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Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
TWENTIETH CONGRESS 
First Regular Session 
HOUSE BILL NO. __ 
Introduced by Representative Jose Manuel F. Alba 
AN ACT 
MANDATING THE INCLUSION OF PROFESSIONAL OR DOCTOR'S FEES 
IN THE FINAL HOSPITALIZATION BILL OF PUBLIC AND PRIVATE 
HOSPITALS TO INDIGENT PATIENTS 
EXPLANATORY NOTE 
Indigent patients and their families are highly susceptible to financial 
difficulties, particularly health-related expenses given their very limited 
financial opportunities. The State must then ensure that access to medical 
services by indigent patients in hospitals, whether public or private, does 
not result in any additional burden to them. The final billing issued by 
health care institutions and medical professionals should thus be 
transparent, reflecting clearly and accurately all costs and charges, 
including professional fees, the indigent patient must pay. This avoids 
putting indigent patients in situations where they are caught unprepared on 
the true cost of health services they have availed of.  
The Department of Health (DOH), as the primary agency mandated to 
regulate health care institutions and professionals, must take an active role 
in protecting the rights of the indigent patients to equitable health and 
medical services. The DOH must ensure that the billing hospitals and 
medical professionals give to indigent patients are transparent and accurate. 
July 24, 2025
8:00 am
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Considering the foregoing, the passage of this measure is earnestly 
sought. 
JOSE MANUEL F. ALBA 
Representative, 1st District, Bukidnon 


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Republic of the Philippines 
HOUSE OF REPRESENTATIVES 
Quezon City 
TWENTIETH CONGRESS 
First Regular Session 
HOUSE BILL NO. __ 
Introduced by Representative Jose Manuel F. Alba 
AN ACT 
MANDATING THE INCLUSION OF PROFESSIONAL OR DOCTOR'S FEES 
IN THE FINAL HOSPITALIZATION BILL OF PUBLIC AND PRIVATE 
HOSPITALS 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 "One Hospital 
Bill Act." 
SECTION 2. Declaration of Policy – It is the policy of the State to 
support and promote the Right to Health by ensuring that the availment of 
medical services in public and private medical hospitals does not create 
additional burden to the detriment of the indigent patients and their families 
relative to payment of hospital bills. Pursuant thereto, patients shall be 
entitled to a fully transparent hospital bill from any health care facility 
and/or professional free of hidden fees and charges. 
SECTION 3. Coverage – All public and private hospitals, clinics, health 
care institutions, and health cam professionals shall be covered by the 
provisions of this Act. 
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All indigent patients, whether paying in cash or through Health 
Maintenance Organization (HMO), Guarantee Letters, Subsidies, and all 
other payment facilities, services, and/or arrangements are likewise covered 
under this Act. 
 
Patients who are indigent are identified by the Department of Social 
Welfare and Development (DSWD) as individuals without visible sources of 
income or with income that is insufficient to support their families, based on 
specific criteria and issued with a Certificate of Indigency by the Barangay. 
 
SECTION 4. Mandatory Act – All hospitals and/or health care 
professionals shall issue one final bill to indigent patient(s) regardless of the 
mode of payment(s) clearly indicating the Professional or Doctor's Fee(s) 
together with the costs of services rendered, procedures, medications, and 
other items for payment. 
 
Further, all government agencies and institutions providing financial 
assistance to indigent patients for hospital expenses shall include coverage 
for the Professional or Doctor's Fee(s), which must be incorporated in the 
final hospital bill. 
 
It shall be declared illegal and a violation to issue a separate bill for the 
Professional or Doctor's Fee(s) or other fees or charges not indicated in the 
final hospital bill. 
 
SECTION 5. Penal Clause – Any public and private hospital, clinic, 
establishment, doctor, physician, and other health care professional 
individual who will issue a separate billing for Professional or Doctor's Fee(s) 
to patients shall be fined: First Offense – One Hundred Thousand pesos (Php 
100,000.00); Second Offense – Two Hundred Thousand Pesos (Php 
200,000.00); and Third Offense – Cancellation of Professional License or 
License to Operate. 


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SECTION 6. Role of the Department of Health – The Department of 
Health and its agencies are mandated to receive and act on complaints 
arising from violations of this Act. 
 
SECTION 7. Implementing Rules and Regulations – All implementing 
rules and regulations necessary to enforce this Act must be issued and shall 
take effect not later than (90) days from the effectivity of this Act. 
 
SECTION 8. Separability Clause – If any part, section, or provision of 
this Act is held invalid or unconstitutional, other provisions not affected 
thereby shall remain in full force and effect. 
 
SECTION 9. Repealing Clause – All laws, decrees, orders, rules and 
regulations, other issuances or parts thereof inconsistent with the 
provisions of this Act are hereby repealed or modified accordingly. 
 
SECTION 10. Effectivity – This Act shall take effect fifteen (15) days 
after its publication in the Official Gazette or two (2) newspapers of general 
circulation. 
 
Approved,