FIFTEENTH CONGRESS OF THE REPUBLIC 
) 
OF THE PHILIPPINES 
) 
First Regular Session 
) 
SENATE 
S.No. 1786 
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Introduced by Senator Miriam Defensor Santiago 
EXPLANATORY NOTE 
The Constitution, Article 2, Section 15 provides: "The State shall protect and 
promote the right to health of the people and instill health consciousness among them." 
This bill requires the Secretary of the Department of Health to create a Blueprint 
for Health program to provide a national infrastructure for disease prevention, health 
promotion, and education about, and better management of, chronic conditions. Sets forth 
elements to be included in the Blueprint, including: (I) chronic management programs; 
(2) incentives for the prevention of chronic diseases, including investments in health and 
sustainable local and regional food systems; and (3) a plan for the assessment of current 
health information technology initiatives. It also directs the Secretary to convene an 
executive committee to advise the Secretary on the creation and implementation of the 
Blueprint for Health. 
Further, this measure mandates the Health Secretary to recommend to Congress 
legislation to implement the Blueprint for Health, including the establishment of 
programs designed to enhance primary care, promote multidisciplinary care coordination, 
prevent disease, improve quality, contain costs, more effectively manage chronic illness, 
and promote good health and prevention initiatives. I 
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.¢MIRIAM DEFWSOR S:(NTIfiO 
1 This bill was originally filed in the third regular session of the 14'h Congress. 
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FIFTEENTH CONGRESS OF THE REPUBLIC 
) 
OF THE PHILIPPINES 
) 
First Regular Session 
) 
SENATE 
S.No. 1786 
Introduced by Senator Miriam Defensor Santiago 
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AN ACT 
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JUl 21 P'I :44 
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TO ESTABLISH A BLUEPRINT FOR HEALTH IN ORDER TO CREATE A 
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COMPREHENSIVE SYSTEM OF CARE INCORPORATING MEDICAL HOMES TO 
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IMPROVE THE DELIVERY AND AFFORD ABILITY OF HEALTH CARE 
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THROUGH DISEASE PREVENTION, HEALTH PROMOTION, AND EDUCATION 
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ABOUT AND BETTER MANAGEMENT OF CHRONIC CONDITIONS 
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 "Blueprint for Health 
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Act." 
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SEC. 2. Purpose. - It is the pllrpose ofthis Act to establish a Blueprint for Health 
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which is designed to: 
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(1) Create a national integrated medical home model of care that enhances 
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primary care, encourages multidisciplinary coordination, and promotes 
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disease prevention, health promotion, and education about and better 
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management of chronic conditions; 
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(2) Increase Filipino's access to affordable, appropriate, high quality care through 
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the use ofthe integrated medical home model; and 
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(3) Reduce costs to the Philippines health care system through the application of 
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such model. 
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SEC. 3. Establishment of a Blueprint for Health for Disease Prevention, Health 
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Promotion, and Education about and Better Management of Chronic Conditions. -
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(A) 
In General. - The Secretary of Health (here called as the "Secretary") 
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shall create consistent with this Act a program (here called as the 
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"Blueprint for Health") that provides a national infrastmcture for disease 
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prevention, health promotion, and education about and better management 
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of chronic conditions through the use of a nationwide integrated medical 
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home model of care (here called as the "integrated medical home model of 
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care") in a manner that is designed to initiate, coordinate, and evaluate 
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. measures for promoting health and preventing disease in the Philippines. 
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(B) 
Elements of Blueprint. - The Blueprint for Health shall include the 
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following elements: 
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(I) 
Strategic Plan. - A strategic plan described in section 4 for 
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designing the integrated medical home model of care. 
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(2) 
Chronic Care Management Programs. - Chronic care management 
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programs described in section 5. 
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(3) 
Prevention Incentives. - Incentives for the prevention of chronic 
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disease described in section 6. 
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(4) 
Assessment of Hit Initiatives. - A plan described in section 7 for 
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the assessment of current health information technology initiatives. 
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(C) 
Executive Committee. -
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(I) 
In General. - The Secretary shall convene an executive committee 
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to advise the Secretary on the creation and implementation of the 
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Blueprint for Health. 
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(2) 
Composition. 
The 
executive 
committee 
shall 
include 
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representation from national and local medical, hospital, and 
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pharmaceutical associations, consumer and patient advocacy 
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groups, lapor groups, employer and other purchasing groups, and 
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the health insurance industry. 
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SEC. 4. Strategic Plan. - The Blueprint for Health shaH include a strategic plan 
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for designing the integrated medical home model of care that includes the following: 
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(1) 
Recommended elements of an integrated coordinated chronic care 
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management model that incorporates the following: 
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(A) 
Early disease detection and risk stratification; and 
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(B) 
Community care teams that provide care support for medical 
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homes and assist in coordinating care among medical homes, 
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hospitals, prevention programs, multidisciplinary specialists, and 
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others. 
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(2) 
A plan for the formation of such community care teams that may include 
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panel managers, public health prevention specialists, nurse coordinators, 
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social workers, dieticians, community health workers, care coordinators, 
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behavioral health specialists, and other patient support personnel. 
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(3) 
Incentives for patient self management, community-based initiatives, and 
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system and information technology reforms, intended for use by all 
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providers and health plans, including Philhealth and other government 
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programs. 
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(4) 
A description of recommended prevention programs and a strategy for 
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integrating them into the integrated medical home model of care. 
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(5) 
A plan to ensure that chronically ill patients have a low level of cost 
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sharing under the integrated medical home model of care. 
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(6) 
Alignment of health care information technology initiatives with 
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information technology needs. 
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(7) 
Development and use of outcome and reporting measures designed to 
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track the progress of patients meeting clinically recommended treatment 
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goals. 
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(8) 
(9) 
(10) 
(11) 
A strategy for ensuring the broad support of the integrated medical home 
model of care by health insurers, hospitals, and health care professionals, 
including specialists and other physicians. 
Recommendations for better integrating specialty care services into 
primary care practices to ensure care coordination and the use of best 
practices. 
Recommendations for the consultation of providers experienced with the 
development and implementation of an integrated medical home model of 
care as this Act's care coordination model is developed; and 
A strategy for standardizing outcome and financial measures to ensure 
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consistency among all health plans, Philhealth and other government 
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programs. 
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SEC. 5. Chronic Care Management Programs. - The Secretary shall include in the 
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Blueprint for Health chronic care management programs which provide for at least the 
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following: 
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(1) 
(2) 
(3) 
(4) 
(5) 
Methods for identifying and enrolling chronically ill patients and for 
encouraging primary care physicians, specialists, hospitals, and others to 
participate in such programs. 
Development of health risk appraisal or assessment for individuals 
enrolled under Philhealth and other government programs. 
A process for coordinating care among health professionals including 
multidisciplinary care teams and specialty care providers. 
Methods for increasing communication among health care professionals 
and patients, including patient education, self-management, and follow up 
plans. 
Process and outcome measures to provide performance feedback for 
health care professionals and information on the quality of care. 
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(6) 
Payment methodologies to create financial incentives for patient 
participation and to allow primary care physicians to meet specific 
standards of a medical home program. Such financial incentives shall 
include: 
(A) 
(B) 
(C) 
Enhanced payment to medical practices, such as a per member per 
month fee, based on standards for a medical home prescribed by 
the Secretary; 
Payment for care support services, such as community care teams 
or other applicable approaches, across all insurers, including multi-
payer private plans and Philhealth and other government programs; 
and 
The support of a community based savings sharing and 
reinvestment model, such as an accountable care organization, 
which incorporates a balanced set of financial and quality 
incentives. 
SEC. 6. Incentives for Prevention of Chronic Disease. -
(A) 
In General. - The Secretary shall include in the Blueprint for Health a 
plan to provide incentives to prevent chronic diseases, including 
investments in healthy and sustainable local and regional food systems as 
well as the broader use oflifestyle changes, such as through diet, exercise, 
and smoking cessation in the schools, communities, and workplace. 
(B) 
(C) 
Compilation of Effective Practices. - the Secretary shall compile a list of 
effective practices that would serve as a basis for establishing programs to 
prevent chronic disease and that could be included in the Blueprint for 
Health. 
Recommendations. - The plan under subsection (a) may include the 
following: 
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(I) 
(2) 
(3) 
(4) 
Grant opportunities and tax credits for localities to conduct 
community assessment, intervention, and activation plans in which 
public health data are collected and analyzed to identify areas in 
greatest need of prevention and wellness programs. 
Tax credits and incentive grants to local education agencies, 
businesses, communities, hospitals, health care providers, and 
other entities so that they may adopt effective models of wellness 
shown to lower costs and improve health. 
Incentives for individuals to take proactive preventative measures, 
including weight management and smoking cessation. 
Tax credits and incentive grants to local education agencies, 
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businesses, local departments of public health, communities, 
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hospitals, healih care providers and other entities to promote the 
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development of healthy and sustainable local and regional food 
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systems. 
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SEC. 7. Health Information Technology. - The Blueprint for Health shall promote 
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the effective, efficient, national use ofhealih care infonnation technology initiatives. 
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SEC. 8. Recommendations to Congress; Annual Report. - Not later than one year 
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after the date of effectivity of this Act, the Secretary shall present to Congress 
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recommendations for legislation to implement the Blueprint for Health, including the 
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establishment of programs designed to enhance primary care, promote multidisciplinary 
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care coordination, prevent disease, improve quality, contain costs, more effectively 
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manage chronic illness, and promote good health and prevention initiatives. 
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The Secretary shall submit an annual report to Congress on the status of the 
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implementation of the Blueprint for Health. 
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SEC. 9. Appropriations. - The. funds needed for the initial implementation of this 
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Act shall be charged against the appropriations of the Department of Health. Thereafter, 
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such amount as may be necessary for its full implementation shall be included in the 
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annual General Appropriations Act as a distinct and separate item. 
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SEC. 10. Separability Clause. - If any provision or part hereof, is held invalid or 
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unconstitutional, the remainder of the Act or the provision not otherwise affected shall 
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remain valid and SUbsisting. 
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SEC. 11. Repealing Clause. - Any law, presidential decree or issuance, executive 
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order, letter of inslmction, administrative order, mle or regulation contrary to, or 
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inconsistent with the provisions of this Act is hereby repealed, modified or amended 
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accordingly. 
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SEC. 12. Effectivity Clause. - This Act shall take effect fifteen (15) days after its 
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publication in at least two (2) newspapers of general circulation. 
Approved, 
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