Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

EIGHTEENTH CONGRESS
Second Regular Session

HOUSE BILL No. 7300

pee eee) Lael
Introduced by Representative Michael L. Romero

EXPLANATORY NOTE

In the republic of the Philippines, Government hospitals are not at all capable to
support the ideal hospital bed to population ratio.

The 2018 data, the ratio of government-owned hospital beds to population
stands at 1:]2,820. This is many numbers away from the hospital bed to
population ratio that the Philippine Health Facility Development Plan 2017-2022
of the Department of Health (DOH)has set as target (one hospital bed for every
800 citizens|or 1: 800).

‘The DOH’s National Health Facility Registry lists has a total of 89,700 hospital
beds. Of this|figures, government-owned hospitals account for 47,645 or only
(53 percent of the beds), including 33,008 (69 percent) in Luzon; 6,767 or (14
percent) in thé Visayas; and 7,870 or (17 percent) in Mindanao.

juse Bill seeks to ensure access and availability of hospital services
ies| to all Filipinos, establishment of new hospitals shall be regulated
of criteria as embodied under prevailing laws.

‘ssage of this bill is earnestly requested.

L. ROMERO

Ke yEP RES >

RECEIVED
LATE: AUG 0 6
TIME: lo:an


es ee

Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

EIGHTEENTH CONGRESS
Second Regular Session

HOUSE BILL No. 7300

paciooha y by Representative Michael L. Romero

PROV!
HOSPI
ACCES:

Be it enacted

AN ACT

DING FOR A COMPREHENSIVE POPULATION TO
‘AL BEDS RATIO, TO FOSTER THE AVAILABILITY,
AND DISTRIBUTION OF HEALTH FACILITIES AND
SERVICES, AND FOR OTHER PURPOSES

by the Senate and House of Representatives of the Philippines in

Congress assembled:

pele 1 DECLARATION OF POLICY - It is hereby a declared

policy of the
using syste!

population, ai

The stat
of the Philipp}
2022.

The sta|

private hospi

ate to promote the application of an appropriate system modeling
dynamics, the model identified by health professionals, the

id financial sources that greatly affect healthcare services.

fe shall support the simulations that shall reveal, that the Republic
ines may be able to satisfy the hospital bed requirements by year

shall recognize that, this will only be possible if both public and
jals will provide just compensation to healthcare proyiders and



invest on Balers and facility such as acquisition of new hospital beds to

accommodat

The 19!
the State shi

health consci

the healthcare needs of the growing population.

7 Philippine Constitution, in Section 15 Article III, declares that
ll protect and promote the right to health of the people and instill

uusness among them.

Section}II Article XIII declares that the State shall adopt an integrated and

comprehensi

© approach to health development that shall endeavor to make

essential goofis, health and other social services available to all the| people at

affordable co}

‘These
justification
Free market
lack of ace!
goods, must

of the govern

SECTI

oles of the State as stated in the Constitution are one of the
r government intervention in or regulation of the health sector.
forces cannot be allowed to reign if this will result in inequity and
s to health services. Health and health services, being public
e distributed equitably to the whole population. And it is the role

ent to ensure equitable distribution of health resources.

IN 2. GENERAL GUIDELINES:

A. The BHFS (bureau of health facilities and services) shall
require all applicants for PTC (permit to constrict) for the
establishment of new hospitals to secure a Certificate of Need
from the CHD (center for health development). The CHD shall
require all applicants to accomplish the DOH-prescribed

application form for the issuance of Certificate of Need.

B. Conversion or upgrading of a birthing home into a general
hospital, or a special hospital into a general hospital, shall
also require a Certificate of Need from the GHD as a
requirement for the application for a PTC.



C. Each CHD shall create a committee composed of three
members coming from CHD technical staff that will evaluate
the application for a Certificate of Need. This committee shall
recommend to the CHD Director the approval or disapproval

of the application.

D. The CHD Director shall approve/disapprove the application
for a Certificate of Need. If approved, the CHD Director shall
endorse to the BHFS the Certificate of Need of the applicant
together with the evaluation report. If disapproved, the CHD
shall inform the applicant by registered mail the particular
reason for the disapproval of the application.

E. All CHDs shall map all existing hospitals in the region, as well
as establish a database of all hospitals with corfesponding
bed capacities and the projected population of alll political
subdivisions within the region. The CHD shall update the
regional map of all existing hospitals periodically, and shall
submit a copy of the map during the first quarter of the year
to the BHFS.

F. All applicants with a disapproved PTC application that has
been inactive for one year before the approval of this Order,
as well as those applicants with approved PTC applications
but whose PTC has already lapsed (i.e. construction has not
begun within 365 days upon approval of the PTC) shall be
required to secure a Certificate of Need from the CHD.


G. The CHD shall impose a non-refundable application fee for
the issuance of Certificate of Need in the amount of Twenty
Thousand pesos (P20,000.00) and shall be paid to the
Cashier of the CHD. The application fee shall be updated
regularly by the BHFS. |

SECTIDN 3. POLICIES

Bed]

by ¢]
the

patil
duri

mui

Inte

exis}

to Population Ratio

The bed-to-population ratio must not be more than one (1) bed per
800 population (1 : 800).

In a province or region where the bed-to-population ratio is
already more than 1: 800, additional beds may be put up if the
average occupancy rate for all hospitals for the past three (3)
years is more than 85%. The number of additional beds that may
be put up shall be based on the health care needs of the

eee
‘Trayel Time. The proposed hospital shall be at least one (1) hour away

¢ usual means of transportation during most part of the year from

earest existing hospital.

Aesp sibility. The proposed hospital site must be accessible to

nts and clients by the usual means of land or sea transportation
'g most part of the year. If the proposed site is in an island
icipality, the proposed hospital must be strategically located.

gration with local hospital development plan. If there is an
ting local hospital development plan that has been approved by the

DOH, the proposed hospital must be integrated with this existing plan.

The

proponent should show proof that it has checked with the local

govdrnment for any relevant local hospital development plan.



Trapk record. If the proponent is currently operating a hospital, that

hospital must have an acceptable track record in terms of good

compliance with licensing requirements and a consistent history of few

verified complaints.

SECTION 4. TRANSITORY PROVISION- Existing industries,
businesses and offices affected by the implementation of this Act shall be given

six (6) montls transitory period from the effectivity of the IRR or such other

period as may

be determined, to comply with the requirements of this Act.

SECTION 5. IMPLEMENTING RULES AND REGULATIONS. - The

departments ped agencies charged with carrying out the provisions of this Act

shall, within

sixty (60) days after the effectivity of this Act, formulate the

necessary rulfs and regulations for its effective implementation.

SECTI
orders, rules
of this Act ar¢

section or p

sections or p

iN 6. REPEALING CLAUSE. - All laws, decrees, executive
ind regulations, or parts thereof inconsistent with the provisions

hereby repealed or modified accordingly.

ae 7. SEPARABILITY CLAUSE. - If, for any reason, any

vision of this Act is held unconstitutional or invalid, the other

visions hereof shall not be affected thereby.

SECTION 8. EFFECTIVITY CLAUSE. - This Act shall take effect

after fifteen (I

(2) national n

Approve

}) days from its publication in the Official Gazette or in at least two

wspapers of general circulation whichever comes earlier.

d,