EIGHTEENTH CONGRESS OF THE) 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
)
o! ttr S>i'crftafj
*19 NOV -4 P2 22
SENATE
S. No. 1132
Introduced by Senator Ralph G. Recto
AN ACT
REQUIRING ALL PUBLIC HOSPITALS TO PREPARE AND IMPLEMENT A 
HOSPITAL SITE DEVELOPMENT PLAN FOR THE OPTIMUM UTILIZATIO N OF 
ITS RESOURCES IN  DELIVERING HEALTH SERVICES
EXPLANATORY NOTE
Quality healthcare is characterized by the availability of and access to good 
health facility; adequate human resources; and affordable medicine, among others. 
In reality however, these building blocks of quality healthcare are always inadequate 
especially in a developing country like the Philippines where the population is 
continuously increasing while wherewithal remains limited.
In the 2017 National Health Objectives published by the Department of Health 
(DOH), the health department noted the gaps based on need versus the actual public 
health facilities in the country. The significant gaps are in the Barangay Health Stations 
and Rural Health Units which are the first responder in the communities. These gaps 
in the available basic health facilities resulted in bottlenecks and choking of public 
hospitals especially the district, provincial and regional hospitals.
This reality is now evident in many if not all public hospitals in the country. A 
quick look at our public hospitals would reveal the dismal state of many of our 
government health facilities. Bed sharing, patients waiting in the lobbies and hallways, 
and stock or conference rooms being used as temporary holding area for patients 
have been a perennial sight. The traffic of patients has also become unmanageable at 
times. All of these make one's hospital experience a horrible one.


A hospital that is conducive to healing will help contribute to the attainment of 
the goal of providing quality health care for all. Thus, a suitable hospital site should 
be one that best serves hospital activities; enables the optimum utilization of 
resources; and meets the requirements on location, accessibility, topography, soil 
condition, size, and disaster/risk reduction measures.
This bill addresses the Constitutional mandate of the State to give priority to 
quality healthcare. The bill provides for the preparation of an effective land use and 
development plan that public hospitals nationwide will implement to optimize 
utilization of resources, address facility deficiency and foresee the future infrastructure 
requirements of our public hospitals.
The aim of site development planning for any hospital is to contribute toward 
the creation of a proper healthcare environment. It should show improvements in the 
hospital site including the location of existing and proposed buildings, the arrangement 
of circulation elements, and the utilization of open areas. It will also aid hospital 
administration in making informed decisions regarding health facilities management. 
The site development plan shall be regarded as a flexible framework which allows 
modifications dictated by changing conditions.
However, at certain times, complying with the prescribed standards can be hard 
to achieve due to the lack of funding for the needed physical resources. The hospital 
site development plan can thus serve as a "wishUst for future development projects 
of the hospital. It can also serve as the incentive for public hospitals to be given priority 
in accessing health facilities enhancement funding from the national government.
In view of the foregoing, immediate passage ofjiys>bill is earnestly sought
//m ksbc


EIGHTEENTH CONGRESS OF THE) 
REPUBLIC OF THE PHILIPPINES ) 
First Regular Session 
)
1^1 Senate
■' Uicr of 
iDtzrrtatf
'19 NOV -4 P2 .22
SENATE
S. No. 1132
Introduced by Senator Ralph G. -Recto
AN ACT
REQUIRING ALL PUBLIC HOSPITALS TO PREPARE AND IMPLEMENT A 
HOSPITAL SITE DEVELOPMENT PLAN FOR THE OPTIMUM UTILIZATIO N OF 
ITS RESOURCES IN  DELIVERING HEALTH SERVICES
Be it enacted by the Senate and House o f Representatives o f the Philippines in 
Congress assembled:
1 
Section 1. Short Title. -  This Act shall be known as the "Hospital Site
2 
Development Plan Act".
3 
Sec. 2. Declaration o f Policy. -  It is the policy of the State to ensure optimum
4 
utilization of the land resources of all public hospitals for the purpose of anticipating
5 
the future needs and expansion of hospitals relative to patient influx and construction
6 
of needed infrastructure and physical facility requirements which will contribute to a
7 
more efficient delivery of quality health care services and conform with disaster risk
8 
reduction management in public hospitals.
9 
Sec. 3. Preparation and Implementation o f the Hospital Site Development Plan.
10 
-  A committee composed of the public hospital officials, with the assistance of the
11 
Bureau 
of 
Health 
Facilities 
of 
the 
Department 
of 
Health 
(DOH), 
the
12 
District/City/Municipal Engineering Office of the Department of Public Works and
13 
Highways (DPWH) and other government agencies concerned, shall be required to
14 
prepare and implement a Hospital Site Development Plan designed to improve and
15 
optimally utilize the resources of their respective public hospitals.
16 
The Hospital Site Development Plan shall be submitted by the Chief of Hospital
17 
to the DOH within two (2) years after the approval of this Act: Provided, That the Plan


1 
shall be updated periodically as the need arises: Provided, further, That the DOH shall
2 
be informed of any changes made thereof: Provided, finally, That the Plan shall be
3 
reviewed by the committee ten (10) years after its approval to ensure that it remains
4 
relevant and in consonance with changing conditions and realities.
5 
Priority in the approval of infrastructure projects under the Health Facilities
6 
Enhancement Program (HFEP) shall be given to hospitals which have prepared and
7 
submitted a Hospital Site Development Plan to the DOH,
8 
Sec. 4. Hospital Site Deveiopment Pian. -  Each public hospital shall endeavor
9 
to provide quality health care in a facility that is well-planned and constructed. The
10 
infrastructure and physical facility requirements must also comply with prevailing
11 
disaster risk reduction and mitigation measures.
12 
The site development plan must be flexible enough to allow modifications
13 
according to the hospital's prevailing and future needs: Provided, That modifications
14 
shall adhere as much as possible to the basic pattern of development.
15 
The Hospital Site Development Plan shall include the following:
16 
a) Public hospital planning framework, principles and processes, including
17 
master development plans;
18 
b) Detailed geographical description and survey of the site occupied by the
19 
hospital;
20 
c) Inventory of all existing buildings, facilities, and other infrastructure
21 
within the compound or area occupied by the public hospital;
22 
d) Cadastral survey of land occupied by the hospital, including detailed
23 
geographical descriptions on land disputes, natural and man-made
24 
hazards for climate change issues;
25 
e) Recommendations for use of all idle and available land inside the hospital
26 
compound including a feasibility study on the construction of additional
27 
hospital buildings relative to population growth and estimated increase
28 
in patient influx;
29 
f) Hospital building and facility condition assessment report which will
30 
include 
actual 
defects, 
damages, 
and 
other 
structural 
issues;


2
3
4
5
6
1
replacement, repairs, retrofitting, improvements and maintenance 
needed;
g) Design and estimated cost of construction, operation, and maintenance 
of other infrastructure needs of the medical institution; and 
e. Financial plan, which may include among others, feasibility studies, 
sources of funding, income, loans, and public-private partnerships.
7 
Sec. 5. Appropriations. -  The amount necessary to effectively carry out the
8 
provisions of this Act shall be included in the annual General Appropriations Act.
9 
Sec. 6. Implementing Rules and Regulations. -  Within sixty (60) days from the
10 
approval of this Act, the DOH, in coordination with the DPWH, shall promulgate the
11 
rules and regulations necessary to implement this Act.
12 
Sec. 7. Separability Cause. -  If any part or provision of this Act shall be held
13 
unconstitutional or invalid, other provisions, which are not affected thereby, shall
14 
continue to be in full force and effect.
15 
Sec. 8. Repeating Cause. — All laws, decrees, orders, rules, and regulations or
16 
other issuances or parts thereof which are contrary to and inconsistent with the
17 
provisions of this Act are hereby repealed or modified accordingly.
18 
Sec. 9. Effectivity. -  This Act shall take effect fifteen (15) days after its
19 
publication in the Official Gazette or in at least two (2) national newspapers of general
20 
circulation.
Approved,