Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
Nineteenth Congress 
First Regular Session 
House Bill No. _____ 
Introduced by the Honorable Ma. Cynthia “Cindi” K. Chan 
EXPLANATORY NOTE 
According to the National Kidney and Transplant Institute, one Filipino 
develops chronic renal failure every hour or about 120 Filipinos per million 
population per year. The Department of Health noted that chronic kidney 
disease, if left untreated, can progress to more severe complications such as 
End-Stage Kidney Disease (ESKD). ESKD requires more immediate and regular 
interventions, in the form of renal transplant and hemodialysis. 
The cost of a hemodialysis session can range from P2,000 to P7,000 and 
can last up to four hours. A patient with ESKD may require up to three sessions 
per week, which can cost anywhere between P6,000 to P21,000 weekly. Since 
not all government hospitals are equipped to offer hemodialysis treatment, 
patients needing to avail of this life-saving procedure need to go to private 
hospitals or hemodialysis clinics. 
Thus, this bill seeks to require the establishment of dialysis clinics in all 
national, regional, and provincial hospitals to make dialysis treatment more 
accessible to all. Further, this bill proposes that indigent kidney disease 
patients be provided free dialysis sessions in said dialysis clinics. 
In view of the foregoing, the immediate approval of this measure is 
earnestly sought. 
Ma. Cynthia “Cindi” K. Chan 
Lone District, Lapu-Lapu City 
August 17, 2022
8:53 am
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Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
Nineteenth Congress 
First Regular Session 
House Bill No. _____ 
Introduced by the Honorable Ma. Cynthia “Cindi” K. Chan 
AN ACT 
REQUIRING THE ESTABLISHMENT OF DIALYSIS CLINICS IN ALL NATIONAL, 
REGIONAL, AND PROVINCIAL HOSPITALS AND PROVIDING FOR FREE 
DIALYSIS TREATMENTS TO INDIGENT PATIENTS AND APPROPRIATING 
FUNDS THEREFORE 
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled: 
SECTION 1. Title. – This Act shall be known as the “Dialysis Center Act”. 
SEC. 2. Declaration of Policy. – It is the policy of the State to improve 
the delivery of health care services to the people and to ensure hospital 
facilities are available, affordable, and accessible to the people. 
SEC. 3. Definition of Terms. – For purposes of this Act, the following 
terms as used in this Act shall mean the following: 
(a) “Secretary” refers to the Secretary of the Department of Health;
(b) “National Government Hospital” refers to a hospital operated and
maintained either partially or wholly by the National Government
or by any department or division, board, or other agency thereof;
(c) “Regional Government Hospital” refers to a hospital operated and
maintained either partially or wholly by the Regional Government
or by any department, division, board, or other agency thereof;
(d) “Provincial Government Hospital” refers to a hospital operated
and maintained either partially or wholly by the Provincial
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Government or by any department, division, board, or other 
agency thereof; and 
(e) “Indigent Patient” refers to a patient whose combined annual 
family income does not exceed thirty thousand pesos 
(P30,000.00). 
 
SEC. 4. Establishment, Operation and Maintenance of a Dialysis Ward 
or Unit. – Within two (2) years from the effectivity of this Act, all national, 
regional, and provincial government hospitals are hereby required to 
establish, operate and maintain a dialysis machine, equipment and supplies. 
 
SEC. 5. Free Dialysis Treatment to Indigent Patients. – Dialysis 
treatment in all national, regional and provincial government hospitals shall 
be provided free of charge to indigent patients as defined in Section 3 (e) 
thereof. 
 
SEC. 6. Penalty. – Any hospital chief, administrator or officer-in-charge 
who fails to comply with this Act shall be punished with a fine of fifty 
thousand pesos (P50,000.00) but not more than one hundred thousand 
pesos (P100,000.00). 
 
SEC. 7. Implementing Agencies. – Within one (1) year from the 
effectivity of this Act, the Secretary shall provide the Implementing Rules 
and Regulations (IRR) necessary to carry out the provisions of this Act. The 
IRR shall be published in the Official Gazette or in a newspaper of general 
circulation. 
 
SEC. 8. Appropriations. – The amount necessary to implement the 
provisions of this Act is hereby authorized to be appropriated from the 
National Treasury. Thereafter, the amount necessary for the continuous 
implementation of this Act shall be included in the government hospitals’ 
annual appropriations. 
 
SEC. 9. Separability Clause. – If any provision of this Act is held invalid 
or unconstitutional, the same shall not affect the validity and effectivity of 
the other provisions hereof.  
 
SEC. 10. Repealing Clause. – All laws, decrees, executive orders and 
rules and regulations contrary to or inconsistent with the provisions of this 
Act are hereby repealed or modified accordingly. 


SEC. 11. Effectivity. – This Act shall take effect fifteen (15) days after its 
publication in the Official Gazette or in a newspaper of general circulation. 
 
Approved,