Republic of the Philippines
HOUSE OF REPRESENTATIVES
Que City

‘SIXTEENTH CONGRESS
First Regular Session

773

HOUSE BILL NO.

Introduced by Rep. Winston “Winnie” Castelo

EXPLANATORY NOTE

While there is a prevailing scheme of accreditation as would govern the
administration and operation of health maintenance organizations, it is only to the
extent that a ‘Clearance to Operate’ is issued by, at present, the Department of
Health, specifically, the Office for Health Facilities Standards and Regulations.

Health management organizations are akin to business entities that
arrange for pre-paid health care services for their members by contracting with
hospitals, physicians and other health professionals for their services.

The members who are provided with medical services are those duly
enrolled with these HMOs who may be as out-patient or in-patient. However,
there are instances that bonafide cardholders do not get to avail of their
maximum benefits that they should otherwise enjoy by way of exemptions.

To this end, there must be a regulatory commission to take charge of
multi-faceted problems that now plague this industry as the ones that serve as
medicai services providers in the broad sense of the term.

The commission so created shall be able to

experiences of patients that could have oth been lied or fully
addressed since in the absence of such regulatory body, these problems will
continue to permeate this health concern by an increasing number of current or

prospective enrollees.
The immediate passage of this bill is therefore most ea stly sought.

“WINNIE” CASTELO


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

SIXTEENTH CONGRESS
First Regular Session

House BiLL'No.__? 73

Introduced by Rep. Winston “Winnie” Castelo

AN ACT
CREATING THE HEALTH MANAGEMENT ORGANIZATIONS REGULATORY
COMMISSION AND APPROPRIATING FUNDS THEREFOR AND FOR OTHER
PURPOSES

Be it enacted by Senate and House of Representatives of the Republic of the
Philippines in Congress assembled:

SECTION 1. This Act shall be known as the “Health Management
Organizations Regulatory Commission of 2013”.

SEC 2. There is hereby created this independent Health Management
Organizations Regulatory Commission.

SEC. 3. For purposes of this Act, the Commission shall provisionally
adopt its mandate, control, supervision, and authority over all health
management organizations from the hitherto existing Office for Health Facilities
Standards and Regulations and the Rules and Regulations on the Supervision. of
Health Maintenance Organizations as set forth pursuant to Administrative Order
No. 34 of the Department of Health;

Provided, That after two years of transition in the administration and
operation of all health management organizations throughout the country, said
Commission shall automatically evolve as independent in its overall
administrative and operational functions as the proper regulatory agency.

SEC. 4. Thenceforth, the Health Management Organizations Regulatory
Commission shall issue new set of supervisory and regulatory guidelines, rules
and regulations to effectively implement the provision of this Act.

All laws, decrees, executive orders, rules and regulations inconsistent with
the provisions of this-Act are hereby repealed or modified accordingly.

SEC. 5. This Act shall take effect upon publication in the Official Gazette
and at least three (3) newspapers of general circulation.

Approved,