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Republic of the Philippines
HOUSE OF REPRESENTATIVES
Constitution Hills, Quezon City

TWENTIETH CONGRESS
First Regular Session

3307

HOUSE BILL N'

Introduced by Representative VINCENT FRANCO D. FRASCO

EXPLANATORY NOTE

This bill seeks to require the establishment of dialysis clinics in all national, regional and
provincial hospitals and providing for free dialysis treatments to indigent patients.

Section 15, Articte II of the 1987 Constitution, provides that the State shall protect and
promote the right to health of the people and instill health consciousness among them.

Kidney problems has consistently ranked among the top 10 causes of morbidity in the
Philippines. According to the latest WHO data published in 2020 Kidney Disease Deaths in
Philippines reached 39,380 or 5.84% of total deaths. The age adjusted Death Rate is 51.96 per
100,000 of population ranks Philippines #10 in the world.

For Filipinos living below the poverty line, the cost of dialysis at P2,500 per session is too
much to bear. Given the current situation of kidney disease in the country, a State provision for
this particular health issue is imperative. The increase in the cases entails an increase in support
by the State, especially for indigent patients.

This bill proposes to address this by establishing dialysis clinics in all national, regional,
and provincial hospitals in the country to serve the needs of the public. The National Kidney and
Transplant Institute serves an average of 34,000 dialysis sessions every year and takes in cases for
patients from outside the National Capital Region. Branching out the units that can provide dialysis.
treatments to the regions and provinces and provide them for free, as the bill proposes, would help
in battling chronic kidney diseases in the country.

In view of the foregoing, immediate approval of this bill is eamestly sought.

VINCENT FRANCO D. FRASCO

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Republic of the Philippines
HOUSE OF REPRESENTATIVES
Constitution Hills, Quezon City

TWENTIETH CONGRESS
First Regular Session

HOUSE BILL NO. _3307

Introduced by Representative VINCENT FRANCO D. FRASCO

AN ACT
REQUIRING THE ESTABLISHMENT OF DIALYSIS CLINICS IN ALL NATIONAL,
REGIONAL AND PROVINCIAL HOSPITALS AND PROVIDING FOR FREE
DIALYSIS TREATMENTS TO INDIGENT PATIENTS AND APPROPRIATING FUNDS
THEREFOR

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

Section 1. Title. - This Act shall be known as the “Dialysis Center Act”.

Section 2. Declaration of Policy. - It is the policy of the State to improve the delivery of
health care services to the people and to ensure hospital facilities are available, affordable, and
accessible to the people.

Section 3. Definition of Terms. - For purposes of this Act, the following terms as used in
this Act shall mean the following:

(a) “Secretary” refers to the Secretary of the Department of Health;
(b) “National Government Hospital” refers to a hospital operated and maintained either

partially or wholly by the National Government or by any department or division,
board, or other agency thereof

(©) “Regional Government Hospital” refers to a hospital operated and maintained either
partially or wholly by the Regional Government or by any department, division, board,
or other agency thereof;

(d) “Provincial Government Hospital” refers to a hospital operated and maintained either

partially or wholly by the Provincial Government or by any department, division,
board, or other agency thereof; and

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(@) “Indigent Patient” refers to a patient whose combined annual family income does not
exceed thirty thousand pesos (P30,000.00).

Section 4. Establishment, Operation and Maintenance of a Dialysis Ward or Unit. - Within
two (2) years from the effectivity of this Act, all national, regional, and provincial government
hospitals are hereby required to establish, operate and maintain a dialysis ward in their hospital.
The dialysis ward or unit shall be equipped with the complete dialysis machine, equipment and
supplies.

Section 5. Free Dialysis Treatment to Indigent Patients. - Dialysis treatment in all national,
regional and provincial government hospitals shall be provided free of charge to indigent patients
as defined in Section 3 (e) thereof.

Section 6. Penalty. - Any hospital chief, administrator or officer-in-charge who fails to
comply with this Act shall be punished with a fine of fifty thousand pesos (P50,000.00) but not
more than one hundred thousand pesos (P100,000.00)..

Section 7. Implementing Agencies. - Within one (1) year from the effectivity of this Act,
the Secretary shall provide the Implementing Rules and Regulations (IRR) necessary to carry out
the provisions of this Act. The IRR shall be published in the Official Gazette or in a newspaper of
general circulation.

Section 8. Appropriations. - The amount necessary to implement the provisions of this Act
is hereby authorized to be appropriated from the National Treasury. Thereafter, the amount
necessary for the continuous implementation of this Act shall be included in the government
hospitals’ annual appropriations.

Section 9. Separability Clause. - If any portion or provision of the Act is declared void or
unconstitutional, the remaining portions or provisions hereof shall not be affected by such
declaration.

Section 13. Repealing Clause. - Any provision of law or regulations inconsistent herewith
is hereby repealed, revoked, or modified accordingly.

Section 14. Effectivity. - This Act shall take effect fifteen (15) days after publication in the
Official Gazette or in a newspaper of general circulation.

Approved,

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