Republic of the Philippines
HOUSE OF REPRESENTATIVES
‘Quezon City

FIFTEENTH CONGRESS 3
‘Second Regular Session

House BILL No.__ 6025

Introduced by Rep. Winston “Winnie” Castelo

EXPLANATORY NOTE

While there is a prevailing scheme of accreditation as would govern the
adrinistraton and operation of health maintenance organizations, itis only fo the
extent that a ‘Clearance to Operate’ is issued by, at present, ‘the Department of
Health, specifically, the Office for Health Facilites Standards ang Regulations.

Health management organizations are akin to business entities that
arrange for pre-paid ‘health care services for their members by contracting with
hospitals, physicians and other heatth professionals for their services.

‘The members who are provided with medical services are those diily
enrolled with these HMOs who may be a8 out-patient oF inpatient. However,
Feet cre instances that bonafide cardhoklers do not get to avail of their
Tnaximum benefits that they should otherwise enjoy by way of exemptions.

To this end, there must be a regulatory commission to take charge of
rmultifaceted problems that now plague this industry as the ones thal serve as
medical services providers in the broad sense of the term.

‘The commission so created shail be able to péidress vanpus humiliating
experiences of patients that could have is fi
Sdiiressed since in the absence of such regulatory body, th
‘continue to parmeate this health concer by an increasing num
prospective enrollees.

“The immediate passage of this bill is therefore most ea!


Republic of the Philippines
HOUSE OF REPRESENTATIVES

FIFTEENTH CONGRESS
Second Regular Session

+ House sw no. __6025

Introduced by Rep. Winston “Winnie” Castelo

AN ACT
CREATING THE HEALTH MANAGEMENT ORGANIZATIONS REGULATORY
COMMISSION AND APPROPRIATING FUNDS THEREFOR AND FOR OTHER
PURPOSES

Be it enacted by Senate and House of Representatives of the Republi: of the
Philippines in Congress assembled:

SECTION 1. This Act shall be known as the “Health Management
Organizations Regulatory Commission of 2012".

SEC 2. There is hereby created this independent Health Management
Organizations Regulatory Commission.

SEC. 3. For purposes of this Act, the Commission shall provisionally
adopt its mandate, control, supervision, and authority over all health
management organizations from the hitherto existing Office for Heatth Facilities
‘Standards and Regulations and the Rules and Regulations on the Supervision of
Health Maintenance Organizations as set forth pursuant to Administrative Order
No. 34 of the Department of Health;

Provided, That after two years of transition in the administration and
operation of all health management organizations throughout the country, said
Commission shall automatically evolve as independent in its overail
administrative and operational functions as the proper regulatory agency.

SEC. 4. Thenceforth, the Health Management Organizations Regulatory
Commission shall issue new set of supervisory and regulatory guidelines, rules
and regulations to effectively implement the provision of this Act.

All laws, decrees, executive orders, rules and regutations inconsistent with
the provisions of this-Act are hereby repealed or modified accordingly.

SEC. 5. This Act shall take effect upon publication in the Official Gazette
and at least three (3) newspapers of general circulation.

Approved,