HOUSEF a ?PRESENTATIVES
RECEIVE!
Republic of the Philippines REG MA an
HOUSE OF REPRESENTATIVES DATE: r
Quezon City, Metro Manila

SEVENTEENTH CONGRESS BY:

First Regular Session

REGISTRATION UNIT
BILLS AND INDEX SERVICE

House Bill No, _12

Introduced by Representative Ron P. Salo

EXPLANATORY NOTE

Elderly people have special healthcare needs that can make caring for them
more complicated. A large number of adults age 65 and older have 3 or more
medical problems, such as heart disease, diabetes, arthritis, or high blood
pressure. In addition, it has long been recognized that older people are at greater risk
of acquiring certain diseases because human immune defenses become weaker
with age. Hence, older people need specialized care from healthcare professionals.

Recognizing the specific needs and vulnerabilities of the elderly, Section 11,
Article XIII of the Philippine Constitution highlights the duty of the State to prioritize
the health needs of the elderly, along with other underprivileged groups, sick
persons, the disabled, women, and children.

International bodies have long affirmed the right of the elderly to the highest
attainable standard of health. In 1982, the United Nations (UN) General Assembly
endorsed the Vienna International Plan of Action on Aging, which highlighted health
and nutrition as key areas of concer for aging individuals. Stressing that policies
and programs which respond to the specific needs and constraints of the elderly
need to be implemented, the document stated that “the promotion of health, the
prevention of disease and the maintaining of functional capacities among elderly
persons should be actively pursued.” In 2002, the UN endorsed the Political
Declaration and Madrid International Plan of Action on Ageing, identifying the
following priorities for action: (i) older persons and development; (ii) advancing
health and well-being into old age; and (iii) ensuring that older people benefit from
enabling and supportive environments. The World Health Organization (WHO), in its
2015 World Report on Ageing and Health, stressed that "a wide range of laws,
policies and actions is required to help create the appropriate conditions to ensure
that older people can enjoy the highest attainable standard of health.”

In light of the foregoing, this bill seeks to establish a National Center for
Geriatric Health, a specialty hospital that will cater to the elderly population. The first
of its kind in the country, it will ensure the availability and accessibility of quality
health care services for the elderly. It will provide a full range of health care services
including primary health care, wellness services, and behavioural health care for the

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elderly. It will be a fulfilment of the State's commitment under international laws to
deliver, without discrimination of any kind, good quality health facilities, goods and
services. It is a step forward towards the full realization of the fundamental right to
health of the elderly.

Hence, approval of this bill is earnestly sought.

now ato

KABAYAN Party List

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

SEVENTEENTH CONGRESS
First Regular Session

0
House Bill No. 1279

Introduced by Representative Ron P. Salo

AN ACT ESTABLISHING THE NATIONAL CENTER FOR GERIATRIC HEALTH,
DEFINING ITS OBJECTIVES, POWERS AND FUNCTIONS,
APPROPRIATING 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 “An Act Establishing the
National Center for Geriatric Health.”

SEC. 2. Declaration of Policy. — \t is hereby declared the policy of the State to
protect and promote the right of the elderly to enjoy the highest attainable standard
of health. It shall ensure that quality health services are available and accessible to
them through the establishment of a specialized hospital that will cater to their
medical needs.

SEC. 3. Definition of Terms.— For the purpose of this Act, the following terms shall
be defined as follows:

a) Elderly, also sometimes referred to as Senior Citizen, refers to any Filipino
citizen who is at least sixty (60) years old

b

Geriatrics refers to the branch of medicine that deals with the biological and
physical characteristic of aging, and the diagnosis and treatment of diseases
and problems specific to elderly people.

°)

Geriatric health services refer to the medical services or intervention
provided to the elderly by a multi-specialty team usually headed by a
Geriatrician

2

Geriatrician refers to a medical doctor who is specially trained to evaluate
and manage the unique healthcare needs and treatment preferences of older

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people; and has passed the necessary training and examination to specialize
in the field geriatrics,

@) Integrated delivery of geriatric health services refers to hospital and
community-based medical and psycho-social services provided to senior
citizens by a multi-disciplinary team

f) Multi-disciplinary team refers to a team composed of health professionals
with varied expertise to provide holistic care, which includes a range of
interventions to address medical and psycho-social problems of the elderly.
The team is headed by a Geriatrician and includes surgeons, organ-system
specialists, nurses, clinical pharmacist, rehabilitation therapists, nutritionists,
dentists, social workers, caregivers, family members, and patients
themselves.

SEC. 4. National Center for Geriatric Health. - The National Center for Geriatric
Health (NCGH), a government owned and controlled corporation, is hereby
established as a specialty hospital for the primary benefit of the elderly or senior
citizens. The NCGH shall be located in San Miguel, Manila, and in such other places
that its Board may determine, and shall have a bed capacity of at least fifty (50)

SEC. 5. Purposes and Objectives. — The NCGH shall have the following purposes
and objectives

a) Provide quality health care services tailored to the needs of the elderly:

») Equip, maintain, administer and operate an integrated medical institution
which shall specialize in geriatric health services;

°)

Coordinate the various efforts and activities of other government agencies
and local government units for the purpose of achieving a more effective
approach to the delivery of geriatric health services;

d) Promote and conduct medical and scientific researches relative to the
prevention, diagnosis, treatment, care, rehabilitation and relief of diseases of
the elderly;

e)

Encourage and assist in the education and training of physicians, nurses,
health officers, social workers and other medical and technical personnel in
the practical and scientific implementation of health services to the elderly;
and

f) Sponsor, hold or participate in congresses, conventions, seminars,
conferences, workshops, and training programs on geriatric health services or
related fields in the Philippines and abroad

SEC. 6. Scope of Services. - Consistent with its purposes and objectives, the
NCGH shall provide the following services

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a) Hospital-based services to ensure the availability of medical facilities and

°)

equipment necessary to provide long term and palliative services, with its
wards divided into the following: dementia, long term care, palliative care,
respite care, and other units as maybe deemed necessary

Community-based services and programs in partnership with local
government units. Research and necessary training shall be conducted for the
social functioning of senior citizens and their families, utilizing the multi-
disciplinary team approaches; and external outsourcing of resources may be
done as needed to implement community based integrated geriatric health
services;

Education programs to pursue excellence and the highest level of practice in
the specialized field of geriatrics and other related fields; post-graduate
training and short-terms courses for medical doctors and allied medical
professionals; and

Program development and research to develop cutting edge research and
programs to combat diseases of old age and to improve health care services
for the elderly

SEC. 7. Board of Trustees. - The NCGH shall have a Board of Trustees,
hereinafter referred to as the Board, to be composed of the following:

OAT m,

f)

Secretary of Health, as Chairperson;

Secretary of Social Welfare and Development, as Vice Chairperson;

The Executive Director of the NCGH;

Representative from the Federation of Senior Citizens Association of the
Philippines;

President of the Philippine College of Geriatric Medicine;

Representative from the academe with expertise in the field of geriatrics and
gerontology; and

Representative from non-government organizations which may be regional or
national in scope, mainly providing services for senior citizens, duly registered
with the Securities and Exchange Commission, Cooperative Development
Authority, or any appropriate government regulatory body, and with programs
accredited by the Department of Social Welfare and Development, as
members.

The appointive members of the Board of Trustees shall be appointed by the
President of the Philippines and shall serve for a term of three (3) years.

Members serving in ex-officio capacities shall not be entitled to compensation from
the Board other than allowances foractual and necessary expenses incurred either
for attendance in meetings or other official business of the Board. The appointive
members shall be entitled to reasonable per diem allowances for their attendance to
meetings and other official business of the Board. The per diem allowances shall be
adopted through a Resolution by the Board and shall comply with existing guidelines
on the grant of allowances

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SEC. 8. Powers and Functions. - The Board shall have the following powers and
functions in addition to their general powers of administration:

a) Provide leadership and policy direction to the officials of NCGH to ensure that
its mandate is realized;

Formulate and adopt the by-laws, rules, and regulations, policies, guidelines
and procedures consistent with law and the provisions of this Act to govern
the administration and operations of the NCGH;

b}

°)

Formulate and develop programs for the enhancement of healthcare services
for the elderly, including the training of NCGH personnel and resident doctors;

d

Enter into such agreements and arrangements with other medical institutions,
domestic or foreign, as may be necessary in attaining the purposes and
objectives of the NCGH

8)

Receive in trust legacies, gifts, and donations, including real or personal
property of any kind, and administer the same for the benefit of the NCGH, in
accordance with the directions and instructions of the donor, and in default
thereof, insuch manner as the Board of Trustees may, in its discretion,
determine:

#) Receive and appropriate to the ends specified by law such sums as may be
provided by law for the support of the NCGH; and

g) Perform such other acts as may be necessary for or incidental to the
accomplishment of the objectives of the NCGH

SEC. 9. Organizational Structure and Staffing. The Board shall approve the
organizational and staffing pattern of the NCGH subject to the evaluation by the Civil
Service Commission and of the Organizational Position Classification and
Compensation Bureau of the Department of Budget and Management. The Board
may reorganize said structure, modify staffing pattern, and create or abolish
divisions, sections or units in the NCGH

SEC. 10. Appointment by, and Disciplining Authority of, the Board. - The
Board,either motu proprio or upon the recommendation of the Executive
Director,shall have the authority to appoint, promote, transfer, remove, suspend, or
otherwise discipline the officers of the NCGH up to the level of Director, as well as to
remove or dismiss all other officials and employees of NCGH, subject to Civil Service
laws, rules, and regulations.

SEC. 11. Executive Director. - The NCGH shall be headed by an Executive
Director who shall be appointed by the President of the Philippines upon the
recommendation of the Secretary of Health, The Executive Director shall serve for a
term of five (5) years, may be reappointed once, and shall have a rank equivalent to
the Directors of the Department of Health administering the same bed capacity

The Executive Director shall exercise the following powers and functions:

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a) Execute policies, guidelines, and programs approved by theBoard, and be
responsible for the efficient discharge of management and operational
functions of the NCGH;

b) Submit for the consideration and approval of the Board proposed measures,
policies, guidelines, and programs as may be deemed necessary or proper for
the effective implementation of the purposes and objectives of this Act;

°)

Direct and supervise the management, operation, and administration of the
NCGH, with the prerogative to delegate this power and any or some of his/her
administrative responsibilities and duties to the other officers of the NCGH;

dq)

Execute, on behalf of the Board, all contracts and agreements which the latter
may enter into; and execute, accomplish and/or deliver any document relative
to such contracts and agreements;

e

Represent the NCGH in all dealings with other offices, agencies, and
instrumentalities of the government, and all other persons or entities, whether
domestic or foreign and whether government or private;

f) Appoint, promote, transfer, and suspend officials and employees of the NCGH
below the level of Director, and

9

Exercise such other powers and perform such other duties as may be vested
or reposed by the Board

SEC. 12. Program for Indigents. — The Board shall ensure that the NCGHshall
adopt and enforce an effective program for indigents. The number of beds allocated
for the indigent patients shall not be less than forty per cent (40%) of the total
number of hospital beds.

SEC. 13. Increase of Bed Capacity. — The Board, pursuant to a valid Resolution,
may increase the bed capacity of NCGH upon compliance with guidelines of the
Department of Health concerning bed capacity.

SEC. 14. Income Retention. — The NCGH is authorized to retain its earnings from
its operations for the improvement of its service delivery.

SEC. 15. Tax Exemption and Other Privileges. — The provisions of any general or
special law to the contrary notwithstanding, all donations, grants, contributions, gifts,
endowments, received by the NCGH pursuant hereto, shall be exempt from income,
donor's, and all other kinds of taxes, and shall be further considered as allowable
deductions from the gross income of the donor, in accordance with the provisions of
the National Internal Revenue Code of 1997, as amended.

The NCGH is hereby declared exempt from all income and alll other intemal revenue
taxes, tariff and customs duties and all other kinds of taxes, fees, charges and
assessments levied by the government and its political subdivisions, agencies and
instrumentalities.

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The NCGH may request and receive assistance from the different agencies,
bureaus, offices or instrumentalities of the government, including the Philippine
Charity Sweepstakes Office and the Philippine Amusement and Gaming Corporation
in pursuit of its purposes and objectives.

SEC. 16. Annual Report. - The NCGH shall submit an annual report to the
President of the Philippines, the Senate Committee on Health and Demography, and
the House Committee on Health, on its activities, accomplishments and
recommendations, to better improve the delivery of geriatric health services

SEC. 17. Implementing Rules and Regulations (IRR). — Within (90) days from the
effectivity of this Act, the Secretary of Health, in coordination with the Secretary of
Welfare and Development and the Secretary of Budget and Management, shall
promulgate rules and regulations necessary for the effective implementation of this
Act

SEC. 18. Appropriations. — The amount of Five Hundred Million Pesos
(PhP500,000,000,00) is hereby appropriated for the initial operation and
maintenance of the NCGH. Thereafter, such amount as may be necessary for the
continued operation of the NCGH shall be included in the Annual General
Appropriations Act,

SEC.19. Separability Clause. - If any provision of this Act is held invalid or
unconstitutional, the remainder of the Act or the provision not otherwise affected
shall remain valid and subsisting.

SEC.20. Repealing Clause. — Any law, presidential decree or issuance, executive
order, letter of instruction, administrative rule or regulation contrary to or inconsistent
with the provisions of this Act is hereby repealed, modified or amended accordingly

SEC21. Effectivity. ~ This Act shall take effect fifteen (15) days upon its publication
in at least two (2) national newspapers of general circulation

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