NINETEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
SENATE
S.B. No. 91
B'CUl'U 
of t!)f
72 JUL-7 P2:21
RliCEiVED BY,
Introduced by SENATOR SONNY ANGARA
AN ACT
ESTABLISHING THE PHILIPPINE eHEALTH SYSTEM AND SERVICES IN 
SUPPORT OF UNIVERSAL HEALTH CARE USING INFORMATION AND 
COMMUNICATIONS TECHNOLOGY IN THE PHILIPPINES, AND 
APPROPRIATING FUNDS THEREFOR
EXPLANATORY NOTE
The World Health Organization (WHO) defines eHealth as "the use of 
information and communication technologies (ICT) for health." In 2005, the World 
Health Assembly (WHA) recognized the potential of eHealth to strengthen health 
systems and improve quality, safety and access to care, and encouraged Member 
States to take action to incorporate eHealth into their health systems and services 
(58th WHA, 2005; Geneva, Switzerland).
As early as 2010, my father - former Senate President Edgardo J. Angara - 
already saw the potential of eHealth to become a "game changer" to the medical 
industry not only in delivering health services but also in providing the country an 
edge in the medical tourism market. In fact, the now defunct Congressional 
Commission on Science, Technology, and Engineering (COMSTE) - which my father 
also chaired - identified eHealth as a national priority in 2011 and had pushed for 
greater cooperation between providers and the government.
In neighboring countries like Indonesia, Malaysia, Singapore, and China, 
eHealth services are not only encouraged but are financially boosted by investors - 
seeing its potential to become the next big industry. Halodoc, which is one of 
Indonesia's biggest telemedicine apps, has received funding from the Bill and
1


Melinda Gates Foundation among others. Meanwhile, Singapore's telemedicine 
providers are in collaboration with the government and experts project that China's 
eHealth industry will balloon from around $1.6B in 2016 to $28B by 2026.
Since then, the Department of Health (DOH) harnessed the potential value of 
eHealth as an innovative measure to deliver cost-efficient and sustainable 
interventions towards an integrated and comprehensive approach to health 
development and universal access to healthcare. Specifically, its use has provided 
new and more efficient ways of improving the delivery of healthcare and making the 
health systems more efficient and responsive to people's needs and expectations, 
and concomitantly, in promoting access to evidence-based information for decision 
making.
This has become more evident especially during the COVID-19 pandemic as 
we - including the government - are seeing how telemedicine, e-prescription, and 
other eHealth services are literally putting the public out of harm's way by providing 
safer basic healthcare services {e.g., consultation, online drug purchasing, e- 
prescription) at minimal cost.
Given the growing prevalence of eHealth technologies and applications, and 
to achieve optimum and meaningful use of ICTs in health and to protect all the 
beneficiaries and stakeholders, this Bill aims to provide a policy framework and 
establish a national eHealth system that will direct and regulate the practice of 
eHealth in the country.
Specifically, this measure will help direct and regulate action of providers; 
streamline and make systems and services interoperable; ensure patient safety and 
protection; define and guarantee quality of service; define and institutionalize 
governance mechanism to achieve coherence, cooperation and complementation; 
address issues on provision, access, availability, privacy and cybersecurity and 
information exchange, among others; support research, development and 
innovation; avoid duplication among eHealth services and efforts among government


agencies with the private sector; establish the critical infrastructure; and define a 
budget to finance and sustain it. Through this measure, we are optimistic that more 
public and private hospitals will be encouraged and empowered to adapt to this 
emerging new technology.
In view of the foregoing, the immediate passage of this Bill is earnestly
sought.
ANGARA


NINETEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
SENATE
S.B. No. 91
uJi . >-i \L 
V- J IV11 \
ol U)C st-’fiTmviJ
*22 JUL-7 P2:21
RECEIVED BY:
Introduced by SENATOR SONNY ANGARA
AN ACT
ESTABLISHING THE PHILIPPINE eHEALTH SYSTEM AND SERVICES IN 
SUPPORT OF UNIVERSAL HEALTH CARE USING INFORMATION AND 
COMMUNICATIONS TECHNOLOGY IN THE PHILIPPINES, AND 
APPROPRIATING FUNDS THEREFOR
Be it enacted by the Senate and House of Representatives of the Philippines 
in Congress assembled:
ARTICLE I
GENERAL PROVISIONS
3 
SECTION 1. Short Title. - This Act shall be known as the "eHeaith System
4 
and Services A ct"
5 
SEC. 2. Declaration of Policies. - It is the policy of the State to protect
6 
and promote the right to health of all Filipinos and instill health consciousness
7 
among them. Towards this end, the State shall institutionalize a system of providing
8 
wide access and quality healthcare information and services through electronic
9 
means using information and communication technologies (ICT) or eHealth resulting
10 
in improved health outcomes for every Filipino, and further recognizing public and
11 
private partnership.
12 
The national eHealth system shall be comprehensive, integrated,
13 
interconnected, sustainable, measurable, synchronized, interoperable, and
14 
progressive based on best practices, and shall facilitate inter-agency and inter-
15 
sectoral coordination at various levels of governance covering both the public and
16 
private sectors. It shall recognize eHealth as equal with other healthcare delivery
17 
methods to the extent allowable by existing laws, provide and support healthcare
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delivery, including diagnosis, consultation, treatment, transfer of care of patient,
2 
exchange of health data and education, especially in medically unserved and
3 
underserved geographically isolated and disadvantaged areas (GIDAs).
4 
SEC. 3. Objectives, - This Act shall provide a policy framework and
5 
establish a national eHealth system that shall direct and regulate the practice of
6 
eHealth, which shall:
7 
a) Set policies, standards, regulations and services in eHealth to reduce
8 
inequalities, achieve universal health care and improve health outcomes;
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b) Realize health information exchange to measure and monitor health
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system performance and responsiveness; and
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c) Enable the citizenry with access to health information and health services,
12 
including teleHealth, needed for better management and control of their
13 
own health.
14 
SEC. 4. Scope and Application. - This Act covers all existing healthcare
15 
providers and other entities developing and using eHealth systems, services and
16 
applications, whether public or private. It shall cover all eHealth solutions, services,
17 
and applications including relevant standard equipment in the field of health and
18 
ancillary services that use ICT and are complementary to existing minimum
19 
modalities or standards of health care and other access to information.
20 
SEC. 5. Definition of Terms. - As used in this Act:
21 
a) Compliant eHealth Applications refer to services and solutions that are
22 
compliant with defined architecture of eHealth standards that allow for
23 
interoperability and health information exchange across geographic,
24 
organizational and vendor boundaries, and ensure data protection in
25 
accordance with Republic Act (R.A.) No. 10173, otherwise known as the
26 
"Data Privacy Act7' and other related laws and issuances.
27 
b) eHealth Data Services refer to key architectural data registries of the
28 
health sector enterprise needed to enable and support large scale health
29 
information interoperability and exchange.
30 
c) eHealth System refers to the interplay of enabling (governance and
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accountability; strategy and investment; human resources; standards and
32 
interoperability; monitoring and compliance; research and development)


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and foundational (infrastructure; and services and applications) elements 
essential for a successful national eHealth implementation;
d) eHealth Services and Applications refer to the solutions and products 
with defined objectives to serve its intended clients or users, such as 
Health Information Systems, EMR Systems, EHR System, Hospital 
Information System, ePharmacy System, Laboratory System, Radiology 
System, Registry systems, mobile health, teleHealth, telemedicine, 
wearables, and biomedical and related devices with ICT component;
e) Electronic Health or eHealth refers to the use of cost-effective and 
secure information communications technology for health;
f) Electronic Health Record (EHR) refers to a computerized health record 
used to capture, store, access and share information of a patient between 
and across healthcare organizations and providers;
g) Electronic Medical Record (EMR) refers to a computerized medical 
record used to capture, store and share information between healthcare 
providers in an organization;
h) Electronic Prescription (ePrescription) refers to a system that allows 
healthcare providers to write and send prescriptions in an automated or 
electronic way to a pharmacy with capability to receive such;
i) Enterprise Resource Planning (ERP) refers to an efficient system of 
managing and integrating the important parts of a business such as 
planning, purchasing, inventory, finance, and other resource management 
and operations;
j) Geographically Isolated and Disadvantage Areas (GIDAs) refer to 
communities with marginalized population physically and socio­
economically separated from the mainstream society and characterized by:
(1) Physical factors such as those isolated due to distance, weather 
conditions and transportation difficulties (island, upland, lowland, 
landlocked, hard to reach and unserved or underserved communities); and
(2) Socio-economic factors such as high poverty incidence, presence of 
vulnerable sector, communities in or recovering from situation of crisis or 
armed conflict;


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k) Health Care Providers refer to any of the following:
1. Health care professional refers to doctor of medicine, nurse, 
midwife, dentist, or other skilled allied professional or practitioner duly 
licensed to practice in the Philippines;
2. Health facility refers to a public or private facility or institution 
devoted primarily to the provision of services for health promotion, 
prevention, diagnosis, treatment, rehabilitation and palliation of 
individuals suffering from illness, disease, injury, disability, or 
deformity, or in need of medical and nursing care;
3. Community-based health care organization refers to an 
organization or association of members of the community organized for 
the purpose of improving the health status of that community;
4. Pharmacies or drug outlets refer to any establishment which sells 
or offers to sell any health product directly to the general public as 
defined in R.A. No. 9711, otherwise known as the "Food and Drug 
Administration Act of 2009;" and
5. Laboratories and diagnostic clinics refer to any facility where tests 
are done on specimens from the human body to obtain information 
about the health status of a patient for the prevention, diagnosis and 
treatment of diseases.
l) Health Knowledge Resources refers to those services that manage and 
provide access to trusted information to support health care providers and 
individuals, including local and international online journals and resource 
collections, national electronic journals printed information, archives, and 
other information resources;
m) Health-Related Entities refer to health care providers, health 
maintenance organizations and private health insurance companies issued 
certificates of authority by the Insurance Commission, pharmacies and 
pharmaceutical companies licensed for operation by the Food and Drug 
Administration, ICT service providers and companies, and all other 
agencies involved in the collection and processing of health and health-


1 
related data, and/or providing health services, and those identified by the
2 
Department of Health (DOH);
3 
n) Health Sector Enterprise Architecture refers to the blueprint on which
4 
eHealth services and applications shall be developed, implemented and
5 
scaled up;
6 
o) Information and Communications Technology (ICT) refers to all
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technologies for the communication of information, which includes data,
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application or information systems, internet, network, connectivity,
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telecommunications, among others;
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p) Mobile Health (mHealth) refers to the services and information
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supported by mobile technology, such as mobile phones, wearables, and
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handheld computers;
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q) Personal Health Record (PHR) refers to a computerized health record
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created and maintained by an individual;
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r) TeleHealth refers to the delivery of health-related services and
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information, at a distance, which encompasses preventive, promotive,
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curative, and palliative aspects. It is also a collection of means or methods
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for enhancing health care, public health, health research and health
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education delivery and support in the various health fields using
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telecommunications and virtual technologies;
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s) Telemedicine refers to the remote diagnosis and treatment of patients
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by means of telecommunications technologies.
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SEC. 6. Implementing Agency. - The Department of Health (DOH) shall
24 
be the lead implementing agency to carry out the provisions of this Act, including its
25 
components. The DOH shall strengthen and transform its existing Knowledge
26 
Management and Information Technology Service (KNITS) into a full-fledged
27 
Bureau, to be named as Knowledge Management and Health Information
28 
Technology Bureau, which shall perform the overall management and administration
29 
of this Act. Additional plantilla positions shall be created for this purpose.
30 
The Bureau shall also serve as a secretariat of the eHealth Policy and
31 
Coordination Council as provided on Sec. 8 hereof.


1 
SEC. 7. Regional and Local Implementation Structures and Staffing
2 
Pattern. - To assist in the implementation of this Act and subject to the approval
3 
of the Department of Budget and Management (DBM), the DOH shall determine the
4 
regional and local implementation structures and create divisions or units as it may
5 
deem necessary, and shall appoint officers and employees with permanent
6 
appointments and supported with an adequate yearly budget in accordance with the
7 
civil service law, rules, and regulations.
ARTICLE II
GOVERNANCE AND ACCOUNTABILITY
10 
SEC. 8. Creation of the eHeaith Policy and Coordination Council. - An
11 
independent body to be known as the eHeaith Policy and Coordination Council
12 
(eHPCC) shall be created to provide and promote relevant policies and guidelines for
13 
the effective coordination and implementation of this Act. The Council shall be
14 
composed of the following key officials:
15 
1. Secretary, Department of Health - Chairperson
16 
2. Secretary, Department of Information and Communications Technology
17 
(DICT) - Co-Chairperson
18 
3. President & Chief Executive Officer, Philippine Health Insurance
19 
Corporation (PhilHealth) - Co-Chairperson
20 
Members:
21 
4. Secretary, Department of Science and Technology (DOST);
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5. Secretary, Department of Social Welfare and Development (DSWD);
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6. Secretary, Department of Interior and Local Government (DILG);
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7. Secretary, Department of Budget and Management (DBM);
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8. Chancellor, University of the Philippines -Manila (UPM);
26 
9. Chairperson, Commission on Higher Education (CHED);
27 
10. Chairperson, National Privacy Commission (NPC);
28 
11. National Statistician, Philippine Statistics Authority (PSA);
29 
12.Two (2) representatives from professional medical or health societies;
30 
13. One (1) representative from patients group; and
31 
14. One (1) representative from the ICT industry associations.


1 
The heads of government agencies may be represented by an official whose
2 
rank shall not be lower than an Assistant Secretary or its equivalent. Members
3 
representing the private sector shall be appointed by the President of the Philippines
4 
not later than thirty (30) days after the date of enactment of this Act and shall serve
5 
for a term of three (3) years, renewable upon recommendation of the Council for a
6 
maximum of two (2) consecutive terms.
7 
The government agency-members of the Council shall have the authority to
8 
act upon and decide on all urgent matters pending the formation of the Council and
9 
the appointment of members from the private sector by the President of the
10 
Philippines.
11 
SEC. 9. Powers and Duties of the Council. - The Council shall exercise
12 
the following powers and functions:
13 
a) Establish eHealth policies, standards, regulations, and ethical frameworks
14 
pertinent to use, practice and provision of eHealth services;
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b) Direct and coordinate the eHealth services and applications at the national
16 
level and ensure alignment of the system and services with the overall
17 
health and ICT goals of the government;
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c) Spearhead the activities that promote eHealth awareness and engage the
19 
participation of stakeholders;
20 
d) Measure and monitor the performance and progress of the implementation
21 
of this Act; and
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e) Submit yearly assessments to the Senate Committee on Health and
23 
Demography and the House of Representatives Committee on Health.
24 
SEC. 10. Creation of the Sub-Structure or Mechanism. - The Council
25 
shall create multi-sectoral groups, composed of both the private and public sectors
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to ensure broader stakeholder participation and for the furtherance of its objectives.
27
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ARTICLE III
STANDARDS AND INTEROPERABILITY
29 
SEC. 11. Health Sector Enterprise Architecture. - The Council shall
30 
develop, regularly update, and implement a health sector enterprise architecture to
31 
provide guidance to align and ensure that data can easily be made available and
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accessible, business processes are harmonized and integrated, and services and
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applications are usable, safe, efficient, and effective.
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All health care providers and health-related entitles shall adopt a health
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enterprise architecture as defined and guided by the Council.
5 
SEC. 12. Standards Compliance. - All health care providers and health-
6 
related entities shall comply with the data standards, as defined by the Council to
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allow interoperability and health information exchange, and ensure data protection
8 
in accordance with R.A. No. 10173, otherwise known as the "Data Privacy Act" and
9 
other related laws and issuances.
10 
These standards shall include, inter alia, patient identifier, provider identifier,
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health facility identifier, terminology and messaging standards, and shall be in
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accordance with the Philippine eGovernment interoperability framework and other
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relevant standards.
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ARTICLE IV
SERVICES AND APPLICATIONS
16 
SEC. 13. Rationalization of eHealth Services and Applications. -
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Design, development, and implementation of eHealth services and applications shall
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focus on the automation and interoperability of the various mandatory eHealth
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business processes and data services as laid out in the Health Sector Enterprise
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Architecture.
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SEC. 14. Scope of eHealth Services and Applications. - eHealth shall
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include the following areas:
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a) Mandatory eHealth Data Services:
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1. Master Person Index
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2. Master Provider Index
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3. Master Facility Index
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4. Terminology Registry
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b) Compliant eHealth Applications:
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1. Electronic Health Record/Electronic Medical Record
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2. Enterprise Resource Planning
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3. Laboratory, Radiology, and ePrescription
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4. Human Resources for Health Information System
5. TeleHealth
ARTICLE V 
TELEHEALTH
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SEC. 15. Regulations of TeleHealth Services and eHeaith Related
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Devices.Council, through the DOH, shall establish and maintain a regulatory
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system for telehealth services and eHealth-related devices.
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SEC. 16. Standards of Practice and Certification of Individuals and
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Entities Providing TeleHealth Services. - To complement the regulations of
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telehealth services and eHealth-related devices, the DOH, in consultation with
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Professional Regulatory Commission (PRC), PhilHeaith, UPM - National TeleHealth
12 
Center, DICT, academia, medical and specialty societies, non-government
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organizations, the private and business sectors, shall set the standards of practice
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and implement a certification mechanism for individuals and entities providing
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telehealth services.
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ARTICLE VI 
HUMAN RESOURCES
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SEC. 17. Human Resource in eHeaith. - The human resources for
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eHeaith are health professionals who shall plan, design, build, operate, use,
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maintain, and support the eHeaith services and applications, and innovations.
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The DOH, CHED, DICT, Technical Education and Skills Development Authority
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(TESDA), and Professional Regulation Commission (PRC), in consultation with
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medical and specialty societies, IT professional associations, and academia, shall
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establish the minimum competencies and impose the same on health, health-related
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and digital health professionals. This shall be part of the curriculum of health and
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health-related courses.
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SEC. 18. Human Resource Development Plan. -The DOH, CHED,
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TESDA, and PRC shall formulate the Human Resource Development Plan which shall
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develop new curricula, integrate changes in existing curricula, create formal and
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non-formal training programs, and continuing professional development programs.
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There shall also be creation of personnel service item, plantilla positions, and other
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employment opportunities for human resources In government hospitals and
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institutions to manage and enable eHealth in healthcare and related services.
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ARTICLE VII
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INFRASTRUCTURE
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SEC. 19. ICT Infrastructure. - The DICT, in coordination with DOH,
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PhilHealth, and DOST, shall establish the necessary national ICT infrastructure to
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implement eHealth services and applications.
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SEC. 20. National Health Data Center. - The PhilHealth, in coordination
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with the DOH, DICT and DOST, shall establish and maintain the national health data
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center, and implement an agile and sustainable data management and governance
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framework and system in support of R.A. No. 11223, otherwise known as the
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"Universal Health Care Act," and in compliance with R.A, No. 10173, otherwise
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known as the "Data Privacy Act of 2012" for data protection.
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ARTICLE VIII
STRATEGY AND INVESTMENT
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SEC. 21. National eHealth Strategic Framework and Plan. - The
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Council shall spearhead the development and monitoring of strategic framework and
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plan to serve and guide the operations of a national eHealth system.
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SEC. 22. Financing the eHealth Strategic Framework and Plan. -
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Financing for the national eHealth system by DOH, PhilHealth and other partners, as
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defined by the Council, shall be made available to scale up eHealth implementation
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at the national level.
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SEC. 23. Private Sector Participation. -The DOH shall promulgate rules
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regarding the participation of the private sector in the provision of eHealth services
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and applications, including public-private partnerships, and other suitable
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arrangements.
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ARTICLE IX
RESEARCH AND DEVELOPMENT
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SEC. 24. Research and Development - Consistent with R.A. No. 10532
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otherwise known as the "Philippine National Health Research System Act of 2013/'
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and the mandate of the DOST, the DOST-Philippine Council for Health Research and
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Development (DOST-PCHRD), in consultation with DOH, CHED, DICT, PhilHealth,
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UPM-National TeleHealth Center, academia, regional health research consortia,
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medical and specialty societies, non-government organizations, the private and
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business sectors, shall ensure the development of new eHealth services, applications
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and innovations through:
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a) Formulation of eHealth research priority areas under the National Unified
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Health Research Agenda (NUHRA), and other research agendas;
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b) Funding and mobilizing resources for researches on eHealth which are
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aligned with the research agenda;
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c) Establishment and strengthening of centers of excellence of eHealth policy
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studies, research and innovation, including creation of formal and non-
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formal capability building programs; and
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d) Adherence of eHealth research outputs to the health technology
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assessment process as provided in the Universal Health Care Act.
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A separate unit within the PCHRD shall handle and manage eHealth related
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activities and programs. The human resource requirement of such unit shall be
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determined by PCHRD in consultation with DOH, CSC and DBM.
21 
SEC. 25. Funding Source for Research and Development -The DOH,
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PhilHealth, DOST, DICT, CHED, and DILG shall allocate at least 1% of their
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respective annual regular budget in support of eHealth research and development.
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ARTICLE X
ADMINISTRATIVE PENALTIES
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SEC. 26. Rules and Procedures for Administrative Violations and
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Complaints. - The Council shall promulgate rules and procedures relating to
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administrative violations and complaints, insofar as they relate to the establishment
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and operations of the national eHealth system.
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ARTICLE XI
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1 
MISCELLANEOUS PROVISIONS
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SEC. 27. Transitory Provisions. - The transformation of KMITS into a full-
3 
fledged Bureau and the formulation of the internal organic structure and regional
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and local implementation structures, staffing pattern, operating system, and the
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revised budget of the Department for health information technology shall be
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completed within six (6) months from the effectivity of the Implementing Rules and
7 
Regulations (IRR) of this Act, during which time, the existing KMITS and regional
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and local implementation personnel shall continue to serve in holdover capacities
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until a full and permanent bureau is constituted and functioning, and new
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appointments are issued.
11 
SEC. 28. Appropriations. - The amount needed for the initial
12 
implementation of this Act shall be taken from the current fiscal year's appropriation
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of the DOH for health information technology.
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For the succeeding years, the amount needed for eHealth in the DOH budget
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and in the budget of other agencies with specific mandates provided in this Act shall
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be based on the strategic plan formulated by the Council, in coordination with other
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stakeholders. The amount shall be included in the General Appropriations Act.
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Further, other sources of funds can come from the Private Sector Participation
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Program, Joint DOH-PhilHealth-DICT-DOST undertakings on eHealth, and Medium-
20 
Term Information and 
Communications Technology Harmonization Initiative
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(MITHI).
22 
SEC. 29. Impiementing Ruies and Reguiations. - Within ninety (90)
23 
days from the effectivity of this Act, the Secretary of DOH, after consultation with
24 
the Secretaries of DICT and DOST, the President and Chief Executive Officer of
25 
PhilHealth, the Chancellor of UPM, the Chairperson of CHED, the National Statistician
26 
of PSA, and representatives of medical and paramedical associations and societies,
27 
and other stakeholders shall promulgate the necessary rules and regulations
28 
implementing the provisions of this Act.
29 
SEC. 30. Separabiiity Ciause. - If any part or provision of this Act is held
30 
invalid or unconstitutional, the remaining parts or provisions not affected shall
31 
remain in full force and effect.
12


SEC. 31. Repealing Clause. - All general and special laws, decrees, 
executive orders, 12 proclamations and administrative regulation, or any parts 
thereof which are inconsistent with this Act are hereby repealed, amended and 
modified accordingly.
SEC. 32. Effectivity. - This Act shall take effect fifteen (15) days after its 
publication in the Official Gazette ox in any newspaper of general circulation.
Approved,
13