Republic of the Philippines
HOUSE OF REPRESENTAT!
Quezon City, Metro Manila

TWENTIETH CONGRESS
First Regular Session

House Bill No. _2487

Introduced by Representative GIRLIE E. VELOSO

EXPLANATORY NOTE

‘The 1987 Constitution affirms the duty of the State to protect and promote the right to health and
mandates that health development be pursued through an integrated and comprehensive approach,
with priority given to the underprivileged, sick, elderly, disabled, women, and children. Republic Act
No. 11223 or the Universal Health Care (UHC) Act reinforces this mandate by ensuring health
system equity, quality, and resilience through institutional reforms and service integration. However,
existing frameworks remain incomplete in addressing the continuum of care for patients requiring
extended support beyond acute or primary treatment, especially during periods of institutional stress.
While laws exist for emergency response and hospital licensing, there remains a legislative gap in
systemnatizing patient decompression, long-term recovery, and the integration of halfway support as
part of routine healthcare service delivery and facility resilience.

Hospitals across the country, both public and private, operate under near-constant capacity strain.
Overcrowding, hallway admissions, and premature discharges are no longer exceptional; they are
everyday conditions driven by structural shortages, social determinants of health, and unequal access
to post-acute care. The notion of “surge” must be redefined not solely as disaster-induced, but as a
chronic reality that compromises quality, continuity, and dignity in care. Existing halfway houses,
initially designed for temporary shelter or geographic access, are underutilized as part of a broader
system of patient decompression and reintegration. Moreover, without institutional mandates and
shared operational protocols, referral systems remain fragmented, recovery pathways are
inconsistent, and the burden is unequally distributed across facilities. The absence of resilient
infrastructure and structured transitions from hospital care to community or supportive recovery
settings continues to undermine both health outcomes and institutional efficiency.

This bill seeks to institutionalize Integrated Recovery Support Facilities (IRSFs) as essential
components of the national health infrastructure not merely as emergency sutge responses, but as


enduring mechanisms for decompression, recovery, and reintegration that address the persistent
ptessures faced by hospitals nationwide. Rather than establishing parallel systems, the bill
strengthens existing referral mechanisms by embedding continuity-of-care protocols, structured
recovery pathways, and reintegration frameworks that are patient-centered and adaptable to
institutional capacities. IRSFs are designed to integrate with and enhance current hospital
infrastructure by utilizing, upgrading, or linking existing wards, shelters, halfway houses, ot
community facilities where feasible, and constructing new modular units only when necessary. While
IRSFs are established specifically within government hospitals and health centers, the bill also
mandates system-wide support services such as referral interoperability, continuity of care protocols,
business continuity plans, and recovery-focused care that span public and private providers.
‘Through this adaptive, integrative approach, the bill transforms decompression and continuity of
care from ad hoc practices into standard, resilient features of the health system.

The enactment of this measure will alleviate chronic congestion in hospitals, allow clinical
institutions to focus on their core competencies, and give patients a dignified, structured path toward
full recovery and reintegration. IRSFs will serve as flexible, scalable care nodes, capable of bridging
gaps in rehabilitation, psychosocial support, post-treatment step down, and sustained care,
particularly for vulnerable or displaced individuals. By embedding IRSFs in both emergency and
non-emergency service delivery, the bill promotes a health system that is adaptive, equitable, and
able to function even under prolonged strain. It aligns national infrastructure policy with evolving
patient needs and the operational realities of both government and private hospitals, while
strengthening anticipatory planning, surge absorption, and care continuity as core public health
functions.

‘Through this legislative measure, the State redefines resilience as sustained adaptability in the face of
institutional demand, structural inequities, persistent health burdens, and varied realities on the
ground. It bridges hospital-based care and social reintegration as a continuum, and provides a
forward-looking institutional response to the country’s overburdened health facilities. Most
importantly, it affirms the primacy of the patient experience in system design.

In view of the foregoing, support for the enactment of this measure is earnestly sought.

REP. GI E. VELOSO
‘Malasakit@BaVanihan Partylist


Awe ov

on

10

"1
12

13

Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

‘TWENTIETH CONGRESS
First Regular Session

2467

House Bill No.

Introduced by Representative GIRLIE E. VELOSO

AN ACT ESTABLISHING A NATIONAL HEALTH RESILIENCE AND
CONTINUITY OF CARE SYSTEM THROUGH THE INSTITUTIONALIZATION OF
INTEGRATED RECOVERY SUPPORT FACILITIES IN GOVERNMENT
HOSPITALS, STRENGTHENING EMERGENCY PREPAREDNESS AND PATIENT
SUPPORT, AND PROVIDING FUNDS THEREFOR

Be it enacted by the Senate and House of Representatives of the Philippines im Congress assembled:

SECTION 1. Short Title. — This Act shall be known as the “Health Resilience and
Continuity of Care Act”,

SECTION 2. Declaration of Policy. — It is the declared policy of the State to protect and
promote the right to health of every Filipino and to institutionalize a health system that is universally
accessible, resilient, equitable, and responsive to emergencies, transitions in care, and the
socioeconomic realities of patients.

‘Toward this end, the State shall establish a national health resilience and continuity of care
framework that enables government hospitals to anticipate, absorb, and adapt to public health
emergencies; to ensure uninterrupted, coordinated medical care across all levels of treatment; and to
support patients and their families through recovery and reintegration.

‘The State further recognizes the urgent need to construct ot designate integrated, multi-use
facilities in government hospitals that function as:

(@ Surge shelters during pandemics, disasters, or extraordinary increases in patient volume;


RUNS

10
rt
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

(b) Transition wards for patients requiring temporary clinical support following
hospitalization; and

(© Halfway houses for indigent, geographically displaced, or socioeconomically
disadvantaged patients and their companions.

In pursuit of these goals, the State shall adopt a whole-of-government and whole-of-society

approach, institutionalizing inter-agency coordination, decentralized implementation, and locally
responsive models of care, consistent with the principles of universal health care, social justice, and
disaster risk reduction.

SECTION 3. Definition of Terms. — As used in this Act:

(@) Health Resilience refers to the capacity of the health system, including its institutions,
personnel, infrastructure, and processes, to anticipate, absorb, adapt to, and recover from
health emergencies, disasters, or other disruptions while continuing to deliver essential
services.

(b) Continuity of Care refers to the coordinated and uninterrupted provision of health
services actoss different stages and levels of patient need, including pre-hospital,
inpatient, transitional, outpatient, and post-discharge support, particularly for vulnerable
or displaced populations.

(©) Surge Shelter refers to a temporary or permanent facility within or adjacent to a
government hospital designed to accommodate patients during periods of extraordinary
demand, such as pandemics, mass casualty events, or natural disasters. Surge shelters may
function as overflow treatment areas, triage zones, or isolation units.

(@ Transition Ward refers to a step-down facility for patients who no longer require critical
or full hospital admission but are not yet fit for discharge due to pending diagnostic,
therapeutic, or logistical needs. Transition wards facilitate clinical recovery, improve bed
turnover, and reduce premature discharges.

(© Halfway House refers to a non-clinical, temporary lodging facility located within or near
a government hospital, intended to provide short-term shelter for patients and/or their
families who are awaiting treatment, undergoing outpatient care, or recovering post-
discharge, especially those who are indigent or from geographically distant areas.

() Ancillary and Support Services refers to essential non-clinical services that may be
provided in the above facilities, including psychosocial support, basic meals or nutrition,
patient navigation, referral coordination, transportation assistance, and health literacy ot
education.

(@) Government Hospitals refers to all public hospitals owned, managed, or operated by the
Department of Health (OOH), local government units (LGUs), or any other
instrumentality of the government.


16
17
18
19
20

BRE

Rae

28

31
32
33

34
35
36
37

38
39

(h) Vulnerable Populations refers to persons or groups who are at greater risk of inadequate
access to health services due to factors such as poverty, displacement, geographic
isolation, chronic illness, disability, advanced age, pregnancy, ot lack of social support.

@ Emergency Health Event refers to any occurrence, whether natural or man-made, that
results in a significant increase in patient volume, hospital utilization, or public health
tisk, including but not limited to pandemics, epidemics, typhoons, earthquakes, fires, ot
armed conflict.

@) Integrated Recovery Support Facility (IRSF) refers to a designated physical infrastructure
within a government hospital that serves as a modular system for long-term recovery,
hospital decongestion, and continuity of care. It may consist of one or more
components, such as a surge shelter, transition ward, halfway house, ot ancillary services,
operating under unified management and integrated operational protocols. ‘The
configuration of an IRSF shall be adaptable to the hospital’s needs, capacity, and surge
vulnerability.

(©) Displaced Population refers to individuals or families who have been forced to flee or
evacuate their habitual residence due to natural disasters, armed conflict, public health
emergencies, ot other situations of serious disturbance, resulting in the temporary or
prolonged disruption of their access to essential services including healthcare.

© Geographically Distant refers to patients or individuals residing at least two (2) hours
away from the nearest referral hospital by usual means of transportation, ot in areas
officially designated by the Department of Health as Geographically Isolated and
Disadvantaged Areas (GIDAS).

(m) Companion/Caregiver refers to a family member or legally authorized person who
provides necessary physical, emotional, or logistical support to a patient during
hospitalization or transitional care, especially when required due to the patient’s age,
disability, chronic condition, ot vulnerability

(a) Emergency Preparedness refers to the state of readiness of a health facility or hospital to
manage and respond to sudden increases in patient volume or adverse public health
events, aligned with the Hospital Emergency Preparedness and Response Plan (HEPRP)
of the Department of Health and applicable national disaster frameworks.

(0) Patient Recovery refers to the intermediate phase following acute medical intervention
during which the patient no longer requires intensive or specialized hospital care but
continues to need medical supervision, rehabilitative services, or temporary shelter.

SECTION 4. Scope and Coverage. — This Act shall apply to all government hospitals
and health facilities operated by the DOH, LGUs, and other national government agencies, for
purposes of establishing and operationalizing Integrated Recovery Support Facilities (IRSFs) as
designated physical infrastructure for long-term recovery and hospital decongestion.

The provisions on referral protocols, continuity of care, and resilient facility operations under
this Act shall likewise apply to both public and private health facilities participating in the national
health system, subject to guidelines to be issued by the DOH.


aueuns

wen

10

12
13
14

15
16
17

18
19

a

22

24
25
26
27
28
29
30
31
32
33

35

SECTION 5. Establishment of the Integrated Recovery Support Facility (IRSF). —
‘To fulfill the objectives of long-term recovery, hospital decongestion, and continuity of care, there is
hereby established an Integrated Recovery Support Facility (IRSF) as a modular, hospital-based
infrastructure system. Its modular nature allows for adaptability, cost-efficiency, and rapid
deployment in response to evolving health needs and emergencies. The IRSF shall support the
establishment or enhancement of the following hospital-based facilities and accompanying services:

(a) Multi-Use Surge Shelters;

(b) Transition Wards;

(©) Halfway Houses; and

@ Ancillary and Support Services Infrastructure.

The configuration, presence, or activation of each component shall be determined by
institutional readiness, patient volume, local health needs, and vulnerability to surge events. The
IRSF need not comprise all components at once and may be scaled ot activated based on situational
requirements.

The DOH, in coordination with relevant agencies, shall issue guidelines for the phased
establishment, infrastructure development, and operationalization of IRSFs in qualified government
hospitals.

SECTION 6. Functions and Objectives of the IRSF. — ‘The IRSF shall serve as a
modular and adaptive infrastructure system within qualified government hospitals to ensure
continuity of care, decongest critical wards, and support patients and families in post-crisis recovery.
Specifically, the IRSF shall fulfill the following functions:

(@ Provide surge response capacity by serving as a flexible and immediately deployable
shelter or holding space during medical, humanitarian, or public health surges;

(©) Support transitional and step-down care by accommodating patients who no longer
require intensive hospital services but need continued observation, rehabilitation, or
social reintegration support;

(© Facilitate family and patient recovery by providing halfway housing and other supportive
services for patients and families undergoing long-term recovery from major illness,
trauma, displacement, or disaster-related events;

(@ Ensure integrated service delivery by promoting unified case management through the
physical co-location of medical, psychosocial, and logistical services under a single
operational framework;

(©) Strengthen hospital resilience and continuity by reducing pressure on emergency and
inpatient units while maintaining hospital functionality during periods of sustained
demand;


RONA

BSc@oridu

12
13
14
15
16
17
18
19
20
a
22
23
24
25
26
20
28
29
30
31
32
33

35
36
37
38
39

41

(D Serve as a convergence point for inter-agency services by enabling the coordinated
delivery of services from the Department of Health (DOH), Department of Social
Welfare and Development (DSWD), IGUs, and other relevant agencies during recovery
phases.

SECTION 7. Guidelines and Standards for IRSF Implementation. — ‘To ensure the
effective establishment, integration, and functioning of Integrated Recovery Support Facilities
(IRSFs), the DOH, in coordination with the Department of Public Works and Highways (DPWH)
and other relevant agencies, shall adopt and issue comprehensive physical, operational, and
institutional standards governing the design, construction, management, and sustainability of the
IRSF components outlined in Section 5. ‘These guidelines shall include, but not be limited to, the
following:

(@) Eligibility and Site Criteria. Parameters for identifying qualified government hospitals and
localities based on surge vulnerability, hospital congestion, population density,
geographic risk exposure, and historical incident data

(b) Design and Infrastructure Standards. Modular, climate-resilient, and space-efficient
architectural standards tailored to the distinct functions of Multi-Use Surge Shelters,
‘Transition Wards, Halfway Houses, and Ancillary Support Facilities.

(©) Phased Implementation. The IRSF program shall adopt a phased implementation
strategy that acknowledges both the enhancement of existing hospital-based systems and
the establishment of new integrated facilities where none currently exist. Development of
cote components shall proceed in alignment with institutional readiness, community
vulnerability assessments, and available resources. Implementation shall prioritize tertiary
hospitals, regional medical centers, and national specialty hospitals with high patient
volume, complex service demand, or surge risk. In succeeding phases, the program shall
expand to include provincial, district, and other qualified government hospitals, in
alignment with the country’s national health infrastructure and service delivery
development plans.

@ Scaling and Activation. Scaling of IRSF components shall be based on localized needs
assessments, allowing facilities to expand or downscale psychosocial, surge, discharge,
half-way house, and reintegration services in proportion to the severity or frequency of
high-impact events. Activation shall occur in response to declared emergencies, mass
casualty incidents, or other service escalation triggers, and shall be informed by real-time
assessments of both community needs and institutional response capacity. Activation
protocols shall be defined by the DOH in coordination with relevant national and local
agencies.

(© Operational Protocols. Uniform standards and protocols for patient intake, case
management, referral systems, staffing, and coordination with local health units and
disaster response agencies.

() Maintenance and Sustainability. Mechanisms for infrastructure maintenance, continuous
training and capacity building, and integration into hospital budgets and local health
development plans.


10
11
12

13
14
15
16
17

18

19

21

23
24
25
26
27
28

31
32
33

35
36
37

(® Monitoring and Evaluation. Clear indicators, tools, and feedback systems to regularly
assess the functionality, responsiveness, and public benefit of IRSFs, including
Participatory inputs from patients, staff, and local stakeholders.

‘The DOH shall ensure that the guidelines are inclusive, responsive to local contexts, and
periodically updated to reflect new data, technologies, and lessons from health and disaster response

operations.

To ensure sustained infrastructure investment and institutional support, the IRSF program
shall be integrated into the Department of Health’s Health Facilities Enhancement Program (HFEP)
or its succeeding equivalent. This integration shall facilitate long-term planning, phased capital
outlays, and convergence with national and local health infrastructure priorities. The inclusion of
IRSF components in HFEP shall be guided by the eligibility criteria, design standards, and
implementation strategies set forth in this Act.

SECTION 8. Referral System Modernization. — To ensure continuity of care and
prevent avoidable deaths, especially during emergencies and life-threatening cases, all public
hospitals and health facilities, including those hosting Integrated Recovery Support Facilities
(IRSFs), shall upgrade and align their patient referral systems with the National Patient Navigation
and Referral System (NPNRS), in accordance with DOH guidelines.

Shifting towards patient-centeredness, the referral system shall:

(a) Treat life-threatening, critical care, and time-sensitive conditions, including, but not
limited to cardiac arrest, stroke, severe trauma, obstetric and neonatal emergencies,
infectious disease outbreaks (e.g., sepsis, dengue shock), and mental health crises, as non-
deferrable and not subject to prior referral approval. Facilities shall render immediate
care when feasible, or escalate patient transfers without delay;

(b) Implement clear, mandatory protocols for obstetric, pediatric, and critical care handoffs,
particularly in areas where lower-level facilities operate without proximate referral
hospitals equipped for such cases;

(©) Designate patient navigation focal persons to coordinate emergency referrals and
escalation pathways;

@ Activate automatic escalation protocols when a referral is not acknowledged or fulfilled
within prescribed timeframes, with real-time reporting to DOH-designated focal points;

(©) Require all public health facilities to visibly and digitally display an up-to-date scope of
services, availability of specialists, and service limitations, to inform patients, LGUs, and
emergency services;

() Enable interoperable real-time capacity mapping and digital dashboards across local and
national referral networks; and

(g) Activate surge protocols for handling peak caseloads and cascading referrals across
neighboring facilities.


Bene

aw

10
cr
12
13
14
15

16
17

18
19
20
2

23
24
25
26
27
28
29
30

31
32

SECTION 9. Continuity of Care Protocols. — ‘To complement and extend the existing
NPNRS, the DOH, in coordination with the DSWD, Department of the Interior and Local
Government (DILG), and concerned agencies, shall develop and implement Continuity of Care
Protocols.

To ensure seamless patient recovery and prevent relapse or re-injury following emergency,
clinical, critical, or disaster-related interventions, these protocols shall cover, but not be limited to:

(@ Post-admission coordination across facilities and systems, including stepdown care, inter-
facility transfers, and ward decongestion strategies;

(b) Structured discharge planning that includes patient education, referrals to. community-
based services, and appropriate handoffs to LGU health and welfare personnel;

(© Reintegration support such as rehabilitation, mental health care, caregiving, and other
long-term recovery services;

@ Real-time linkage with Malasakit Centers, health social work offices, and other designated
patient assistance units to ensure that post-discharge needs are addressed without
administrative delay.

‘These protocols shall operate in alignment with existing services and the eventual full
integration of health social workers and welfare aides under a unified health-social care continuum.

SECTION 10. Resilient Facility Operations. — To strengthen the resilience of the
country’s health system in times of crisis, all public and private hospitals shall develop, maintain, and
regularly update DOH-certified Business Continuity Plans (BCPs). These plans shall ensure
uninterrupted delivery of critical services during emergencies and system disruptions.

Ata minimum, the BCPs shall include the following components:

(@) Surge Capacity Protocols, including temporary expansion of beds, workforce
augmentation, and emergency resource allocation;

(b) Telemedicine and Digital Triage Systems for remote assessment, consultation, and
referral to appropriate care levels;

(© Referral Fallback Mechanisms, including designated alternate facilities and updated
patient transfer agreements;

@ Supply Chain Contingency Plans, ensuring minimum stock levels, alternate sourcing, and
logistics coordination for essential medicines, equipment, and PPEs.

The DOH shall issue standards, review compliance, and provide technical support for the
certification and periodic audit of these plans.


2

3
4

weIda uw

°

u
12
13
4
15
16
7
18
19
20
2
22
23
24
25

27
28
29
30
31
32
33
34
35
36
37
38

39

Failure to maintain a certified BCP may be considered a breach of licensing or accreditation
requirements, subject to penalties under existing health facility regulations.

SECTION 11. Roles and Responsibilities of Implementing Agencies. — ‘To ensure
the effective implementation, coordination, and sustainability of Integrated Recovery Support

Facilities (IR:

‘SFs) and their associated support services, the following roles are hereby assigned:

(a) The DOH shall serve as the lead implementing agency responsible for:

1.

2

Issuing and updating national standards and guidelines for IRSF operations,
infrastructure, staffing, and referral systems;

‘Overseeing the integration of support services into the broader public health and
recovery framework;

‘Managing inter-facility and regional referral coordination under the NPNRS;
Ensuring regulatory compliance, capacity development, and technical assistance to
LGUs and relevant agencies for both IRSFs and associated services.

(b) The DSWD shall coordinate the delivery of reintegration and social protection support
services in connection with IRSF operations, including but not limited to:

1.

Psychosocial first aid and assessment;

2. Assistance for displaced families and vulnerable individuals;

3.
4.

‘Temporary shelter welfare casework and transition coordination; and
. Linkages to social amelioration, reintegration, and recovery programs.

‘The DSWD shall work closely with the DOH and LGUs to promote converged delivery
models that may include health social workers, community welfare aides, and
intetdisciplinary recovery teams to ensure continuity of care beyond IRSF discharge.

(© The DPWH shall provide technical support and oversight in the planning, construction,
retrofitting, and maintenance of IRSF infrastructure to ensure compliance with health
facility standards, climate resilience, and disaster risk reduction principles.

(@ Under the policy supervision and general oversight of the DILG, LGUs shall serve as the
primary on-ground co-implementers of this Act and shall be responsible for:

1

4,

Operationalizing Integrated Recovery Support Facilities (IRSFs) within their
respective jurisdictions;

Providing manpower, logistical, and administrative support in coordination with
relevant national agencies;

Mobilizing local health, emergency, and social welfare personnel in support of IRSF-
related functions and services; and

Ensuting real-time coordination with the DOH, the DSWD, the DILG, and other
concerned agencies during high-impact ctises or service escalations.

(©) Other Agencies. Other national government agencies may be designated or engaged, as,
necessary, to support specific mandates under this Act through joint administrative
issuances by the DOH, in consultation with implementing stakeholders.

SECTION 12. Human Resource and Operational Support. — To ensure the
responsive deployment of personnel during implementation, this Act shall establish flexible, needs-

10


based human resource mechanisms that support activation, scaling, and sustained operation of
Integrated Recovery Support Facilities (IRSFs) and support services.

(@) Conditional Hiring and Deployment. Government hospitals, LGUs, and relevant
implementing agencies shall be authorized to hire additional personnel, including health
workers, social workers, and allied professionals, on a job order or contract-of-service
basis as soon as any IRSF component is activated or determined to be needed, based on
operational readiness and local needs assessments.

(b) Designation and Reassignment of Person
reassigned to serve in IRSF-related functions.
assignments actoss IRSF components or periods, depending on surge, scaling, or
seasonal needs. Such assignments shall include access to appropriate training and
continuing capacity development relevant to their designated functions.

(©) Creation of Permanent Positions. For IRSF components with sustained staffing needs,
DOH, DSWD, LGUs, and other implementing agencies may propose the creation of
permanent plantilla positions, subject to Civil Service Commission (CSC) and
Department of Budget and Management (DBM) regulations. Such positions shall be
identified in the Implementing Rules and Regulations (IRR).

(@ Interagency Coordination and Secondment. To maximize human resource efficiency and
institutional collaboration, the CSC, the DBM, the DOH, the DSWD, and the LGUs
shall establish protocols and standardized Memoranda of Agreement (MOA) templates
to govern the secondment, temporary transfer, or joint deployment of qualified
personnel from one agency or facility to another in support of IRSF operations.

(©) Emergency Health Reserve Corps. The DOH shall establish and maintain a national
database of trained reserve health workers, volunteers, retirees, and students qualified
under the DOH Disaster Risk Reduction and Management in Health (ORRM-H)
standards. These individuals may be mobilized during public health emergencies,
disasters, or other periods requiring surge capacity.

(Q Community-based Frontliners. Barangay Health Workers (BHWs) and community-based
volunteers shall be institutionalized as first-line resilience responders, particularly for
carly detection, referral, and monitoring, Standardized referral and community-based
health protocols shall be integrated into their training and scope of duties.

(g) Training and Capacity Building. All personnel assigned, designated, or seconded to IRSF
functions shall undergo capacity-building programs, including but not limited to training
in trauma-informed care, discharge planning, halfway house operations, transitional care
skills, multi-agency coordination, and community-based reintegration. These programs
shall be regularly updated and aligned with the evolving needs and service delivery
models of the IRSF system. They shall be entitled to risk-based benefits consistent with
Republic Act No. 11712. Additional incentives may include deployment insurance,
hazard allowances, and certification credits for professional development and career
advancement.

u


en

e4rdAus

1
12
13
14
15
16
17
18
19
20
21
22
23
24
25

26
27

29
30

31

32
33
34
35
36
37
38

SECTION 13. Monitoring, Evaluation, and Reporting. — To ensure accountability,
effectiveness, and alignment with national health infrastructure goals, the following monitoring and
evaluation mechanisms shall be institutionalized:

(@) Integration with HFEP Monitoring, All infrastructure-related components of the IRSF
shall be included in the HFEP monitoring framework of the DOH, in coordination with
the DPWH. This includes target-setting, progress tracking, and reporting of physical and
financial accomplishments.

(b) Multi_Dimensional Evaluation Framework. The DOH, in coordination with the DSWD,
LGUs, and relevant partners, shall develop and implement an evaluation framework
covering both infrastructure and service delivery outcomes, including:

‘Timeliness and adequacy of response,

Quality of reintegration support,

Human resource deployment effectiveness,

Beneficiary satisfaction, and

System responsiveness during crises.

(0 Oversight and Reporting. An annual consolidated report shall be prepared by the DOH,
and submitted to Congress and the President of the Philippines, detailing

IRSF activations and service coverage,

HR deployment and training accomplishments,

Infrastructure development per HFEP,

Budget utilization, and
5. Systemic challenges and policy recommendations.

(@ Community and Stakeholder Feedback. All health facilities with IRSF shall establish
mechanisms for collecting community feedback, incident reports, and beneficiary
assessments to support continuous improvement and transparency.

Faeyr

ayy

SECTION 14. Implementing Rules and Regulations. — Within ninety (90) days from
the effectivity of this Act, the DOH, in coordination with the DSWD, the DPWH, the DILG, the
National Disaster Risk Reduction and Management Council (NDRRMC), and other concerned
agencies,, shall promulgate the Implementing Rules and Regulations (IRR) necessary to carry out the
provisions of this Act.

The IRR shall include, at the minimum:

(@ guidelines on facility standards, service delivery protocols, and activation triggers;

(b) integration with existing health and disaster response systems;

(©) funding allocation, maintenance, and sustainability mechanisms;

(@ inclusion of IRSFs under the HFEP;

(© modernization of referral systems and continuity of care protocols in alignment with the
National Health Referral System and related frameworks; and

(©. monitoring, reporting, and accountability frameworks.

12


Rene

6

u
12
13

14
15
16

17

SECTION 15. Appropriations. — The amount necessary for the initial implementation of
this Act shall be charged against the current year's appropriations of the DOH and other
implementing agencies. Thereafter, the amount necessary for the continued implementation shall be
included in the annual General Appropriations Act (GAA).

Funds for the construction, retrofitting, and equipping of Integrated Recovery and Support
Facilities (IRSFs) shall be included under the HFEP of the DOH, in coordination with the DPWH,
subject to planning and prioritization standards.

SECTION 16. Repealing Clause. — All laws, decrees, executive orders, rules and
regulations, or parts thereof inconsistent with the provisions of this Act are hereby repealed ot
modified accordingly.

SECTION 17. Separability Clause. — If, for any reason, any section of this Act shall be
deemed unconstitutional or invalid, the other sections or provisions shall not be affected and shall

remain in force and in effect.

SECTION 18. Effectivity Clause. — This Act shall take effect after fifteen (15) days from
its publication in the Official Gazette or in at least two (2) national newspapers of general
circulation, whichever comes earlier.

Approved.

13