FIFTEENTH CONGRESS OF THE REPUBLIC) 
OF THE PHILIPPINES 
) 
First Regular Session 
) 
SENATE 
Senate Bill No. 14' 
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INTRODUCED BY SEN. JINGGOY EJERCITO ESTRADA 
EXPLANATORY NOTE 
This bill seeks to strengthen the practice of midwifery in the country by 
clearly defining the practice of midwifery, with particular emphasis on their role to 
provide primary and community health care, and mandating the Board of 
Midwifery to monitor the condition of the profession and ensure quality midwifery 
education. 
The practice of midwifery was first regulated in the Philippines with the 
enactment of Public Act No. 310 on December 4, 1901, which created the 
Medical Board of Examiners that regulated both the medicine and midwifery 
professions. When Republic Act No. 2382 or the "Medical Act of 1959" was 
approved, the regulation of midwifery was separated from medicine. A Board of 
Examiners for Midwives was subsequently created with the enactment of 
Republic Act No. 2644 on June 18, 1960. Midwifery in the formal education 
started when Dr. Jose Fabella initiated the curriculum for direct-entry midwives in 
the mid 1900s. Midwifery is also a direct-entry course in Canada and two schools 
in the United States-the Seattle School of Midwifery and Bastyr University, both 
in Washington. In recent years, these institutions were sending students to the 
country for an elective. However, this was stopped in 2002. 
This bill also seeks to enhance the general welfare, commitment to service 
and professionalism of midwives by providing a minimum base pay for those 
working in public health institutions. 
In view of the foregoing, the immediate approval of this measure is 
earnestly requested. 


FIFTEENTH CONGRESS OF THE REPUBLIC) 
OF THE PHILIPPINES 
) 
First Regular Session 
) 
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SENATE 
Senate Bill No. 741 
INTRODUCED BY SEN. JINGGOY EJERCITO ESTRADA 
AN ACT 
INSTITUTING REFORMS IN THE PROFESSION OF MIDWIFERY, AMENDING 
FOR THE PURPOSE REPUBLIC ACT NO. 7392 OR THE PHILIPPINE 
MIDWIFERY ACT OF 1992, AND FOR OTHER PURPOSES 
Be it enacted by the Senate and the House of Representatives in Congress 
assembled: 
SECTION 1. Short Title. - This Act shall be known as the "Philippine 
Midwifery Act of 2010." 
SEC. 2. Declaration of Policy. - It is hereby declared the policy of the 
state to assume responsibility for the protection and improvement of the 
midwifery profession by instituting measures that will result in relevant midwifery 
education, humane working conditions, better career prospects and dignified 
existence of midwives. 
The State hereby guarantees the prioritization for the needs of women and 
the delivery of quality health services through an adequate midwifery personnel 
all over the country. 
SEC. 3. Objectives. - This Act provides for and shall govern: 
a) The standardizing and regulation of the midwifery profession: 
b) The examination of midwives; and 
c) The supervision, control and regulation of the practice of midwifery 
SEC. 4. Definition of Terms. - For the purpose of this Act, the following 
terms are hereby defined. 
a) Midwife - is bona fide holder of a valid Certificate of Registrationi 
Professional Identification Card issued by the Professional Regulatory Board and 
the Professional Regulation Commission 
b) Commission - as used in this Act shall refer to the Professional 
Regulation Commission. 
c) Board - as used in this Act shall refer to the Professional Regulatory 
Board of Midwifery. 
d) CHED - means the C6mmission on Higher Education. 


SEC. 5. Section 2 of Republic Act No. 7392 is hereby amended to read as 
follows: 
"Sec. 2. Composition, - There shall be a Board of Midwifery, hereinafter 
referred to as the Board, which shall be under the direct supervision of the 
Professional Regulation Commission (PRC). It shall be a collegial body 
composed of a chairman and four (4) members to be appointed by the 
President of the Philippines from among A LIST OF THREE [the] 
recommendees FOR EACH POSITION of the Commissioner of the 
Professional Regulation Commission, FROM A LIST OF FIVE (5) 
NOMINEES FOR EACH POSITION SUBMITTED BY ACCREDITED 
PROFESSIONAL ORGANIZATION CONCERNED, PROVIDED THAT, IN 
ALL CASES, [TI the Commission shall recommend three (3) registered 
midwives from the list submitted by the association of midwives; one (1) 
obstetrician from the list submitted by the association of obstetricians; and 
one (1) registered nurse-midwife from the list submitted by 'the association 
of midwives: Provided, FURTHER, That said associations are accredited 
in accordance with Presidential Decree No. 223: Provided, [further] 
FINALLY, That the nominees submitted shall possess the appropriate 
qualifications prescribed in [Section 3 hereof] IN THIS ACT." 
SEC. 6. Section 3 of Republic Act No. 7392 is hereby amended to read as 
follows: 
"Sec. 3. QUalifications and Disqualifications of the Board Members. - (a) 
Each member of the Board shall at the time of his appointment: 
(1) be a citizen and resident of the Philippines; 
(2) be of good moral character AND MUST NOT HAVE BEEN 
CONVICTED OF ANY CRIME INVOLVING MORAL TURPITUDE: 
(3) be at least thirty (30) years of age; [and] 
(4) BE A GRADUATE OF A SCHOOL OF MIDWIFERY DULY 
RECOGNIZED BY THE GOVERNMENT AND A DEGREE HOLDER 
PREFERMBL Y IN THE FIELD OF HEALTH AND SOCIAL SCIENCES, 
PROVIDED, THAT THE CHAIRMAN SHALL BE A HOLDER OF A 
MASTER'S DEGREE IN HEALTH AND SOCIAL SCIENCES; 
(5) REGISTERED AND LICENSED MIDWIFE WITH AT LEAST TEN (10) 
. YEARS 
OF 
CONTINUOUS 
PRACTICE 
PRIOR 
TO 
HIS/HER 
APPOINTMENT, FIVE (5) YEARS OF WHICH MUST BE IN THE 
SUPERVISORY FUNCTION; AND 
([4] 6) not a member of the faculty, whether full time, part time or lecturer, 
of any school, college or university where a regular course in midwifery is taught, 
and shall not have any pecuniary interest directly or indirectly, in such institution 
during his term of office as a Board member. LIKEWISE, HE OR SHE MUST 
NOT BE A MEMBER 
(b) The Chairman of the Board shall at the time of his appointment: 
(1) be a registered obstetrician; 


and 
(2) have at least ten (10) years practice as an obstetrician; prior to his 
appointment; AND 
(3) MUST HAVE AN EXPERIENCE IN MIDWIFERY TRAINING AND 
EDUCATION 
[(c) Three (3) members of the Board shall at the time of their appointment: 
(1) be registered midwives; 
(2) be degree holders, preferably in the field of health and social sciences; 
(3) have at least ten (10) years practice as midwives prior to their 
appointment, five (5) years of which are in supervisory positions. 
(d) One (1) member of the Board shall at the time of his appointment: 
(1) be a registered nurse-midwife; and 
(2) have at least ten (10) years practice as a nurse-midwife.]." 
SEC. 7. Section 4 of Republic Act 7392 is hereby amended to read as 
follows: 
:' Sec. 4. Term of Office. - The Chairman and the four (4) members of the 
Board shall hold office for a term of three (3) years or until their 
successors shall have been appointed and duly qualified. [, without 
prejudice to reappointment for another term] THEY MAY HOWEVER BE 
REAPPOINTED FOR A SECOND TERM ONLY. Each member of the 
Board shall qualify by taking his/her oath of office before entering upon the 
performance of his/her duties. 
SEC. 8. Section 5 of Republic Act 7392 is hereby amended to read as 
follows: 
" Sec. 5. Duties and Functions of the Board. - The Board shall have the 
following duties and functions: 
(a) to enforce the provisions of this Act; 
(b) to administer oaths in accordance with the provisions of this Act; 
(c) to issue and, after dU'e investigation, suspend or revoke certificates or 
registration for the practice of midwifery; 
(d) to investigate any violation of this Act or of the rules and regulations 
issued thereunder, as may come to the knowledge of the Board; and for this 
purpose, to issue subpoena arid subpoena duces tecum to alleged violators or 
witnesses to secure their attendance in investigations or hearings, and the 
production of books, papers and documents in connection therewith and compel 
their attendance by the power of contempt; 
(e) to conduct yearly [board] LICENSURE examinations to QUALIFIED 
[midwifery] examinees under the supervision of the Commission; 


(f) to MONITOR [look, from time to time, into] the condition affecting the 
practice of midwifery in the Philippines and ENFORCE [adopt] such measures as 
may be deemed necessary for the maintenance of the standards and ethics of 
the profession; 
(G) ENSURE QUALITY MIDWIFERY EDUCATION BY EXAMINING THE 
PRESCRIBED 
FACILITIES 
OF 
UNIVERSITIES 
AND 
COLLEGES 
OF 
MIDWIFERY AND THOSE SEEKING PERMISSION TO OPEN MIDWIFERY 
COURSES TO ENSURE THAT STANDARDS OF MIDWIFERY EDUCATION 
ARE PROPERLY COMPLIED WITH AND MAINTAINED AT ALL TIMES: 
(H) PRESCRIBE, ADOPT, ISSUE AND PROMULGATE GUIDELINES, 
REGULATIONS, 
MEASURES 
AND 
DECISIONS 
AS 
MAY 
BE 
NECESSARY FOR THE IMPROVEMENT OF THE PRACTICE OF 
MIDWIFERY, ADVANCEMENT OF THE PROFESSION AND FOR THE 
PROPER AND FULL ENFORCEMENT OF THIS ACT SUBJECT TO THE 
REVIEW AND APPROVAL BY THE COMMISSION; and 
(I) [(g)] to adopt an official seal to authenticate its official documents. The 
Board shall exercise these powers and duties in accordance with [Presidential 
Decree No. 2231 REPUBLIC ACT NO. 8981." 
SEC. 9. Sec. 6 of Republic Act 7392 is hereby amended to read as 
follows: 
"Sec. 6. Compensation of Board Members. - The Chairman and the 
Members of the Board: shall receive the same compensation AND 
ALLOWANCES 
COMPARABLE 
TO 
THE 
COMPENSATION 
AND 
ALLOWANCES RECEIVED BY [granted] [to] the Chairman and members 
of [the boards of similar nature as provided for in the General 
Appropriations Act] OTHER PROFESSIONAL REGULATORY BOARDS. 
SEC. 10. Sec. 7 of Republic Act No, 7392 is hereby amended to read as 
follows: 
"Sec. 7. SUSPENSION AND Removal of CHAIRMAN AND MEMBERS 
OF THE Board [Members]. - Any member of the Board may be 
SUSPENDED OR removed from office by the President, upon the 
recommendation of the Professional Regulation Commission, for neglect 
of duty, ABUSE OF AUTHORITY, OPPRESSION, incompetence, 
COMMISSION OR TOLERATION 
OF IRREGULARITIES IN THE 
CONDUCT OF EXAMINATION OR TAMPERING OF GRADES THEREIN, 
or for unprofessional, immoral, UNETHICAL or dishonorable conduct, after 
having been given the opportunity to defend himself in a proper 
administrative investigation conduCted, by the Commission." 
SEC. 11. Sec. 12 of Republic Act 7392 is hereby amended to read as 
follows: 
"Sec. 12. Scope of Examinations. - The scope of examinations for the 
practice of midwifery shall consist of the following: 
(a) Infant AND CHILD care and feeding; 
(b) Obstetrical anatomy and physiology; 
(c) Principles of bacteriology as applied to midwifery practice: 


(d) Obstetrics AND BASIC GYNECOLOGY; 
(e) Midwifery procedures; 
(f) Domiciliary midwifery; 
(g) Community hygiene and first aid; 
(h) Nutrition; 
(i) Ethics of midwifery practice; 
U) Primary AND COMMUNITY health care; 
(k) Professional Growth and Development; 
(I) Family planning; and 
(m) PRINCIPLES OF MICROBIOLOGY AS APPLIED TO MIDWIFERY 
PRACTICE 
(n) REPRODUCTIVE HEALTH; AND 
(0) Other subjects within the Board may deem necessary for addition 
or inclusion from time to time 
SEC. 12. Sec. 14 of Republic Act No. 7392 is hereby amended to read as 
follows: 
"Sec. 14. Schools of Midwifery - To be recognized as a duly accredited and 
legally constituted institution for midwifery education a school/college of 
Midwifery shall have a permit AND RECOGNITION from the COMMISSION ON 
HIGHER EDUCATION (CHED) [Department of Education, Culture and Sports 
(DECS)]. 
The school shall have A BASE HOSPITAL WITH at least fifty (50) 
maternity beds WITH 80% OCCUPANCY RATE, AND OTHER PROVISIONS 
REQUIRED 
BY 
THE 
POLICIES 
AND 
STANDARDS 
OF 
MIDWIFERY 
EDUCATION AS PROMULGATED BY THE COMMISSION ON HIGHER 
EDUCATION (CHED), affiliated with an accredited hospital duly accredited by an 
authorized government agency or instrumentality". 
The school shall have a minimum ratio of one (1) clinical instructor to 
twelve (12) students in the hospital and in the community. Before allowing a 
student to graduate, the school shall satisfactorily show to the COMMISSION ON 
HIGHER EDUCATION [Department of Education,. Culture and Sports (DECS)] 
or other authorized government agencies that the student has completed the 
course in midwifery as prescribed by the CHED or other duly authorized 
government agencies, and that during the training, the stUdent has personally 
attended at least a total of twenty (20) deliveries in the hospital and in its 
domiciliary services. 
SEC. 13. Sec. 15 of Republic Act No. 7395 is hereby amended to read as 
follows: 
"Sec. 15. Qualification of Faculty. - The faculty shall have academic preparation 
appropriate to teaching assignment, as follows: 
(a) At least a bachelor's degree holder OF HEALTH OR SOCIAL 
SCIENCES, PREFERABLY WITH MASTERAL DEGREE, or Doctor of Medicine 
(M.D.) 
(b) Proof of competence in the field of specialization assigned to him; and 
(c) A DOCTOR OF MEDICINE, registered nurse or registered midwife in 
the Philippines with at least [one] three [I] (3) years of satisfactory teaching 
experience or two (2) years of efficient performance in maternity ward 


community: Provided, That a registered midwife may be allowed to follow-up 
student midwives in the community ward provided she has at least two (2) years 
of experience in the area of assignment and has undergone training in the 
supervision of students. 
SEC. 14. Sec. 16 of Republic Act No. 7395 is hereby amended to read as 
follows: 
"Sec. 16. Rating in the Board Examination - To be qualified as having 
passed the Board Examination for midwives, a candidate must obtain a 
general rating of seventy-five percent (75%) in the written test with no 
grade lower than [fifty] SIXTY percent-[50Yo] (60%) in any subject. 
SEC. 15. A new provision is inserted between Sections 17 and 18 of 
Republic Act No. 7395, to read as follows: 
SEC. 
16. OATH. -
ALL SUCCESSFUL CANDIDATES 
IN THE 
EXAMINATION SHALL BE REQUIRED TO TAKE AN OATH OF 
PROFESSION 
BEFORE THE 
BOARD OR ANY 
GOVERNMENT 
OFFICIAL 
AUTHORIZED 
TO 
ADMINISTER 
OATHS 
PRIOR TO 
ENTERING UPON THE NURSING PROFESSION. 
SEC. 16. Sec. 18 of Republic Act No. 7395 is hereby amended to read as 
follows: 
"Sec. 18. Issuance of Certificate of Registration -
Certificate of 
Registration AND A PROFESSIONAL IDENTIFICATION CARD shall, 
upon payment of required fees, be issued to any applicant who passes the 
examination. Every certificate of registration shall show the full name of 
registrant, have a serial number, bear the signatures of the members of 
the Board, be attested t)y the Secretary of the Board, and be duly 
authenticated by the official seal of the Board. The issuance of a certificate 
of registration by the Board to the registrant shall be evidence that the 
person named therein is entitled to all rights and privileges of a registered 
midwife until said certificate, for just cause, is suspended temporarily or 
revoked. A PROFESSIONAL IDENTIFICATION CARD BEARING THE 
REGISTRATION NUMBER, DATE OF ISSUANCE, EXPIRY DATE, AND 
DULY SIGNED BY THE CHAIRMAN OF THE COMMISSION, SHALL 
LIKEWISE BE ISSUED TO EVERY REGISTRANT UPON PAYMENT OF 
THE REQUIRED FEES .. 
SEC. 17. Sec. 23 of Republic Act No. 7395 is hereby amended to read as 
follows: 
"Sec. 23. Practice of Midwifery Defined.- The practice of midwifery consist 
in performing or rendering, or offering to perform or render, for a fee, 
salary, or other reward 
or compensation, services requiring 
an 
understanding of the principles and application of procedures and 
techniques in the supervision and care of women during pregnancy, labor 
and puerperium, management of normal deliveries, including the 
performance of internal examination during labor except when patient is 
with antenatal bleeding; health education of the patient, family and 
community, 
WITH 
PARTICULAR 
EMPHASIS 
ON 
HYGIENE 
IN 
PREGNANCY, PREVENTION OF COMPLICATIONS/RISK FACTOR, 
BREASTFEEDING, 
NUTRITION, 
EXERCISE, 
MANAGEMENT 
OF 
COMMON 
DISCOMFORTS 
ASSOCIATED 
WITH 
PREGNANCY, 
PREPARATION 
FOR 
DELIVERY, 
POSTPARTUM 
CHECK-UP, 


PREVENTION OF COMPLICATIONS, PREVENTION OF ILLNESS, 
IMMUNIZATION, 
RELEVANCE 
OF 
NEWBORN 
SCREENING. 
IMPORTANCE OF REGISTRATION OF BIRTH OF A NEWBORN primary 
health 
care 
services 
in 
the 
community, 
including 
nutrition, 
REPRODUCTIVE 
HEALTH, 
IMMUNIZATION, 
HEALTH 
EDUCATION/COUNSELING, 
PREVENTION 
AND 
CONTROL 
OF 
COMMUNICABLE AND NON COMMUNICABLE DISEASES, NEWBORN 
CARE AND CARE OF THE FAMILY AND COMMUNITY, BASIC LIFE 
SAVING SKILLS, OBSTETRICS AND BASIC GYNECOLOGY, and family 
planning; 
RULES 
AND 
PROCEDURES 
GOVERNING 
THE 
REGISTRATION OF BIRTH OF A NEWBORN HE/SHE ATTENDED TO, 
WITH THE LOCAL CIVIL REGISTRAR; [in] carrying out the written order 
of physicians with regard to antenatal, intra-natal and post-natal care of 
the normal pregnant mother in giving immunization, including oral and 
parenteral dispensing of oxytocic drug after delivery of placenta, suturing 
parietal lacerations to control bleeding, to give intravenous fluid during 
obstetrical emergencies provided they have been trained for that purpose; 
and may inject Vitamin K to the newborn: Provided, However, That this 
provision shall not apply to students in midwifery schools who perform 
midwifery service under the supervision of their instructors, nor to 
emergency cases." 
AS INDEPENDENT PRACTITIONERS, MIDWIVES ARE PRIMARILY 
RESPONSIBLE FOR THE PROMOTION OF THE WELFARE OF THE 
MOTHER AND THE CHILD AT ALL STAGES OF CHILDBEARING AND 
BIRTH. AS MEMBERS OF THE HEALTH TEAM, MIDWIVES SHALL 
COLLABORATE WITH OTHER HEALTH CARE PROVIDERS FOR THE 
CURATIVE, PREVENTIVE, AND REHABILITATIVE ASPECTS OF CARE, 
RESTORATION OF HEALTH, ALLEVIATION OF SUFFERING, AND 
WHEN RECOVERY IS NOT POSSIBLE, TOWARDS A PEACEFUL 
DEATH. IT SHALL BE THE DUTY OF THE MIDWIFE TO: 
(A) PERFORM PROFESSIONAL RESPONSIBILITIES BASED ON 
ACCEPTABLE AND SCIENTIFIC STANDARDS, APPLY ETHICAL AND 
LEGAL 
PRINCIPLES 
IN 
THE 
PERFORMANCE 
OF 
HIS/HER 
FUNCTIONS, ACTIVELY PARTICIPATE IN THE ACTIVITIES OF THE 
PROFESSIONAL ORGANIZATION, AND COMPLY WITH CONTINUING 
PROFESSIONAL EDUCA.TION REQUIREMENTS; 
(B) ESTABLISH LINKAGES WITH COMMUNITY RESOURCES AND 
COORDINATION WITH THE HEALTH TEAM; 
(C) PROVIDE HEALTH EDUCATION TO INDIVIDUALS, FAMILIES AND 
COMMUNITIES; 
PROVIDED, THAT THIS SECTION SHALL NOT APPLY TO 
MIDWIFERY STUDENTS WHO PERFORM MIDWIFERY FUNCTIONS 
UNDER THE DIRECT SUPERVISION OF A QUALIFIED FACULTY. 
PROVIDED, FURTHER, THAT IN THE PRACTICE OF MIDWIFERY IN 
ALL SETTINGS, THE MIDWIFE IS DUTY-BOUND TO OBSERVE THE 
CODE OF ETHICS FOR MIDWIVES AND UPHOLD THE STANDARDS 
OF SAFE PRACTICE. 
SEC. 18. A new prOVision is inserted between Sections 23 and 24 of 
Republic Act No. 7395, to read as follows: 


"SEC. 24. CONTINUING PROFESSIONAL EDUCATION -
A 
REGISTERED MIDWIFE IS REQUIRED TO MAINTAIN COMPETENCE. 
BY CONTINUAL LEARNING THROUGH CONTINUING PROFESSIONAL 
EDUCATION 
TO 
BE 
PROVIDED 
BY 
THE 
ACCREDITED 
PROFESSIONAL 
ORGANIZATION 
OR 
ANY 
RECOGNIZED 
PROFESSIONAL MIDWIFERY ORGANIZATION PROVIDED, THAT THE 
PROGRAM AND ACTIVITY FOR THE CONTINUING PROFESSIONAL 
EDUCATION SHALL BE SUBMITTED TO AND APPROVED BY THE 
COMMISSION, AFTER DUE CONSULTATION WITH THE BOARD." 
SEC. 19 The following provisions shall be inserted between Sections 26 
and 27 of Republic Act 7392, to read as follows: 
SEC. 27. STUDIES FOR MIDWIFERY MANPOWER NEEDS, 
PRODUCTION, UTILIZATION AND DEVELOPMENT- THE BOARD, IN 
COORDINATION 
WITH.' 
THE 
ACCREDITED 
PROFESSIONAL 
ORGANIZATION AND APPROPRIATE GOVERNMENT OR PRIVATE 
AGENCIES, SHALL INITIATE, UNDERTAKE AND CONDUCT STUDIES 
ON 
HEALTH HUMAN 
RESOURCE PRODUCTION, UTILIZATION, 
PLACEMENT AND DEVELOPMENT. 
SEC. 28. COMPREHENSIVE MIDWIFERY PROGRAM- WITHIN 
NINETY (90) DAYS FROM THE EFFECTIVITY OF THIS ACT, THE 
BOARD, 
IN 
COORDINATION 
WITH 
THE 
ACCREDITED 
PROFESSIONAL 
ORGANIZATION, 
NATIONAL 
ORGANIZATIONS, 
ACCREDITED SERVICE PROVIDERS AND THE DEPARTMENT OF 
HEALTH IS HEREBY MANDATED TO FORMULATE AND DEVELOP A 
COMPREHENSIVE MIDWIFERY PROGRAM THAT INCLUDES A VALID 
ASSESSMENT OF CAREER PERFORMANCE AND POTENTIAL, THUS, 
UPGRADE THE LEVEL OF SKILL AND COMPETENCE OF MIDWIVES 
IN THE COUNTRY, SUCH AS BUT NOT TO THE AREAS OF SKILL OF 
MATERNAL AND CHILD CARE AND SUCH OTHER AREAS AS MAY BE 
DETERMINED BY THE BOARD. 
THE BENEFICIARIES OF THIS PROGRAM ARE OBLIGED TO SERVE 
IN ANY RURAL OR COMMUNITY HOSPITAL FOR A PERIOD OF AT 
LEAST ONE (1) YEAR FROM COMPLETION OF THE PROGRAM. 
SEC. 29. SALARY AND COMPENSATION - IN ORDER TO ENHANCE 
THE GENERAL WELFARE AND COMMITMENT TO SERVICE AND 
PROFESSIONALISM OF MIDWIVES, THE MINIMUM BASE PAY OF 
MIDWIVES WORKING IN THE PUBLIC HEALTH INSTITUTIONS SHALL 
NOT BE LOWER THAN THE 1st STEP OF HIRING RATE PRESCRIBED 
FOR SALARY GRADE 8 PURSUANT TO RA NO. 6758, OTHERWISE 
KNOWN AS THE "COMPENSATION AND CLASSIFICATION ACT OF 
1989". PROVIDED THAT FOR MIDWIVES WORKING IN LOCAL 
GOVERNMENT UNITS, ADJUSTMENTS TO THEIR SALARIES SHALL 
BE IN ACCORDANCE WITH SECTION 10 OF THE SAME ACT. 
SEC. 
30. 
FUNDING 
FOR THE 
COMPREHENSIVE 
MIDWIFERY 
PROGRAM. - THE ANNUAL FINANCIAL REQUIREMENT NEEDED TO TRAIN 
AT LEAST TEN PERCENT (10%) OF MIDWIVES OF THE PARTICIPATING 
GOVERNMENT HOSPITAL SHALL BE CHARGEABLE AGAINST THE INCOME 
OF 
THE 
PHILIPPINE 
CHARITY 
SWEEPSTAKES 
OFFICE 
AND 
THE 
PHILIPPINE AMUSEMENT AND GAMING CORPORATION, WHICH SHALL 
EQUALLY SHARE IN THE COSTS AND SHALL BE RELEASED TO THE 


DEPARTMENT OF HEALTH SUBJECT TO ACCOUNTING AND AUDITING 
PROCEDURES: PROVIDED, THAT THE DEPARTMENT OF HEALTH SHALL 
SET THE CRITERIA FOR THE AVAILMENT OF THIS PROGRAM. 
SEC. 20. Sec. 27 of Republic Act No. 7392 is hereby amended to read as 
follows: 
"Sec. 27. Penal Provision. -Any person who shall practice midwifery in the 
Philippines within the meaning of this Act without a certificate of 
registration issued in accordance herewith, or any person presenting or 
using as his/her own certificate of registration or any person assuming, 
using or advertising, as a registered midwife or registered nurse-midwife 
or appending to his/her name the letter "R.M." without having been 
conferred such title by the Professional Regulation Commission or 
advertising any title description tending to convey the impression that 
he/she is a registered midwife, shall be guilty of misdemeanor and shall, 
upon conviction, be sentenced to a fine of not less than [fen] FIFTY 
thousand pesos [(P10,000)] (P50,000) nor more than [fhirty] FIVE 
HUNDRED thousand pesos [(P30,000)] (P500,000), or to suffer 
imprisonment for a period of not less than two THREE [(2)] (3) years nor 
more than SEVEN (7) years or both such fine and imprisonment at the 
discretion of the court.-The aforementioned penalty shall likewise be 
imposed upon any person found guilty of violation of any rule and 
regulation issued pursuant to the provision of this Act. 
SEC. 21. Implementing Rules and Regulations - Within ninety (90) days 
after the effectivity of this Act, the Board and the Commission, in coordination 
with professional midwives organizations, the Department of Health, the 
Department of Budget and M,;magement and other concerned government 
agencies, shall formulate such rules and regulations necessary to carry out the 
provision of this act. The implementing rules and regulations shall be published in 
the Official Gazette or in any newspaper of general circulation. 
SEC. 22. Separability Clause. - Any portion or provisions of this Act that 
may be declared unconstitutional or invalid shall not have the effect of nullifying 
other portions and provisions hereof as long as such remaining portion or 
provision can still subsist and be given effect in their entirety. 
SEC. 23. Repealing Clause. - All other laws, decrees, executive orders, 
proclamations and administrative regulations, or parts thereof inconsistent 
herewith are hereby repealed or modified accordingly. 
SEC. 24. Effectivity Clause. - This Act shall take effect fifteen (15) days 
after its publication in at least two (2) national newspapers of general circulation. 
Approved,