Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila
NINETEENTH CONGRESS
First Regular Session
HOUSE BILL NO. _______________
Introduced by ANG PROBINSYANO
Party-List Representative Alfred Delos Santos
EXPLANATORY NOTE
Although often considered a comorbidity of diabetes or hypertension,
kidney disease has numerous complex causes. Importantly, such disease has
an indirect impact on global morbidity and mortality by increasing the risks
associated with at least five other major killers: cardiovascular diseases,
diabetes, hypertension, infection with human immunodeficiency virus (HIV)
and malaria.1
The Global Burden of Disease (GBD) 2015 study also estimated that, in
2015, 1.2 million people died from kidney failure, an increase of 32% since
2005.7 In 2010, an estimated 2.3–7.1 million people with end-stage kidney
disease died without access to chronic dialysis. Additionally, each year, around
1.7 million people are thought to die from acute kidney injury. Overall,
therefore, an estimated 5–10 million people die annually from kidney disease.2
In the Philippines, kidney diseases, especially End Stage Renal Disease
(ESRD), are 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.3 The country has also experienced a large rise in
the prevalence of dialysis with an approximate increase of 400% over the past
10 years.4
With the current COVID-19 pandemic, the mortality risk, especially with
senior citizens, has been substantially increased. Research shows that 14-40%
4 https://ajkdblog.org/2020/07/06/dialysis-care-in-asia-how-does-the-philippines-fare/
3 https://www.nkti.gov.ph/index.php/patients-and-visitors/kidney-health-plus
2 Ibid , 1.
1 https://www.who.int/bulletin/volumes/96/6/17-206441/en/
July 29, 2022
4:55 pm
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of COVID-19 patients lose kidney function; 20-40% of COVID-19 ICU patients
develop kidney failure and are subject to emergency dialysis and mortality rate
for kidney transplant patients reach as high as 30%.5
With the aforementioned data on chronic kidney disease and how the
current pandemic complicates health cases even further, there remains a huge
gap on proper access to treatment such as hemodialysis, peritoneal dialysis,
and other Department of Health (DOH) approved dialysis procedures. Under
the Philippine Health Insurance Corporation (PhilHealth) Circular No. 22-2015,
dialysis sessions are only subsidized until the 90th out of 144 sessions.6
Hence, a total of PhP 135,000 is needed by senior citizens to survive from
kidney complications.
Our senior citizen sector is mostly within the low socioeconomic profile,
i.e. most of them are unemployed or highly dependent on their pensions.
Further aggravated by the COVID-19 pandemic, our senior citizens are facing a
high wall towards survival. As such, this bill seeks to provide proper access to
treatment such as hemodialysis, peritoneal dialysis, and other Department of
Health (DOH) approved dialysis procedures in the hopes that through this
measure, we remain committed to protecting and upholding the welfare of our
senior citizens.
In view of the foregoing, the immediate passage of this bill is earnestly
sought.
ALFRED C. DELOS SANTOS
Representative, Ang Probinsyano Partylist
6 New PhilHealth Dialysis Package (2015).
5 https://www.kidney.org/news/newsroom/factsheets/KidneyDiseaseBasics


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila
NINETEENTH CONGRESS
First Regular Session
HOUSE BILL NO. _______________
Introduced by ANG PROBINSYANO
Party-List Representative Alfred Delos Santos
AN ACT PROVIDING  FOR FREE HEMODIALYSIS, PERITONEAL DIALYSIS,
AND OTHER DEPARTMENT OF HEALTH APPROVED DIALYSIS
PROCEDURES TO ALL SENIOR CITIZENS
Be it enacted by the Senate and the House of Representatives of the
Philippines in Congress assembled:
SECTION 1. Short Title. — This Act shall be known as the "Free Dialysis
for Senior Citizens Act of 2022."
SECTION 2. Free Dialysis Sessions for All Senior Citizens. — The cost of
the needed hemodialysis, peritoneal dialysis, and other Department of Health
("DOH") approved dialysis procedure shall be reimbursed by the Philippines
Health Insurance Corporation ("PhilHealth"), provided such treatment is availed
of at the PhilHealth accredited hospitals and freestanding dialysis centers.
Provided further, that only those procedures that use the dialysis solutions
included in the latest edition of the Philippine National Drug Formulary
("PNDF")
shall
be
reimbursed
by
PhilHealth.
Provided
finally,
that
only
laboratory procedures and supplies considered necessary shall be covered by
the PhilHealth. PhilHealth shall as soon as possible reimburse all official
receipts for drugs, supplies, and laboratory procedures dated thirty ("30") days
prior to the date of the claimed session.
SECTION
3.
Appropriations.
—
The
amount
needed
for
the
implementation of this Act shall be charged against the appropriations of the
DOH and the PhilHealth in the current and subsequent General Appropriations
Act and their own respective funds. Thereafter, the amount needed for the
continued implementation of this Act shall be included in the budget of the
concerned departments in the annual General Appropriations.
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SECTION 4. Implementing Rules and Regulations. — Within thirty (30)
days from the approval of this Act, the DOH, the PhilHealth, and the National
Commission
on
Senior
Citizens
("NCSC"),
in
coordination
with
other
implementing
agencies,
shall
formulate
rules
and guidelines as may be
necessary for the proper implementation and enforcement of this Act.
SECTION 5. Separability Clause. – If any provision or part of this Act is
held invalid or unconstitutional, the remaining provisions or parts unaffected
shall remain in full force and effect.
SECTION 6. Repealing Clause. – All laws, executive orders, presidential
decrees or issuances, letters of instruction, administrative orders, rules, and
regulations contrary to or inconsistent with the provisions of this Act are
hereby repealed, amended, or modified accordingly.
SECTION 7. Effectivity Clause. – This Act shall take effect fifteen (15)
days after its publication in the Official Gazette or in a newspaper of general
circulation.
Approved,