FOURTEENTH CONGRESS OF THE 
) 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
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Introduced by Senator Antonio “Sonny” F. Trillanes IV 
EXPLANATORY NOTE 
Government hospitals while receiving subsidy from the National Government, cannot utilize 
their income for their maintenance and other operating expenses. Similar to other income 
generating agencies of the government, these hospitals are required by law to remit their income 
back to the national treasury. 
This practice of disallowing government hospitals from spending their income for MOOE limits 
the hospital’s capability to expand and improve. It is precisely the primary reason that 
government hospitals fail to deliver quality and efficient basic health services for the people. 
In view of this counter productive system, this representation is filing this proposed measure to 
give more meaning to the autonomy of government hospitals in the area of physical and 
operational development. This can be achieved by granting them the authority to utilize their 
income for their maintenance and other operating expenses. 
Approval of this bill, therefore, is earnestly sought. 
AN+ON\O YSONNYF; F. TRILLANES IV 
Senator 
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FOURTEENTH CONGRESS OF THE ) 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
) 
SENATE 
S. NO. 193 
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Introduced by Senator Antonio “Sonny” F. Trillanes IV 
AN ACT 
AUTHORIZING GOVERNMENT HOSPITALS UNDER THE DEPARTMENT OF 
HEALTH (DOH) TO RETAIN AND UTILIZE ALL THEIR INCOME AND INTEREST 
DERIVED FROM DEPOSITS, FOR MAINTENANCE AND OTHER OPERATING 
EXPENSES, CAPITAL OUTLAYS AND FOR OTHER PURPOSES 
Be it enacted by the Senate and House of Representatives of the Philippines in Congress 
Assembled: 
SECTION 1. Utilization of Hospital Income - All govermnent hospitals under the 
Department of Health (DOH) are hereby authorized to retain and utilize one hundred percent 
(100%) of their income, which include hospital fees from in-house services and facilities, income 
derived 
from 
nonpatient-related 
services 
such 
as 
rental 
fees, 
parking 
fees, 
affiliation/medical/professional fees, interview and tour fees, and income derived from interest 
on account deposits, without necessarily remitting the same to the Bureau of Treasury. 
SEC. 2. Trust Fund - A trust fund constituting the income collected shall be established 
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for the maintenance and other operating expenses, capital outlays for the purpose of equipment 
and infrastructure projects including construction, improvement andor renovation of hospital 
facility and for other purposes recommended by the Board of the said hospital: Provided, That 
pharmacy income or proceeds from the sale of drugs and medicines and laboratory income shall 
be considered as a revolving fund and shall be specifically utilized by the hospital pharmacy and 
laboratory for purposes as may be determined by the DOH: Provided, further, That no amount 
of the said income shall be used for payment of salaries and other allowances of employees. 
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The trust fund shall be deposited in an authorized government depository ba&s 
recommended by the DOH, the Department of Finance @OF) and the Department of Budget and 
Management (DBM). 
SEC. 3. Hospital Board - There shall be established a board in each national hospital 
retained under the DOH with the chief or head of the hospital concerned as chairman and the 
following as members: 
(1) A senator; 
(2) A congressman of the congressional district where the hospital is located; 
(3) A representative of the Philippine Hospital Association (PHA); 
(4) A representative of the Philippine Medical Association @MA); 
(5) A representative of nongovernment organizations (NOS) 
involved in health 
services; 
(6) A representative of the religious sector; 
(7) A representative of the private sector; and 
(8) A representative of the rank and file employees. 
The Chairman of the Senate Committee on Health shall choose from among the senators 
who shall represent the Senate as a member of each of the retained national hospital health 
board. 
The representatives from the PHA, the PMA and NGOs involved in health services, 
religious sector and private sector in the hospital health boards shall be appointed by the 
chairman of the respective health hoards. The representative of the rank and file employees shall 
be voted upon by the entire members of the rank and file. 
The hospital health board shall monitor the collection and determine the utilization of the 
hospital income, and perform such other fnnctions as may be deemed necessary for the effective 
management of the said income. 
The Board shall meet at least once a week or as often as may he necessary. 
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A majority of the members of the board shall be present during meetings when income 
utilization proposals are prepared and considered. 
Members thereof who are not government officials or employees shall be entitled to 
necessary traveling expenses and allowances chargeable against the funds. 
SEC. 4. Audit and Reports - Expenditures under this Act shall be subject to existing 
auditing rules and regulations. In addition, the retained hospitals shall submit quarterly reports 
of income and utilization thereof to the DBM and the Committee on Health of both Houses of 
Congress. 
SEC. 5. Implementing Rules and ReguZations - The DOH, in coordination with the DOF, 
the DBM and the Commission on Audit (COA), shall formulate the necessary rules and 
regulations for the effective implementation of this Act within sixty (60) days from its approval. 
SEC. 6. Separability Clause - If any provision of this Act is held invalid by a competent 
court, any other provision not affected thereby shall continue to be valid and effective. 
SEC. 7. Repealing Clause - Any laws, presidential decree, executive orders and letters of 
instruction which are inconsistent with any of the provisions of this Act are hereby repealed or 
amended accordingly. 
SEC. 8. Effectivity - This Act shall take effect fifteen (15) days after its publication in 
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any newspaper of general circulation 
Approved, 
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