SIXTEENTH CONGRESS OF THE REPUBLIC 
OF THE PHILIPPINES 
Second Regular Session 
SENATE 
S.No. 
2694 
) 
) 
) 
Introduced by Senator Miriam Defensor Santiago 
AN ACT 
'15 HAR16 P3:01 
'L 
'biVElI HV:-f-
CREATING ADULT DAY CARE PROGRAMS AND CENTERS 1 
EXPLANATORY NOTE 
The Constitution, Article, Section 15 states: 
The State shall protect and promote the right to health of the people 
and instill health consciousness among them. 
According to a report by the World Health Organization, neurological disorders, 
which range from migraines to dementia and epilepsy, are bound to affect one billion 
people worldwide as the populations age. Currently, there are 24.3 million people 
suffering from Alzheimer's and other debilitating dementias, with that number expected 
to double every 20 years. In its report, "Neurological Disorders: Public Health 
Challenges," the WHO said that neurological care should become part of basic health 
care so that under-detected disabilities are diagnosed and treated? 
Neurological diseases or conditions such as multiple sclerosis (MS), early-onset 
Parkinson's disease, and traumatic brain injury (TBI) can also typically affect younger 
adults in the middle of their lives. Adult day programs can offer services, including 
medical care, rehabilitation therapies, dignified assistance with the activities of daily 
living, nutrition therapy, health monitoring, social interaction, stimulating activities, and 
I This bill is based on H.R. No. 263 filed in the 1141h Congress, First Regular Session of the United States House of 
Representatives. 
2 "One billion battling with neurological disorders." http://www.news-medical.net/news/2007/03/01/22314.aspx. 
Accessed last 25 February 20 15. 
1 


transportation to seniors, people with disabilities, and younger adults with chronic 
diseases. These programs provide an important response to the needs of people living 
with these conditions and their caregivers. These programs can also help ameliorate 
symptoms, reduce dependency, provide important socialization opportunities, and 
maintain quality of life. 
Adult day programs have been reportedly shown to provide a range of documented 
benefits including improvements in functional status, social support, and reductions in 
fatigue, depression and pain. The programs also reduce ongoing medical care and 
hospital costs and decrease admissions to nursing home facilities, which can be costly for 
many families, by allowing individuals to receive health and social services while 
continuing to live at home. 
There are currently few adult day programs in the Philippines. Although young 
people living with neurological diseases or conditions may be able to access existing 
adult day programs, such programs are not typically intended for younger adults living 
with chronic diseases or conditions, and may not provide the appropriate services to meet 
the age-related or disability status of these individuals. 
This bill aims to expand and enhance existing adult day programs for younger 
people with neurological diseases or conditions to support and improve access to respite 
services for family caregivers who are taking care of such people. 
2 
~ 
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MIRIAM DEF~SOR SANT'GO 
;jl' 


SIXTEENTH CONGRESS OF THE REPUBLIC 
OF THE PHILIPPINES 
Second Regular Session 
SENATE 
2694 
s. No. _-'--=--=---=-
) 
) 
) 
Introduced by Senator Miriam Defensor Santiago 
'15 
MAR16 P3:01 
,n;CEIVEO BY:--&-
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled: 
1 
AN ACT 
2 
CREATING ADULT DAY CARE PROGRAMS AND CENTERS 
3 
SECTION 1. Short Title. - This Act shall be known as the "Adult Day Care 
4 
Programs and Centers Act." 
5 
SECTION 2. Adult Day Care Program. - The Secretary of Health shall create a 
6 
program that provides comprehensive and effective care and support services to 
7 
individuals living with neurological diseases or conditions such as multiple sclerosis, 
8 
Parkinson's disease, traumatic brain injury, or other similar diseases or conditions that 
9 
may result in a functional or degenerative disability and to their family caregivers and 
10 
that may assist participants in ways that--
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(A) maintain or improve their functional abilities, or otherwise help them 
12 
adjust to their changing functional abilities; 
13 
(B) prevent the onset of complications associated with severe forms of the 
14 
disease or condition; 
15 
(C) promote alternatives to placement in nursing homes; 
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(D) reduce the strain on family caregivers taking care of a family member 
17 
living with such diseases or conditions; 


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(E) focus on supporting the emotional, social, and intellectual needs of a 
2 
younger adult population; or 
3 
(F) address the needs of veterans living with such diseases or conditions. 
4 
SECTION 3. Survey of Existing Adult Day Programs. -
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(1) In General. - Not later than 90 days after the date of the enactment of this 
6 
section, Secretary of Health shall initiate a comprehensive survey of current adult day 
7 
programs that provide care and support to individuals including young adults living with 
8 
neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, 
9 
traumatic brain injury, or any similar disease or condition. 
10 
(2) Survey Elements. - In carrying out the survey under Section 3, paragraph (1), 
11 
the Secretary of Health may utilize existing publicly available research on adult day 
12 
programs, and shall--
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(A) identify ongoing successful adult day programs, including by providing 
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a brief description of how such programs were initially established and funded; 
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(B) identify which adult day programs are serving young adults living with 
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neurological diseases or conditions; 
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(C) develop a set of best practices to help guide the establishment and 
18 
replication of additional successful adult day programs, including--
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(i) program guidelines; 
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(ii) recommendations on the scope of servIces that should be 
21 
provided to individuals with neurological diseases or conditions including 
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young adults (which may include rehabilitation therapy, psychosocial 
2 


I 
support, social stimulation and interaction, and spiritual, educational, or 
2 
other such services); and 
3 
(iii) performance goals and indicators to measure and analyze the 
4 
outcomes generated by the services provided and to evaluate the overall 
5 
success ofthe program; and 
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(3) Report. - Not later than 180 days after initiating the survey under Section 3, 
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paragraph (1), the Secretary of Health shall produce and make publicly available a 
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summary report on the results of the survey. Such report shall include each of the 
9 
elements described in paragraph Section 3, paragraph (2). 
10 
SECTION 4. Establishing Adult Day Care Programs in Local Government Units.-
II 
It is hereby mandated that all local government units shall establish adult day care 
12 
centers. These stations shall be adequately provided with the necessary equipment and 
13 
facilities, to be determined by the Department of Health, and should adhere to the set of 
14 
best practices under Section 3, paragraph (2). 
IS 
SECTION 5. Establishment of Grant Program. -
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(1) In General. - Not later than 90 days after producing the report required by 
17 
Section 3, paragraph (3), the Secretary of Health shall establish a competitive grant 
18 
program for awarding grants annually to eligible entities, based on the best practices 
19 
developed under Section 3, paragraph 2 (C) to fund adult day programs serving younger 
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people with neurological diseases or conditions. 
21 
(2) Eligible Entities. - In order to be eligible for a grant under this subsection, an 
22 
entity shall demonstrate the following: 
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(A) Understanding of the special needs of younger people living with 
24 
neurological diseases or conditions such as multiple sclerosis, Parkinson's disease, 
3 


1 
traumatic brain injury, or other similar diseases or conditions, including their 
2 
functional abilities and the potential complications across all types of cases and 
3 
stages of such diseases or conditions. 
4 
(B) Understanding of the issues experienced by family caregIvers who 
5 
assist a family member with neurological diseases or conditions such as multiple 
6 
sclerosis, Parkinson's disease, traumatic brain injury, or other similar diseases or 
7 
conditions. 
8 
(C) A capacity to provide the services recommended by the best practices 
9 
developed under Section 3, paragraph 2 (C). 
10 
(3) Additional Selection Requirement. - The Secretary of Health shall not award a 
11 
grant to an entity under this subsection if the amount of the award would constitute more 
12 
than 40 percent of the operating budget of the entity in the fiscal year for which funds for 
13 
the grant are authorized to be expended. For purposes of this subsection, the fair market 
14 
value of annual in-kind contributions of equipment or services shall be considered part of 
15 
the operating budget of the entity. 
16 
(4) Selection of Grant Recipients. - Not later than 90 days after establishing the 
17 
grant program under this subsection, the Secretary of Health shall award the first annual 
18 
series of grants under the program. In awarding grants under this subsection, the 
19 
Secretary should ensure, to the extent practicable, a diverse geographic representation 
20 
among grant recipients and that, subject to the availability of appropriations--
21 
(A) a minimum of five (5) entities are selected as grant recipients for the 
22 
first fiscal year for which such grants are awarded; 
23 
(B) a minimum of ten (10) entities are selected as grant recipients for the 
24 
second such fiscal year; 
4 


(C) a minimum of twelve (12) entities are selected as grant recipients for 
2 
the third such fiscal year; and 
3 
(D) a minimum of fifteen (15) entities are selected as grant recipients for 
4 
the fourth such fiscal year. 
5 
(5) Report. - No later than one year after the initial award of grants under this 
6 
subsection, and annually thereafter, the Secretary of Health shall produce and make 
7 
publicly available a brief summary report on the grant program under this section. Each 
8 
such report shall include the following: 
9 
(A) A description of the adult day programs receiving funding under this 
10 
section, including the amount of funding awarded and the expected outcomes of 
11 
each program. 
12 
(B) A description of performance goals and indicators to monitor the 
13 
progress of grant recipients in--
14 
(i) responding to the needs of younger individuals living with 
15 
neurological diseases or conditions such as multiple sclerosis, Parkinson's 
16 
disease, traumatic brain injury, or other similar diseases or conditions; and 
17 
(ii) assisting the family caregivers of such individuals. 
18 
(C) Any plans for improving oversight and management of the grant 
19 
program. 
20 
SECTION 6. Authorization of Appropriations. - There are authorized to be 
21 
appropriated such sums as may be necessary in each fiscal year to carry out the 
22 
provisions of this Act. 
5 


1 
SECTION 7. Separability Clause. - If any provision or part hereof, is held invalid 
2 
or unconstitutional, the remainder of the law or the provision not otherwise affected shall 
3 
remain valid and subsisting. 
4 
SECTION 8. Repealing Clause. - Any law, presidential decree or issuance, 
s 
executive order, letter of' instruction, administrative order, rule or regulation contrary to 
6 
or inconsistent with, the provisions of this Act is hereby repealed, modified, or amended 
7 
accordingly. 
8 
SECTION 9. Effectivity Clause. - This Act shall take effect fifteen (IS) days after 
9 
its publication in at least two (2) newspapers of general circulation. 
Approved, 
lat25February20 15 
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