NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES
Second Regular Session
)
)
)
1 
ott|jf a,,.aptnip
24 MAR 19 A9:11
COMMITTEE REPORT NO. 245
Submitted jointly by the Committees on Health and Demography (upon the 
recommendation of its Subcommittee on Amendments to R.A. No. 11223 (Universal 
Health Care Act); Migrant Workers; and Finance on MAR 1 ^ 2024_______ ^
Re: Senate Bill No. H620
Recommending its approval in substitution of Senate Bill Nos. 160, 335, 644, 723, 770, 
983 and 1791, taking into consideration House Bill No. 6772.
Sponsor: Senator Joseph Victor G. Ejercito
MR. PRESIDENT:
The Committees on Health and Demography Subcommittee on Amendments to R.A. 
No. 11223 (Universal Health Care Act); Migrant Workers; and Finance, to which were 
referred Senate Bill No. 160, introduced by Senators Ejercito, Villanueva and 
Legarda entitled:
"AN ACT
AMENDING REPUBLIC ACT NO. 11223, OTHERWISE KNOWN 
AS THE 'UNIVERSAL HEALTH CARE ACT'"


Senate Bill No. 335, introduced by Senator Poe, entitled:
"AN ACT
GRANTING THE PRESIDENT OF THE PHILIPPINES THE 
POWER TO SUSPEND THE SCHEDULED INCREASES IN 
PHILHEALTH PREMIUM CONTRIBUTION RATES, AMENDING 
FOR THE PURPOSE REPUBLIC ACT NO. 11223, OTHERWISE 
KNOWN AS THE 'UNIVERSAL HEALTH CARE ACT"
Senate Bill No. 644, introduced by Senator Marcos, entitled:
"AN ACT
EXEMPTING MIGRANT WORKERS FROM THE PAYMENT OF 
PREMIUM CONTRIBUTIONS TO THE PHILIPPINE HEALTH 
INSURANCE CORPORATION, AMENDING FOR THIS 
PURPOSE REPUBLIC ACT NO. 11223 OTHERWISE KNOWN 
AS THE 'UNIVERSAL HEALTH CARE ACT' AND FOR OTHER 
PURPOSES"
Senate Bill No. 723, introduced by Senator Dela Rosa, entitled:
"AN ACT
AMENDING REPUBLIC ACT NO. 11223 OTHERWISE KNOWN 
AS AN THE 'UNIVERSAL HEALTH CARE ACT'"
Senate Bill No. 770, introduced by Senator Angara, entitled:
"AN ACT
AMENDING CERTAIN PROVISIONS OF REPUBLIC ACT NO. 
11223, OTHERWISE KNOWN AS THE UNIVERSAL HEALTH 
CARE ACT"


Senate Bill No. 983, introduced by Senator Revilla, Jr., entitled:
"AN ACT
AMENDING REPUBLIC ACT NO. 11223, OTHERWISE KNOWN 
AS THE UNIVERSAL HEALTH CARE ACT, TO PROVIDE FOR 
FREE ANNUAL MEDICAL CHECK UP FOR FILIPINOS"
Senate Bill No. 1791, introduced by Senator Revilla, Jr., entitled:
"AN ACT
AMENDING REPUBLIC ACT NO. 11223, OTHERWISE KNOWN 
AS THE UNIVERSAL HEALTH CARE ACT"
and House Bill No. 6772, introduced by Representatives F. M. Romualdez, 
Dalipe, Marcos, Y. M. Romualdez, Acidre, et al., entitled:
"AN ACT
GRANTING THE PRESIDENT OF THE PHILIPPINES THE 
POWER TO SUSPEND AND ADJUST THE PERIOD OF 
IMPLEMENTATION OF THE SCHEDULED INCREASE OF 
PREMIUM RATES FOR DIRECT CONTRIBUTORS OF THE 
PHILIPPINE HEALTH INSURANCE CORPORATION, 
AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 11223, 
OTHERWISE KNOWN AS THE 'UNIVERSAL HEALTH CARE 
ACT"


have considered the same and have the honor to report back to the Senate with 
the recommendation that the attached Senate Bill No. _ 
by the Committees, entitled:
prepared
"AN ACT
AMENDING REPUBLIC ACT NO. 11223, OTHERWISE KNOWN 
AS THE 'UNIVERSAL HEALTH CARE ACT'"
be approved in substitution of Senate Bill Nos. 160, 335, 644, 723, 770, 983 
and 1791, taking into consideration House Bill No. 6772, with Senators 
Ejercito, Poe, Marcos, Dela Rosa, Angara, Revilla, Jr., Go, Tulfo, Villanueva and 
Legarda as authors thereof.
Respectfully submitted:
Chairpersons:
SEN. JOSEPH VICTOR G. EJERCITO
Committee on Health and Demography 
Subcommittee on Amendments to R.A. 
No. 11223 (Universal Health Care Act) 
Vice Chairperson, Committee on Health 
and Demography 
Vice Chairperson, Committee on 
Finance
Memb^Pf€5hnmittee on Migrant 
Workers
SEN.NRAPBCJ. TULEC
Commitfee..finjyi4grant Workers 
Member, Committee on Health and 
Demography
Member, Committee on Finance
PHER BONG GO
Health and
SEN. CHRIS
Committee o 
Demograph 
Vice Chairpdtson, Committee on 
Migrant Workers 
Vice Chairperson, Committee on 
Finance
SEN. SONNY ANGARA
Committee on Finance 
Member, Committee on Migrant 
Workers


Vice Chairpersons:
SEN. PIA S. CAYETANO
Committee on Health and Demography 
Senior Vice Chairperson, Committee on 
Finance
Member, Committee on Migrant 
Workers
SEfOflEE R. MARCOS
Senior Vice Chairperson, Committee 
on Finance
Member, Committee on Health and 
Demography
SEN. JINGGOY EJERCITO ESTRADA
Committee on Migrant Workers 
Committee on Finance
SEN. RONALD/'Ba^" M. DELA 
ROSA
Committee on Finance 
Member, Comnmtefijii^Higrant 
Workers
SEN. RISA HONTIVEROS v
Committee on Finance
Member, Committee on Health and
Demography
Member, Committee on Migrant 
Workers
SEN.GRACE POE
Committee on Finance
Member, Committee on Health and
Demography
SEN. CYNTHIA A. VILLAR
Committee on Finance
jmmittee on Health and
GATCHALIAN
le on Finance
SEN. MARIA LOURDES NANCY S. 
BINAY
Committee on Finance
Member, Committee on Health and
Demography
Member, Committee on Migrant 
Workers
SENJRANCIS "Tol" N. 
TOLENTINO
Committee on Finance 
Member, Committee on Migrant 
Workers


V
SEN. MARK VILLAR
Committee on Finance
Member, Committee on Health and Demography 
Member, Committee on Migrant Workers
Members:
SEN. R0BINKOOD C. PADILLA
Cop^ifiittee^^m Health and Demography 
Committee on Migrant Workers 
Committee on Finance
SEN. MANUEL "Lito" M. LAPID
Committee on Health and 
Demography
Committee on Migrant Workers 
Committee on Finance
SEN. RAM^ BONG RE VILLA, JR.
Committee/on Health and Demography 
Committee on Migrant Workers 
Committee on Finance
SEN. ALAN PETER "Companero' 
S. CAYETANO
Committee on Migrant Workers 
Committee on Finance
SEN. FRANCIS "Chiz" G. ESCUDERO
Committee on Finance


Ex-Officio Members:
LOREN LEGARDA
Senate President Pro-Tempore
SEN. JCm VILLANUEVA
Majority Leader
SEN. AQUILINO "KOKO" PIMENTEL III
Minority Leader
HON. JUAN MIGUEL
Senate President
MIGZ" F. ZUBIRI


NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
Second Regular Session
)
SENATE 
S. No. 2620
^etuve
of tijr t! rtftrji
24 MAR 19 A9:ll
RliCtlVhD 3V;
Prepared and submitted jointly by the Committees on Health and Demography (upon 
the recommendation of its Subcommittee on Amendments to R.A. No. 11223 or 
Universal Health Care Act); Migrant Workers; and Finance with Senators Ejercito, Poe, 
Marcos, Dela Rosa, Angara, Revilla, Jr., Go, Tulfo, Villanueva and Legarda as authors 
thereof
AN ACT
AMENDING REPUBLIC ACT NO. 11223, OTHERWISE KNOWN AS THE 
"UNIVERSAL HEALTH CARE ACT"
Be it enacted by the Senate and the House of Representatives of the Philippines, in 
Congress assembled:
1 
Section 1. Section 9 of Republic Act No. 11223 is hereby amended to read as
2 
follows:
3 
Sec. 9. Entitlement to Benefits. - Every member shall be granted
4 
immediate eligibility for health benefit package under the NHIP: Provided,
5 
That PhilHealth Identification Card shall not be required in the availment
6 
of any health services: Provided further. That no co-payments shall be
7 
charged for services rendered in basic accommodation: Provided
8 
furthermore. That co-payments and co-insurance for amenities in public
9 
hospitals shall be regulated by the DOH and PhilHealth: Provided[fmaHy],
10 
FURTHERMORE, That the current PhilHealth package for members shall
11 
not be reduced: and PROVIDED, FINALLY, THAT THE AMOUNTS
12 
UNDER EACH BENEFIT PACKAGE SHALL BE SUBJECT TO THE


1
2
3
4
5
6
7
8 
9
REVIEW AND ASSESSMENT OF THE HEALTH TECHNOLOGY 
ASSESSMENT COUNCIL PURSUANT TO SECTION 34 OF THIS ACT/'
PhilHealth shall provide additional NHIP benefits for direct contributors, 
where applicable: Provided, That failure to pay premiums shall not prevent the 
enjoyment of any NHIP benefits: Provided further, That employers [and -self- 
employed direct contfiboters] shall be required to pay all missed contributions with 
an interest, compounded monthly, of at least three percent (3%) for employers 
[and not exceeding 1.5% for self-earning, professional practitioners; and migrant
workers].
10
11
12
13
14
Sec. 2. Section 10 of Republic Act No. 11223 is hereby amended to read as
follows:
SEC. 10. Premium Contributions. - For direct contributors, 
premium rates shall be in accordance with the following schedule, and 
monthly income floor and ceiling:
Year
2Gi9
2620
2023:
2022
2023
2024
2023
Premium
Rate
2.75%
3.00%
3.50%
4.00%
4.50%
5.00%
5.00%
Income Floor
P10,000.00
P10,000.00
P10,000.00
P 10,000.00
P10,000.00
PIO,000.00
P10,000.00
Income-Ceilia§
P50,000.00
P60,000.00
P70,000.00
P80,000.00
P00,000.00
PlOO,000.00
P100,000.00]


YEAR
PREMIUM
RATE
INCOME
FLOOR
INCOME
CEILING
2024
4%
P10,000.00
P50,000.00
2025
4.25%
P10,000.00
P60,000.00
2026
4.5%
P10,000.00
P65,000.00
2027
4.75%
P10,000.00
P70,000.00
2028
5%
P10,000.00
P75,000.00
1
2
3
4
5
6
7
8 
9
10
11
12
13
14
15
16
PROVIDED,'XWf^X AFTER CONSULTATION WITH STAKEHOLDERS 
AND UPON RECOMMENDATION OF THE SECRETARY OF HEALTH, 
THE PHILHEALTH BOARD MAY ADJUST THE INCOME FLOOR 
AND INCOME CEILING BASED ON THE FUNDING REQUIREMENT 
OF HEALTH BENEFIT PACKAGES.
FOR MIGRANT WORKERS, PREMIUM CONTRIBUTIONS 
SHALL BE BASED ON THE INCOME FLOOR: PROVIDED, THAT 
FIFTY PERCENT (50%) OF THE PREMIUM CONTRIBUTION OF 
MIGRANT WORKERS SHALL BE SHOULDERED BY THE NATIONAL 
GOVERNMENT : PROVIDED FURTHER, THAT UNPAID PREMIUM 
CONTRIBUTIONS OF MIGRANT WORKERS IN DISTRESS SHALL 
NOT BE COLLECTED UPON THEIR ARRIVAL IN THE COUNTRY: 
PROVIDED FINALLY, THAT FAILURE TO PAY PHILHEALTH 
CONTRIBUTION SHALL NOT BE A GROUND FOR NON-ISSUANCE 
OF OVERSEAS EMPLOYMENT CERTIFICATE OF A MIGRANT 
WORKER.
17
18
19
20 
21 
22
[Provided, That f]For indirect contributors, premium subsidy shall be 
gradually adjusted and included annually in the General Appropriations Act 
(GAA): Provided, [further,} That the funds shall be released to Philhealth: 
Provided furthetimore}: JhdX. the DOH, in coordination with Philhealth, may 
request Congress to appropriate supplemental funding to meet targeted 
milestones of this Act: Provided finally. That for every increase in the rate of


1 
contribution of direct contributors and premium subsidy of indirect contributors,
2 
Philhealth shall provide for a corresponding increase in benefits.
3 
IN THE EVENT OF A STATE OF NATIONAL EMERGENCY, PUBLIC
4 
HEALTH EMERGENCY, OR STATE OF CALAMITY, THE PRESIDENT OF
5 
THE PHILIPPINES, UPON RECOMMENDATION OF THE PHILHEALTH
6 
BOARD AFTER CONSULTATION WITH STAKEHOLDERS, MAY SUSPEND
7 
THE INCREASE IN PREMIUM CONTRIBUTION RATES PROVIDED
8 
UNDER THIS SECTION. THE MANDATED INCREASE SHALL BE
9 
IMPLEMENTED UPON LIFTING OF THE STATE OF NATIONAL
10 
EMERGENCY, PUBLIC HEALTH EMERGENCY, OR STATE OF CALAMITY.
11 
IN THE EVENT OF SUSPENSION, ALL SUBSEQUENT SCHEDULED
12 
INCREASES IN CONTRIBUTION RATES SHALL BE IMPLEMENTED IN
13 
THE SUCCEEDING YEARS ACCORDINGLY.
14 
Sec 3. Section 12 of Republic Act 11223 is hereby amended to read as follows:
15 
Sec 12. Administrative Expense - [No more than s] Seven and one-half
16 
percent (7.5%) of the actual total premium collected from direct and indirect
17 
contributory members during the immediately preceding year shall be allotted
18 
for the administrative cost of implementing the Program.
19 
Sec 4. Continuity of Benefits - Nothing in this Act shall be construed to eliminate
20 
or diminish any benefits or entitlements already granted to members of Philhealth.
21 
Sec 5. Separability Clause. If any provision of this Act is declared invalid or
22 
unconstitutional, the remainder thereof not otherwise affected shall remain in full force
23 
and effect.
24 
Sec 6. Repealing Clause. - All laws, presidential decrees, executive orders,
25 
letters of instruction, proclamations, and administrative regulations that are
26 
inconsistent with the provisions of this Act are hereby repealed, amended or modified
27 
accordingly.
28 
Sec 7. Effectivity Clause - This act shall take effect after fifteen (15) days
29 
following the completion of its publication in the Official Gazette or in any newspaper
30 
of general circulation.
Approved,