HOUSE OF, REPRESENTATIVES

Republic of the Philippines RECEIVED
HOUSE OF REPRESENTATIVES DATE: !
Quezon City, Metro Manila tive: 37
SEVENTEENTH CONGRESS By:

First Regular Session

REGISTRATION Unt

House BILL No. __918 BILLS AND INDEX SER Vici:

Introduced by Representative H. Harry L. Roque, Jr.

“AN ACT ESTABLISHING A HEALTH PROMOTION FUND AND HEALTH
PROMOTION COMMISSION TO OVERSEE THE IMPLEMENTATION OF
HEALTH PROMOTION IN THE PHILIPPINES AND FOR OTHER PURPOSES”

EXPLANATORY NOTE

The 1987 Constitution provides that the State shall protect and promote the right to

health of the people and instill health consciousness among them (Article II, Section
15).

Subsequently, through Executive Order No. 292 entitled “The Administrative Code
of the Philippines”, the Department of Health (DOH) is mandated as the agency
primarily responsible for the promotion, protection, preservation or restoration of the
health of the people through the provision and delivery of health services and
through the regulation and encouragement of providers of health goods and services
(Book IV, Title IX, Chapter I).

With the enactment of Republic Act 7160, entitled “The Local Government Code of
1991’, the provision of health services was devolved to local government units. This
includes the implementation of programs and projects on primary health care,
maternal and child care, and communicable and non-communicable disease control
services; access to secondary and tertiary health services; and purchase of medicines,
medical supplies, and equipment (Section 17). Furthermore, the Local Government
Code mandates the Health Officer to “formulate and implement policies, plans,
programs and projects to promote the health of the people in the local government
unit concerned” (Section 478).

Despite these provisions that give attention to the promotion and protection of health
of the people, funds for health care have traditionally been spent more on treating the
sick than in keeping the population healthy. The DOH’s curative approach is
typically justified due to the fact that the Philippines continues to be plagued by a
high prevalence of infectious diseases which call for immediate action. This has,

Page 1 of 19

——


however, become a severe shortcoming in light of the alarming increase in the
incidence of degenerative and lifestyle diseases like hypertension, cancer, accidents,
and diabetes, which require long term investments to prevent.

Deaths from communicable diseases have exceeded deaths from non-communicable
diseases but these are equally important. However, the need to address short term
immediate health concerns, due to its nature, will always take priority over the
prevention of prospective chronic diseases. In this context, the government resources
to prevent lifestyle diseases will invariably be sacrificed to address urgent health
concerns. In the long run, as the Philippines succeeds in providing universal coverage
in health care, the government will have to bear the costs of treating the chronic
diseases mentioned.

Furthermore, dealing with the prevention of lifestyle diseases require a “health
promotion” approach or one that empowers people to take action to improve their
health in order to reduce vulnerability and risks to ill health and disability
throughout the life cycle, especially among the poor and marginalized groups. The
international public health consensus is that the health promotion approach would
involve not only building a healthy public policy, developing of personal skills, and
reorienting health services, it would also require the creation of supportive
environments and strengthening of community actions, which in turn is greatly
dependent on the involvement of non-health sectors or the adoption of a “whole of
government” approach.

Asa signatory of the Alma-Ata Declaration, the Philippines strongly reaffirms that
health, which is a state of complete physical, mental and social well-being, and not
merely the absence of disease or infirmity, isa fundamental human right and that the
attainment of the highest possible level of health is a most important world-wide
social goal. To ensure this, the Declaration decrees that all governments should
formulate national policies, strategies and plans of action to launch and sustain
primary health care as part of a comprehensive national health system and in
coordination with other sectors.

In many countries, a charge, in various forms, on tobacco products is utilized as a
sustainable funding source for a variety of public needs, mostly involving health
promotion activities, Guiding Principles and Recommendations for the
implementation of Article 6 of the FCTC recommend using revenues from tobacco to
dedicate revenue to tobacco-control programmes, such as those covering awareness
raising, health promotion and disease prevention, and the like.

Towards this end, there is a need to mainstream health in all aspects of economic
development and create an multisectoral body that would promote innovative
approaches and ensure the efficient implementation of health promotion strategies.
There is also an opportunity to tap funds sourced from tobacco products in order to
create a fund that will promote investments in previously underfunded health

Page 2 of 19


promotion strategies required to address longer term health concerns including social
mobilization to promote healthy behaviors.

This bill, therefore, proposes the creation of a Health Promotion Commission to be
funded from 20% of the remaining incremental revenues allocated for health
pursuant to Republic Act No. 10351 shall be earmarked for this fund. Through the

Health Promotion Commission, our goal of making Filipinos manage their own
health will become a reality.

Thus, the immediate enactment of this measure is respectfully urged

aN

REP. H. HARRY L. ROQUE, JR.

Republic of the Philippines


Sonvanueswne

uu
12

4
15
16
v7

19
20

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

SIXTEENTH CONGRESS
First Regular Session

HOUSE BILL NO. 318

Introduced by Representative H. Harry L. Roque, Jr.

“AN ACT ESTABLISHING A HEALTH PROMOTION FUND AND HEALTH
PROMOTION COMMISSION TO OVERSEE THE IMPLEMENTATION OF
HEALTH PROMOTION IN THE PHILIPPINES AND FOR OTHER PURPOSES”

Be it enacted by the Senate and the House of Representative of the Republic of the Philippines
in Congress assembled:

PARTI
Introductory Provisions

Sec. 1. Title. - This Act shall be known as the “Health Promotion Act of 2016”.

Sec, 2. Declaration of Policy. - It is the policy of the State to protect and promote the
right to health of the people and instill health consciousness among them.

It shall also be declared the policy of the State to ensure that people are empowered to
increase control over their health and its determinants for purposes of improving
their health.

Toward this end, the State will provide a comprehensive and coordinated approach
for health promotion specifically by building healthy public policies, creating
supporting environments, strengthening community actions; developing personal
skills; and reorienting health services.

Recognizing the health inequities that exist, it shall be the policy of the State to be

sensitive to the needs of the youth, women, poor, elderly, disabled, and the
marginalized sectors. In view thereof, the State shall ensure coherence and

Page 4 of 19


wor anewne

10
1
12
13
14
15
16
a7
18
19
20
2a
22
23
24

25
26
27

28
29
30
31
32
33

34
35
36

37
38
39
40
41

coordination among government agencies in the development and implementation of
health promotion policies, plans, and programs.

Recognizing the need to ensure that government policies, plans, programs, and
projects take health impact into account, it is hereby declared the policy of the State to
systematically integrate the concept of health promotion in various phases of policy
formulation, development plans, poverty reduction strategies, and other

development tools and techniques by all agencies and instrumentalities of the
government.

It shall be the policy of the State to enjoin the participation of national and local
governments, civil society organization, academe, local communities, and the private
sector, to achieve health promotion goals.

Sec. 3. Purpose. - This act aims to:

a) Mainstream health in public policy, plans, and programs of various sectors
and government agencies

b) Establish a Health Promotion Commission to develop a national framework
for health promotion and monitor results

c) Establish a Health Promotion Fund to be sourced from 20% of the remaining
incremental revenues allocated for health pursuant to Republic Act 10351

Sec. 4. Definition of Terms. -

For purposes of this act, health promotion means any action or policy that is aimed at
mainstreaming health in all aspects of economic development, creating a supportive
environment for healthy behavior, and promoting social mobilization for health.

Required investments in health promotion refer to investments in strategies and activities
that focus on traditionally underfunded areas of health such as, but not limited to,
encouraging community action to promote healthy behaviors, introducing structural
and regulatory approaches, exploring low cost but high impact health innovations to
promote wellness, and conducting research and development towards drivers of
health such as nutrition and behavior.

Supplemental investments in health promotion include investment in strategies to create
participatory mechanisms to monitor, evaluate, and supplement current initiatives
and existing health investments.

Mainstreaming refers to the integration of policies and measures that address health
into development planning and sectoral decision-making, It is a strategy for making
health and wellness an integral dimension of the design, implementation,
monitoring, and evaluation of policies and programs in all political, economic,
environmental and societal spheres so that the right to health is protected. It is the

Page S of 19


weavanaw

10

2
3B
14
1s
16
v7
18
19
20
21
22
23
24
25
26
7
28
29
30
31
32
33
34
35
36
37
38
39
40
a
42
43
44
45

process of assessing the implications for health of any planned action, including
legislation, policies, or programs in all areas and at all levels.

Conflict of interest shall mean any circumstance under which a person by virtue of
financial or other personal interest, past, present or potential, directly or indirectly,
may be influenced or appear to be influenced by any motive or desire for personal
advantage other than the interests of public health.

PART IL
Creation of the National Health Promotion Commission of the Philippines

Sec. 5. Establishment. - There is hereby established a Health Promotion Commission,
hereinafter referred to as the Commission.

The Commission shall be an independent and autonomous body and shall have the
same status as that of a national government agency. It shall have its principal place
of business in Metro Manila. It shall be organized within two (2) months from the
effectivity of this Act

‘The Commission shall oversee an integrated and comprehensive approach to health
promotion in the Philippines. It shall be the lead policy-making body of the
government, which shall be tasked to coordinate, monitor, and evaluate the
programs and action plans of the government in order to ensure the mainstreaming
of health into the national, sectoral, and local development plans and programs
pursuant to the provisions of this Act.

Sec. 6. Functions of the Commission. - The Commission shall perform the following
functions:

a) Develop and update the national health promotion policy framework and
action plan to ensure the mainstreaming of health in all policies, as well as
strengthen social mobilization mechanisms and monitor their implementation;

b) Coordinate the activities of and strengthen working relationships between
government and non-government agencies involved in the implementation of
health promotion programs;

©) Monitor and assess implementation of laws and policies on health, including
the implementation of international conventions;

a) Recommend key development investments in specific sectors impacting health
promotion to ensure the achievement of national health goals, including but
not limited to health consciousness awareness programs, policy studies,
review of existing legislation to ensure protection of health, implementation of
pilot health promotion projects that will form the basis for policy and program
recommendations;

e) Provide mechanisms of assistance to ensure the mainstreaming of health and
ensuring the development of institutional capabilities. for health

Page 6 of 19


worvaunswne

10
uu
12
13
14
15
16
7
18

19
20
21
22
23
24
25
26
a7
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

mainstreaming in government agencies, including the development of a
comprehensive long-term funding strategy for health promotion;

f) Convene panels of advisers and technical experts as necessary to ensure
representation of all sectors in the development of policies, programs, and
plans;

g) Generate income from fees and charges it may collect from performing
complementary functions such as accreditation and certification fees for
approved health promotion activities;

h) To exercise such other powers and functions and perform such other acts as

may be necessary or proper for the attainment of the purposes and objectives
of this Act.

Sec. 7. Composition of the Health Promotion Commission. ~ The Commission shall
be composed of the President of the Republic of the Philippines who shall serve as the
Honorary Chairperson, and three (3) Commissioners to be selected by the President
from a list of qualified candidates recommended by the advisory board based on
qualifications set forth in this act; one of whom shalll be elected as Chairperson, and
the other as Vice Chairperson of the Commission.

Sec. 8. Meetings of the Commission. - The Commission shall meet once every three
(3) months, or as often as may be deemed necessary by the Chair. The Chair may

likewise call upon other government agencies for the proper implementation of this
Act.

At the meeting of the Commission, the presence of majority of the total number of
members shall constitute a quorum. The decision of the meeting shall be by majority
of votes. In casting votes, each member shall have one vote. In case of an equality of
votes, the presiding Chair shall cast the deciding vote.

In the event that the Chairperson cannot preside the meeting, the Vice Chairperson
shall undertake such function; Provided, however, That a resolution or decision shall be
approved by the majority of the three (3) Commissioners: Provided, further, That the
Chairperson may vote any decisions of the Commission within thirty (30) days from
receipt of the same.

‘The Commission shall maintain and preserve a complete record of its proceedings/
minutes.

Sec. 9. Advisory Board. - The Commission shall have an advisory board composed of
the following:

a) Twenty three (23) ex officio members from the government:

i. Secretary of the Department of Health
ii. Secretary of the Department of Agriculture

Page 7 of 19


wor nnewne

10
a
12
13
14
15
16
Ww
18
19
20
2
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

40
41
42
43

iii.
iv.
v.
vi
vii.
viii.
ix.

xi.
xii.
xiii.
xiv.

xv.
xvi.
xvii.

xviii.
xix.
Xx.
xxi,
xxi
xx

Secretary of the Department of Education

Secretary of the Department of Social Welfare and Development
Secretary of the Department of Interior and Local Government
Secretary of the Department of Environment Natural Resources
Secretary of the Department of Budget and Management

Secretary of the Department of Finance

Secretary of the Department of Foreign Affairs

Secretary of the Department of Trade and Industry

Secretary of the Department of Transportation and Communication
Secretary of the Department of Public Works and Highways

Head of the Food and Drug Administration

Head of the Department of Science and Technology Food and Nutrition
Research Institute

Head of the National Nutrition Council

Head of the Occupational Health and Safety Center

Head of the Philippine Institute for Traditional and Alternative Health
Care

Chairperson of the Philippine Commission on Women

Chair of the National Anti Poverty Commission

Chair of the National Youth Commission

Chair of the National Commission on Arts and Culture

. Director General of the National Economic and Development Authority
|. Chair of the Civil Service Commission

b) Thirteen (13) independent experts representing various fields and sectors with
expertise in public health or health promotion:

i.

vi.
vii
viii
ix
x.

xi.

xii.
xiii.

Education
Communication

. Social marketing

Sports

Dentistry

Community health and other allied health services
Alternative medicine experts

Counselors

Women

Youth

Poverty

Law

Public administration

Ex officio members of the advisory board may appoint their respective permanent
alternate representatives who shall have the rank of an Undersecretary. The advisory
board may also include other agencies of the government, depending on the need of

the board.

Page 8 of 19


oVounuwne

19
20
21
22

23

25
26
7
28

29
30
31
32

33
34

36
37
38
39

Sec. 10. Qualifications, Tenure, Compensation, and Removal of Commissioners. ~
The Commissioners must be Filipino citizens, residents of the Philippines, at least
thirty five (35) years of age at the time of appointment, with proven experience on
health promotion, of proven honesty and integrity, and must not have been
candidates for any elective position in the elections preceding their appointment. The
Commissioners shall be experts in public health by virtue of their educational

background, training, and experience: Provided, That at least, one (1) Commissioner
shall be female

The Commissioners shall hold office for a term of seven (7) years, without
reappointment. Of those first appointed, the Chairperson shall hold office for seven
(7) years, one Commissioner for five (5) years, and the other Commissioner for three
(8) years, without reappointment.

In case of a vacancy, the new appointee shall fully meet the qualifications of a
Commissioner and shall hold office for the unexpired portion of the term
only: Provided, furthermore, That in no case shall a Commissioner be designated in a
temporary or acting capacity: Provided, finally, That any Commissioner may be
removed from office before the expiration of his/her term for cause or due to
incapacity and in accordance with due process required by pertinent laws.

The Vice Chairperson and the Commissioners shall have the rank and privileges of a
Department Secretary and Undersecretary, respectively. They shall be entitled to

corresponding compensation and other emoluments and shall be subject to the same
disqualifications.

Sec. 11. Qualifications, Tenure, Compensation and Removal of Independent
Experts & Sectoral Representatives. - The independent experts must be Filipino
citizens, at least thirty five (35) years at the time of appointment, with at least ten (10)
years experience in their field of expertise, and of proven honesty and integrity. Of
those first appointed, eight (8) shall be appointed for a term of six (6) years, while the
other rest shall be appointed for a term of three (3) years.

Experts in the field of education, counseling, law, and public administration must
have a master’s degree in a related field. Experts in dentistry, community health and
alternative medicine must be licensed to practice. The IRR will contain further
qualifications as necessary to fulfill the needs of the Commission.

‘The experts shall be appointed by the Commission from a list of three nominees
submitted by the sectors or recognized group of experts in the same field within three
(3) months after the establishment of the Commission and subsequently, as needed.
They shall serve for a maximum term of six (6) years: Provided, however, That such
appointment, may be terminated by the Commission on the basis of the withdrawal
of endorsement by or recommendation of the sector or field they represent.
Appointment to any vacancy shall be only for the unexpired term of the predecessor.

Page 9 of 19


wo ReNe

10
uw
12
13
14
15
16

Ww
18
19

20
21
22

23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
28
39
40

The implementing rules and regulations (IRR) of this Act shall contain the guidelines
for the nomination process, recall procedures, and such other mechanisms to ensure
accountability of the sectoral representatives and the competence and independence
of the experts.

Sec. 12. Meetings of the Advisory Board. -

The advisory board may form subcommittees depending on the area of focus and
expertise. A quorum shall not be required in order to carry out technical discussions
The Commission shall ensure that necessary provisions will be available for the
meetings of the advisory board.

Sec. 13. National Strategic Framework and Program on Health Promotion. - The
Commission shall, within six (6) months from the effectivity of this Act, formulate a
National Strategic Framework on Health Promotion in consultation with the advisory
board. The Framework shall serve as the basis for health promotion planning,
research and development, monitoring of activities, and financing, to promote

healthy behavior and shall be aligned with the framework of the Department of
Health.

The Framework shall be reviewed every three (3) years, orasmay be deemed
necessary. The review of the Framework shall involve a participatory and interactive
process

Sec. 14. Components of the National Strategic Framework and Action Plan on
Health Promotion. - The Framework shall include, but not limited to, the following
components:

(a) National priorities;

(b) Health impact assessments;

(c) Policy recommendations and draft policies;

(a) Compliance with international commitments and guidelines;

(e) Research and development plans;

(®) Database development and management;

(g) Interventions in education such as proposals for curriculum revisions and
modules;

(h) Comprehensive advocacy and communication plan

() Monitoring and evaluation protocols;

(j) Intersectoral collaboration and social mobilization strategies;

(k) Health promotion planning for government entities including
recommendations relating to appropriations for the cost of implementation;
() Geographic mapping of vulnerabilities and opportunities to promote healt
(m) Interventions in training such as guidelines for the health service sector;
(n) standards for health promotion activities and proposed accreditation
process;

and

Page 10 of 19


wowannes

10
1
12

13
14
15

16
7
18
19
20
21
22
23

24
25
26
27
28

29
30
31
32
33
34

35
36
37
38
39

(n) Monitoring and evaluation of and related tools for mainstreaming efforts.

Sec. 15. Income Retention. -

The Commission is authorized to retain, without need of a separate approval from
any government agency, and subject only to existing accounting and auditing rules
and regulations, all the fees and other charges, collected by the Commission for
certification or accreditation processes it may undertake. This shall be used in its
operations, like human resource development and expansion, research and health
impact assessment studies, to improve its ability to provide technical assistance. This
amount, which shall be in addition to the annual budget of the Commission, shall be
deposited and maintained in a separate account or fund, which may be used or
disbursed by the Commission.

Sec, 16. Role of Government Agencies. - All government agencies have significant
roles in mainstreaming health promotion and shall integrate specific health
promotion functions in their mandates. Particularly,

(a) The Department of Education (DepED) shall recognize physical and mental health
consciousness as a key aspect of basic education and integrate health promotion and
health risk consciousness, such as awareness of genetic disposition, into the primary
and secondary education curricula and/or subjects as well as facilitate in research
and monitoring relating to health information and health service delivery. Public and
private schools shall devote at least fifteen (15) minutes of class time per week for
health promotion education and shall assign school nurses to provide health
promotion education in accordance with modules to be developed by experts.

(b) The Department of the Interior and Local Government (DILG) and Local
Government Academy, in coordination with the National Economic and
Development Authority (NEDA) and other concerned agencies, shall facilitate the
development and provision of a capacity building program for LGUs in health
promotion.

(c) The Department of Health (DOH) shall ensure that health promotion is provided
by all health service providers and incorporated in the health services provided. The
DOH shall ensure that sufficient resources are allotted to allow it to undertake health
impact assessments for policies coming from different sectors. It shall also ensure that
its health information management system and network shall include information
needed to undertake health promotion strategies .

(a) The Philippine Health Insurance Corporation (Philhealth) shall develop and fund
programs targeted at promoting wellness and reducing hospital admissions among
its constituents. It shall accredit providers of natural therapy and alternative or
traditional medicine practitioners and cover health care costs pertaining to holistic,
alternative, or homeopathic healing.

Page 11 of 19


onew ne

a
12
13

14

16
7
18
19
20

21
22
23
24

25
26
27
28

29
30
31
32
33
34

35
36
37

(e) The Philippine Information Agency (PIA) shall disseminate information on health
promotion in accordance with the national strategic framework;

(® The Department of Budget and Management (DBM) shall undertake the
formulation of the annual national budget in a way that ensures the appropriate
prioritization and allocation of funds to support health promotion-related programs
and projects in the annual program of government;

(g) The Department, of Science and Technology (DOST), through the Food and
Nutrition Center, shall promote, assist and, where appropriate, undertake scientific
and technological research and development, projections and analysis of nutrition
and health behavior, in coordination with LGUs in priority/target monitoring sites,
for the benefit of agriculture, trade and industry and in other areas of the country’s
development; The DOST shall also submit recommendations to the Commission on
an regular basis or as soon as necessary to promote health;

(h) The Department of Social Welfare and Development (DSWD) shall include
incentives for health promotion in their social service packages;

(i) The Department of Trade and Industries (DTI) and Food and Drug Administration
(FDA) shall establish programs and allocate sufficient funds to undertake research to
evaluate the impact of unhealthy products in the market as well as for inspection and
information dissemination. They shall submit recommendations to the Commission
ona regular basis or as the need arises;

(j) The Department of Agriculture (DA) shall include food safety in its core mandate
and integrate in its plans and programs measures to promote healthy and safe food
including the promotion of urban gardening, and ensure the availability and
accessibility of organic produce to consumers.

(k) The Department of Environment and Natural Resources (DENR) shall integrate
health promotion education and training on climate change programs, and shall
consult with the DOH to ensure that health impact assessments can be undertaken for
all policies proposed or supported by it.

() The Department of Public Works and Highways (DPWH) and the Metropolitan
Manila Development Authority (MMDA) shall include safety and wellness as an
integral part of its mandate and an indicator of its success, it shall develop programs
that would ensure the safety of all road users including pedestrians. It shall ensure
that its infrastructure plans include those that encourage physical activity and mental
wellness of citizens such as parks and bike lanes.

(m) Government financial institutions, except Bangko Sentral ng Pilipinas (BSP), any

provision in their respective charters to the contrary notwithstanding, shall provide
preferential financial packages for health promotion-related projects. In consultation

Page 12 of 19


10

ce
12
13
14

15
16

7
18
19
20
2
22

23
24
25
26

27
28
29

30

31
32
33
34

35
36
37

with the BSP, they shall, within thirty (0) days from the effectivity of this Act, issue
and promulgate the implementing guidelines therefore.

The Commission shall further recommend specific means by which the concerned

government agencies may mainstream health promotion in the context of the
national strategic framework.

Sec. 17. Role of LGUs. -

The local government units shall be responsible for the formulation, implementation,
monitoring, and evaluation of the local health promotion plan in their respective
jurisdiction, consistent with the national strategic framework.

Barangays shall be directly involved with municipal and city governments in
prioritizing health promotion issues and in identifying and implementing best
practices and other solutions. Provincial governments shall provide technical
assistance, in support of municipal and city health promotion plans.

Inter-local government unit collaboration shall be maximized in the conduct of health
promotion activities.

LGUs shall regularly update their respective action plans to reflect changing social,
economic, and health conditions and emerging issues. The LGUs shall furnish the
Commission with copies of their action plans and all subsequent amendments,
modifications and revisions thereof, within one (1) month from their adoption. The
LGUs shall mobilize and allocate necessary personnel, resources, and logistics to
effectively implement their respective plans.

The local chief executive shall appoint the person responsible for the formulation and
implementation of the local health promotion plan. It shall be the responsibility of the
national government to extend technical and financial assistance to LGUs for the
accomplishment of their health promotion plans

The LGU is hereby expressly authorized to appropriate and use the amount from its
Internal Revenue Allotment necessary to implement the said local plan effectively,
any provision in the Local Government Code to the contrary notwithstanding.

Sec, 18. Role of the Civil Society Organizations and the Private Sector. -

The civil society organizations (CSOs) as well as community based organizations
(CBOs) play a key role in social mobilization for health promotion which is a strategic
approach to changing health behavior. CSOs and CBOs shall be encouraged to
undertake health promotion programs within the national framework and plan.

The private sector is encouraged to support health promotion activities of CSOs and
CBOs and to contribute to promoting and implementing the national strategy

framework and plan.

Page 13 of 19


wewne

warn

10
a
12
13
14
15
16
wv
18
19
20
a1
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

Sec. 19. Coordination with Various Sectors. -In the development and
implementation of the national framework and plan, and the local action plans, the
Commission shall consult and coordinate with the non-government organizations
(NGOs), civic organizations, academe, people's organizations, the private and
corporate sectors, and other concerned stakeholder groups.

Sec. 20. Health Promotion in all Government Entities - All government entities
shall:

a. Designate focal persons to catalyze and accelerate health promotion within
their offices;

b. Monitor health status of all personnel within their respective agencies;

c. Submit an annual report to the Civil Service Commission on the
implementation of health promotion programs and activities in accordance
with guidelines to be issued;

d. Utilize budget appropriation as primary or counterpart funding to implement
health promotion plans.

The CSC shall assist in monitoring the implementation of this provision.

Sec 21. Public Information. -

Government networks shall devote an aggregate of 2 minutes of airtime during
prime time to provide public service announcements for health promotion within the
communication plan embodied in the national framework. The private sector,
including privately owned radio/ tv networks and websites, and cinemas are
encouraged to promote effective health promotion messages in accordance with the
nation al plan by contributing air time during prime time.

PART Ill
Creation of the Health Promotion Fund

Sec. 22. Health Promotion Fund. - To implement the provisions of this Act, there is
hereby created a Health Promotion Fund, which shall be used for the attainment of
sustainable development goals and undertake health promotion activities pursuant
to Section 14 hereof, and other activities necessary to fulfill the objectives of this Act.

Sec 23. Source of Funds. - Upon the effectivity of this act and every year thereafter,
20% of the remaining incremental revenues allocated for health pursuant to Republic
‘Act 10351 shall be earmarked for this fund. The Bureau of Internal Revenue (BIR)
shall submit an annual report of the amount that has been collected on the first
Monday of the fiscal year.

Sec. 24. Automatic Appropriation and Release of the Fund, - The amount referred to

in the preceding section shall be automatically allocated, released, and directly
remitted to the Health Promotion Fund without need of any further action on a

Page 14 of 19


woyraneuene

10
lu
12
13
14
15
16
7
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
44
42
43
44
45

quarterly basis, within five (5) days from the end of each quarter, and shall not be
subjected to any lien or holdback for any purpose.

Sec. 25. Authority to Receive Donations and/or Grants. - The Fund is hereby
authorized to accept grants, contributions, donations, endowments, bequests, or gifts
in cash, or in kind from local and foreign sources in support of the development and
implementation of health promotion programs and plans: Provided, that conflicts of
interests shall be avoided and that funding from tobacco industry shall be rejected,
Provided, That in case of donations from foreign governments, acceptance thereof
shall be subject to prior clearance and approval of the President of the Philippines
upon recommendation of the Secretary of Foreign Affairs: Provided, further, That such
donations shall not be used to fund personal services expenditures and other
operating expenses of the Commission.

Sec. 26. Health Promotion Fund Board. - There is hereby created a Health Promotion
Fund Board, hereinafter referred to as the Board, which shall make independent
recommendations on the use of funds to be made available by the Commission after
setting aside funds necessary for the operation of the Commission and the Secretariat
which shall not exceed 20% of the total fund. Recommendations of the Board shall be
approved unless vetoed by three Commissioners based on conflict with this Act, the
Framework or principles of sound fund management. The Board shall be composed
of individuals experts and sectoral representatives in the advisory board and four (4)
additional members:

(a) Two (2) experts from the academe and public health community;

(b) A representative from the business sector; and

() A representative from civil society not affiliated with the tobacco

industry:

Board members are disqualified from accessing the fund during their term, as set by
the Commission, and a year after their tenure in the Board shall have been terminated
or completed.

Sec. 27. Functions of the Board. - The Board shall have the following functions:

a) Provide overall strategic guidance in the management and use of the fund and
provide guidelines on the prioritization of use of the funds based on the
national framework and strategic plan;

b) Develop funding windows for various health promotion activities and identify
additional sources for the fund;

©) Evaluate and approve projects and programs relating to required investments
in health promotion;

d) Evaluate and approve for recommendation to the Commission projects and
programs relating to supplemental investments in health promotion;

e) Implement the conflict of interest policy to ensure that board members will not
vote on projects if they have an interest in;

Page 15 of 19


worvanswne

10
ohm
12
123
14
15
16
7
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
4
42
43
4a
45
46

£) Manage a seed fund for innovative health promotion initiatives at the
community level;

g) Ensure an independent third party evaluation and auditing of activities
supported by the fund, taking into consideration the principles of
transparency and accountability, and government accounting and auditing
roles and regulations; and

h) Formulate mechanisms that ensure transparency and public access to
information regarding funding deliberations and decisions.

Sec. 28. Health Promotion Secretariat. - The Commission shall designate a
permanent Secretariat and make arrangements for its functioning at its first meeting.
The head of the Secretariat shall have the authority to determine the number of staff
and create corresponding positions necessary to facilitate the proper implementation
of this Act, subject to civil service laws, rules and regulations.

‘The Secretariat shall be appointed by the Commission based on the qualifications that
will be determined by the Commission on its first meeting. Provided that, the
Secretariat shall have the necessary expertise in communication and coordination.
Until such a time when the permanent Secretariat is established, the Secretariat
function shall be provided by the Department of Health.

The Secretariat shall hold office for a term of four (4) years, and may be reappointed,
provided he/she may not serve for more than two consecutive terms.

The functions of the Secretariat shall be:

a) To make arrangements for meetings of the Commission and the Fund Board
and provide support as needed to fulfill the objectives of the Act;

b) To undertake research that will assist in the determination of priority health
promotion strategies and activities and communicate with all concerned
agencies and LGUs in the conduct and dissemination of such research;

c) To implement communication plans to ensure the promotion and visibility of
health promotion;

d) To prepare reports on its activities under the guidance of the Commission;

e) To ensure, the necessary coordination with the government agencies and
LGUs and provide technical assistance to mainstream health promotion in the
agencies and LGUs;

£) To promote transparency of the Commission and the Board;

g) To promote public awareness of health promotion and accessibility of funds;

h) To enter into such administrative or contractual arrangements as may be
required for the effective discharge of its functions; and

i) To perform other activities necessary for the effective implementation of its
functions.

Sec. 29. Funding Allocation for Health Promotion. - The fund shall be suppletory to
any annual appropriations allocated by relevant government agencies for health

Page 16 of 19


wayvauns

10
1
12
13
14
15
16
7
18
19
20
24
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44

promotion programs and projects and by LGUs. The fund shall encourage
counterpart funding arrangements among local governments, community
organizations, the private sector, and other entities.

Sec. 30. Role of the Commission relating to the Utilization of Funds. - The
Commission shall oversee the operation of the Board and review the projects and

programs relating to supplemental investments in health promotion recommended
by the Board.

The Commission has the power to approve project proposals that have not been
reviewed by the Board based on the policies, guidelines, and safeguards, agreed by
the Board but in no case should the value of the project exceed 5% of the total budget
for operations.

‘The Commission shall also develop guidelines to accredit local organizations seeking
to access the fund. Organizations will be accredited based on criteria such as
organizational independence, track record in the community and/or field of
expertise, financial management, and participatory practices.

Sec. 31. Uses of the Fund. - The fund shall be used to support the health promotion
plan and activities of the Commission such as, but not limited to:

a.Supporting inter-agency and intersectoral collaboration for preventive
measures and planning;

b.Promoting supportive environments that affect health;

c. Promoting preventive care and prevention of non-communicable diseases;

d.Research and evaluation of health promotion policies and strategies;

e. Mass media campaigns;

f. Augmenting support and resources for local health workers.

Provided further, that:

a. Not more than 15% of the fund shall be allocated for operational expenses of
the Secretariat and its staff;

‘b. Not more than 10% of the fund shall be allocated for mass media expenses

c.At least 5% shall be allocated for projects to incentivize innovative
approaches to health promotion including support for community based or
civil society initiatives; and

d.At least 5% shall be allocated for research and evaluation of projects
undertaken or approved.

The fund shall be suppletory to any annual appropriations allocated by relevant
government agencies and local government units for health promotion activities.

Sec 32. Community Participation. -

Page 17 of 19


BB eavanswnne

13
14
15
16
17
18
19
20
24
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45,
46

To promote social mobilization, civil society organizations not affiliated with the
tobacco industry and other commercial interests, shall be encouraged to tap the
health promotion funds to monitor and report on health promotion activities, to

undertake health promotion activities at the community level, and to conduct related
research.

The Board shall receive, evaluate, and review project proposals from
community-based or civil society organizations.

Sec. 33. Audit. - All funds under the management and control of the Commission
subjected to an internal and external audit in accordance with laws and guidelines.

Sec. 34. Conflict of Interest. - Members of the Commission, the Secretariat and its
staff should not have any conflict of interest that may compromise his/her
participation in the activities or decision of the Commission.

A member who is in any way, whether directly or indirectly, interested in a contract
or proposed contract with the Commission, Secretariat or Board must, as soon as
practicable after the relevant facts have come to his or her knowledge, declare the fact
and the nature and extent of the interest, in writing to the Chair concerned, before the
meeting and inhibit himself/herself during the deliberations when such matter is
taken up. The decision taken on the matter shall be made public and the minutes of
the meeting shall reflect the disclosure made and the inhibition of the member
concerned.

No member of the Commission, its Secretariat or the staff should have any
interactions with the tobacco industry, in accordance with existing policies of the
Civil Service Commission.

PART IV
Miscellaneous Provisions

Sec. 35. Reports. - All concerned government entities shall submit to the Commission
quarterly progress reports and annual reports of the programs and projects on health
promotion. The Commission shall consolidate the reports for submission to the
President and to both Houses of Congress on an annual basis

The Commission shall also submit an annual performance report and a report on the
utilization of the health promotion fund to the President and to both Houses of
Congress.

Sec. 36. Congressional Oversight Committee. - A Joint Congressional Oversight
Committee (COC) is hereby constituted which is mandated to review the
implementation of this Act and the performance and structure of the Health
Promotion Commission and Health Promotion Fund Board after two (2) years from
its creation. The COC shall be composed of five (5) members from the Senate and five

Page 18 of 19


(S) members from the House of Representatives to be appointed by the Senate
President and the Speaker of the House of Representatives, respectively. The COC
shall be jointly chaired by the Chairpersons of the Senate Committee on Health and
Demography and the House of Representatives Committee on Health.

The Secretariat of the COC shall be drawn from the existing secretariat personnel of
the standing committees comprosing the Congressional Oversight Committee and its
funding requirements shall be charged under the appropriations of both the House of
Representatives and the Senate of the Philippines.

Sec. 37. Implementing Rules and Regulations. - The Commission, in consultation
with the Advisory Board, shall promulgate the Implementing Rules and
Regulations (IRR) for this Act within ninety (90) days from its constitution. Failure to
promulgate the IRR shall not affect the implementation of the self-executory
provisions of this Act.

Sec. 38. Separability Clause. - If any provision or section of this Act is held invalid,
the other provisions and sections not affected thereby shall remain in full force and
effect.

Sec. 39. Repealing Clause. - All laws, presidential decrees, executive orders and their
implementing rules inconsistent with the provisions of this Act are hereby repealed,

amended, or modified accordingly.

Sec. 40. Effectivity. - This Act shall take effect fifteen (15) days after its publication in
at least two (2) national newspapers of general circulation.

AMS

Page 19 of 19