Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

EIGHTEENTH CONGRESS
First Regular Session

60
House Bill No. ie

Introduced by CIBAC Party-List Representatives
Eduardo “Bro. Eddie” C. Villanueva and Domingo C. Rivera

AN ACT ESTABLISHING THE PHILIPPINE CENTER FOR DIABETES
AND ENDOCRINOLOGY AND FOR OTHER PURPOSES

EXPLANATORY NOTE

In 2000, the International Diabetes Federation (IDF) predicted that by 2025,
there would be 320 million diabetics globally. However, in its 2015 Diabetes Atlas, the
IDF reported that there were already 415 million diabetics aged 20-79. Clearly,
diabetes is exceeding projected rates and growing around the world.’ The IDF further
estimated that by 2040, the global figure will rise to 642 million — or one in 10 adults,
if there is no appropriate response to resolve the growing diabetes epidemic around
the world,

In the Philippines, at least 6 million Filipinos have been diagnosed to have
diabetes but the Philippine Center for Diabetes Education Foundation, warned that
this figure could reach 12 million or even more by 2040 because of undiagnosed
diabetes cases.” The Philippines’ 2013 National Health and Nutrition Survey revealed
that diabetes is a major risk factor among Filipino adults 2 20 years of age with a
prevalence rate of 5.4% (Paz-Pacheco and Jimeno, 2015).>

+ 2016, March 2. The Philippines is now a diabetes hotspot. Retrieved rom: hit: fete inquirer nel225706Mthe-philppines-is-now-a-diabetes-
hotspot (date last accessed: July 9, 2019).

2 2016, August 13. 6 milion Pinoys have diabetes. Retieved fom: hip: newsinfo inquirer neV805812/6m-pinoys have:
iabetesinzzdcodTisbs (date last aocossed: July 9, 2019)

3 Elzabeth Paz Pacheco and Cecilia Jeno, Diabetes Care inthe Philippines. Journal ofthe ASEAN Federation of Endocrine Societies Volume
30, No.2 2016). Retrieved from: itp://asean-endocrinaioumal orgindex phplJAFES/arileviow/267/657,


Worse, more and more young Filipinos are diagnosed with diabetes. There
were reports that even five-year old children were already diagnosed with type 2
diabetes.‘ The DOH stated that diabetes is one of the leading causes of mortality in
the Philippines.

Many experts have attributed the increase of diabetic incidence in the
Philippines to the lifestyle and culture of Filipinos and, to a great extent, to stress in
the workplace. For example, BPO employees who work at night or have graveyard
shift have higher risk of getting the disease according to the Philippine Center for
Diabetes Education Foundation. The DOH also mentioned that even traffic jams raise
diabetes risk.>

Unfortunately, the IDF’s diabetes scorecard for the Philippines showed that the
low level of diabetes-related health expenditures has prevented a very small
proportion (0.9%) of diabetes related deaths. Thus, there is a need to increase the
funding for diabetes prevention and treatment.

In view of the foregoing, this bill seeks to establish the Philippine Center for
Diabetes and Endocrinology (PCDE) to ensure that the full range of services for
diabetes care, prevention and cure are given to the millions of Filipinos afflicted with
diabetes through a more focused allocation of funding. The Center will also further
enhance the noble undertaking of research in diabetes and the training of medical and
technical personnel in the field of Endocrinology.

Diabetes care, prevention and cure should be a priority concern of the
government because diabetes and other endocrine diseases exact a huge toll on our
human resources. After all, the 1987 Constitution provides the duty of the state to
secure the wellbeing of the people by providing them specialized health services. A
specialized institution, similar to the Philippine Heart Center, the Lung Center of the
Philippines and the National Kidney and Transplant Institute, which will focus on
diabetes, metabolism and endocrinology can significantly address the worsening
incidence of diabetes here in the Philippines and lessen the impact of diabetes and its
complications on families, workers, healthcare system, and the economy.

The immediate passage of this bill is earnestly sought.

HON. EDUARDO “BRO. EDDIE” C. VILLANUEVA

«2018, October 18. Managing Diabetes. Retieved fon: nesarirr com ph betes! (at ast accessed: Jy 9, 2019)
+2016 Mach 27. jamsrac detest, Retired rar. hp wn cis comnewe are G078 500i areca Sabet (atest
sccessd Jy 9, 2019),


Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City

EIGHTEENTH CONGRESS
First Regular Session

6013

House Bill No.

Introduced by CIBAC Party-List Representatives
Eduardo “Bro. Eddie” C. Villanueva and Domingo C. Rivera

AN ACT ESTABLISHING THE PHILIPPINE CENTER FOR DIABETES
AND ENDOCRINOLOGY AND FOR OTHER PURPOSES

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

SECTION 1. State Policy. — It is the policy of the State to protect and promote the
right to health of the people and instill health consciousness among them by providing
specialized health services and research, education and training facility responsive to
the country’s health needs and problems.

Hence, it is the primary concem of the government to assist and provide material and
financial assistance in the establishment of a specialty hospital for Filipinos suffering
from diabetes and promote diabetes care, prevention and cure all over the country.

SECTION 2. Creation of the Philippine Center for Diabetes and Endocrinology.
— There is hereby created a body corporate to be known as the Philippine Center for
Diabetes and Endocrinology (PCDE), under the Department of Health (DOH), which
shall serve as the lead tertiary-level care center in the screening, prevention, diagnosis
and treatment of diabetes.

The PCDE shall have its principal office in Metro Manila, and may have such branch
offices, hospitals, clinics or subsidiaries in Visayas and Mindanao and other areas in
the Philippines, as it may deem proper and necessary.

SECTION 3. Purpose and Objectives. - The PCDE shall have the following
purposes and objectives:


a)

b)

c)

d)

e)

9)

To construct, establish, equip, maintain, administer and operate such integrated
medical institution or institutions which shall provide an organize system of care,
comprehensive and optimal treatment for patients with diabetes and other
endocrine problems;

To conduct nationwide screening and diagnosis of diabetes, obesity and the
components of the metabolic syndrome;

To promote, encourage and engage in medical and scientific research on the
prevention and treatment of diabetes and other endocrine diseases and gather,
compile, and publish the findings of such researches for public dissemination;

To encourage, undertake and assist conferences, fora, conventions, seminars,
workshops and training programs for physicians, nurses, health officers, medical
technologists, social workers and medical and technical personnel on the
practical and scientific implementation of health care services to diabetic
patients;

To assist universities, hospitals and research institutions in their studies on
diabetes and other endocrine diseases and other related fields, to encourage
and grant scholarships for advanced training and specialization in medical care
and management in diabetes and related fields and to support and finance
educational programs of value to public health;

To encourage the formation of other organizations at the national provincial, city
and/or local levels, and to coordinate the various efforts and activities of such
organizations for the purpose of achieving a more effective approach to the
common problem relative to the purposes and objectives enumerated herein;
and

To encourage telemedicine by establishing networks through internet facilities to
link physicians at the local level or barrio doctors to specialists who can provide
inputs to care of diabetic patients, especially in underserved areas, with due
regard to the requirements of the Data Privacy Act of 2012.

SECTION 4. Powers and Functions. — For the attainment and/or furtherance of the
purposes and objectives of this Act, the PCDE as a body corporate acting through its
Board of Trustees, shall have the following powers and functions in addition to those
provided for in the other sections of this Act:

a)

b)

To acquire, own, hold, use, lease, grant, mortgage, pledge, sell, assign, convey,
transfer, exchange, dispose or otherwise deal with, real and/or personal
properties of every kind and nature, including shares of stock, bonds,
debentures, notes, securities and other evidences of indebtedness or obligations
of other corporations, whether domestic or foreign, and whether government or
private;

To solicit and receive donations, endowments and funds in the form of
contributions, whether in cash or in kind, from both the public and private sectors;


c) To award, enter into, make, execute, perform and carry out domestic or foreign
contracts of whatever kind and nature;

d) To open accounts in banks and other financial institutions, and to disburse such
funds or invest the same as the Board may direct to accomplish or advance the
purposes or interest of the PCDE, and to obtain loans, borrow funds and/or
arrange financing or credit assistance of whatever kind and nature from all
sources, whether domestic or foreign and whether government or private.

e) To levy, assess and collect such fees, charges and assessments as may be
necessary or proper to support, finance and maintain its operations;

f) To invite diabetes specialists and similar experts in the various medical fields to
train the personnel or trainees or residents of the PCDE and to also support the
trainings, seminars, conferences and conventions of its medical personnel in
research and medical institutes or universities, be it local or international as the
Board may deem necessary and in line with the principles of the Philippine
Qualifications Framework (PQF), to accomplish the purposes and objectives of
the PCDE;

g) Toadopt and use a corporate seal;
h) To sue and be sued in its corporate name;

i) To adopt its by-laws, rules and regulations not inconsistent with law of the
provisions hereof to govern the administration and operation of the affairs of the
PCDE; and

j) To exercise such other powers and functions as may be necessary, related or
incidental or to carry out the purposes and objectives of this Act.

SECTION 5. The Board of Trustees; Composition; Term and Compensation. —
The PCDE shall be governed, and its activities and properties shall be directed,
controlled and managed, by a Board of Trustees, hereinafter referred to as the Board,
which shall be composed of a Chairperson and six (6) members, all of whom shall be
appointed by the President of the Philippines

At least one (1) member shall come from the Philippine Society of Endocrinology,
Diabetes and Metabolism (PSEM) and at least one (1) from the academe.

The Chairman of the PCDE shall be appointed from among the members of the Board.

All the members of the Board shall serve for a term of three (3) years, with a right to
hold-over such position until their respective successors shall have been duly
appointed and qualified. The President of the Philippines may, however, remove any
member of the Board for cause. Whenever a vacancy shall occur in the Board, the
person appointed to fill the vacancy shall hold office for the unexpired term of the
member replaced.


All members of the Board shall receive compensation in accordance with current
standards set by the Department of Budget and Management (DBM) and as may be
determined by the DOH.

SECTION 6. Power and Functions of the Board. — The Board shall have the
following powers and functions:

a) To formulate policies, guidelines and programs to effectively implement and carry
out the purposes and objectives of this Act;

b) To prescribe, review and revise the amount of the fees, charges, and
assessments levied and collected for the support and maintenance of the
operations of the PCDE;

c) Tocontrol the management, operation and administration of PCDE;

d) To promulgate such rules and regulations as may be necessary or proper for the
effective exercise of power and functions as well as the discharge of the duties
and responsibilities of the PCDE and its officers and employees;

e) To authorize such expenditures of the PCDE as may be necessary or proper for
the effective management, operation and administration of the PCDE;

f) | To adopt the annual and supplemental budget of receipts and expenditures of
the PCDE; and

g) To appoint, remove, suspend or otherwise discipline the officers of the PCDE
occupying executive and senior management positions.

SECTION 7. Officers of the PCDE. — The Board shall determine the officers of the
PCDE who shall be appointed by the President of the PCDE subject to confirmation
by the Board. The PCDE may have an Executive Vice-President and such Vice-
Presidents and Assistant Vice-Presidents as may be required for the effective
operation of the PCDE.

SECTION 8. The President, His Term and Remuneration. — The President of the
PCDE shall be appointed by the President of the Philippines for a term of three (3)
years. The salary of the President of the PCDE shall be fixed by the Board, subject to
the approval of the President of the Philippines.

SECTION 9. Powers and Duties of the President. — The President of the PCDE shall
be the Chief Executive Officer of the PCDE. He shall exercise the following powers
and duties:

a) Toexecute the policies, guidelines and programs approved by the Board, and to
be responsible for the efficient discharge of management and operational
functions;


b) To submit for the consideration and approval of the Board proposed measures,
policies, guidelines and programs as he may deem necessary or proper for the
effective implementation of the purposes and objectives of this Act;

c) To direct and supervise the management, operation and administration of the
PCDE. For this purpose, he/she may delegate any or some of his/her
administrative responsibilities and duties to the other officers of the PCDE;

d) To execute, on behalf of the PCDE, all contracts and agreements which the
PCDE may enter into, and to execute, accomplish and deliver any and all
documents relative to such contracts and agreements;

e) To represent the PCDE in all dealings with other offices, agencies and
instrumentalities of the Government, and all other persons or entities, whether
domestic or foreign, government or private;

f) To appoint, promote, transfer, remove, suspend or otherwise discipline the
officers and employees of the PCDE, except those appointed by the Board;

g) To exercise such other powers and perform such duties as may be vested or
reposed upon him by the Board.

SECTION 10. Assistance from the Government. — The PCDE may call upon any
department, bureau, office, agency or instrumentality of the Government, including
government-owned or controlled corporations, local government units, and state
universities and colleges for such assistance as it may need in the pursuit of the
purposes and objectives of this Act.

SECTION 11. Authority of the President in Emergencies. — In case of emergencies
which require immediate action by the Board, and there is no sufficient time to call a
meeting thereof, the President of the PCDE, with the concurrence of three (3) other
members of the Board, may decide on any matter or take any action within the
authority of the Board itself.

SECTION 12. Donations to the PCDE. - The PCDE is hereby authorized to solicit
and receive donations, grants, contributions, gifts or endowments from all sources
whether foreign or domestic, and whether government or private, without the need of
securing a permit, approval or registration from any government agency.

SECTION 13. Exemption from Fees, Duties and Taxes. — The PCDE is hereby
declared exempt from all income and all other internal revenue taxes, tariff and
customs duties and all other kinds of taxes, fees, charges and assessments levied by
the Government and its political subdivisions agencies and instrumentalities.
Notwithstanding any provision of law to the contrary, all donations, grants,
contributions, gifts or endowments which may be made by entities or persons to the
PCDE shall be exempt from income and gift taxes, and the same shall be further
deductible in full for purposes of computing the maximum amount deductible under
the National Internal Revenue Code of 1997, as amended.


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SECTION 14. Funding. — The amount of Ten Billion Pesos (P10,000,000,000.00) is
hereby appropriated from the revenues Philippine Amusement and Gaming
Corporation (PAGCOR) to defray the initial operational expenses of the PCDE.
Thereafter, the necessary amount to support the continued operation and
maintenance of the PCDE shall be included in the General Appropriations Act.

SECTION 15. Annual Report. — The PCDE, through its President, shall submit an
annual report on its accomplishments and activities to the President and both houses
of Congress on or before April 30 of each year.

SECTION 16. Applicability of the Corporation Law. — The provisions of the general
corporation law, insofar as they are not inconsistent with the provisions of this Act and
with the purposes and objectives for which the PCDE is formed, shall apply
suppletorily in the corporate governance affairs of the PCDE.

SECTION 17. Implementing Rules and Regulations. — Within sixty (60) days from
the date of the effectivity of this Act, the DOH, in close coordination with the
Department of Science and Technology, National Economic Development Authority,
University of the Philippines-Philippine General Hospital, and other stakeholders such
as the Philippine Society of Endocrinology and Metabolism (PSEM), shall promulgate
the rules and regulations for the effective and faithful implementation of this Act.

SECTION 18. Separability Clause. - If any portion or provision of this Act is
subsequently declared invalid or unconstitutional, other provisions hereof which are
not affected thereby shall remain in full force and effect.

SECTION 19. Effectivity. - This Act shall take effect fifteen (15) days after its
publication in the Official Gazette or in at least two (2) newspapers of general
circulation.

Approved,