Republic of the Philippines
HOUSE OF REPRESENTATIVES f
Quezon City pare 27 AUG 2008
Ti a

TWENTIETH CONGRESS
First Regular Session

HOUSE BILL No. 4109

Introduced by: Hon. Keith Micah “Atty. Mike” D.L. Tan and
Hon. Iris Marie D. Montes

AN ACT
INCREASING THE BED CAPACITY OF THE EAST AVENUE MEDICAL CENTER IN
BARANGAY DILIMAN, QUEZON CITY FROM ONE THOUSAND (1,000) TO ONE
THOUSAND FIVE HUNDRED (1,500) BEDS, AND APPROPRIATING FUNDS
THEREFOR

EXPLANATORY NOTE

Article II, Section 15 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. The implementation of Republic Act (RA) No. 11561, which was signed into law in
June 2021, with its Implementing Rules and Regulations issued in January 2022, was one
of the initiatives made to answer the call for better health service. While RA 11561
authorized the increase of the bed capacity of East Avenue Medical Center (EAMC) to
1,000, the hospital has already commenced infrastructure development to accommodate
a further expansion to 1,500 beds, in anticipation of future legislative approval.

More than 70% of EAMC’s patient volume comes from NCR, 16% from Region IV-
‘A (CALABARZON), and 6% from Region III (Central Luzon). Emphasizing the national
reach of EAMC, this confirms its critical role in fulfilling the Philippine Health Facility
Development Plan (PHFDP) directive that tertiary and specialty care hospitals should
serve communities within a three-hour access window.

From 2020 to 2024, patient transfer data at EAMC shows a significant increase in
incoming transfers and a sharp decline in outgoing transfers. Starting in 2022, the
number of patients transferred to EAMC increased from 173 in 2022 to 324 in 2023, and
doubled to 701 in 2024. Conversely, the number of patients transferred out to other
facilities decreased over time, from 14 in 202 to only 2 by 2023 and 2024.

The hospital’s admissions and utilization have grown significantly in recent years.
Inpatient admissions rose from 22,925 in 2021 to 39,066 in 2024, with 2025 projections
exceeding 44,000 based on current trends. With an anticipated Inpatient Service Days
(ISD) of 463,877 and a maintained Average Length of Stay (ALOS) of 11 days, the current


authorized bed capacity of 1,000-1,200 will result in an unsustainable Bed Occupancy
Rate (BOR) of 105.91%. Increasing the authorized capacity to 1,500 beds would bring the
BOR down to 84.73%, within the optimal threshold recommended by the World Health
Organization (80-85%) for safe and efficient hospital operations.

The continued expansion of EAMC and growing demand for services give rise to
the urgent and further upgrade of its capacity. Such increase of EAMC’s authorized bed
capacity to 1,500 will not only help address congestion, improve patience outcomes, and
support public health goals—but will also solidify EAMC’s role as a truly national
institution in the delivery of specialized healthcare services.

Itis for these reasons that approval of this measure is earnestly sought.

4

Keith Micah “Atty. Mike” D.L. Tan Iris Marie D. Montes
4th District, Quezon Kababaihan Kabalikatan para sa Kaunlaran at
Kapakanan ng Bayan (4K Party-list)


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

TWENTIETH CONGRESS
First Regular Session

HOUSE BILL No,_4109

Introduced by: Hon. Keith Micah “Atty. Mike” D.L. Tan and
Hon. Iris Marie D. Montes

AN ACT
INCREASING THE BED CAPACITY OF THE EAST AVENUE MEDICAL CENTER IN
BARANGAY DILIMAN, QUEZON CITY FROM ONE THOUSAND (1,000) TO ONE
THOUSAND FIVE HUNDRED (1,500) BEDS, AND APPROPRIATING FUNDS
THEREFOR

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

SECTION 1. Increase in Bed Capacity. - The authorized bed capacity of the East
Avenue Medical Center (EAMC) in Quezon City is hereby increased from one thousand
(1,000) to one thousand five hundred (1,500) beds. Any future increase in bed capacity
shall be consistent with the hospital development plan to be prepared by the Medical
Center Chief of EAMC to reflect the development goals of the hospital and submitted to
the Department of Health (DOH).

SEC. 2. Implementation. - The Secretary of the DOH shall, in coordination with the
Secretary of the Department of Budget and Management (DBM) and the Chairperson of
the Civil Service Commission (CSC), and after consultation with the Medical Center Chief
of EAMG, determine the additional plantilla positions to be created and filed up, and
procurement of necessary equipment and supplies.

The existing professional health care services and facilities of the EAMC are also
hereby upgraded to conform with and be commensurate to the increase in bed capacity
provided for in Section 1 hereof,

The existing workforce of the EAMC, which includes doctors, nurses, allied health
professionals, and support personnel, shall also be increased correspondingly.

SEC. 3. Appropriations, - The amount necessary to implement the provisions of this
Act shall be charged against the current year’s appropriations of the EAMC. Thereafter,
such sums as may be necessary for its continued implementation shall be included in the
annual General Appropriations Act (GAA).


SEC. 4. Separability Clause. - If any provision of this Act is held invalid or
unconstitutional, the same shall not affect the validity and effectivity of the other
provisions hereof.

SEC. 5. Repealing Clause. - All other laws, decrees, executive orders and rules and
regulations contrary to or inconsistent with the provisions of this Act are hereby
repealed, modified or amended accordingly.

SEC. 6. Effectivity. - This Act shall take effect fifteen (15) days after its publication
in the Official Gazette or in any newspaper of general circulation.

Approved,