FOURTEENTH CONGRESS OF THE REPUBLIC 
} 
First Regular Session 
1 I 
'7 
JiL -3 !'I TI8 
OF THE PHILIPPINES 
SENATE 
S.NO. 761 
INTRODUCED BY SENATOR COMPANERA PIA S. CAYETANO 
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EXPLANATORY NOTE 
There is no food most natural in the world and proven safest for human babies 
than breastmilk, and no choice most natural and proven safest than breastfeeding. 
Breastmilk is the perfect, irreplaceable gift a mother can give to her baby. It is the best 
start a baby can have in life. 
Today, roles are changing. Many women have become working mothers, joining 
the workforce in order to augment the income of their husbands. Unfortunately, studies 
show that maternal employment is significantly associated with its early cessation. Data 
from the National Demographic and Health Survey which lists "mothers working" as the 
second top reason for stopping breastfeeding. Knowing the difficulty of continuing 
breastfeeding upon returning to work, some women do not breastfeed at all or start 
weaning their baby before their maternity leave ends. 
Cognizant of these realities, the bill, among other measures, proposes the 
establishment of lactation stations in workplaces and public places where nursing 
female employees and otherwise mobile lactating mothers can breastfeed or express 
their breastmilk, and to further provide other specific measures to enable working 
mothers to continue breastfeeding. 
The objective of the bill is to reestablish the culture of breastfeeding as the 
normal, natural and preferred method of feeding infants and young children. 
For these reasons, approval of this Biil is urgently sought. 
COMP &J 
ERA q 
A S. CAYETANO 


$; ‘ 
FOURTEENTH CONGRESS OF THE REPUBLIC 
} 
-t 
&I\” -3 P 1 
OF THE PHILIPPINES 
1 
First Regular Session 
1 . .  
SENATE 
S. No. 
’761 
INTRODUCED BY SENATOR COMPAmERA PIA S. CAYETANO 
AN ACT 
EXPANDING THE PROMOTION OF BREASTFEEDING, AMENDING FOR THE 
PURPOSE REPUBLIC ACT NO. 7600, OTHERWISE KNOWN AS “AN ACT 
PROVIDING INCENTIVES TO ALL GOVERNMENT AND PRIVATE HEALTH 
INSTITUTIONS WITH ROOMING-IN AND BREASTFEEDING PRACTICES AND FOR 
OTHER PURPOSES” 
Be it enacted by the Senate and House of Representatives of the Philippines in 
SEC. 1. Short Tifle. - This Act shall be known as the “Expanded Breastfeeding 
Congress assembled: 
Promotion Act of 2007.” 
SEC. 2. Section 2 of Republic Act No. 7600 is hereby amended to read as 
follows: 
“SEC. 2. Declaration of Policy. - The State adopts rooming-in as a 
national policy to encourage, protect and support the practice of 
breastfeeding. 
It shall create an environment where basic physical, 
emotional, and psychological needs of mothers and infants are fulfilled 
through the practice of rooming-in and/ breastfeeding. 
“THE STATE SHALL LIKEWISE PROTECT WORKING WOMEN 
BY PROVIDING SAFE AND HEALTHFUL WORKING CONDITIONS, 
TAKING INTO ACCOUNT THEIR MATERNAL FUNCTIONS, AND SUCH 
FACILITIES AND OPPORTUNITIES THAT WILL ENHANCE THEIR 
WELFARE AND ENABLE THEM TO REALIZE THEIR FULL POTENTIAL 
IN THE SERVICE OF THE NATION. THIS IS CONSISTENT WITH 
INTERNATIONAL TREATIES AND CONVENTIONS TO WHICH THE 
PHILIPPINES IS A SIGNATORY SUCH AS THE CONVENTION ON THE 
ELIMINATION OF DISCRIMINATION AGAINST WOMEN (CEDAW), 
WHICH EMPHASIZES PROVISION OF NECESSARY SUPPORTING 
SOCIAL SERVICES TO ENABLE PARENTS TO COMBINE FAMILY 
OBLIGATIONS WITH WORK RESPONSIBILITIES; THE BElJlNG 
PLATFORM FOR ACTION AND STRATEGIC OBJECTIVE, WHICH 
PROMOTES 
HARMONIZATION 
OF 
WORK 
AND 
FAMILY 
RESPONSIBILITIES FOR WOMEN AND MEN; AND THE CONVENTION 
ON THE RIGHTS OF THE CHILD, WHICH RECOGNIZES A CHILD’S 
INHERENT RIGHT TO LIFE AND THE STATE’S OBLIGATIONS TO 
ENSURE THE CHILD’S SURVIVAL AND DEVELOPMENT. 
“Breastfeeding has distinct advantages which benefit the infant and 
the mother, including the hospital and the country that adopt its practice. It 


is the first preventive health measure that can be given to the child at birth. 
It also enhances mother-infant relationship. Furthermore, the practice of 
breastfeeding could save the country valuable foreign exchange that may 
otherwise be used for milk importation. 
“Breastmilk is the best food since it contains essential nutrients 
completely suitable for the infant‘s needs. It is also nature’s first 
immunization, enabling the infant to fight potential serious infection. It 
contains growth factors that enhance the maturation of an infant‘s organ 
system. 
“TOWARDS THIS END, THE STATE SHALL PROMOTE AND 
ENCOURAGE BREASTFEEDING AND PROVIDE THE SPECIFIC 
MEASURES THAT 
WOULD 
PRESENT OPPORTUNITIES FOR 
MOTHERS TO CONTINUE EXPRESSING THEIR MILK ANDIOR 
BREASTFEEDING THEIR INFANT OR YOUNG CHILD.” 
SEC. 3. Section 3 of the same law is hereby amended to read as follows: 
“SEC. 3. Definifion of Terms. For purposes of this Act, the following 
definitions are adopted: 
a) Age of Gestation - the length of time the fetus is inside the 
mother’s womb; 
b) Bofflefeeding - the method of feeding an infant using a bottle with 
artificial nipples, the contents of which can be any type of fluid; 
c) Breastfeeding - the method of feeding an infant directly from the 
human breast. 
d) Breastinilk - the human milk from a mother; 
E) BREASTMILK SUBSTITUTE - MEANS ANY FOOD BEING 
MARKETED OR OTHERWISE REPRESENTED AS PARTIAL OR TOTAL 
REPLACEMENT OF BREASTMILK WHETHER OR NOT SUITABLE FOR 
THAT PURPOSE; 
F) [e] Expressed Breastmilk - the human milk which has been 
extracted from the breast by hand or by pump. It can be fed to an infant 
using a dropper, a nasogatric tube, a cup and spoon, or a bottle. 
G) EXPRESSING MILK- THE ACT OF EXTRACTING HUMANMILK 
FROM THE BREAST BY HAND OR BY PUMP. 
H) EXECUTIVE ORDER NO. 51, OR THE “NATIONAL CODE OF 
MARKETING 
OF 
BREASTMILK 
SUBSTITUTES, 
BREASTMILK 
SUPPLEMENT AND OTHER RELATED PRODUCTS; 
I/ [tj‘ Formula Feeding - the feeding of a newborn with infant formula 
usually by bottlefeeding. It is also called artificial feeding. 
J) [g] Healfh Institutions - are hospitals, health infirmaries, health 
centers, lying-in centers, or puericulture centers with obstetrical and 
pediatric services. 


[h) Health Personnel - are professionals and workers who manage 
andlor administer the entire operations of health institutions and/or who 
are involved in providing maternal and child health services.] 
K) HEALTH WORKERS - SHALL REFER TO ALL PERSONS WHO 
ARE ENGAGED IN HEALTH AND HEALTH-RELATED WORK, AND ALL 
PERSONS EMPLOYED IN ALL HOSPITALS, SANITARIA, HEALTH 
INFIRMARIES, 
HEALTH 
CENTERS, 
RURAL 
HEALTH 
UNITS, 
RELATED 
ESTABLISHMENTS, 
WHETHER 
GOVERNMENT 
OR 
PRIVATE, AND 
SHALL INCLUDE MEDICAL, ALLIED 
HEALTH 
PROFESSIONAL, ADMINISTRATIVE AND SUPPORT PERSONNEL 
EMPLOYED REGARDLESS OF THEIR EMPLOYMENT STATUS; 
BARANGAY HEALTH STATIONS, CLINIC AND OTHER HEALTH- 
L) [q lnfanf - a child within zero (0) to twelve (12) months of age; 
Ad) /j] lnfant Formula - the breastmilk substitute formulated 
industrially in accordance with applicable Codex Alimentarius standards, 
to satisfy the normal nutritional requirements of infants up to six months of 
age, and adopted to their physiological characteristics; 
N) INTERAGENCY 
CownwiTr~E - SHALL REFER TO THE 
COMMITTEE CREATED UNDER EO NO. 51, AND COMPOSED OF THE 
SECRETARIES OF HEALTH, TRADE AND INDUSTRY, JUSTICE, AND 
SOCIAL WELFARE AND DEVELOPMENT; 
0) [k] Lactation Management - the general care of a mother-infant 
nursing couple during the mother's prenatal immediate postpartum and 
postnatal periods. It deals with educating and providing knowledge and 
information to pregnant and lactating mothers on the advantages of 
breastfeeding, 
THE 
RISKS 
ASSOCIATED 
WITH 
BREASTMILK 
SUBSTITUTES 
AND 
MILK 
PRODUCTS 
NOT 
SUITABLE 
AS 
BREASTMJLK SUBSTITUTES, SUCH AS BUT NOT LIMITED TO 
CONDENSED MILK AND EVAPORATED MILK, the physiology of 
lactation, the establishment and maintenance of lactation, the proper care 
of the breasts and nipples, and such other matters that would contribute to 
successful breastfeeding; 
P) LACTATION STATIONS - SHALL REFER TO PRIVATE, CLEAN 
AND WELL-VENTILATED ROOMS OR AREAS IN THE WORKPLACE 
OR 
PUBLIC 
PLACES 
WHERE 
NURSING 
MOTHERS 
CAN 
BREASTFEED OR EXPRESS THEIR MILK; 
0) [IJ Low Sirt4 Weight lnfanf - a newborn weighing less than two 
thousand five hundred (2,500) grams at birth; 
mother; 
R) [rn] Mother's Milk - the breastmilk from the newborn's own 
S) NON-HEALTH INSTITUTIONS - SHALL REFER TO PUBLIC 
PLACES AND 
WORKING 
PLACES, AS 
DEFINED 
IN 
SUB- 
PARAGRAPHS (T) AND (X), RESPECTIVELY; 
T) PUBLIC PLACE - SHALL REFER TO ENCLOSED OR 
CONFINED AREAS SUCH AS SCHOOLS, PUBLIC TRANSPORTATION 
TERMINALS, SHOPPING MALLS, AND THE LIKE; 


U) [n] Rooming-In - the practice of placing the newborn in the same 
room as the mother right after delivery up to discharge to facilitate mother- 
infant bonding and to initiate breastfeeding. The infant may either share 
the mother‘s bed or be placed in a crib beside the mother; 
V) [o] Seriously Ill Mothers - are those who are: with severe 
infections; in shock; in severe cardiac or respiratory distress; or dying; or 
those with other conditions that may be determined by the attending 
physician as serious; 
W) [p] Wet-nursing - the feeding of a newborn from another mother’s 
breast when hislher own mother cannot breastfeed; 
X) WORKPLACE - SHALL REFER TO THE WORK PREMISES 
WHERE 
NURSING 
FEMALE 
EMPLOYEES 
ARE 
HABITUALLY 
EMPLOYED, WHETHER PRIVATE ENTERPRISES OR GOVERNMENT 
AGENCIES, INCLUDING THEIR SUBDIVISIONS, INSTRUMENTALITIES 
AND GOVERNMENT-OWNED AND CONTROLLED CORPORATIONS; 
AND 
v) YOUNG CHILD - SHALL REFER TO A CHILD FROM THE AGE 
OF TWELVE (12) MONTHS AND ONE (1) DAY UP TO TWENTY-FOUR 
(24) MONTHS. 
SEC. 4. Section 4 of Republic Act No. 7600 is hereby amended to read as 
“SEC. 4. Applicability - WHENEVER APPLICABLE, the provisions 
in this Chapter shall apply TO BOTH private and government health AND 
NON-HEALTH institutions. 
follows: 
“UPON APPLICATION TO AND DETERMINATION BY THE 
SECRETARY OF THE DEPARTMENT OF LABOR AND EMPLOYMENT 
FOR THE PRIVATE SECTOR AND THE CHAIRPERSON OF THE CIVIL 
SERVICE COMMISSION FOR THE PUBLIC SECTOR, PRIVATE AND 
FOR A RENEWABLE PERIOD OF TWO YEARS FROM SECTION 11 OF 
THIS ACT WHERE THE ESTABLISHMENT OF LACTATION STATIONS 
IS NOT FEASIBLE OR NECESSARY DUE TO THE PECULIAR 
CIRCUMSTANCES OF THE WORKPLACE OR PUBLIC PLACE TAKING 
INTO 
CONSIDERATION, 
AMONG 
OTHERS, 
EMPLOYEE 
COMPOSITION, PHYSICAL SIZE OF THE ESTABLISHMENT, AND THE 
AVERAGE NUMBER OF PATRONS WHO VISIT.” 
SEC. 5. Section 10 of Republic Act No. 7600 is hereby amended to read as 
GOVERNMENT NON-HEALTH INSTITUTIONS MAYBE EXEMPTED 
follows: 
“SEC. IO. Provision of Facilities for Breastmilk Collection and 
Storage FOR HEALTH INSTITUTIONS. - The health institution adopting 
rooming-in and breastfeeding shall provide equipment, facilities, and 
supplies for breastmilk collection, storage and utilization, the standards of 
which shall be defined by the Department of Health.” HEALTH 
INSTITUTIONS ARE LIKEWISE ENCOURAGED TO SET UP MILK 
BANKS FOR STORAGE OF BREASTMILK DONATED BY MOTHERS 
AND WHICH HAVE UNDERGONE PASTEURIZATION. THE STORED 
BREASTMILK WILL PRIMARILY BE GIVEN TO CHILDREN IN THE 


NEONATAL INTENSIVE CARE UNIT WHOSE OWN MOTHERS 
CANNOT PRODUCE, OR DOES NOT HAVE ENOUGH, BREASTMILK. 
SEC. 6. A new Section 11 is added to read as follows: 
“SEC. 11. ESTABLISHMENT OF LACTATION STATIONS IN NON- 
HEALTH INSTITUTIONS. - IT IS HEREBY MANDATED THAT NON- 
HEALTH INSTITUTIONS SHALL ESTABLISH LACTATION STATIONS. 
THE LACTATION STATIONS SHOULD BE ADEQUATELY EQUIPPED 
WITH THE NECESSARY EQUIPMENT AND FACILITIES, SUCH AS: 
ACCESSIBLE 
LAVATORY 
NEARBY; 
REFRIGERATION 
OR 
APPROPRIATE COOLING FACILITIES FOR STORING; ELECTRICAL 
OUTLETS FOR BREAST PUMPS; A SMALL TABLE; COMFORTABLE 
SEATS; AND OTHER ITEMS, THE STANDARDS OF WHICH SHALL 
LIKEWISE BE DEFINED BY THE DEPARTMENT OF HEALTH.” 
SEC. 7. A new Section 12 is hereby added to read as follows: 
LAVATORY FOR HAND-WASHING, UNLESS THERE IS AN EASILY- 
“SEC. 12. LACTATION PERIODS. - IN COOPERATION WITH THE 
DEPARTMENT OF HEALTH AND SUBJECT TO SUCH REGULATIONS 
AS 
THE 
SECRETARY 
OF 
DEPARTMENT 
OF 
LABOR AND 
EMPLOYMENT MAY PRESCRIBE FOR THE PRIVATE SECTOR AND 
THE CHAIRPERSON OF THE CIVIL SERVICE COMMISSION FOR THE 
PUBLIC SECTOR, NURSING FEMALE EMPLOYEES SHOULD BE 
GIVEN REASONABLE COMPENSABLE TIME DURING WORKING 
HOURS TO BREASTFEED OR EXPRESS THEIR MILK.” 
SEC. 8. Section 11 of Republic Act No. 7600 is hereby amended to read as 
follows: 
“SEC. 13 [I I]. 
Continuing Education, Re-education and Training of 
Health WORKERS AND HEALTH INSTITUTIONS. - The Department of 
Health with the assistance of other government agencies, professional 
and non-governmental organizations shall conduct continuing information, 
education and training programs for physicians, nurses, midwives, 
nutritionistldietitians, community health workers and traditional birth 
attendants (TBAs) and other health WORKERS on current and updated 
Lactation Management. 
“Information materials shall be given to all 
health WORKERS involved in maternal and infant care in health 
institutions. 
“HEALTH WORKERS AND INSTITUTIONS, IN ACCORDANCE 
WITH EXECUTIVE ORDER NO. 51 OR THE “NATIONAL CODE OF 
MARKETING 
OF 
BREASTMILK 
SUBSTITUTES, 
BREASTMILK 
SUPPLEMENT AND OTHER RELATED PRODUCTS ARE MANDATED 
TO ENSURE THAT PREGNANT AND LACTATING MOTHERS ARE 
GIVEN PROPER INFORMATION ON LACTATION MANAGEMENT. 
HEALTH WORKERS SHALL, IN TURN, PRIMARILY RECOMMEND 
BREASTFEEDING AND 
SUPPORT A MOTHERS EFFORT TO 
BREASTFEED HER INFANT AND YOUNG CHILD. HEALTH WORKERS 
CAN ONLY RECOMMEND BREASTMILK SUBSTITUTES TO AN 
INFANT 
OR 
YOUNG 
CHILD 
WHERE 
AFTER 
ADEQUATE 
EXPLANATION AND INFORMATION ON BREASTFEEDING AND 
BREASTMILK SUBSTITUTE HAVE BEEN GIVEN, THE MOTHER STILL 
OPTS TO GIVE HER NEWBORN BREASTMILK SUBSTITUTE.” 


SEC. 9. Section 12 of Republic Act No. 7600 is hereby amended to read as 
follows: 
“SEC.14 [12]. Information Dissemination AND EDUCATIONAL 
PROGRAMS to Pregnant Women AND WOMEN OF REPRODUCTIVE 
AGE. - During the prenatal, perinatal and postnatal consultations and/or 
confinements of the mothers or pregnant women, it shall be the obligation 
of the health institution and the health WORKER to immediately and 
continuously teach, train, and support the women on current and updated 
Lactation Management and infant care, through participatory strategies 
such as organization of mothers’ clubs and breastfeeding support groups 
and to distribute written information on such matters free of charge. 
“THE DEPARTMENT OF HEALTH IS HEREBY MANDATED TO 
DEVELOP AND PROVIDE BREASTFEEDING PROGRAMS FOR 
WORKING MOTHERS WHOSE EMPLOYERS ARE ENCOURAGED TO 
AVAIL OF IT AS PART OF THEIR HUMAN RESOURCE DEVELOPMENT 
PROGRAMS. 
“TO EQUIP WOMEN OF REPRODUCTIVE AGE WITH ACCURATE 
INFORMATION 
ON 
MATERNAL 
NUTRITION 
AND 
PROPER 
NOURISHMENT 
IN 
PREPARATION 
FOR 
SUCCESSFUL AND 
SUSTAINABLE BREASTFEEDING, THE DEPARTMENT OF HEALTH IS 
LIKEWISE MANDATED TO PRODUCE AND MAKE AVAILABLE 
RELEVANT INFORMATION AND PROGRAMS WHICH SHOULD BE 
DISSEMINATED TO ALL CITY, MUNICIPAL AND BARANGAY HEALTH 
CENTERS. 
“EMPLOYERS ARE ALSO HIGHLY ENCOURAGED ro DEVELOP 
BREASTFEEDING OR LACTATION SUPPORT PROGRAMS WHOSE 
MAIN FUNCTIONS ARE TO ASSESS THE NEEDS OF LACTATING 
WOMEN IN THEIR COMPANY AND 
PROVIDE PREGNANT AND 
LACTATING 
EMPLOYEES 
WITH 
ADEQUATE 
INFORMATION 
REGARDING LACTATION MANAGEMENT IN THE 
FORM OF 
BROCHURES, 
PAMPHLETS 
AND 
OTHER 
EDUCATIONAL 
MATERIALS.” 
SEC. I O .  A new Section 15 is hereby added to read as follows: 
“SEC. 15. INTEGRATION OF BREASTFEEDING EDUCATION IN 
BREASTFEEDING, 
THE 
DEPARTMENT OF 
EDUCATION, THE 
COMMISION ON HIGHER EDUCATION, AND THE TECHNICAL 
EDUCATION AND SKILLS DEVELOPMENT AUTHORITY SHALL 
INTEGRATE IN THE RELEVANT SUBJECTS IN THE ELEMENTARY, 
HIGH SCHOOL, AND COLLEGE LEVELS, ESPECIALLY IN THE 
MEDICAL AND ALLIED MEDICAL COURSES, AND IN TECHNICAL 
VOCATIONAL EDUCATION, THE IMPORTANCE AND BENEFITS OF 
BREASTFEEDING.” 
SEC. 11. A new Section 16 is hereby added to read as follows: 
THE 
CURRICULA. - 
TO 
ENCOURAGE 
AND 
PROMOTE 
“SEC. 
16. 
DESlGNATION 
AS 
“MOTHER 
FRIENDLY” 
WITH SECTION 11 OF THIS ACT MAY USE THE DESIGNATION 
“MOTHER FRIENDLY” IN ITS PROMOTIONAL MATERIALS. THE 
ESTABLISHMENT. - A NON-HEALTH INSTITUTION THAT COMPLIES 


ESTABLISHMENT SHALL SUBMIT PROOF OF COMPLIANCE TO THE 
DEPARTMENT OF HEALTH, WHICH MAY ISSUE A CERTIFICATION 
THAT SUCH ESTABLISHMENT HAS COMPLIED WITH ALL THE 
REQUIREMENTS. 
“THE DEPARTMENT OF HEALTH SHALL MAINTAIN A LIST OF 
‘MOTHER FRIENDLY ESTABLISHMENTS AND MAKE THE LIST 
AVAILABLE FOR PUBLIC INSPECTION.” 
SEC. 12. A new Section 19 is hereby added to read as follows: 
“SEC.19. BREASTFEEDlNG AWAREIVESS MONTH. - TO RAISE 
AWARENESS ON THE IMPORTANCE OF AND TO FURTHER 
PROMOTE BREASTFEEDING, THE MONTH OF AUGUST IN EACH 
AND EVERY YEAR THROUGHOUT THE PHILIPPINES SHALL BE 
KNOWN AS ‘BREASTFEEDING AWARENESS MONTH.”’ 
SEC. 13. A new Section 20 is hereby added to read as follows: 
“SEC. 20. PUBLIC EDUCATION AND AWARENESS PROGRAM. - 
TO ENSURE THE MEANINGFUL OBSERVANCE OF BREASTFEEDING 
MONTH AS HEREIN DECLARED, A COMPREHENSIVE PUBLIC 
EDUCATION AND AWARENESS PROGRAM SHALL BE UNDERTAKEN 
TO ESTABLISH A NATIONAL HEALTH POLICY FOR BREASTFEEDING 
THAT SHALL PROVIDE INFORMATION ON THE BENEFITS AND 
SUPERIORITY OF BREASTFEEDING AS THE NORMAL, NATURAL 
AND PREFERRED METHOD OF FEEDING INFANTS AND YOUNG 
CHILDREN COMPARED TO THE HIGH RISKS AND COSTS OF GIVING 
BREASTMILK SUBSTITUTES WHETHER TO AN INFANT OR YOUNG 
CHILD, AND CONDUCT AND SUPPORT VARIOUS ACTIVITIES TO 
PROMOTE BREASTFEEDING.” 
SEC. 14. Section 13 of Republic Act No. 7600 is hereby amended to read as 
“SEC. 21 [13]. Incentives. - The expenses incurred by a private 
health institution in complying with the provisions of this Act, shall be 
deductible expenses for income tax purposes up to twice the actual 
amount incurred: Provided, That the deduction shall apply for the taxable 
period when the expenses were incurred: Provided, further, That the 
hospital shall comply with the provisions of this Act within six months after 
its approval. 
“Government health institutions shall receive an additional 
appropriation equivalent to the savings they may derive as a result of 
adopting rooming-in and breastfeeding. The additional appropriation shall 
be included in their budget for the next fiscal year.” 
SEC. 15. A new Section 22 shall be added to read as follows: 
follows: 
“SEC. 22. OVERSlGHT PROVISION. - THE INTER-AGENCY 
COMMITTEE (IAC) IS MANDATED TO MONITOR AND ENSURE 
STRICT IMPLEMENTATION OF THIS ACT AND ITS RULES AND 
REGULATIONS.” 
SEC. 16. Section 14 of the same Act is hereby amended to read as follows: 


"SEC. 23 [14]. Sanctions. - ANYONE WHO UNJUSTIFIABLY 
REFUSES OR FAILS TO COMPLY WITH THIS LAW AND ITS RULES 
AND REGULATIONS SHALL BE IMPOSED A FINE OF NOT LESS THAN 
FIFTY THOUSAND PESOS (PHP 50,000.00) BUT NOT MORE THAN 
TWO HUNDRED THOUSAND PESOS (PHP 200,000.00) ON THE FIRST 
0 F F E N S E. 
"ON THE SECOND OFFENSE, A FINE OF NOT LESS THAN TWO 
HUNDRED THOUSAND PESOS (PHP 200,000.00) BUT NOT MORE 
THAN FIVE HUNDRED THOUSAND PESOS (PHP 500,000.00). 
"ON THE THIRD OFFENSE, A FINE OF NOT LESS THAN FIVE 
HUNDRED THOUSAND PESOS (PHP 500,000.00) BUT NOT MORE 
THAN ONE MILLION PESOS (PHP 1,000,000.00): PROVIDED, THAT 
BUSINESS PERMITS OR LICENSES TO OPERATE SHALL BE 
CANCELED OR REVOKED. 
FOR PRIVATE HEALTH OR NON-HEALTH INSTITUTIONS, THE 
"IN ALL CASES, THE FINE IMPOSED SHOULD TAKE INTO 
CONSIDERATION, AMONG OTHERS, EMPLOYEE COMPOSITION, 
PHYSICAL SIZE OF THE ESTABLISHMENT AND THE AVERAGE 
NUMBER OF PATRONS WHO VISIT. 
"IN ADDITION, the Secretary of Health is hereby empowered to 
impose sanctions ON HEALTH INSTITUTIONS for the violation of this Act 
and the rules issued thereunder. Such sanctions may be in the form of 
reprimand or censure in case of willful and repeated violations, 
suspension of the permit to operate of the erring health institutions." 
SEC. 17. Section 15 of Republic Act No. 7600 is amended to read as follows: 
"SEC. 24 [15]. Rules and Regulations. - The DEPARTMENT OF 
HEALTH, AS LEAD AGENCY, in consultation with THE CIVIL SERVICE 
COMMISSION, DEPARTMENT OF LABOR AND EMPLOYMENT, 
DEPARTMENT 
OF 
EDUCATION, 
COMMISSION 
ON 
HIGHER 
EDUCATION, TECHNICAL EDUCATION AND SKILLS DEVELOPMENT 
AUTHORITY, 
DEPARTMENT 
OF 
INTERIOR 
AND 
LOCAL 
GOVERNMENT AND professional and non-governmental organizations 
concerned shall be authorized to prepare the rules and regulations 
necessary to carry out the provisions of this Act." 
SEC. 18. Separability Clause. - If any part or provision of this Act shall be held 
unconstitutional or invalid, other provisions thereof which are not affected thereby shall 
continue to be in full force and effect. 
SEC. 19. Repealing Clause. - All laws, presidential decrees, executive orders, 
rules and regulations or parts thereof which are not consistent with this Act are herby 
repealed, amended or modified accordingly. 
SEC. 20. Effectivity Clause. - This Act shall take effect fifteen (15) days after its 
publication in the Official Gazette or in at least two (2) newspapers of general 
circulation, whichever comes earlier. 
Approved,