fr:.' 
T, 
FIFTEENTH CONGRESS OF THE 
) 
REPUBLIC OF THE PHILIPPINES) 
\;~F:( E ",F -, 
(' 7' fH ·t'~.F:\/ 
First Regular Session 
) 
SENATE 
s.No.220 
Introduced by Senator Antonio "Sonny" F. Trillanes IV 
EXPLANATORY NOTE 
Article II Section 15 of the 1987 Constitution provides that the State shall protect and 
promote the right to health of the people and instill health consciousness among them. 
Despite such policy, efforts on the part of government remain inadequate especially in 
light of the soaring number of Filipinos afflicted with disabling and costly diseases such 
as diabetes. Dubbed as a silent killer, diabetes is now the seventh (7th) leading cause of 
death in the Philippines.l Over time, diabetes can lead to heart and blood vessel disease, 
blindness, kidney failure, and foot ulcers, among other conditions? Around 500 Filipinos 
are diagnosed with diabetes everyday adding to the estimated 3 million that presently 
have this condition? Further, diabetes awareness is low among the public. 
It is in this light that this bill seeks to promote a different approach in responding to this 
illness. This measure requires the Department of Health (DOH) to establish an advisory 
group to examine and recommend best practices of diabetes and chronic illness employee 
wellness incentivization and disease management programs; to prepare, biennially, a 
diabetes report card for the nation that: (1) is adaptable by state and local agencies in 
order to rate or report local diabetes care, costs, and prevalence; and (2) includes trend 
analysis in order to track progress in meeting established national goals and objectives 
and to inform policy and program development; to conduct, support, and promote the 
collection, analysis, and publication of data on the prevalence and incidence of type I and 
2 diabetes and of pre-diabetes; and to improve diabetes mortality data collection. 
It is hoped that the passage of this measure shall put a halt to this fast-growing pandemic 
and shall bring about a healthier diabetes-free population. 
In ,"ow O~<hO foregomg, 'pprov'" or ili;, m~,"re ;, _~Uy "O;gh\~ __ ---
10. "SONNY" F. TRILLANES 
Senator 
I 
Information retrieved from: http://www.diabetes.co.uk/ncws/2006/JuIlPhilippines-diabctes-awarencss-low.html. 
Retrieved on 28 April 2009. 
2 Infonnation retrieved from: hHp://www.fda.gov/Diabetes/related.html. Retrieved on 28 April 2009. 
J As quoted from Dr. Francisco Pasaporte, president of the Philippine Association of Diabetes Educators. InfOtmation 
retrieved 
from: 
hUp:l/showbizandstyJe. inquirer.net/l ifestylc/l it'estvlc/viewI20080620-143877 I Action-urged-as-500~ 
Pinovs-diagnosed-with-diabetes-daily. Retrieved on 28 April 2009. 
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FIFTEENTH CONGRESS OF THE 
) 
REPUBLIC OF THE PHILIPPINES) 
First Regular Session 
) 
SENATE 
S. No. 220 
! \} 
JUL -6 [; 9 :08 
Introduced by Senator Antonio "Sonny" F. Trillanes IV 
AN ACT 
TO PROVIDE FOR A FRAMEWORK IN THE CARE AND TREATMENT OF 
DIABETES, APPROPRIATING FUNDS THEREFOR, AND FOR OTHER PURPOSES 
Be it enactet;J in the Senate and House of Representatives of the Philippines in Congress 
assembled: 
SEC. 1. Short Title. - This Act may be known as the "Diabetes Care Act of 2010. " 
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SEC. 2. Definition of Terms. - As used in this Act, the following terms shall mean as 
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follows: 
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a. 
Employee wellness and disease management programs shall include but not be 
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limited to personal coaching intervention to target lifestyle topics such as back care, 
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blood pressure management, blood sugar control, exercise, walking breaks, nutrition 
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and stress management, healthy weight management program, smoking cessation 
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program, reduction of behavior-related causes of disease. 
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b. Chronic illness is one that lasts for a very long time and usually cannot be cured 
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completely. It shall include but not be limited to diabetes, heart disease, arthritis, 
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kidney disease, lupus, multiple sclerosis, and HIV. 
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SEC. 3. Advisory Group Regarding Diabetes And Chronic Employee 
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WeI/ness Incentivization And Disease Management Best Practices. -
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a. Establishment. - The Secretary ofthe Department of Health (hereinafter referred to as the 
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Secretary) shall establish an advisory group consisting of representatives of the public 
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and private sector. The advisory group shall include representatives from public and 
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private sector entities with experience in administering and operating employee wellness 
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and disease nlanagem:ent prograills. 
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b. Duties. - The advisory group established under subsection (a) shall examine and make 
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'recommendations' of best 'practices ofchron!c 'illness employee wellnessincentivization 
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and disease management programs in order to; 
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provide public and private sector entities with improved infoID1ation in assessing 
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the role of employee wellness incentivization and disease management progran1s 
in saving'money andimproving'ql1alityof life for patients with chronic illnesses; 
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and 
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n. 
encourage'the adoption of effective chronIC illness employee weHness and disease 
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management programs. 
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c. Report - Not later than one (1) year after the date of the enactment of this Act, the 
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advisory group established shall submit to the Speaker, Majority and Minority Leader of 
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the House of Representatives, and 'the President, tv1ajority Leader and 1vfinority Leader of 
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the Senate, the results of the examination under subsection (b)(i). 
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SEC. 4. National Diabetes Report Card. -
, 
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a. Establishrnent. - The Secretary of the Department of I Iealth (referred to in this section as 
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DOH) shall prepare on a biennial basis a national diabetes report card (hereinafter 
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referred to as 'Report Card') for the 1~atioll. 
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h. Contents. -
Each Report Card shall include statistically valid aggregate health outcomes 
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related to individuals diagnosed with diabetes and pre-diabetes including: 
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i. 
preventative care practices and quality of care; 
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li. 
risk factors; and 
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iii. 
outcomes. 
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c. Updated Reports. - Each Report Card that is prepared after the initial Report Card shall 
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include trend analysis for the nation for the purpose of: 
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1. 
tracking progress in meeting established national goals and objectives for 
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improving diabetes care, costs, and prevalence; and 
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11. 
informing policy and program development. 
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d. Availability - The Secretary shallluake each Report Card publicly available, including by 
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posting the Report Card on the Internet. 
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SEC. 5. Improvement of Vital Statistics Collection. -
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a. 
The Secretary of the DOlI shall: 
, 
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I. 
promote the education and training of physicians on the importance of birth and 
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1£ 
IV 
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Ii. 
iii. 
h. 
death certificate data and how to properly complete these documents, including 
the collection of such data for diabetes and other chronic diseases; 
encourage local gOVell111iel1t units' adoption of the latest standard revisions of 
birth and death certificates; and 
work with LGDs to re-engineer their vital statistics systelns in order to provide 
cost-effective, timely, and accurate vital systems data. 
Death Certificate Additional Language - In carrying out this section, the Secretary 
may promote the addition of language to death certificates to improve collection of 
diabetes 111oiial1ty data, including the addition of a question for the individual 
certifying to the cause of death regarding whether the deceased had diabetes. 
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SEC. 6. Study On Appropriate Level Of Diabetes Medical Education. -
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a. In General - The Secretary of the Department of Health (hereinafter referred to as 
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'Secretary') shall, in collaboration with the University of the Philippines College of the 
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Medicine, and appropriate associations and councils, conduct a study of the hnpact of 
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diabetes on the practice of medicine in the Philippines and the appropriateness of the 
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level of diabetes ll1edical education that should be required prior to liCensure, board 
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certifiGation, and board recertification; 
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t. ReR0rt - Not later than two (2) years after the date of the enactment of this Act, the 
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Secretary shall submit a report on the study under subsection (a) to the appropriate 
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COll1111ittees oftlie House ofRepreSelltatives fuid the Senate of the Philippines. 
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SEC. 7. Appropriation. - The amount necessary to carry out the provisions of this Act 
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shall be taken out fronl the appropriations of the DOH. Thereafter, such aUl0unt necessary for the 
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implementation of this Act shall be included in the annual General Appropriations Act. 
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SEC. 8. Separability Clause. - If any provision or part hereof is held invalid or 
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unconstitutional, the rel11ainder of the law or the provision 110t otherwise affected shall rC111ain 
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valid and subsisting. 
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SEC. 9. Repealing Clause. -
Any law, presidential decree or issuance, executive order, 
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letter of instruction, adtllinistrative order, rule or regulation contrary to, or inconsistent with, the 
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provisions of this Act, is hereby repealed, modified, or amended accordingly. 
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SEC. 10. Effectivity Clause. - This Act shall take effect fifteen (15) days after its 
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complete publication in the Official Gazette or in at least two (2) newspapers of general 
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circulation. 
Approved, 
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