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FOURTEENTH CONGRESS OF THE REPUBLIC ) 
OF THE PHILIPPINES 
) 
W 
cIRfl 25, '73 
, , . :c(7 
.: 1 
First Regular Session 
1 
SEN. TE 
S.No. f!olr 
Introduced by Senator Miriam Defensor Santiago 
EXPLANATORY NOTE 
Breast cancer is one of the most common forms of cancer among women. Medical 
reports show that three-quarters of all breast cancers occur in women over age 50. Though 
rare, men can also develop breast cancer. The best protection against breast cancer is to 
detect it at its earliest stage. Hence, regular mammographs starting from the age of 40 is 
necessary for early detection and prompt treatment. Unlike in the United States, there is no 
law in the Philippines providing for uniform quality standards for mammography. The key 
features of the bill are: (1) certification by the Secretary of Health or a government officer or 
employee duly authorized by the Secretary of Health that the mammography facility provides 
quality mammography services; (2) accreditation by a government-approved non-profit or 
government accreditation body; (3) application of the facility to an accreditation body 
approved by the Secretary of Health, periodic review of its clinical images, annual survey by 
a medical physicist and compliance with government-developed quality standards of 
personnel qualifications, quality assurance programs, record-keeping and reporting; and (4) 
annual inspection conducted by trained and certified government personnel. 


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FOURTEENTH CONGRESS OF THE REPUBLIC ) 
e3 
JRfl 2Y ~’ 
L: ’-!. 
OF THE PHILIPPINES 
1 
First Regular Session 
1 
Introduced by Senator Miriam Defensor Santiago 
AN ACT 
ESTABLISHING QUALITY STANDARDS IN MAMMOGRAPHY 
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled: 
SECTION 1, Dejnitions. - For the purposes of this Act: 
(1) “Accreditation Body” means a body that has been approved by the Secretary of 
Health under Section (5) (1) (A) of this Act to accredit mammography facilities. 
(2) “Certificate” means the certificate described in Section (2) (1). 
(3) “Facility” means a hospital, outpatient department, clinic, radiology practice or 
mobile unit, an office of a physician, or other facility as determined by the Secretary of 
Health, that conducts breast cancer screening or diagnosis through mammography activities. 
(4) “Activities of a Facility” include the operation of equipment to produce the 
mammogram, the processing of the film, the initial interpretation of the mammogram, and 
the viewing conditions for that interpretation. Where procedures such as the film processing, 
or the interpretation of the mammogram are performed in a location different from where the 
mammogram is performed, the facility performing the mammogram shall be responsible for 
meeting the quality standard described in subsection (6) of this section. 
(5) “Inspection” means an on-site evaluation of the facility by the Secretary of Health, 
or official duly authorized by the Secretary of Health. 
(6) “Survey” means an on-site physical consultation and evaluation performed by 
medical physicist as described in Section 6 of this Act. 
SECTION 2. Certificate Requirements. - 
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(1) Certificate - No facility may conduct an examination or procedure described in, 
subsection 2 of this section involving mammography after the passage of this Act, unless the 
facility obtains - 
(A) a certificate - (i) that is issued, and if applicable, renewed, by the 
Secretary in accordance with Section (3) (1) of this Act; (ii) that is applicable to the 
examination or procedure to be conducted; and (iii) that is displayed prominently in 
such facility; or 
(B) a provisional certificate - (i) that is issued by the Secretary in accordance 
with Section (3) (2) of this Act; (ii) that is applicable to the examination or procedure 
to be conducted; (iii) that is displayed prominently in such facility. The reference to a 
certificate in this section includes a provisional certificate. 
(2) Examination or Procedure - A facility shall obtain a certificate in order to - 
(A) operate radiological equipment that is used to image the breast; 
(B) provide for the interpretation of a mammogram produced by such 
equipment at the facility or under arrangements with a qualified individual at a 
facility different from where the mammography examination is performed; and 
(C) provide for the processing of film produced by such equipment at the 
facility or under arrangements with a qualified individual at a facility different from 
where the mammography examination is performed. 
SECTION 3. Issuance and Renewal of CertiJicates. - 
(1) In general - The Secretary may issue or renew a certificate for a facility if the 
person or agent described in Section (4) (1) (A) of this Act meets the applicable requirements 
of Section (4) (1) of this Act with respect to the facility. The Secretary of Health may issue or 
renew a certificate under this paragraph for not more than three (3) years. 
(2) Provisional Certificate - The Secretary may issue a provisional certificate for an 
entity to enable the entity to qualify as a facility. The applicant for a provisional certificate 
shall meet the requirements of Section (4) (1) of this Act, except providing information 
required by clause (iii) and (iv) of Section (4)(1)(A). A provisional certificate may be in 
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effect no longer than six (6) months form the date it was issued, except that it may be 
extended once for a period of not more than ninety (90) days if the owner, lessor, or agent of 
the facility demonstrates to the Secretary of Health, that without such extension, access to 
mammography in the geographic area served by the facility would be significantly reduced 
and if the owner, lessor or agent of the facility will describe in a report to the Secretary steps 
that will be taken to qualify the facility for certification under Section (2)(1) of this Act. 
SECTION 4. Application for Certzpcate. - 
(1) Submission 
The Secretary may issue or renew a certificate for a facility if - 
(A) the person who owns or leases the facility or an unauthorized agent of the 
person, submits to the Secretary, in such form and manner as the Secretary of Health 
shall prescribe, an application that contains at a minimum - (i) a description of the 
manufacturer, model, and type of each x-ray machine, image receptor, and processor 
operated in the performance of mammography by the facility; (ii) a description of the 
procedures currently used to provide mammography at the facility, including - (a) the 
types of procedures performed and the number of such procedures performed in the 
prior twelve (12) months; (b) the methodologies for mammography; and (c) the 
names and qualifications (educational background, training, and experience) of the 
personnel performing mammography and the physicians reading and interpreting the 
results from the qualified medical physicist as described in Section (6)(1)(E) of this 
Act and (iv) proof of accreditation in such manner as the Secretary of Health may 
prescribe; 
(B) the person or agent submits to the Secretary of Health - 
(i) a satisfactory assurance that the facility will be operated in 
accordance with standards established by the Secretary of Health under 
Section 6 of this Act to assure the safety and accuracy of mammography; 
(ii) a satisfactory assurance that the facility will - (I) permit inspections 
under Section 7 of this Act; (E) make such reports, to the Secretary of Health 
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as he she may require; and (111) update the information submitted under 
subparagraph A o f this section or assurances submitted under this 
subparagraph on a timely basis as required by the Secretary of Health; and 
(iii) such other information as the Secretary of Health may require. 
An applicant shall not be required to provide in an application under 
paragraph A any information which the applicant has supplied to the 
accreditation body which accredited the applicant, except as required by the 
Secretary of Health. 
(2) Appeal - If the Secretary of Health denies an application for the certification of a 
facility submitted under subsection (l)(A) of this section, the Secretary shall provide the 
owner or lessor of the facility or the agent of the owner or lessor who submitted such 
application - 
(A) a statement of the grounds on which the denial is based, and 
(B) an opportunity for an appeal in accordance with the procedures set forth in 
regulations of the Secretary of Health. 
(3) Effect of Denial - 
If the application for certification of a facility is denied, the facility may not operate 
unless the denial of the application is overturned at the conclusion of the administrative 
appeals process provided in the regulations referred to in subsection (2)(B) of this section. 
SECTION 5. Accreditation. - 
(1) Approval of Accreditation Bodies 
(A) In general - The Secretary of Health may approve a private non-profit 
organization or government health agency to accredit facilities for purposes of 
Section (4)(1)(A)(iv) of this Act if the accreditation body meets the standards for 
accreditation established by the Secretary of Health as described in paragraph (E) and 
provides the assurances required by paragraph (C). 
(B) Standards - The Secretary shall establish standards for accreditation 
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bodies, including- 
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(i) standards that require an accreditation body to perform (a) a review 
of clinical images from each facility accredited by such body of not less than 
every three (3) years which review will be made by qualified practicing 
physicians; and (b) a review of a random sample of clinical images from such 
facilities in each three-year period from the date this Act is passed, which 
review will be made by qualified practicing physicians; 
(ii) standards that prohibit individuals conducting reviews described in 
clause (a) from maintaining any financial relationship to the facility 
undergoing review which would constitute a conflict of interest; 
(iii) standards that limit the imposition of fees for accreditation to 
reasonable amounts; 
(iv) standards that require as a condition of accreditation that each 
facility undergo a survey at least annually by a medical physicist as described 
in this Act to ensure that the facility meets the standards described in Section 
(6)(I)(E) of this Act; 
(v) standards that require monitoring and evaluation of such survey, as 
prescribed by the Secretary of Health; 
(vi) standards that are equal to standards established under Section 6 of 
this Act which are so relevant to accreditation as determined by the Secretary 
of Health; and accreditation as determined by the Secretary of Health, and 
(vii) such additional standards as the Secretary may require. 
(C) Assurances 
The accrediting body shall provide the Secretary of Health satisfactory 
assurances that the. body will - (i) comply with the standards as described in 
paragraph (B) of this section; (ii) comply with the requirements described in 
subsection (4) of this section; (iii) submit to the Secretary of Health the name of any 
facility for which the accreditation body denies, suspends, or revokes accreditation; 
(iv) notify the Secretary of Health in a timely manner before the accreditation body 
changes the standards of the body; (v) notify each facility accredited by the 
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accreditation body if the Secretary of Health withdraws approval of the accreditation 
body under subsection 2 of this section in a timely manner; and (vi) provide such 
other additional information as the Secretary of Health may require. 
(D) Regulations -Not later than nine (9) months after the passage of this Act, 
the Secretary of Health shall promulgate regulations under which the Secretary o f  
Health may approve an accreditation body. 
(2) Withdrawal of Approval 
(A) In general - The Secretary of Health shall promulgate regulations under 
which the Secretary of Health may withdraw approval of an accreditation body if the 
Secretary of Health determines that the accreditation body does not meet the 
standards under subsection (B) the requirements of subparagraphs (i) through (vi) of 
subsection (C) of subsection (l), 'or the requirements of subsection (l), or the 
requirements of subsection 4 of this section. 
(B) Effect of Withdrawal - If the Secretary of Health withdraws the approval 
of an accreditation body under paragraph (A) of this section, the certificate of any 
facility accredited by the body shall continue in effect until the expiration of a 
reasonable period, as determined by the Secretary of Health, for such facility to 
obtain another accreditation. 
(3) Accreditation - To be accredited by an approved accreditation body, a facility 
shall meet - 
(A) the standards described in subsection (I)@) of this section which the 
Secretary determines are applicable to the facility; and 
(B) such other standards which the accreditation body may require. 
(4) Compliance - To ensure that facilities accredited by an accreditation body will 
continue to meet the standards of the accreditation body, the accreditation body shall - 
(A) make on-site visits on an annual basis of a sufficient number of the 
' facilities accredited by the body to allow a reasonable estimate of the performance of 
the body; and 
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(B) take such additional measures as the Secretary of Health determines to be 
appropriate. 
Visits made under shall be made after providing such notice as the Secretary 
of Health may require. 
(5) Revocation of Accreditation - If an accreditation body revokes the accreditation 
of a facility, the certificate of the facility shall continue in effect until such time as may be 
determined by the Secretary of Health. 
(6) Evaluation and Report - 
(A) Evaluation - The Secretary of Health shall evaluate annually the 
performance of each approved accreditation body by - (i) inspecting under Section 
(7)(2) of this Act a sufficient number of the facilities accredited by the body to allow 
a reasonable estimate of the performance of the body; and (ii) such additional means 
as the Secretary of Health determines to he appropriate. 
(B) Report - The Secretary of Health shall annually prepare and submit to the 
Committee on Labor, Employment, and Human Resources Development and the 
Committee on Trade and Commerce a report that describes the results of the 
evaluation conducted in accordance with paragraph (A). 
SECTION 6. Quality Standards. - 
(1) In general - The standards referred to in Section (4)(1)(B)(i) of this Act are 
standards established by the Secretary of Health which include - 
(A) standards that require establishment and maintenance of a quality 
assurance and quality control program at each facility that is adequate and appropriate 
to ensure the reliability, clarity, and accuracy of interpretation of mammograms and 
standards for appropriate radiation dose; 
(B) standards that require use of radiological equipment specifically designed 
for mammography, including radiologic standards and standards for other equipment 
and materials used in conjunction with such equipment; 
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(C) a requirement that personnel who perform mammography - (i) (a) be 
licensed by a State to perform radiological procedures; or (b) be certified as qualified 
to perform radiological procedures by an organization described in subsection (2)(A) 
of this section; and (ii) during the two-year period from the time this Act is passed, 
meet training standards for personnel who perform mammography or meet experience 
requirements which shall meet at a minimum include one (1) year of experience in the 
performance of mammography; and (iii) upon the expiration of such two-year period 
meet minimum training standards for personnel who perform mammograms; 
(D) a requirement that mammograms be interpreted by a physician who is 
certified as qualified to interpret radiological procedures, including mammography - 
(i) by a board described in subsection (2)(B); or (ii) by a program that complies with 
the standards described in subsection (2)(C) of this section; and (iii) who meets 
training and continuing medical education requirements as established by the 
Secretary of Health; 
(E) a requirement that individuals who survey mammography facilities be 
medical physicists - (i) licensed or approved by a State to perform such surveys, 
reviews, or inspections for mammography facilities; (ii) certified in diagnostic 
radiological physics or certified to perform such surveys by a board as described in 
subsection (2)(D) of this section; or (iii) in the first five (5) years after this Act is 
passed, who meet other criteria established by the Secretary of Health which are 
comparable to the criteria described in subparagraph (i) or (ii). 
(F) a requirement that a medical physicist who is qualified in mammography 
as described in paragraph (E) of this section survey mammography equipment and 
oversee quality assurance practices at each facility. 
(G) a requirement that - (i) a facility that performs any mammogram maintain 
the mammogram in the permanent medical records of the patient - (a) for a period of 
not less than five (5) years, or not less than ten (10) years if no additional 
manunograins of such patient are performed at the facility, or longer if mandated by 
law; or (b) until such time as the patient should request that the patient’s medical 
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records be forwarded to a medical institution or a physician of the patient; whichever 
is longer; and 
(ii)(a) a facility must assure the preparation of a written report of the 
results of any mammography examination signed by the interpreting 
physician; (b) such written report shall be provided to the patient’s physicians 
(if any); (c) if such a physician is not available or if there is no physician, the 
written report is sent to the patient, the report shall include a summary written 
in terms easily understood by a lay person; and 
(H) standards relating to special techniques for mammography of patients with 
breast implants. 
Subparagraph (G) shall not be construed to limit a patient’s medical records. 
(2) Certification of personnel - The Secretary shall by regulation - 
(A) specify organizations eligible to certify individuals to perform 
radiological procedures as required by subsection (1) (C); 
(B) specify boards eligible to certify physicians to interpret radiological 
procedures, including mammography as required by subsection (1) (D); and 
(C) establish standards for a program to certify medical physicists who are 
qualified to survey mammography equipment and to oversee quality assurance 
practices at mammography facilities. 
SECTION 7. Inspections. - 
(1) Annual inspections - 
(A) In general - The Secretary of Health may enter and inspect certified 
facilities to determine compliance with the standards established under Section 6 of 
this Act. The Secretary of Health shall, if feasible, delegate to a local agency the 
authority to make such inspections. 
(B) Identification - The Secretary of Health or Government agency acting on 
behalf of the Secretary of Health, may conduct inspections only on presenting 
identification to the owner, operator, or agent in charge of the facility to be inspected. 
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information. 
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(C) Scope of Inspection - In conducting inspections, the Secretary of Health 
or local agency acting on behalf of the Secretary of Health - (i) shall have access to 
all equipment, materials, records, and information that the Secretary of Health or 
local agency considers necessary to determine whether the facility is being operated 
in accordance with this Act; and (ii) may copy, or require the facility to submit to the 
Secretary of Health or the government agency, any of the materials, records, or 
(D) Qualifications of inspectors - Qualified individuals, as determined by the 
Secretary of Health, may request that a local agency acting on behalf of the Secretary 
of Health designate a qualified officer or employee of the Department of Health to 
conduct the inspections, or designate a qualified officer or employee of the 
Department of Health in Manila to conduct inspections. The Secretary of Health shall 
establish minimum qualifications and appropriate training for inspectors and criteria 
for certification of inspectors in order to inspect facilities for conlpliance with Section 
(E) Frequency - The Secretary of Health or local agency acting on behalf of 
the Secretary of Health shall conduct inspections under this paragraph of each facility 
no less often than annually. 
(F) Records and annual reports - The Secretary of Health or local agency 
acting on behalf of the Secretary of Health which is responsible for inspecting 
mammography facilities shall maintain records of annual inspections required under 
this subsection for a period as prescribed by the Secretary of Health. Such a local 
agency shall annually prepare and submit to the Secretary of Health a report 
concerning the inspections carried out under this subsection. Such reports shall 
include a description of the facilities inspected and the results of such inspections. 
(2) Inspection of accredited facilities - The Secretary of Health shall inspect annually 
a sufficient number of the facilities accredited by an accreditation body to provide the 
Secretary with the reasonable estimate of the performance of such body. 
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(3) Inspection of facilities inspected by losal government agencies - The Secretary of 
Health shall inspect annually facilities inspected by local government agencies acting on 
behalf of the Secretary of Health to assure a reasonable performance by such local agencies. 
(4) Timing - The Secretary of Health, or local government agency, may conduct 
inspections under subsections (l), (2), or (3), during regular business hours or at a mutually 
agreeable time and after providing such notice as the Secretary of Health may prescribe, 
except that the Secretary of Health may waive such requirements if the continued 
performance of mammography at such facility threatens the public health. 
(5) Limited re-inspection - Nothing in this section limits the authority of the 
Secretary of Health to conduct limited re-inspections o f  facilities found not to be in 
compliance with is section. 
SECTION 8. Penalties. - 
(1) In general - In order to promote voluntary compliance with this Act, the Secretary 
of Health may, in compliance of taking the actions authorized by Section 9 of this Act, 
impose one or more of the following sanctions. 
(A) Directed plans of correction, which afford a facility an opportunity to 
correct violations in a timely manner. 
(B) Payment for the cost of onsite monitoring. 
(2) The Secretary of Health may assess civil money penalties in an amount not to 
exceed Ten Thousand Pesos (PlO,OOO.OO) for - 
(A) failure to obtain a certificate as required by Section 2 of this Act; 
(B) each failure by a facility to substantially comply with, or each day on 
which a facility fails to substantially comply with, the standards established under 
Section 6 or the requirements described in clauses (a) through (c) of Section 
4(1)(B)(ii) of this Act; and 
(C) each violalion, or for each aiding and abetting in a violation of, any 
provision of, or regulation promulgated under, this section by an owner, operator, or 
any employee of a facility required to have a certificate. 
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(3) Procedures - The Secretary of Health shall develop and implement procedures 
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with respect to when and how each of the sanctions is to be imposed under subsections (1) 
and (2) of this section. Such procedures shall provide for notice to the owner or operator of 
the facility and a reasonable opportunity for the owner or operator to respond to the 
appropriate sanctions and appropriate procedures for appealing determinations relating to the 
imposition of sanctions. 
SECTION 9. Suspension and Revocation. - 
(1) In general - The certificate of a facility issued under Section 3 of this Act may be 
suspended or revoked if the Secretary of Health finds, after providing, except as provided in 
subsection 2, reasonable notice and an opportunity for a hearing to the owner or operator of 
this facility, that the owner, operator, or any employee of the facility - 
(A) has been guilty of misrepresentation in obtaining the certificate; 
(B) has failed to comply with the requirements of Section 4(l)(B)(ii)(c) of this 
Act or the standards established by the Secretary of Health under Section 6 of this 
Act. 
(C) has failed to comply with reasonable requests of the Secretary of Health 
for any record, information, report, or material that the Secretary of Health for any 
record, information, report, or material that the Secretary of Health concludes is 
necessary to determine the continued eligibility of the facility for a certificate or 
continued compliance with the standards established under Section 6. 
(D) has refused a reasonable request of the Secretary of Health or any 
government officer or employee duly designated by the Secretary of Health, for 
permission to inspect the facility of the operations and pertinent records in accordance 
with Section 7 of this Act; 
(E) has violated or aided and abetted in the violation of any provision of, or 
regulation promulgated under this Act, o r regulation promulgated under this Act; or 
(F) has failed to comply with a sanction imposed under Section 8 of this Act. 
(2) Action before a hearing - 
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(A) In general - The Secretary of Health may suspend the certificate of the 
facility before holding a hearing required by subsection (1) if the Secretary makes the 
finding described in subsection (1) and determines that - (i) the failure of a facility to 
comply with the standards established by the Secretary of Health under subsection (1) 
of this Act presents a serious risk to human health; or (ii) a facility has engaged in 
action described in paragraph @) of subsection (I) of this section. 
(B) Hearing - If the Secretary of Health suspends a certificate under 
subsection (1) of this section, the Secretary shall provide an opportunity for a hearing 
to the owner or operator of the facility not later than sixty (60) days from the effective 
date of the suspension. The suspension shall remain in effect until the decision of the 
Secretary of Health made after the hearing. 
(3) Ineligibility to own or operate facilities after revocation - If the Secretary of 
Health revokes the certificate of a facility on the basis of an act described in subsection (l), 
no person who owned or operated the facility at the time of the act may, within two (2) years 
of the revocation of the certificate, own or operate a facility that requires a certificate under 
this Act. 
SECTION 10. Injunctions. - If the Secretary of Health determines that - (1) 
continuation of any activity related to the provision of mammography by a facility would 
constitute a serious risk to human health, the Secretary of Health may bring suit to enjoin 
continuation of the activity; and 
(2) a facility is operating without a certificate as required by Section 2 of this Act, the 
Secretary may bring suit to enjoin operation of the facility. 
Upon a proper showing, the court shall grant a temporary injunction or restraining 
order against continuation of the activity or against operation of a facility, as the case may be, 
without requiring the Secretary to post a bond, pending issuance of a final order under this 
subsection. 
SECTION 11. Information. - 
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(1)In general -Not later than two (2) years after the passage of this Act, and annually 
thereafter, the Secretary of health shall compile and make available to physicians and the 
general public information that the Secretary of Health determines is useful in evaluating the 
performance of facilities, including a list of facilities - 
(A) that have been convicted for fraud and abuse, false billings, or kickbacks; 
(B) that have been subject to sanctions under Section 8 of this Act, together 
with a statement of the reasons for the sanctions; 
(C) that have had certificates revoked or suspended under Section 9 together 
with a statement of the reasons for the revocation or suspension; 
(D) against which the Secretary of Health has taken action under Section 9 of 
this Act, together with a statement of the reasons for the action; 
(E) whose accreditation has been revoked, together with a statement of the 
reasons for the revocation; 
(F) against which a local government unit has taken adverse action; and 
(G) that meets such other measures of performance as the Secretary of Health 
may develop. 
(2) Date - The information to be complied under subsection (1) shall be information 
for the calendar year preceding the date the information is to be made availabIe to the public. 
(3) Explanatory information - The information to be complied under subsection (1) 
shall be accompanied by such explanatory information as may be appropriate to assist in the 
interpretation of the interpretation compiled under such paragraph. 
SECTION 12. National Advisoly Committee. - 
(1) Establishment - In carrying out this section, the Secretary of Health shall establish 
an advisory committee to be known as the National Mammography Quality Assurance 
Advisory Committee (hereafter referred to as the “Advisory Committee”). 
(2) Composition - The Advisory Committee shall be composed of not fewer than 
thirteen (13) nor more than nineteen (19) individuals who are not officers or employees of 
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the government. The Secretary of Health shall make appointment to the Advisory Committee 
from among - 
(A) physicians; 
(B) practitioners; 
(C) other health professionals; whose clinical practice, research specialization, 
or professional expertise include a significant focus on mammography. The Secretary 
of Health shall appoint at least four (4) individuals from among national breast cancer 
or consumer health organizations with expertise in mammography and at least two (2) 
practicing physicians who provide mammography services. 
(3) Functions and duties - The Advisory committee shall - 
(A) advise the Secretary of Health on appropriate quality standards and 
regulations for mammography facilities; 
(B) advise the Secretary of Health on appropriate standards and regulations 
for accreditation bodies; 
(C) advise the Secretary of Health in the development of regulations with 
respect to sanctions; 
(D) assist in developing procedures for monitoring compliance with standards 
under Section 6 of this Act; 
(E) make recommendations and assist in the establishment of a mechanism to 
investigate consumer compliance; 
(F) report on new developments concerning breast imaging that should be 
considered in the oversight of mammography facilities; 
(G) determine whether there exists a shortage of mammography facilities in 
rural and health professional shortage areas and determine the effects of personnel or 
other requirements of Section 6 of this Act on access to the services of such facilities 
in such areas; 
(H) determine whether there still exists a sufficient number of medical 
physicists seven (7) years after the passage of this Act, to assure compliance with the 
requirements of Section 6(1)(E) of this Act; 
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(I) determine the costs and benefits of compliance with the requirements of 
this Act (including the requirements of regulations promulgated under this Act); and 
(J) perform other activities that the Secretary of Health may require. 
The Advisory Committee shall report the findings made under paragraphs (G) 
and (I) to the Secretary of Health and Congress not later than one (I) year after the 
passage of this Act. 
(4) Meetings - The Advisory Committee shall meet not less than quarterly for the 
first three (3) years of the program and thereafter, at least biannually. 
(5) Chairperson - The Secretary shall appoint a chairperson of the Advisory 
Committee. 
SECTION 13. Consultations. - In carrying out this Act, the Secretary of Health shall 
consult with appropriate government agencies within the Department of Health for the 
purposes of developing standards, regulations, evaluations, and procedures for compliance 
and oversight. 
SECTION 14. Separability Clause. - If any person, or part hereof, is held invalid or 
unconstitutional, the remainder of the law or the provision not otherwise affected shall 
remain valid and subsisting. 
SECTION 15. 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 is hereby repealed or amended accordingly. 
SECTION 16. Effectivity clause. - This Act shall take effect fifteen (15) days after its 
publication in at least two (2) newspapers of general circulation. 
Approved. 
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