Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
Twentieth Congress
1st   Regular Session
HOUSE BILL NO.  2676
_____________________________________________________________________________ 
Introduced by Rep. Elisa T.  Kho and Rep. Antonio T.  Kho 
_____________________________________________________________________________ 
EXPLANATORY NOTE 
The Philippines faces a critical public health crisis with a high incidence of renal disease, largely 
due to prevalent conditions like diabetes and hypertension. According to 2020 WHO data, 
kidney disease accounts  for 5.84% of total deaths in the country, ranking the Philippines 10th 
globally in age-adjusted kidney disease mortality. 
The cost of dialysis treatment, ranging from Php 2,000 to Php 7,000 per session, is prohibitively 
expensive for most Filipinos, with 27% unable to afford necessary care. A study by the 
Philippine Society of Nephrology indicates that 60% of CKD patients are "service patients" 
dependent on state subsidy. 
Despite existing government efforts, the rising trend of renal diseases persists, forcing 
economically struggling patients to forgo life-saving treatment due to high costs and lack of 
accessibility. 
In line with the 1987 Philippine Constitution's mandate for affordable and accessible health 
services, especially for the underprivileged, this bill seeks to address this gap. It proposes the 
establishment, operation, and maintenance of dialysis service facilities in all national, regional, 
and provincial government hospitals. This aims to make dialysis treatment readily available and 
accessible, particularly for those in rural areas, and crucially, to provide free dialysis treatment to 
indigent patients. 
The immediate approval of this measure is sought to ensure more efficient and equitable 
healthcare delivery for all Filipinos. 
REP. ELISA T.  KHO, M.D.,FPCCP
REP.  ANTONIO T. KH 
July 30, 2025
3:54 pm


Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
Twentieth Congress
st   Regular Session
HOUSE BILL NO.  2676
______________________________________________________________________________ 
Introduced by Rep. Elisa  T.  Kho and Rep. Antonio T.  Kho 
______________________________________________________________________________ 
AN ACT 
REQUIRING ALL NATIONAL, REGIONAL, AND PROVINCIAL GOVERNMENT 
HOSPITALS TO ESTABLISH, OPERATE AND MAINTAIN A DIALYSIS SERVICE 
FACILITY IN THEIR RESPECTIVE HOSPITAL AND PROVIDING FREE DIALYSIS 
TREATMENT TO INDIGENT PATIENTS 
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 the "Dialysis Service Facility for Indigents 
Act of 2025." 
SEC. 2. Declaration of Policy. It is the declared 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. 
SEC. 3. Definition of Terms. For purposes of this Act, the following terms shall mean: 
a) "Dialysis Service Facility" shall refer to a facility that provides treatment for chronic kidney
disease to indigent patients and disseminates information on its prevention.
b) "National Government Hospital" shall refer to a hospital operated and maintained either
partially or wholly by the national government or by any department, division, board, or other
agency thereof.


c) "Regional Government Hospital" shall refer to a hospital operated and maintained either 
partially or wholly by the national government or by any department, division, board, or other 
agency thereof.  
d) "Provincial Government Hospital" shall refer to a hospital operated and maintained either 
partially or wholly by the provincial government or other political subdivision, or by any 
department, division, board, or other agency thereof.  
e) "Indigent Patient" shall refer to a patient whose combined annual family income does not 
exceed Fifty Thousand Pesos (P50,000.00) annually. 
SEC. 4. Establishment, Operation and  Maintenance of a Dialysis Service Facility. Within two 
(2) years from the effectivity of this Act, all national, provincial, and regional government 
hospitals are hereby required to establish, operate and maintain a dialysis service facility in their 
hospital. It shall have a dialysis service area compliant with the Licensing Requirements imposed 
by the Department of Health (DOH) for private dialysis clinics. It shall further be provided with 
the necessary personnel and equipped with complete dialysis machine, equipment, and supplies 
as provided for in the same DOH issued Licensing Requirements for private dialysis clinics. 
The Dialysis Service Facility shall further have a non-treatment area which shall serve as a 
waiting area for CKD patients and a business area for information service that shall give 
importance to information dissemination on the prevention of CKD. 
SEC. 5. Free Dialysis Service Treatment to Indigent Patients. Indigent patients, as defined 
herein, shall be entitled to free dialysis treatment in all national, provincial, and regional 
government hospitals. 
SEC. 6. Penalty. Any hospital chief, administrator, or officer-in-charge who fails to comply with 
this Act shall be meted with a fine of Fifty Thousand Pesos (P50,000.00) but not more than One 
Hundred Thousand Pesos (P100,000.00). 
SEC. 7. Implementing Rules and Regulations. The DOH Secretary shall promulgate the 
necessary rules and regulations to implement the provisions of this Act. 
SEC. 8. Appropriations. Such amount as may be 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 
hospital's annual appropriations. 
SEC. 9. Separability Clause. If any provision or part hereof is held invalid or unconstitutional, 
the remainder of the law or the provision not otherwise affected shall remain valid and 
subsisting. 
SEC. 10. Repealing Clause. Any law, presidential decree or issuance, executive order, letter of 
instruction, administrative order, rule or regulation contrary to or inconsistent with the provisions 
of this Act are hereby repealed, modified, or amended accordingly. 


 
SEC. 11. Effectivity. This Act shall take effect fifteen (15) days after its publication in at least 
two (2) newspapers of general circulation. 
Approved,