which is also referred to as an 
"artificial kidney."
(f) "Dialysis Facility" refers to a facility that provides treatment for chronic kidney 
disease to indigent patients and disseminate information on its prevention.
Sec. 4. Establishment, Operation and Maintenance o f the Renal Replacement 
Therapy Facilities -  Every hospital under the management and administration of the 
Department of Health (DOH) shall establish, operate and maintain Renal Placement 
Therapy Facilities.
All renal replacement therapy facilities shall engage in regular organ donation 
advocacy activities that will provide education for all Filipinos to carry the organ donor 
card. Facilities will likewise establish a potential deceased organ donor referral system 
that will identify all potential organ donors to the Philippine Network for Organ Sharing 
(PhilNOS).
Sec. 5. Chronic Kidney Disease (CKD) Prevention and Health Promotion. -  The 
DOH, in coordination with concerned government agencies and civil society 
organizations, shall establish CKD prevention strategies and health promotion 
activities which include, among others, advocacy activities targeting relatives of 
dialysis patients who are at high risk for developing CKD themselves, the provision of 
instructional materials and regular educational activities on the common symptoms of 
kidney disease and advisories on the appropriate protocols for the diagnostic 
evaluation of possible kidney disease.
Sec. 6. Phiihealth Benefits for Renal Replacement Therapy. -  The Philhealth 
shall develop a package that will provide the highest benefit for kidney transplant, 
followed by peritoneal dialysis and hemodialysis.
Sec. 7. Rehabilitative Health Care Services. -  The DOH, in coordination with 
the Department of Labor and Employment, Department of Social Welfare and 
Development, and other concerned agencies, shall establish a comprehensive 
rehabilitation program for ESRD patients who have undergone kidney transplant.


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Sec. 8. Appropriations. - 
The initial amount necessary to implement the 
provisions of this Act shall be charged against the current year's appropriation of the 
DOH. Thereafter, such sum as may be necessary for the continued implementation of 
this Act shall be included in the annual General Appropriations Act.
Sec. 9. Impiementing Rules and Regulations. - The DOH, in consultation with 
the NKTI and other stakeholders, shall promulgate the necessary rules and regulations 
to implement the provisions of this Act.
Sec. 10. 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. 11. 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. 12. Effectivity. - 
This Act shall take effect fifteen (15) days after its 
publication in at least two (2) newspapers of general circulation.
Approved,