EIGHTEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
•19 JUL11 P4:04
SENATE
No. 
394
RECEIVED B'
INTRODUCED BY SENATOR CHRISTOPHER LAWRENCE "BONG" T. GO
AN ACT
INSTITUTIONALIZING AN EMERGENCY MEDICAL SERVICES SYSTEM, 
CREATING FOR THE PURPOSE THE NATIONAL EMSS COUNCIL, 
APPROPRIATING FUNDS THEREFOR, AND FOR OTHER PURPOSES
EXPLANATORY NOTE
At all times, especially during times of emergencies, it is necessary to have a 
well-coordinated, fast and effective response mechanism to prevent loss of lives and 
property. In 2018, President Rodrigo Duterte issued Executive Order (EO) No. 56 to 
establish the Emergency 911 Hotline as the nationwide emergency hotline number 
which acts as a call and dispatch center linking people needing assistance to 
emergency resources of the government such as the police, firefighters, medical 
workers and rescue services.
This proposed legislation seeks to institutionalize a comprehensive Emergency 
Medical Services System that will provide the arrangement of personnel, facilities, 
equipment, and transportation for effective, coordinated, and timely delivery of health 
and safety services to victims of sudden illness or injury in the pre-hospital setting.
This bill also proposes the setting up of a dedicated dispatch center in local 
government units, to be fully integrated and connected to the National Command 
Center. The dispatch centers will link all Filipinos with the emergency resources of the 
government. When implemented in a nationwide level, the public will just have to dial


a dedicated hotline number and the responder will be able to attend to the emergency 
situation. This bill also mandates the creation of a minimum number of plantilla 
positions for EMS personnel in the all government hospitals/health facilities.
In view of the foregoing, the immediate enactment of this measure is sought.
SENATOR CHRI
HER LAWRENCE


EIGHTEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
S. B. No.
SENATE
394
■ ^ 
. 
i' 
c > - 1 ^ 111 ^
C( ihC
'19 JULll P4-.04
RECEIVED BV.
INTRODUCED BY SENATOR CHRISTOPHER LAWRENCE "BONG" T. GO
AN ACT
INSTITUTIONALIZING AN EMERGENCY MEDICAL SERVICES SYSTEM, 
CREATING FOR THE PURPOSE THE NATIONAL EMSS COUNCIL, 
APPROPRIATING FUNDS THEREFOR, AND FOR OTHER PURPOSES
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Be it enacted by the Senate and House o f Representatives o f the Philippines in 
Congress assembled:
CHAPTER I
GENERAL PROVISIONS
Section 1. S hort Title. -  This Act shall be known as the "Emergency Medical 
Services System (EMSS) Act o f 2019".
Sec. 2. Declaration o f Policy. -  It is hereby declared the policy of the State 
to protect and promote the right to health of the people. Pursuant to this national 
policy, the government shall institutionalize a comprehensive, accessible, integrated 
and standardized system of emergency medical services and provide an environment 
that will maximize the capability and potential of emergency medical services (EMS) 
personnel.
Sec. 3. Objectives. -  This Act has the following objectives:
a) To create a national Emergency Medical Services System Council (EMSSC);
b) To develop and institutionalize an emergency medical services system at 
the national and local government;


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c) To encourage and promote the active participation of the private sector in
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the provision of emergency medical services;
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d) To establish a national standard for an emergency medical services such as
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training of EMS institutions and personnel, and establishing standards for
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design, accreditation and regulation of emergency medical vehicles;
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e) To institutionalize the use of a Nationwide Emergency Hotline Number;
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f) To establish and provide support services to emergency medical services;
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g) To promote public safety and accessible emergency medical services to the
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people especially those in need 
of emergency medical services and give
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priority for the under-served and unserved communities; and
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h) To adopt an emergency medical service protocol in times of natural and
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man-made disasters.
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Sec 4. Definition o f Terms. -  For purposes of this Act, the following terms
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are hereby defined:
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a) Accredited training and assessment institutions refer to organizations, in
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good standing with the Emergency Medical Service System Council
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(EMSSC), accredited to offer training programs, courses, continuing
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education and competency-based assessment in Emergency Medical
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Services for EMS personnel that meet the standards established by the
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Philippine Public Safety College (PPSC) for uniformed personnel and the
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EMSSC, hereinafter referred to as the Council created under this Act;
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b) Advanced Cardiac Life Support (ACLS) refers to a group of interventions
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used to treat and stabilize adult victims of life-threatening cardiorespiratory
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emergencies 
and 
to 
resuscitate 
victims 
of cardiac 
arrest. 
These
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interventions include Cardio Pulmonary Resuscitation (CPR), basic and
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advanced airway management such as endotracheal intubation, emergency
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medications, electrical therapy, automated external defibrillation and
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intravenous (IV) access;
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c) Advanced Trauma Life Support (ATLS) refers to a group protocol for
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managing trauma victims and designed to maximize management in the
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first hour after trauma and ensure an optimal long-term outcome. These


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interventions include BLS, ACLS, immobiiization, venous cannula insertion 
and Pediatric Advanced Life Support (PALS) for children;
d) Ambulance/Emergency medical vehicle refers to a vehicle designed and 
equipped for transporting sick or injured patients to, from, and between 
places of treatment by land, water or air, affording safety and comfort to 
the patients and avoiding illness or injury;
e) Basic Life Support (BLS) refers to a group of actions and interventions used 
to resuscitate and stabilize victims of cardiac and respiratory arrest. These 
BLS actions and interventions includes the recognition of a Cardiac or a 
Respiratory emergency or Stroke, activation of the emergency response 
system, CPR and relief of foreign-body airway obstruction;
f) Competency-based assessment refers to the confirmation of an EMS 
personnel's 
capability 
and 
capacity to 
perform 
one's 
duties 
and 
responsibilities, through the process of collective evidence and judgment, in 
accordance with the standards and guidelines established by the Council;
g) Emergency Medical Dispatch refers to the immediate identification and 
prioritization of emergency situations, the timely dispatch of appropriate 
resources, providing essential pre-arrival medical instructions and full 
endorsement to the receiving hospital. Dispatch encompasses all aspects of 
communication including request processing, coordination and support, 
documentation and monitoring.;
h) Emergency medical services (EMS) refer to:
(1) Emergency care which refers to the independent delivery of pre-hospital 
emergency medical services by appropriately trained and certified EMS 
personnel, usually in a mobile or community setting, in full accordance 
with the Emergency Medical Services Treatment Protocols established 
by the EMSSC;
(2) Advanced Life Support which refers to a set of life saving protocols and 
skills that extend beyond BLS (Basic Life Support) to further support the 
circulation and provide an advanced airway and adequate ventilation. 
Advanced Life Support may refer to Advanced Cardiac Life Support 
(ACLS) and Advanced Trauma Life Support (ATLS);


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i) Emergency Medical Services Personnel refers to a trained and certified 
personnel engaged in the provision of emergency medical services during 
emergencies. Responders may either be health professionals or non-health 
professionals;
j) Emergency Medical Services (EMS) System refers to the arrangement and 
coordination of personnel, facilities, and equipment for the effective delivery 
of emergency 
medical 
services 
required 
in 
the 
management 
of 
emergencies; for the management and prevention of further incidents or 
accidents and the broad range of emergency care from emergency care to 
transport in an intensive care setting;
k) Emergency Response and Care refers to the arrival of resources at the scene 
and the timely initiation and provision of appropriate medical interventions.
l) Emergency Transport refers to the transporting of a patient to the most 
appropriate and definitive health facility with continued provision of care 
and appropriate interventions en route to the appropriate health facility.
m) Inter-Agency Referral and Transport refers to the transport of patient with 
EMS personnel, if necessary, from one referring facility or agency to another 
receiving facility or agency for definitive care, as the patient requires, in an 
event that the services are not available in the referring facility;
n) Medical Direction refers to the communication between an EMS personnel 
and a physician from the field via radio or other means to obtain instruction 
on further care of a patient.
o) Medical Emergency refers to any acute or life-threatening condition that 
requires immediate intervention by competent medical personnel.
p) Medical Oversight refers to the broad understanding of the emergency 
medical system as a whole and ensuring proper policies and procedures 
exist to ensure safe transitions of care and utilization of appropriate 
resources in the field, it is typically performed by a medical director at the 
local, regional, and national levels, in collaboration with regulatories, 
regional and local medical directors and advisory committees.
q) National 
Emergency Medical Services Treatment Protocols refer to 
emergency medical procedures outlining approved clinical practices and


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therapies to be observed by EMS personnel, as established by the Council; 
and
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Patient Transport refers to the transport of patients to and from medical 
facilities whose condition is of a non-life-threatening nature in emergency 
situations, patients are transported by the emergency medical services.
CHAPTER I I
EMERGENCY MEDICAL SERVICES SYSTEMS COUNCIL
Sec. 5. Creation o f the Emergency Medical Services Systems Council. 
- There shall be a council to be known as the "Emergency Medical Services Systems 
Council (EMSSC)" created under the Department of Interior and Local Government 
(DILG).
Sec. 6. Powers and Functions o f the EMSSC. - The Council shall perform 
the following functions:
(a) To formulate policies governing the field of emergency medical services and 
related institutions;
(b) To develop national standards for the provision of emergency medical 
services to include, among others, the skills and competencies required for 
EMS personnel and the development of mandatory national emergency 
medical services treatment protocols to be observed by EMS personnel and 
such other entities as it may consider appropriate;
(c) To promulgate a Code of Ethics for EMS personnel;
(d) To develop high standards of operation for EMS personnel;
(e) To develop standards and protocols for the design, construction, outfitting 
and operations of emergency medical vehicles
(f) To integrate the training and study of Standard Basic Life Support and First 
Aid in different kinds of situations and emergencies in the curriculum of all 
public and private tertiary educational institutions.
(g) To ensure the establishment of a system of networking and coordination 
among all existing government health agencies, LGUs, and private and non-


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government medical institutions for the effective implementation of this 
Act;
(h) To monitor compliance by all LGUs and government and private health 
facilities, of the standards and requirements set out in this Act;
(i) To establish a Secretariat under an Executive Director for the administrative 
and day-to-day operations of the Council;
(j) To create committees and other mechanisms to help expedite the 
implementation of plans and strategies;
(k) To 
generate 
resources 
from 
local, 
national 
and 
international 
organizations/agencies, whether government or private sector, for its 
operation;
(l) To receive and accept donations and other conveyances including funds, 
materials and services by gratuitous title: Provided, that not more than 
thirty percent (30%) of said funds shall be used for administrative 
expenses;
(m ) To prepare an annual budget of the Council and submit the same to the 
President for inclusion in the annual General Appropriations Act;
(n) To advise the President on matters pertaining to EMS;
(o) To investigate complaints against violators of this Act, its rules and 
regulations and policies of the Council;
(p) To request any department, instrumentality, office, bureau or agency of 
the government, including LGUs, to render such assistance as it may 
require in order to carry out, enforce or implement the provisions of this 
Act;
(q) To regulate activities inimical to the delivery of emergency medical services;
(r) To meet at least once every quarter; and
(s) To promulgate rules and regulations and policies of the Council and enforce 
the provisions of this Act.
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Sec. 7. Membership o f the Council. - The members of the Council shall be
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composed of the following:


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(a) The Secretary of the Department of Interior and Local Government (DILG) 
as Chairperson of the Council;
(b) The Secretary of the Department of Health (DOH) as Co-Chairperson;
(c) The Secretary of the Department of Transport (DOTr);
(d) The Secretary of the Department of Information, Communication and 
Technology (DICT);
(e) The Head of the Office of Civil Defense (OCD);
(f) The Director General of the TESDA;
(g) The Chairperson of the CHED;
(h) The Chairman of the Philippine Red Cross (PRC); and
(i) The President of the Philippine Health Insurance Corporation (PhilHealth).
Relevant stakeholders from the different government offices, private entities 
and civil society organizations (CSOs) who are involved in the practice and 
implementation of emergency medical services can be invited as resource persons or 
representatives in the Council's meetings.
Sec. 8. Compensation and Remuneration. -  The Secretaries of the DILG 
and DOH shall perform their duties as such without compensation or remuneration, 
subject to reasonable per diem allowances as approved by the Council and subject to 
existing rules and regulations of the Department of Budget and Management (DBM). 
Members who are not government officials or employees shall be entitled to necessary 
traveling expenses, per diem and representation allowances chargeable against funds 
of the DOH, as approved by the Council, subject to existing rules and regulations of 
the DBM.
Sec. 9. The Secretariat. -  The Council shall organize a Secretariat headed 
by a person of probity and shall have at least five (5) years experience in emergency 
medical services or a related field.
Sec. 10. Program Plans. - The Council shall within six (6) months after having 
been officially constituted and finally staffed, adopt and immediately cause to be


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implemented, in coordination with medical and related agencies, a short-term program 
in support of relevant existing projects and activities and, within one (1) year, a long­
term five (5)-year development program. This development program shall be 
developed and subjected to annual review and revision by the Council, in coordination 
with relevant public and private medical agencies and organizations.
Sec. 11. Accreditation. - The Council shall issue certifications and licenses 
for the accreditation of training institutions for EMS personnel and emergency medical 
vehicle providers.
CHAPTER I I I
EMERGENCY MEDICAL SERVICES PERSONNEL
Sec. 12. Creation o f Plantilla Positions fo r Emergency Medical 
Services Personnel- There shall be created a minimum number of plantilla positions 
for EMS personnel in the following government hospitals/health facilities within the 
next five (5) years upon approval of this Act:
(a) Level 2 and 3 Hospitals -  Ten (10) EMS personnel and at least one (1) 
Ambulance Assistant;
(b) Level 1 Hospitals -  Six (6) EMS personnel and at least one (1) Ambulance 
Assistant;
(c) Local Government Units -  Six (6) EMS personnel; and
(d) Other Health Facilities - as may be deemed necessary by the Council.
Upon the approval of the necessary plantilla positions for EMS personnel, the 
Council shall submit a proposed standard of qualification for positions to the Civil 
Service Commission (CSC) for its approval, pursuant to Executive Order No. 292, 
entitled "The Revised Administrative Code of 1987 on the Civil Service Commission". 
The annual financial requirements needed to pay for the salaries of EMS personnel 
shall be included in the annual general appropriations of the respective hospitals, 
health facilities and LGUs.


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Sec. 13. Authorized Training Institution. - Training programs, courses and 
continuing education for an EMS personnel shall be conducted by an institution that 
has been granted a Certificate of Program Registration (COPR) by the TESDA, in case 
of technical non-degree courses falling under the TESDA jurisdiction, or a Certificate 
of Accreditation as a Higher Education Institution (HEI) as well as Program 
Accreditation by the CHED, in the case of degree programs falling under the CHED 
jurisdiction, and the Philippine Public Safety College (PPSC) for uniformed personnel.
The requirements prescribed by the Council shall serve as the minimum 
requirement for program registration. The DOH can provide training programs for EMS 
personnel: Provided, That these shall be in accordance with the standards set by the 
Council.
Sec. 14. Code o f Ethics o f EMS Personnel. - The Council, in coordination 
with the appropriate agencies, shall adopt and promulgate the Code of Ethics and the 
Code of Technical Standards for EMS personnel to include, among others, duties of 
EMS personnel to emergency medical patients, to the community, and to their 
colleagues.
CHAPTER IV
EMERGENCY MEDICAL SERVICES SYSTEM
Sec. 15. Emergency Medical Vehicles. - The Council shall develop minimum 
requirements for the design, construction, performance, equipment, testing and 
appearance of emergency medical vehicles. As such, only emergency medical vehicles 
shall be allowed to display the word "Ambulance" and the universally-accepted "Star 
of Life" symbol. It shall also provide for the operation protocols of said vehicles.
The DILG in coordination with the DOH shall design a specification and an 
accreditation systems and procedures, which shall follow Administrative Order (AO) 
No. 2016-0029 or the Department's A.O. governing licensure of ambulance and 
ambulance service provider, to provide the public with ambulances and other


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emergency medical vehicles that are easily identifiable, nationally recognizable,
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properly constructed, easily maintained and, when appropriately equipped, will enable
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EMS personnel to safely and reliably perform their functions as basic and advanced
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life support providers.
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The ambulance shall be designed to provide the following features at the
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minimum:
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(a) A driver's compartment;
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(b) A patient compartment with sufficient space to safely and comfortably
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accommodate an EMS personnel and a patient who can be given intensive
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life support during transit;
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(c) Equipment and supplies for emergency care at the scene as well as during
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transport;
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(d) A two-way radio, telephone or electronic communication; and
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(e) When necessary, equipment for light rescue or extrication procedures.
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The emergency medical vehicle shall be so designed and constructed to provide
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the patient with safety and comfort, and to prevent aggravation of the patient's injury
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or illness. The designated vehicle marking of "ambulance" is hereby restricted for use
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by emergency medical vehicles only. While failure of an emergency medical vehicle to
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conform to the Council standards may be a ground for the removal of its certification,
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such failure shall not bar EMS personnel from:
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(a) Responding and providing appropriate basic or advanced life support on-
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site to persons reported experiencing acute injury or illness in an
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emergency care setting, and transporting them, while continuing such life
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support care, to an appropriate medical facility for definitive care;
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(b) Providing inter-hospital critical transport care;
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(c) Transporting essential personnel and equipment to and from the site of a
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multiple medical emergency or a triage site and transporting appropriately
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triaged patients to designated medical facilities;
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(d) Emergency medical vehicles will be strictly be used for emergency cases 
only and not for patient OPD/ambulatory consults, non-emergent cases, 
and elective laboratory procedures; and
(e) BFP emergency medical vehicles will not be used for transporting non- 
emergent cases. LGU emergency medical vehicles can be used for 
transporting elective or non-emergent cases.
Sec 16. Emergency Dispatch. -  All local government units are mandated to 
establish their dispatch centers where constituents can call for all cases of 
emergencies, with adequate and qualified personnel. The dispatch centers shall follow 
the prescribed guidelines on dispatch protocol as determined by the DILG and the 
Council.
Sec. 17. Emergency Response, Care and Transport. -  All LGUs shall 
ensure the availability of adequate emergency transport vehicles or ambulances with 
qualified EMS personnel. All emergency transport vehicles and the procedures to be 
undertaken in responding and caring for patients shall follow the prescribed guidelines 
of the Department of Health (DOH) and the Council on ambulance services and on 
emergency response and care.
Sec. 18. Inter-Agency Referral and Transport. -  This Council shall 
establish the prescribed protocols / guidelines on inter-agency referral and transport.
CHAPTER V
EMERGENCY COMMUNICATIONS
Sec. 19. Adoption o f a Nationwide Emergency Hotline Number. - There 
shall only be one (1) nationwide emergency hotline number to enable the public to 
access 
emergency 
medical 
services. 
Towards 
this 
end, 
the 
National 
Telecommunications Commission (NTC) and the Council shall develop a program for 
the adoption of a nationwide emergency hotline number. It shall consult and 
cooperate with national and local agencies and institutions; LGUs and officials
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responsible for emergency service and public safety; the telecommunications industry
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(specifically including the cellular and other wireless telecommunications service
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providers); the motor vehicle manufacturing industry; emergency medical service
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providers; emergency dispatch providers; transportation officials; public safety, fire
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service and law enforcement officials; consumer groups; and hospital emergency and
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trauma care personnel, including emergency physicians, trauma surgeons and nurses.
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Sec. 20. Compliance. - It shall be the duty of every voice service provider to
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provide its subscribers with access to the national universal emergency number in
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accordance with the implementing rules and regulations to be adopted pursuant to
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this Act.
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Sec. 
21. 
Prohibited 
Acts 
and 
Penalties 
on 
Emergency
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Communications. -
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(a) Any person who makes a telephone call to an emergency hotline number
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with intent to annoy, abuse, threaten or harass any person who answers
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the telephone call shall be guilty with the first offense and, subject to
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subsection (c) of this section, shall be compelled to attend a seminar on
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the proper use of the nationwide emergency hotline number. Upon
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commission of the offense for the second time, the offender shall, upon
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conviction, be imposed with a fine of not less than Five hundred pesos
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(P500.00) but not more than One thousand pesos (P1,000.00). Upon
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commission of the offense for the third and succeeding times, the offender
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shall, upon conviction, be imposed with a penalty of imprisonment of not
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less than one (1) month but not more than six (6) months or a fine of not
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less than Two thousand pesos 16 (P2,000.00) but not more than Five
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thousand pesos (P5,000.00), or both, at the discretion of the court.
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(b) Any person who makes a telephone call to an emergency hotline number
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and, upon the call being answered, makes or solicits any comment, request,
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suggestion, proposal or sound which is obscene, lewd, lascivious, filthy or
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indecent, shall be mandated to attend a seminar on the proper use of the
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nationwide emergency hotline number for the first offense. Upon
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commission of the offense for the second time, the offender shail, upon 
conviction, be imposed with a fine of not less than Five hundred pesos 
(P500.00) but not more than One thousand pesos (P I,000.00). Upon 
commission of the offense for the third and succeeding times, the offender 
shall, upon conviction, be imposed with a penalty of imprisonment of not 
less than one (1) month but not more than six (6) months or a fine of not 
less than Two thousand pesos (P2,000.00) but not more than Five thousand 
pesos (P5,000.00), or both, at the discretion of the court.
(c) A person who gives a false report of a medical emergency or gives false 
information in connection with a medical emergency, or makes a false 
alarm of a medical emergency, knowing the report or information or alarm 
to be false; or makes a false request for ambulance service to an ambulance 
service provider, knowing the request to be false, shall be mandated to 
attend a seminar on the proper use of the nationwide emergency hotline 
number for the first offense. Upon commission of the offense for the second 
time, the offender shall, upon conviction, be imposed with a fine of not less 
than Two thousand pesos (P2,000.00) but not more than Five thousand 
pesos (P5,000.00) and payment of damages. Upon commission of the 
offense for the third and succeeding times, the offender shall, upon 
conviction, be imposed with a penalty of imprisonment of not less than one 
(1) year but not more than three (3) years or a fine of not less than Five 
thousand pesos (P5,000.00) but not more than Ten thousand pesos 
(P10,000.00) and payment of damages, or both, at the discretion of the 
court.
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CHAPTER VI 
OTHER PROVISIONS
Sec. 22. Role o f the LGUs. - The LGUs are hereby mandated to develop and 
institutionalize an emergency medical service system within their area of jurisdiction. 
The Council shall include in its programs, activities that will support and enable the 
LGUs to accomplish such task.
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Sec. 23. Enforcement o f the Emergency Medical Services System. - The
DILG, including all relevant agencies, instrumentalities, offices or bureaus of the 
government that are involved in the enforcement of emergency medical services, are 
hereby mandated to render its utmost support for the implementation of this Act.
Sec. 24. Appropriations. - The amounts necessary for the implementation 
of this Order shall be sourced from the appropriations of all concerned agencies and 
local government units. Additional funds and possible fund sources as may be 
necessary for the implementation of this Order shall be identified and provided by the 
Department of Budget and Management.
Sec. 25. Im plem enting Rules and Regulations. - Except as otherwise 
provided, the Council, in coordination with the NTC, the TESDA, the CHED, and the 
DOH, shall issue and promulgate the rules and regulations to implement the provisions 
of this Act within one hundred twenty (120) days upon constitution of the Council.
Sec 26. Separability Clause. - If any clause, sentence, paragraph or part of 
this Act shall be declared unconstitutional or invalid, such judgment shall not affect, 
invalidate or impact any other part of this Act.
Sec. 27. Repealing Clause. - Any provision of laws, orders, agreements, 
rules or regulations contrary to and inconsistent with this Act is hereby repealed, 
amended or modified accordingly.
Sec. 28. Effectivity. - This Act shall take effect fifteen (15) days after its 
publication in the Official Gazette or in a newspaper of general circulation.
Approved,
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