NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
)
SENATE
27
S. No.
202?
BILLS
INDEX
Introduced by SENATOR RAMOr J BONG REVILLA, JR.
AN ACT
ESTABLISHING THE NATIONAL CENTER FOR GERIATRIC HEALTH AND 
RESEARCH INSTITUTE, DEFINING ITS POWERS AND FUNCTIONS, 
CREATING REGIONAL GERIATRIC SPECIALTY CENTERS IN THE 
DEPARTMENT OF HEALTH-RETAINED HOSPITALS, AND APPROPRIATING 
FUNDS THEREFOR
EXPLANATORY NOTE
Article XIII Section 11 of the Constitution provides: "The State shall adopt an 
rntegrated and comprehensive approach to health development which shall endeavor 
to make essential goods, health and other social services available to ail the people at 
affordable cost. There shall be priority for the needs of the underprivileged sick, 
elderly, disabled, women, and children. The State shall endeavor to provide free 
medical care to paupers."
In line with this Constitutional provision of giving utmost priority to health 
services for the elderly, this measure seeks to expand the National Center for Geriatric 
Health (NCGH) currently under the Jose R. Reyes Memorial Medical Center (JRRMMC) 
by establishing the National Center for Geriatric Health and Research Institute 
(NCGHRI). NCGHRI is envisioned to become the leading teaching, research and 
training hospital that shall specialize in geriatric care and serve as an apex hospital for 
senior citizens in the country.
Senior citizens are vulnerable sectors of our population who are at high-risk of 
contracting diseases due to their advanced age, weaker immunity and various 
comorbidities. As we have seen in the Covid-19 pandemic, health concerns of our


senior citizens require special care and urgent attention. It is important that a special 
health facility which will focus on their specific medical conditions be created and 
institutionalized.
This proposed legislation also seeks to build geriatric specialty centers in 
Department of Health (DOH) regional hospitals, which shall serve as end-referral 
facilities of the health care provider networks, and training and research facilities on 
geriatric specialty care services. This aims to ensure that health services catering to 
their special needs of the elderly will be readily available and accessible across all 
regions.
Finally, this measure further reinforces the existing policies, particularly the 
Mandatory PhilHealth Coverage for All Senior Citizens1 and the creation of National 
Commission for Senior Citizens2, in promoting the welfare and appreciation for our 
senior citizens. In this light, the immediate approval of this bill is highly recommended.
ramojj/bong revilla, JR.
1 Republic Act No. 10645
2 Republic Act No. 11350


NINETEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
SENATE 
S. No.
BILLSMS. INDEX
Introduced by SENATOR RAMON BONG REVILLA, JR.
AN ACT
ESTABLISHING THE NATIONAL CENTER FOR GERIATRIC HEALTH AND 
RESEARCH INSTITUTE, DEFINING ITS POWERS AND FUNCTIONS, 
CREATING REGIONAL GERIATRIC SPECIALTY CENTERS IN THE 
DEPARTMENT OF HEALTH-RETAINED HOSPITALS, AND APPROPRIATING 
FUNDS THEREFOR
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled:
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Section 1. Short Title. - This Act shall be known as the "Geriatric Health Act"
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Sec. 2. Declaration of Policy. - It is the policy of the State to protect and
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promote the right to health of senior citizens all over the country by ensuring that
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holistic health services are available and accessible to them through the establishment
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of a specialized hospital and research institute as well as geriatric specialty centers in
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the Department of Health (DOH)-retained hospitals in every region.
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Sec. 3. Definition of Terms. - As used in this Act:
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a) Acute care - refers to a specialized program that addresses the needs of
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hospitalized older adults in a multidisciplinary team approach to prevent
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functional and cognitive decline and to Improve outcomes;
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b) Apex or end-referrai hospital - refers to a hospital offering specialized
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services as determined by DOH, which is contracted as a stand-alone facility
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by the Philippine Health Insurance Corporation (PhilHealth);
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c) Geriatric health services - refer to the medical services or interventions
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provided by a multidisciplinary team to older adult patients;


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d) Geriatric medicine or Geriatrics - refers to the sub-specialty of internal and 
family medicine that diagnoses and treats a wide range of conditions and 
diseases that affect people as they age and aims to promote health and 
treat disabilities for older adults;
e) Geriatric paiiiative care - refers to a specialized medical care that focuses 
on providing elderly patients relief from pain and other symptoms of a 
serious illness, regardless of diagnosis or stage of disease, and provided 
alongside curative and other forms of treatment. It is a field of inter­
specialty collaboration to respond to the socio-demographic changes and 
challenges of older adults with severe and life-limiting conditions;
f) Geriatricspeciaity center- refers to a unit or department in a DOH-retained 
hospital that offers specialized care to the aging population, particularly of 
frail older persons, addressing their particular conditions and providing 
specific procedures and management of cases, requiring specialized training 
and/or equipment;
g) Geriatrician - refers to a medical doctor who has passed the necessary 
training and specialty examination for the practice of Geriatric Medicine;
h) Gerontoiogy- refers to the study of the biological, psychological, spiritual, 
social, economic, and the demographic aspects of the aging process;
i) Home-based heaithcare and reabiement program - refers to a community- 
based service which primarily caters to the frail older persons who have lost 
or are experiencing problems with mobility;
j) Integrated deiivery of geriatric heaith sen/ices - refers to hospital and 
community-based medical and psycho-social services provided to senior 
citizens by a multidisciplinary team;
k) Muiti-discioHnary team - refers to a team composed of health professionals 
headed by a geriatrician and includes surgeons, organ-system specialists, 
nurses, clinical pharmacists, rehabilitation therapists, nutritionists, dentists, 
social workers, caregivers, family members, and patients themselves;
l) Peopie-centered service - refers to an approach to geriatric care that 
consciously adopts the perspectives of individuals, families and 
communities, and sees them as participants as well as beneficiaries of


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trusted health systems that respond to their needs and preferences in
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holistic and humane ways;
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m) Senior citizen - refers to an elderly Filipino who is at least sixty (60) years
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old;
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n) Sub-acute care - refers to care for patients who no longer require
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hospitalization, but still need skilled medical care through rehabilitative
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medicine. Sub-acute rehabilitation is recommended when a patient is not
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functionally able to return home; and
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o) Transitionai care - refers to a form of health care in geriatric medicine
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designed to ensure coordination and continuity of care as patients transfer
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between different locations or different levels of care, and the safe and
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effective management of both chronic and acute illness In older adults.
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Sec. 4. Nationai Center for Geriatric Health and Research Institute. - The
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National Center for Geriatric Health (NCGH) is hereby classified as a teaching, research
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and training hospital that shall specialize in geriatric care and serve as an apex hospital
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or end-referral facility for senior citizens in the country. The NCGH shall be renamed
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as the National Center for Geriatric Health and Research Institute (NCGHRI) and shall
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be under the direct control and supervision of the DOH.
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The bed capacity, service capabilities, healthcare facilities, expansion,
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organizational structure and human resource requirements of the NCGHRI shall be
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based on the hospital and human resource development plan to be prepared by the
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NCGHRI and approved by the DOH.
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Sec. 5. Powers and Functions. - To carry out the provisions of this Act, the
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NCGHRI shall have the following powers and functions:
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a) Serve as an apex hospital or end-referral facility which shall specialize In
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geriatric health services;
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b) Formulate a hospital development plan which shall be regularly updated to
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reflect the expansion and future development of the NCGHRI;
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c) Provide and maintain affordable, quality, and timely people-centered
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hospital care through an efficient health service delivery system for senior
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citizens;


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d) Provide higher and up-to-date geriatric training for professionals, 
postgraduates, academic, and allied healthcare providers especially from 
the geriatric specialty centers in the regions and LGUs, and other 
government hospitals;
e) Develop and implement cutting-edge research studies on diseases related 
to old age with a view to translating research outcomes into policy and 
specialized health care solutions, and publish research studies that shall 
serve as a critical information resource for the medical and research 
community, in coordination with the Philippine Council on Health Research 
and Development (PCHRD) and the Institute on Aging of the National 
Institutes of Health (lA-NIH);
f) Conduct and participate in international and local gerontological research 
activities;
g) Provide consultancy service and technical assistance in the setting of 
standards for geriatric wards in every tertiary level hospital, nursing home 
and residential center catering to the health and functioning needs of senior 
citizens, in coordination with the PCHRD and the lA-NIH;
h) Develop and maintain a core information hub on geriatric and gerontological 
studies in coordination with the lA-NIH and concerned offices in the DOH 
and its attached agencies, such as the Disease Prevention and Control 
Bureau and the Knowledge Management and Information Technology 
Service;
i) Extend medical services to senior citizens pursuant to the goals, objectives 
and rules of the National Health Insurance Program and in accordance with 
Republic Act No. 11223, otherwise known as the "Universal Health Care 
Act;"
j) Provide an integrated and effective approach in the delivery of geriatric 
health services in collaboration with other government agencies, local 
government agencies, local government units (LGUs) and other 
stakeholders;
k) Conduct specialty training and technical assistance in collaboration with 
concerned DOH offices and other relevant professional organizations;


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l) Finance, sponsor, hold or participate in congresses, convention, 
conferences, seminars, workshops, and training programs on geriatric 
health services or related fields in the Philippines and abroad; and
m) Establish a standardized referral system for psycho-social services.
Sec. 6. Scope of Services. - The NCGHRI shall provide the following services:
a) Hospital-based services to ensure the availability of medical facilities and 
equipment for senior citizens needing acute and sub-acute care, geriatric 
palliative care, transitional and outpatient care services, and such other 
necessary services;
b) Community-based services utilizing multidisciplinary team approaches such 
as home-based healthcare and reablement programs, research and external 
resource outsourcing for community-based integrated geriatric health 
services and trainings necessary for the psycho-social functioning of senior 
citizens and their families, in coordination with LGUs;
c) Technical assistance and capacity building in the establishment and 
maintenance of nursing homes and residential care facilities and senior 
citizens' wards in government hospitals pursuant to Republic Act No. 9994, 
otherwise known as the "Expanded Senior Citizens Act of 2010";
d) Technical assistance and capacity building in the establishment of geriatric 
specialty centers and services to strengthen the network of geriatric care 
service providers across the country and ensure the delivery of quality 
health services for senior citizens;
e) Education programs and scholarships to pursue excellence and the highest 
level of quality in the practice of the specialized field of geriatrics and other 
related fields, including postgraduate training and short-term courses for 
medical doctors and other allied medical health professions, in coordination 
with the lA-NIH; and
f) Education programs in geriatrics and gerontology subjects in undergraduate 
health and allied professions, including training of students, as well as 
postgraduate medical education of physicians, nurses, allied professionals, 
pharmacists, dentists and social workers.


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The Geriatric Specialty Feliowship Training Program of the NCGHRI shall seek
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and maintain full accreditation status in the Philippine College of Geriatric Medicine.
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The NCGHRI shall ensure the accessibility of all its programs and services and
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take into consideration the special needs of senior citizens with disabilities.
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Sec. 7. Organizational Structure and Staffing Pattern. - The Secretary of the
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DOH shall determine the organizational structure and staffing pattern of the NCGHRI
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in accordance with the revised compensation and position classification system subject
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to the evaluation and approval of the Department of Budget and Management (DBM)
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and in compliance with the civil service laws, rules and regulations.
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Sec. 8. Establishment of Geriatric Specialty Centers. - Geriatric specialty centers
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are hereby established in DOH regional hospitals, which shall serve as apex or end-
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referral hospitals of the health care provider networks and training and research
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facilities on geriatric specialty care services. Geriatric health services shall be available
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in all government primary health facilities.
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The level of geriatric services and corresponding facilities in specialty centers
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and their respective health human resource requirements shall be determined by the
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DOH, in coordination with NCGHRI and other stakeholders: Provided, That the
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standards to be adopted thereon shall be consistent with the Philippine Health Facility
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Development Plan and Section 6 of this Act.
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Sec. 9. Categorization of Patients. - The DOH shall ensure that the NCGHRI
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shall adopt and enforce a categorization of paying and non-paying patients. The
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allocation of beds for non-paying patients shall be not less than seventy percent (70%)
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of the total number of hospital beds.
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Sec. 10. Income Retention. - All income generated from the operations of the
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NCGHRI shall be deposited in an authorized government depository bank and shall be
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used to augment the funds allocated for its maintenance, other operating expenses
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and capital outlay requirements, subject to the guidelines set by the DOH and the
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DBM.
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Sec. 11. Privilege. - The NCGHRI may request and receive assistance from the
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different agencies, bureaus, offices or instrumentalities of the government, including
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the Philippine Charity Sweepstakes Office and Philippine Amusement and Gaming
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Corporation, in pursuit of its purposes and objectives.


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Sec. 12. Tax Exemptions. - Ail donations, endowments, contributions, grants
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and bequests used actually, directly and exclusively for an in accordance with the
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purposes and functions of the NCGHRI shall be exempt from donor's tax, and the
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same shall be considered as allowable deductions from gross income for purposes of
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computing the taxable income of the donor, in accordance with the provisions of the
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National Internal Revenue Code of 1997, as amended.
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The NCGHRI shall be exempt from income tax and customs duty levied by the
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government and its political subdivisions, agencies and instrumentalities subject to the
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provisions of the National Internal Revenue Code of 1997, as amended, and Republic
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Act No. 10863, otherwise known as the ''Customs Modernization and Tariff Act."
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The NCGHRI shall avail of the tax expenditure subsidy administered by the
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Fiscal Incentives Review Board (FIRB), subject to the provisions of Title XIII (Tax
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Incentives) of the National Internal Revenue Code of 1997, as amended, Executive
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Order No. 93, as amended, and the General Appropriations Act.
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Sec. 13. Coordination with and Assistance from Other Government Agencies. -
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The NCGHRI shall collaborate with the National Commission of Senior Citizens (NCSC)
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In the development of its programs and services. It may likewise call upon any
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department, bureau, office, agency or instrumentality of the government for
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assistance, in the pursuit of the purposes and objectives of this Act.
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Sec. 14. Appropriations. - The amount necessary for the implementation of this
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Act shall be charged against the current year's appropriation of the DOH. Thereafter,
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the funding of which shall be included in the annual General Appropriations Act.
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Sec. 15. Annuai Report - The NCGHRI shall submit an annual report to the
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President of the Philippines, the Senate Committee on Health and Demography, the
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House of Representatives Committee on Health, and the NCSC, on its activities,
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accomplishments and recommendations to further improve the delivery of geriatric
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health services.
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Sec. 16. Transitory Provisions. - In accomplishing organizational changes and
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improvements that have to be implemented, the following transitory provisions shall
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be complied with:
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a) The National Center for Geriatric Health (NCGH) currently under the lose R.
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Reyes Memorial Medical Center (JRRMMC) shall be absorbed by NCGHRI


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Including its existing personnel regardless of status, and all buildings and
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equipment, fixtures and furnishings, other assets and liabilities, and current
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appropriations;
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b) The independence of the NCGHRI from the JRRMMC shall be fully realized
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within a period of two (2) years. The DOH shall ensure that no disruption
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of service will occur during this transitory period;
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c) The existing officials and employees of the NCGH shall continue to assume
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the duties of their positions until new appointments are issued. They shall
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be placed in the new staffing pattern of the NCGHRI in accordance with R.A.
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No. 6656, entitled "An Act to Protect the Security of Tenure of Civil Service
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Officers and Employees in the Implementation of Government
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Reorganization" and the rules and regulations governing reorganization.
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Officials and employees, including casual and temporary employees, who
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shall not be absorbed in the new staffing pattern due to redundancy shall
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avail of the applicable retirement benefits and separation incentives as
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provided under existing laws: Provided, That officials and employees holding
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permanent appointment shall also be given the option to be transferred to
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other units or offices within the DOH without a reduction in rank, status,
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pay and benefits;
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d) Research grants acquired by the NCGHRI during the transition shall be
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utilized solely for their 
intended purposes and of the affected units or
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offices; and
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e) Existing contracts and agreements entered into with third parties prior to
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the enactment of this Ac shall remain valid.
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Sec. 17. Implementing Rules and Regulations. - The Secretary of Health shall,
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in consultation with the Secretary of Budget and Management, Secretary of Social
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Welfare and Development, and the Chairperson of the NCSC, promulgate rules and
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regulations for the effective implementation of this Act within ninety (90) days after
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its effectivity.
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Sec. 18. Separability Clause. - If any provision or part hereof is held invalid or
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unconstitutional, the remainder of the law or the provision or part not otherwise
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affected shall remain valid and subsisting.


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Sec. 19. Repealing Clause. - Any law, presidential decree or issuance, executive
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order, letter of instruction, administrative order, rule, or regulation contrary to or
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inconsistent with the provisions of this Act are hereby repealed, modified, or amended
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accordingly.
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Sec. 20. Effectivity. - This Act shall take effect fifteen (15) days after its
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publication in the Official Gazette or in a newspaper of general circulation.
Approved,