HOUSE OF REPRESENTATIVES:

SEVENTEENTH CONGRESS OF THE ) RE CENVED
REPUBLIC OF THE PHILIPPINES ) date, 01 AUG 2016

First Regular Session ) TIME: a I

HOUSE OF REPRESENTATIVE! BY: fe

No on! REGISTRATION UNIT
414 BILLS AND INDEX SERVICE

Introduced by Representative VILMA SANTOS-RECTO
6th District of Batangas

AN ACT
GRANTING AUTOMATIC PHILHEALTH COVERAGE FOR ALL WOMEN ABOUT
TO GIVE BIRTH AND THEIR NEWBORN CHILDREN, AMENDING FOR THE
PURPOSE REPUBLIC ACT NO. 7875, AS AMENDED BY REPUBLIC ACT NO. 10606,
OTHERWISE KNOWN AS THE “NATIONAL HEALTH INSURANCE ACT OF 2013”,
PROVIDING FUNDS THEREFOR AND FOR OTHER PURPOSES

Explanatory Note

In year 2000, the United Nations member states including the Philippines, came together
and entered into a landmark commitment to “spare no effort to free our fellow men, women and
children from the abject and dehumanizing conditions of extreme poverty”.! This commitment
was later on translated into a comprehensive framework identifying the so-called eight
Millennium Development Goals (MDGs) to address the different facets of poverty within a 15-
year time frame. Two of these MDGs deal with the improvement of maternal and child health.

For the Philippines, the MDG on the improvement of maternal health was meant to
reduce the maternal mortality ratio by seventy-five percent from 209 deaths for every 100,000
live births in the 1990s to 52 deaths in 2015?. On the other hand, the MDG on improving child
health was aimed at reducing mortality among children under five years old from about 80 per
1,000 live births in the 1990s to 28 in 2015°.

Through the years, our country has performed relatively well in attaining the aforesaid
MDGs. Various programs were implemented by the government to attain the targets set for each
of the goals, For maternal health, maternal care was included in the benefit packages under the
state’s national health insurance program. Information campaign was likewise conducted
aggressively to inform and influence pregnant women to seek the care and services of skilled
professionals before, during and after childbirth.

In the same manner, immunization for infant and children was mandated by the
government through the Department of Health. Moreover, health care for newborns was also
incorporated in the national health insurance packages while at the same time intensified
programs on micronutrient supplementation, breast feeding and birth spacing were used as
strategies by the health department.

In spite of the gains, however, the Philippines’ scorecard on MDGs pertaining to
maternal and child health would indicate that we are yet to achieve our targets after 15 years.

* See “The Millennium Development Goals Report 2015”, United Nations, Accessed at
http://www.un.org/millenniumgoals/2015_MDG_Report/pdf/MDG%202015%20rev%20(July%201).paf.

? See “Philippines Scorecard on MDGs 4 and 5”, Accessed at http://www. philstar.com/science-and-
technology/2014/05/29/1328329/philippine-scorecard-mdgs-4-and-S.
*http://www.undp.org/content/dam/undp/library/MDG/english/MDG%20Country%20Reports/Philippines/Philippines_M
DGReport_2003.pdf.


Maternal care remains to be a big challenge considering that the percentage of women availing
pre and post natal check-up are still low. A lot of expectant mothers still do not have access to
these health care services either because they do not know where to seek such services or they do
not have the means to pay for them.

This bill seeks to address the aforesaid problems by providing automatic health insurance
coverage to all women about to give birth who are not yet enrolled under any existing categories
of the Philippine Health Insurance Corporation (Philhealth). The premium of such membership
shall be borne by the national government through the National Health Insurance Fund of
Philhealth to be sourced from the sin tax collections in accordance with Republic Act No. 10351
otherwise known as “An Act Restructuring the Excise Tax on Alcohol and Tobacco Products”.

Through this measure, all expectant mothers will be able to avail of pre and post natal
care as well as childbirth benefits while at the same time extending to their children, adequate
newborn health care services. Hence, contributing to the attainment of our MDGs on maternal
and child health.

The bill will likewise be a step closer to attaining universal Philhealth coverage as it will
automatically enroll all expectant mothers and their newborn children in the national health
insurance program of the government.

Itis in this regard that the passage of this bill is earnestly sough

VILMA SANTOS-RECTO,


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SEVENTEENTH CONGRESS OF THE )

REPUBLIC OF THE PHILIPPINES )

First Regular Session )
HOUSE OF REPRESENTATIVES

H.No. #104

Introduced by Representative VILMA SANTOS-RECTO.
6th District of Batangas

AN ACT
GRANTING AUTOMATIC PHILHEALTH COVERAGE FOR ALL WOMEN ABOUT
TO GIVE BIRTH AND THEIR NEWBORN CHILDREN, AMENDING FOR THE
PURPOSE REPUBLIC ACT NO. 7875, AS AMENDED BY REPUBLIC ACT NO. 10606,
OTHERWISE KNOWN AS THE “NATIONAL HEALTH INSURANCE ACT OF 2013”,
PROVIDING FUNDS THEREFOR AND FOR OTHER PURPOSES

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

assembled:

SECTION 1. Short Title. ~ This Act shall be known as the “Philhealth Para sa Buntis at
Kanyang Sanggol Act of 2016”
SEC. 2. Section 12 of Republic Act No. 7875, as amended by Republic Act No. 10606 is
hereby further amended to read as follows:
“SEC. 12. Entitlements to Benefits. — A member whose premium contributions for
at least three (3) months have been paid within six (6) months prior to the first day of
availment, including those of the dependents, shall be entitled to the benefits of the
Program: Provided, That such member can show that contributions have been made with
sufficient regularity: Provided, further, That the member is not currently subject to legal
penalties as provided for in Section 44 of this Act.
“The following need not pay the monthly contributions to be entitled to the
Program’s benefits:
“a, Retirees and pensioners of the SSS and GSIS prior to the effectivity of
this Act; [and]
“b. Lifetime members|.J; AND
“C. ALL FILIPINO WOMEN ABOUT TO GIVE BIRTH AND
THEIR NEWBORN CHILDREN WHO ARE NOT CURRENTLY
COVERED UNDER ANY EXISTING CATEGORY OF
PHILHEALTH.

SEC. 3. Section 29-B of Republic Act No. 7875, as amended, is hereby further amended

to read as follows:


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“SEC. 29-B. Coverage of Women About to Give Birth ~ The annual required
premium for the coverage of unenrolled women who are about to give birth AND THEIR
NEWBORN CHILDREN shall be fully borne by the national government TO BE SOURCED
FROM THE NATIONAL HEALTH INSURANCE FUND OF PHILHEALTH
EARMARKED FROM THE PROCEEDS OF SIN TAX COLLECTIONS AS PROVIDED
FOR IN REPUBLIC ACT NO. 10351. [and/or LGUs and/or legislative sponsor which shall be
determined through the means testing protocol recognized by the DSWD].

SEC. 4. Implementing Rules and Regulations. The Philippine Health Insurance
Corporation (Philhealth) and the Department of Health (DOH) shall promulgate, not later than
thirty (30) days upon the effectivity of this Act, the necessary rules and regulation for its proper
and effective implementation.

SEC. 5. Repealing Clause. — All laws, decrees, executive orders, rules and regulations,
or parts thereof which are inconsistent with this Act are hereby repealed, amended or modified
accordingly.

SEC. 6. Effectivity. ~ This Act shall take effect fifteen (15) days after its publication in
the Official Gazette or in at least two (2) newspapers of general circulation.

Approved,

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