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THIRTEENTH CONGRESS OF THE REPUBLIC ) 
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OF THE PHILIPPINES 
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First Regular Session 
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SENATEIl .-R 
S.B. 
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Introduced by Senator Miriam Defensor Santiago 
EXPLANATORY NOTE 
Breast cancer is one of the most common forms of cancer among women. Medical 
reports show that three-quarters of all breast cancers occur in women over age fifty (50). 
Though rare, men can also develop breast cancer. The best protection against breast 
cancer is to detect it at its earliest stage. Hence, regular mammographs starting from the 
age of forty (40) is necessary for early detection and prompt treatment. 
Unlike in the United States, there is no law in the Philippines providing for 
uniform quality standards for mammography. 
The key features of the bill are: (1) certification by the Secretary of Health or a 
government officer or employee duly authorized by the Secretary of Health that the 
mammography facility provides quality mammography services; (2) accreditation by a 
government-approved non-profit or government accreditation body; (3) application of the 
facility to an accreditation body approved by the Secretary of Health, periodic review of 
its clinical images, annual survey by a medical physicist and compliance with 
government-developed quality standards of personnel qualifications, quality assurance 
programs, record-keeping and reporting; and (4) annual inspection conducted by trained 
and certified government personnel. 


THIRTEENTH CONGRESS OF THE REPUBLIC ) 
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OF THE PHILIPPINES 
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First Regular Session 
1 
S E N A T E  
S.B. 
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Introduced by Senator Miriam Defensor Santiago 
AN ACT 
ESTABLISHING QUALITY STANDARDS IN MAMMOGRAPHY 
Be it enacted by the Senate and House ofRepresentatives ofthe Philippines in 
Congress assembled: 
SECTION 1, Definitions. - For the purposes of this Act: 
(1) “Accreditation Body” means a body that has been approved by the Secretary 
of Health under Section (5) (1) (A) of this Act to accredit mammography facilities. 
(2) “Certificate” means the certificate described in Section (2) (1) 
(3) “Facility” means a hospital, outpatient department, clinic, radiology practice 
or mobile unit, an office of a physician, or other facility as determined by the Secretary of 
Health, that conducts breast cancer screening or diagnosis through mammography 
activities. 
(4) “Activities of a Facility” include the operation of equipment to produce the 
mammogram, the processing o f t he film, the initial interpretation o f t he mammogram, 
and the viewing conditions for that interpretation. Where procedures such as the film 
processing, or the interpretation of the mammogram are performed in a location different 
fiom where the mammogram is performed, the facility performing the mammogram shall 
be responsible for meeting the quality standard described in subsection (6) of this section. 
(5) “Inspection” means an on-site evaluation o f t  he facility by the S ecretary o f 
Health, or official duly authorized by the Secretary of Health. 
(6) “Survey” means an on-site physical consultation and evaluation performed by 
medical physicist as described in Section 6 of this Act. 


SECTION 2. Certificate Requirements. - 
(1) Certificate - No facility may conduct an examination or procedure described 
in subsection 2 of this section involving mammography after the passage of this Act, 
unless the facility obtains - 
(A) a certificate - (i) that i s i ssued , and i f  applicable, renewed, by the 
Secretary in accordance with Section (3) (1) of this Act; (ii) that is applicable to 
the examination or procedure to be conducted; and (iii) that is displayed 
prominently in such facility; or 
(B) a provisional certificate - (i) that is issued by the Secretay in 
accordance with Section (3) (2) of this Act; (ii) that is applicable to the 
examination or procedure to be conducted; (iii) that is displayed prominently in 
such facility. 
The reference to a certificate in this section includes a provisional certificate. 
(2) Examination or Procedure - A facility shall obtain a certificate in order to - 
(A) operate radiological equipment that is used to image the breast; 
(B) provide for the interpretation of a mammogram produced by such 
equipment at the facility or under arrangements with a qualified individual at a 
facility different from where the mammography examination is performed; and 
(C) provide for the processing of film produced by such equipment at the 
facility or under arrangements with a qualified individual at a facility different 
from where the mammography examination is performed. 
SECTION 3. Issuance and Renewal of Certzjkates. - 
(1) In general - The Secretary may issue or renew a certificate for a facility if the 
person or agent described in Section (4) (1) (A) of this Act meets the applicable 
requirements of Section (4) (1) of this Act with respect to the facility. The Secretary of 


Health may issue or renew a certificate under this paragraph for not more than three (3) 
years. 
(2) Provisional Certificate - The Secretary may issue a provisional certificate for 
an entity to enable the entity to qualify as a facility. The applicant for a provisional 
certificate shall meet the requirements of S ection (4) ( 1) of this Act, except providing 
information required by clause (iii) and (iv) of Section (4)(1)(A). A provisional certificate 
may be in effect no longer than six (6) months form the date it was issued, except that it 
may be extended once for a period of not more than ninety (90) days if the owner, lessor, 
or agent of the facility demonstrates to the Secretary of Health, that without such 
extension, access to mammography in the geographic area served by the facility would be 
significantly reduced and if the owner, lessor or agent of the facility will describe in a 
report to the Secretary steps that will be taken to qualify the facility for certification 
under Section (2)(1) of this Act. 
SECTION 4. Application for Certificate. - 
(1) Submission 
The Secretary may issue or renew a certificate for a facility if - 
(A) the person who owns or leases the facility or an unauthorized agent of 
the person, submits to the Secretary, in such form and manner as the Secretary of 
Health shall prescribe, an application that contains at a minimum - (i) a 
description of the manufacturer, model, and type of each x-ray machine, image 
receptor, and processor operated in the performance of mammography by the 
facility; (ii) a description of the procedures currently used to provide 
mammography at the facility, including - (a) the types of procedures performed 
and the number of such procedures performed in the prior twelve (12) months; (b) 
the methodologies for mammography; and (c) the names and qualifications 
(educational background, training, and experience) of the personnel performing 


mammography and the physicians reading and interpreting the results from the 
qualified medical physicist as described in Section (6)(1)(E) of this Act and (iv) 
proof of accreditation in such manner as the Secretary of Health may prescribe; 
(B) the person or agent submits to the Secretary of Health - 
(i) a satisfactory assurance that the facility will be operated in 
accordance with standards established by the Secretary of Health under 
Section 6 of this Act to assure the safety and accuracy of mammography; 
(ii) a satisfactory assurance that the facility will - (I) permit 
inspections under Section 7 of this Act; (E) make such reports, to the 
Secretary of Health as he she may require; and (III) update the information 
submitted under subparagraph A o f this section or assurances submitted 
under this subparagraph on a timely basis as required by the Secretary of 
Health; and 
(iii) such other information as the Secretary of Health may require. 
An applicant shall not be required to provide in an application 
under paragraph A any information which the applicant has supplied to the 
accreditation body which accredited the applicant, except as required by 
the Secretary of Health. 
(2) Appeal - If the Secretary of Health denies an application for the certification 
of a facility submitted under subsection (1)(A) of this section, the Secretary shall provide 
the owner or lessor of the facility or the agent of the owner or lessor who submitted such 
application - 
(A) a statement of the grounds on which the denial is based, and 
(B) an opportunity for an appeal in accordance with the procedures set 
forth in regulations of the Secretary of Health. 


(3) Effect of Denial - 
If the application for certification of a facility is denied, the facility may not 
operate unless the denial of the application is overturned at the conclusion of the 
administrative appeals process provided in the regulations referred to in subsection (2)(B) 
of this section. 
SECTION 5. Accreditation. - 
(I) Approval of Accreditation Bodies 
(A) In general - The Secretary of Health may approve a private non-profit 
organization or government health agency to accredit facilities for purposes of 
Section (4)(1)(A)(iv) of this Act if the accreditation body meets the standards for 
accreditation established by the Secretary of Health as described in paragraph (E) 
and provides the assurances required by paragraph (C). 
(B) Standards - The Secretary shall establish standards for accreditation bodies, 
including - 
(i) standards that require an accreditation body to perform (a) a review of 
clinical images from each facility accredited by such body of not less than every 
three (3) years which review will be made by qualified practicing physicians; and 
(b) a review of a random sample of clinical images from such €acilities in each 
three-year period from the date this Act is passed, which review will be made by 
qualified practicing physicians; 
(ii) standards that prohibit individuals conducting reviews described in 
clause (a) from maintaining any financial relationship to the facility undergoing 
review which would constitute a conflict of interest; 
(iii) standards that limit the imposition of fees for accreditation to 
reasonable amounts: 


(iv) standards that require as a condition of accreditation that each facility 
undergo a survey at least annually by a medical physicist as described in this Act 
to ensure that the facilitymeets the standards described in Section (6)(I)(E) of 
this Act; 
(v) standards that require monitoring and evaluation of such survey, as 
prescribed by the Secretary of Health; 
(vi) standards that are equal to standards established under Section 6 of 
this Act which are so relevant to accreditation as determined by the Secretary of 
Health; and accreditation as determined by the Secretary of Health; and 
(vii) such additional standards as the Secretary may require. 
(C) Assurances 
The accrediting body shall provide the Secretary of Health satisfactory 
assurances that the body will - (i) comply with the standards as described in 
paragraph (B) of this section; (ii) comply with the requirements described in 
subsection (4) o f  this section; (iii) submit to the Secretary of Health the name of 
any facility for which the accreditation body denies, suspends, or revokes 
accreditation; (iv) notify the S ecretary of H ealth in a timely manner before the 
accreditation body changes the standards of the body; (v) notify each facility 
accredited by the accreditation body if the Secretary of Health withdraws 
approval of the accreditation body under subsection 2 o€ this section in a timely 
manner; and (vi) provide such other additional information as the Secretary of 
Health may require. 
(D) Regulations - Not later than nine (9) months after the passage of this 
Act, the Secretary of Health shall promulgate regulations under which the 
Secretary of Health may approve an accreditation body. 
(2) Withdrawal of Approval 


(A) In general - The Secretary of Health shall promulgate regulations 
under which the Secretary of Health may withdraw approval of an accreditation 
body if the Secretary of Health determines that the accreditation body does not 
meet the standards under subsection (B) the requirements of subparagraphs (i) 
through (vi) of subsection (C) of subsection (l), or the requirements of subsection 
(I), or the requirements of subsection 4 of this section. 
(B) Effect of Withdrawal - If the Secretary of Health withdraws the 
approval o f  an accreditation body under paragraph (A) of this section, the 
certificate of any facility accredited by the body shall continue in effect until the 
expiration of a reasonable period, as determined by the Secretary of Health, for 
such facility to obtain another accreditation. 
(3) Accreditation - To be accredited by an approved accreditation body, a facility 
shall meet - 
(A) the standards described in subsection (l)(B) of this section which the 
Secretary determines are applicable to the facility; and 
(B) such other standards which the accreditation body may require. 
(4) C ompliance - T o  ensure that facilities accredited by an accreditation body 
will continue to meet the standards of the accreditation body, the accreditation body 
shall- 
(A) make on-site visits on an annual basis of a sufficient number of the 
facilities accredited by the body to allow a reasonable estimate of the performance 
of the body; and 
(B) take such additional measures as the Secretary of Health determines to 
be appropriate. 
Visits made under shall be made after providing such notice as the 
Secretary of Health may require. 


(5) Revocation of Accreditation - If an accreditation body revokes the 
accreditation of a facility, the certificate of the facility shall continue in effect until such 
time as may be determined by the Secretary of Health. 
(6) Evaluation and Report - 
(A) Evaluation - The Secretary of Health shall evaluate annually the 
performance of each approved accreditation body by - (i) inspecting under 
Section (7)(2) o f  this Act a sufficient number of the facilities accredited by the 
body to allow a reasonable estimate of the performance of the body; and (ii) such 
additional means as the Secretsuy of Health determines to he appropriate. 
(B) Report - The Secretary of Health shall annually prepare and submit to 
the Committee on Labor, Employment, and Human Resources Development and 
the Committee on Trade and Commerce a report that describes the results of the 
evaluation conducted in accordance with paragraph (A). 
SECTION 6. Quality Standards. - 
(1) In general - The standards referred to in Section (4)(1)(B)(i) of this Act are 
standards established by the Secretary o f  Health which include - 
(A) standards that require establishment and maintenance of a quality 
assurance and quality control program at each facility that is adequate and 
appropriate to ensure the reliability, clarity, and accuracy of interpretation of 
mammograms and standards for appropriate radiation dose; 
(B) standards that require use of radiological equipment specifically 
designed for mammography, including radiologic standards and standards for 
other equipment and materials used in conjunction with such equipment; 
(C) a requirement that personnel who perform mammography - (i) (a) be 
licensed by a State to perform radiological procedures; or (b) be certified as 
qualified to perform radiological procedures by an organization described in 


subsection (2)(A) of this section; and (ii) during the two-year period from the time 
this Act is passed, meet training standards for personnel who perform 
mammography or meet experience requirements which shall meet at a minimum 
include one (1) year of experience in the performance of mammography; and (iii) 
npon the expiration of such two-year period meet minimum training standards for 
personnel who perform mammograms; 
(D) a requirement that mammograms be interpreted by a physician who is 
certified 
as 
qualified to 
interpret 
radiological procedures, including 
mammography - (i) by a board described in subsection (2)(B); or (ii) by a 
program that complies with the standards described in subsection (2)(C) of this 
section; and (iii) who meets training and continuing medical education 
requirements as established by the Secretary of Health; 
(E) a requirement that individuals who survey mammography facilities be 
medical physicists - (i) licensed or approved by a State to perform such surveys, 
reviews, or inspections for mammography facilities; (ii) certified in diagnostic 
radiological physics or certified to perform such surveys by a board as described 
in subsection (2)(D) of this section; or (iii) in the first five ( 5 )  years after this Act 
is passed, who meet other criteria established by the Secretary of Health which are 
comparable to the criteria described in subparagraph (i) or (ii). 
(F) a requirement that a medical physicist who is qualified in 
mammography as described in paragraph (E) of this section survey 
mammography equipment and oversee quality assurance practices at each facility. 
(G) a requirement that - (i) a facility that performs any mammogram 
maintain the mammogram in the permanent medical records of the patient - (a) 
for a period of not less than five (5) years, or nof less than ten (10) years if no 
additional mammograms of such patient are performed at the facility, or longer if 
mandated by law; or (b) until such time as the patient should request that the 


patient’s medical records be forwarded to a medical institution or a physician of 
the patient; whichever is longer; and 
(ii)(a) a facility must assure the preparation of a written report of the 
results of any mammography examination signed by the interpreting physician; 
(b) such written report shall be provided to the patient’s physicians (if any); (c) if 
such a physician is not available or if there is no physician, the written report is 
sent to the patient, the report shall include a summary written in terms easily 
understood by a lay person; and 
(H) standards relating to special techniques for mammography of patients 
with breast implants. 
Subparagraph (G) shall not be construed to limit a patient’s medical records. 
(2) Certification of personnel - The Secretary shall by regulation - 
(A) specify organizations eligible to certify individuals to perform 
radiological procedures as required by subsection (1) (C); 
(B) specify boards eligible to certify physicians to interpret radiological 
procedures, including mammography as required by subsection (1) (D); and 
(C) establish standards for a program to certify medical physicists who are 
qualified to survey mammography equipment and to oversee quality assurance 
practices at mammography facilities. 
SECTION 7. Inspeclions. - 
(1) Annual inspections - 
(A) In general - The Secretary of Health may enter and inspect certified 
facilities to determine compliance with the standards established under Section 6 
of this Act. The Secretary of Health shall, if feasible, delegate to a local agency 
the authority to make such inspections. 


(B) Identification - The Secretary of Health or Government agency acting 
on behalf of the Secretary of Health, may conduct inspections only on presenting 
identification to the owner, operator, or agent in charge of the facility to be 
inspected. 
(C) Scope of Inspection - in conducting inspections, the Secretary of 
Health or local agency acting on behalf of the Secretary of Health - (i) shall have 
access to all equipment, materials, records, and information that the Secretary of 
Health or local agency considers necessary to determine whether the facility is 
being operated in accordance with this Act; and (ii) may copy, or require the 
facility to submit to the Secretary of Health or the government agency, any of the 
materials, records, or information. 
(D) Qualifications of inspectors - Qualified individuals, as determined by 
the Secretary of Health, may request that a local agency acting on behalf of the 
Secretary of Health designate a qualified officer or employee of the Department 
of Health to conduct the inspections, or designate a qualified officer or employee 
of the Department of Health in Manila to conduct inspections. The Secretary of 
Health shall establish minimum qualifications and appropriate training for 
inspectors and criteria for certification of inspectors in order to inspect facilities 
for compliance with Section 6 of this Act. 
(E) Frequency - the Secretary of Health or local agency acting on behalf 
of the Secretary of Health shall conduct inspections under this paragraph of each 
facility no less often than annually. 
(F) Records and annual reports - the Secretary of Health or local agency 
acting on behalf of the Secretary of Health which is responsible for inspecting 
mammography facilities shall maintain records of annual inspections required 
under this subsection for a period as prescribed by the Secretary of Health. Such a 
local agency shall annually prepare and submit to the Secretary of Health a report 


concerning the inspections carried out under this subsection. Such reports shall 
include a description of the facilities inspected and the results of such inspections. 
(2) Inspection of accredited facilities - The Secretary of Health shall inspect 
annually a sufficient number of the facilities accredited by an accreditation body to 
provide the Secretary with the reasonable estimate of the performance of such body. 
(3) Inspection of facilities inspected by local government agencies - The 
Secretary of Health shall inspect annually facilities inspected by local government 
agencies acting on behalf of the Secretary of Health to assure a reasonable performance 
by such local agencies. 
(4) Timing - The Secretary of Health, or local government agency, may conduct 
inspections under subsections (l), (2), or (3), during regular business hours or at a 
mutually agreeable time and after providing such notice as the Secretary of Health may 
prescribe, except that the Secretary of Health may waive such requirements if the 
continued performance of mammography at such facility threatens the public health. 
(5) Limited re-inspection - Nothing in this section limits the authority of the 
Secretary of Health to conduct limited re-inspections of facilities found not to be in 
compliance with is section. 
SECTION 8. Sanctions. - 
(1) In general - In order to promote voluntary compliance with this Act, the 
Secretary of Health may, in compliance of taking the actions authorized by Section 9 of 
this Act, impose one or more of the following sanctions. 
(A) Directed plans of correction, which afford a facility an opportunity to 
correct violations in a timely manner. 
(B) Payment for the cost of onsite monitoring. 
(2) The Secretary of Health may assess civil money penalties in an amount not to 
exceed Ten Thousand Pesos (P10,OOO.OO) for - 


(A) failure to obtain a certificate as required by Section 2 of this Act; 
(B) each failure by a facility to substantially comply with, or each day on 
which a facility fails to substantially comply with, the standards established under 
Section 6 or the requirements described in clauses (a) through (c) of Section 
4(1)(B)(ii) of this Act; and 
(C) each violation, or for each aiding and abetting in a violation of, any 
provision of, or regulation promulgated under, this section by an owner, operator, 
or any employee of a facility required to have a certificate. 
(3) Procedures - The Secretaty of Health shall develop and implement procedures 
with respect to when and how each of the sanctions is to be imposed under subsections 
(1) and (2) of this section. Such procedures shall provide for notice to the owner or 
operator of the facility and a reasonable opportunity for the owner or operator to respond 
to the appropriate sanctions and appropriate procedures for appealing determinations 
relating to the imposition of sanctions. 
SECTION 9. Suspension and Revocation. - 
(1) In general - The certificate of a facility issued under Section 3 of this Act may 
be suspended or revoked if the Secretary of Health finds, after providing, except as 
provided in subsection 2, reasonable notice and an opportunity for a hearing to the owner 
or operator of this facility, that the owner, operator, or any employee of the facility - 
(A) has been guilty of misrepresentation in obtaining the certificate; 
(B) has failed to comply with the requirements of Section 4(1)(B)(ii)(c) of 
this Act or the standards established by the Secretary of Health under Section 6 of 
this Act. 
(C) has failed to comply with reasonable requests of the Secretary of 
Health for any record, information, report, or material that the Secretary of Health 
for any record, information, report, or material that the Secretary of Health 


concludes is necessary to determine the continued eligibility of the facility for a 
certificate or continued compliance with the standards established under Section 
6. 
(D) has refused a reasonable request of the Secretary of Health or any 
government officer or employee duly designated by the Secretary of Health, for 
permission to inspect the facility of the operations and pertinent records in 
accordance with Section 7 of this Act; 
(E) has violated or aided and abetted in the violation of any provision of, 
or regulation promulgated under this Act, o r regulation promulgated under this 
Act; or 
(F) has failed to comply with a sanction imposed under Section 8 of this 
Act. 
(2) Action before a hearing - 
(A) In general - The Secretary of Health may suspend the certificate of the 
facility before holding a hearing required by subsection (1) if the Secretary makes 
the finding described in subsection (1) and determines that - (i) the failure of a 
facility to comply with the standards established by the Secretary of Health under 
subsection (1) of this Act presents a serious risk to human health; or (ii) a facility 
has engaged in action described in paragraph (D) of subsection (I) of this section. 
(B) Hearing - If the Secretary of Health suspends a certificate under 
subsection (1) of this section, the Secretary shall provide an opportunity for a 
hearing to the owner or operator of the facility not later than sixty (60) days from 
the effective date of the suspension. The suspension shall remain in effect until 
the decision of the Secretary of Health made after the hearing. 
(3) Ineligibility to own or operate facilities after revocation - If the Secretary of 
Health revokes the certificate of a facility on the basis of an act described in subsection 
(l), no person who owned or operated the facility at the time of the act may, within two 


(2) years of the revocation of the certificate, own or operate a facility that requires a 
certificate under this Act. 
SECTION 10. Injunctions. - If the Secretary of Health determines that - (1) 
continuation of any activity related to the provision of mammography by a facility would 
constitute a serious risk to human health, the Secretary of Health may bring suit to enjoin 
continuation of the activity; and 
(2) a facility is operating without a certificate as required by Section 2 of this Act, 
the Secretary may bring suit to enjoin operation of the facility. 
Upon a proper showing, the court shall grant a temporary injunction or restraining 
order against continuation o f t  he activity or against operation of a facility, as the case 
may be, without requiring the Secretary to post a bond, pending issuance of a final order 
under this subsection. 
SECTION 11. Information. - 
(1)Ingeneral- Notlaterthantwo(2)yearsafterthe passage of this Act, and 
annually thereafter, the Secretary of health shall compile and make available to 
physicians and the general public information that the Secretary of Health determines is 
usefuI in evaluating the performance of facilities, including a list of facilities - 
(A) that have been convicted for fraud and abuse, false billings, or 
kickbacks; 
(B) that have been subject to sanctions under Section 8 of this Act, 
together with a statement of the reasons for the sanctions; 
(C) that have had certificates revoked or suspended under Section 9 
together with a statement of the reasons for the revocation or suspension; 
(D) against which the Secretary of Health has taken action under Section 
9 of this Act, together with a statement of the reasons for the action; 


(E) whose accreditation has been revoked, together with a statement of the 
reasons for the revocation; 
(F) against which a local government unit has taken adverse action; and 
(G) that meets such other measures of performance as the Secretary of 
Health may develop. 
(2) Date - The information to be complied under subsection (1) shall be 
information for the calendar year preceding the date the information is to be made 
available to the public. 
(3) Explanatory information - The information to be complied under subsection 
(1) shall be accompanied by such explanatory information as may be appropriate to assist 
in the interpretation of the interpretation compiled under such paragraph. 
SECTION 12. National Advisoq Committee. - 
(1) Establishment - In carrying out this section, the Secretary of Health shall 
establish an advisory committee to be known as the National Mammography Quality 
Assurance Advisory Committee (hereafter referred to as the “Advisory Committee”). 
(2) Composition - The Advisoty Committee shall be composed of not fewer than 
thirteen (13) nor more than nineteen (19) individuals who are not officers or employees 
of the government. The Secretary of Health shall make appointment to the Advisory 
Committee from among- 
(A) physicians; 
(B) practitioners; 
(C) other health professionals; 
whose clinical practice, research specialization, or professional expertise include a 
significant focus on mammography. The Secretary of Health shall appoint at least 
four (4) individuals from among national breast cancer or consumer health 


organizations with expertise in mammography and at least two (2) practicing 
physicians who provide mammography services. 
(2) Functions and duties -the Advisory committee shall - 
(A) advise the Secretary of Health on appropriate quality standards and 
regulations for mammography facilities; 
(B) advise the Secretary of Health on appropriate standards and 
regulations for accreditation bodies; 
(C) advise the Secretary of Health in the development of regulations with 
respect to sanctions; 
(D) assist in developing procedures for monitoring compliance with 
standards under Section 6 of this Act; 
(E) make recommendations and assist in the establishment of a mechanism 
to investigate consumer compliance; 
(F) report on new developments concerning breast imaging that should be 
considered in the oversight of mammography facilities; 
(G) determine whether there exists a shortage of mammography facilities 
in niral and health professional shortage areas and determine the effects of 
personnel or other requirements of Section 6 of this Act on access to the services 
of such facilities in such areas; 
(H) determine whether there still exists a sufficient number of medical 
physicists seven (7) years after the passage of this Act, to assure compliance with 
the requirements of Section 6(1)(E) of this Act; 
(I) determine the costs and benefits of compliance with the requirements 
of this Act (including the requirements of regulations promulgated under this 
Act); and 
(J) perform other activities that the Secretary of Health may require. 


The Advisory Committee shall report the findings made under paragraphs (G) and 
(I) to the Secretary of Health and Congress not later than one (I) year after the passage of 
this Act. 
(4) Meetings - The Advisory Committee shall meet not less than quarterly for the 
first three (3) years of the program and thereafter, at least biannually. 
(5) Chairperson - The Secretary shall appoint a chairperson of the Advisory 
Committee. 
SECTION 13. Consultations. - In carrying out this Act, the Secretary of Health 
shall consult with appropriate government agencies within the Department of Health for 
the purposes of developing standards, regulations, evaluations, and procedures for 
compliance and oversight. 
SECTION 14. Separabili/y Clause. - If any person, 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 15. 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 is hereby repealed or amended 
accordingly. 
SECTION 16. Effectivity clause. - This Act shall take effect fifteen (15) days 
after its publication in at least two (2) newspapers of general circulation. 
Approved, 
330hf