\i
NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
SENATE 
S. No.
V f. / , \ 
- 
-•t-
oi fnc
72 JUL25 AlO 30
RIXEIVED BY:
Introduced by Senator Jinggoy Ejercito Estrada
AN ACT
REQUIRING ALL NATIONAL, REGIONAL, AND PROVINCIAL GOVERNMENT 
HOSPITALS TO ESTABLISH, OPERATE AND MAINTAIN A DIALYSIS 
CENTERS IN THEIR RESPECTIVE HOSPITAL AND PROVIDING FREE 
DIALYSIS TREATMENT TO INDIGENT PATIENTS
EXPLANATORY NOTE
The government's efforts to reform the health sector have been set in place 
through several innovative projects and programs aimed at providing the people 
with comprehensive health services. The participation of local government units has 
been tapped to make health care services more affordable and accessible.
However, the fact remains that sophisticated and advanced hospital and 
medical equipment and facilities are found in highly urbanized cities, so much so that 
patients from the rural areas have to travel all the way to these urban cities just to 
avail themselves of advanced medical treatment The high costs of treatment and 
the additional travel expenses are financially draining particularly for patients that 
need treatment on a regular and sustained basis. This is especially true for patients 
who are suffering from kidney disorder who have to undergo dialysis treatment 
regularly.
According to the latest available data from the National Kidney and Transplant 
Institute (NKTI), kidney diseases are the 7th leading cause of death among Filipinos. 
One (1) Filipino develops chronic renal failure every hour or about 120 Filipinos per


million population every year. According to the Philippine Health Insurance 
Corporation (PhilHealth), latest estimates show that around 2.3 million Filipinos have 
Chronic Kidney Disease (CKD) and that in 2016, more than 36,000 patients were on 
dialysis treatment which shows a 15% increase in the number of patients in a single 
year.
In consonance with the constitutional mandate to make health services 
available to all the people at affordable cost, this bill requires all national, regional 
and provincial government hospitals to establish, operate and maintain a dialysis 
ward or unit in their respective hospital in order that dialysis treatment will be 
available and accessible to the people especially those in the rural areas in a cost 
effective manner. Moreover, this bill requires that dialysis treatment should be 
provided to indigent patients, free of charge.
In light of the foregoing, the immediate approval of this bill is earnestly
sought.
NGSOY E3ERCITO ESTRADA


NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
SENATE
s. No. 800
of ft)c '-rctfn’
*22 JUL25 AlO 30
Introduced by Senator Jlnggoy Ejercito Estrada
AN ACT
REQUIRING ALL NATIONAL, REGIONAL, AND PROVINCIAL GOVERNMENT 
HOSPITALS TO ESTABLISH, OPERATE AND MAINTAIN A DIALYSIS 
CENTERS IN THEIR RESPECTIVE HOSPITAL AND PROVIDING FREE 
DIALYSIS TREATMENT TO INDIGENT PATIENTS
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled:
1 
Section 1. Short Title. - This Act shall be known as theDialysis Center Act.
2 
Sec. 2. Declaration of Policy. - It is hereby declared the policy of the State to
3 
improve the delivery of health care services to the people and to ensure that public
4 
specialty healthcare services hospital facilities are made affordable and accessible to
5 
the people. Towards this end, the State shall create Dialysis centers in all national,
6 
regional, and provincial government hospitals throughout the country.
7 
Sec. 3. Definition of Terms. - For purposes of this Act, the following terms
8 
shall mean:
9 
a) National Government Hospital shall 
refer to 
a hospital 
operated and
10 
maintained either partially or wholly by the national government or by any
11 
department, division, board or other agency thereof;
12 
b) Regional Government Hospital shall 
refer to 
a hospital 
operated and
13 
maintained either partially or wholly by the national government or by any
14 
department, division, board or other agency thereof;
15 
c) Provincial Government Hospital shall refer to 
a hospital 
operated and
16 
maintained either partially or wholly by the provincial government or other
1


1 
political subdivision, or by any department division, board or other agency
2 
thereof; and,
3 
d) Indigent Patient shd\\ refer to a person who has no visible means of income,
4 
or whose income is insufficient for the subsistence of his family, as identified
5 
by the Department of Soda! Welfare and Development (DSWD).
6 
Sec. 4. Estabiishmentf Operation and Maintenance of a Diaiysis Center. -
I 
Within two (2) years from the effectivity of this Act, all national, regional, and
8 
provincial government hospitals are hereby required to establish, operate and
9 
maintain a dialysis center in their hospital. The dialysis center shall be equipped with 
10 complete dialysis machine, equipment and supplies.
II 
Sec. 5. Free Diaiysis Treatment for Indigent Patients. - Dialysis treatment in
12 
all national, regional and provincial government hospitals shall be provided free of
13 
charge to Indigent patients as defined in Section 3 (e) hereof.
14 
Sec. 6. Penaity. - Any hospital chief, administrator or officer-in-charge who
15 
fails to comply with this Act shall be punished with a fine of Fifty Thousand Pesos
16 
(P50,000.00) but not more than One Hundred Thousand Pesos (P100,000.00).
17 
Sec. 7. Appropriations. - The sum necessary for the effective implementation
18 
of this Act shall be taken from the current applicable appropriations of the
19 
Department of Health (DOH) and over-all savings of the National Government.
20 
Thereafter, funds for its continued implementation shall be included in the annual
21 
General Appropriations Act.
22 
Sec. 8. Implementing Rules and Regulations. - Within sixty (60) days upon
23 
the effectivity of this Act, the DOH shall promulgate the necessary rules and
24 
regulations for the effective implementation of this Act.
25 
Sec. 9. Separability Clause. - If any provision, section, or part of this Act shall
26 
unconstitutional or invalid, such judgement shall not affect, invalidate, or impair any
27 
other provisions, sections, or parts hereof.
28 
Sec. 10. Repealing Clause. - Ail laws, decrees, orders, issuances, circulars,
29 
rules and regulations or parts thereof, which are inconsistent with the provisions of
30 
this Act are hereby repealed or modified accordingly.


1 
Sec. 11. Effectivity, - This Act shall take effect fifteen (15) days after its
2 
publication in the Official Gazette or in at least two (2) newspapers of general
3 
circulation.
Approved/