NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
SENATE
S.B. No. 2040
of tl)i'
23 HAR 22 P5 03
RECEiVEOBV.
INTRODUCED BY SENATOR RISA HONTIVEROS
AN ACT
STRENGTHENING THE NATIONAL PROGRAM FOR THE ELIMINATION OF 
TUBERCULOSIS, AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 10767 
OR THE "COMPREHENSIVE TUBERCULOSIS ELIMINATION PLAN ACT
EXPLANATORY NOTE
In the 2022 Global Tuberculosis Report, the World Health Organization (WHO) 
noted that the "COVID-19 pandemic continues to have a damaging impact on access 
to TB diagnosis and treatment and the burden of TB disease".
It was also reported that "progress made in years up to 2019 has slowed, 
stalled or reversed, and the global TB targets are off track".
In the same report, the Philippines figured prominently among the major 
contributors to the global increase in TB incidence between 2020 and 2021. It is also 
identified among the top five countries contributing to the global gap between 
estimated TB incidence and the reported number of people newly diagnosed with TB. 
And notably, the Philippines joined the list of 30 countries with a high incidence of TB 
cases among people living with HIV (PLHIVs).
Similarly, for 2021-2025, the WHO included the Philippines in the three global 
high-burden country (HBC) lists since it has the highest estimated numbers of (a.) 
incident TB cases; (b.) incident TB cases among people living with HIV; and (c.) 
incidents of multidrug-resistant/rifampicin-resistant TB.
And within the WHO Western Pacific Region, the Philippines was given 
particular attention as among the seven priority countries out of a total of 36 countries 
and territories, where progress is most needed to achieve the targets set in WHO's 
End TB Strategy, a political commitment made in 2018 and in line with the 2030 
Sustainable Development. Goals.


Given these contexts, there is a need to intensify efforts to mitigate and reverse 
the negative impact of the COVID-19 pandemic on TB and to fulfill our commitment 
to eliminate TB as a public health problem in the country.
As a policy response, this bill seeks to amend Republic Act 10767, otherwise 
known as the "Comprehensive Tuberculosis Elimination Plan Act', as a counterpart 
measure of the proposal passed in the House of Representatives during the 18th 
Congress.
Consistent with the intent to strengthen an integrated patient-centered TB 
healthcare service delivery and universal healthcare, the bill provides for the diagnosis 
and treatment of TB, a collaborative and multi-sectoral approach to TB response, and 
promotive and preventive actions to eliminate TB.
Also central to this proposal is the commitment to mainstream a rights-based 
approach in the country's national TB response and to enable the participation and 
involvement of communities, civil society, patients organization, and TB survivors.
In view of the foregoing, the passage of this measure is earnestly sought.
RISA HONTIVEROS V
ji/iSL


NINETEENTH CONGRESS OF THE 
REPUBLIC OF THE PHILIPPINES 
First Regular Session
SENATE
s.B. no.2040
|jg|| Senate
o( tbf S"-rr?t'iru
23 m 22 psm
RECEIVED BV:
INTRODUCED BY SENATOR RISA HONTIVEROS
AN ACT
STRENGTHENING THE NATIONAL PROGRAM FOR THE ELIMINATION OF 
TUBERCULOSIS, AMENDING FOR THE PURPOSE REPUBLIC ACT NO. 10767 
OR THE "COMPREHENSIVE TUBERCULOSIS ELIMINATION PLAN ACT."
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled:
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SECTION 1. Title - This Act shall be known as the "Comprehensive Tuberculosis
2 
Elimination Plan Act"
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4 
Sec. 2. Section 2 of Republic Act No. 10767 is hereby amended to read as
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follows:
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"SEC. 2. Declaration of Policy.
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(a) The State is mandated to adopt an integrated and comprehensive approach
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to health development. Towards this end, the State shall support and expand
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efforts to eliminate tuberculosis as a public health problem by increasing
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investments for its prevention, treatment and control, and adopting a
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multisectoral approach in responding to the disease.
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(B) AS GUARANTEED BY THE CONSTITUTION, THE STATE SHALL
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RESPECT, PROTECT AND PROMOTE HUMAN RIGHTS AS A
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CORNERSTONE TO EFFECTIVE TB PREVENTION, TREATMENT, AND
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CONTROL.
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(C) POLICIES AND PRACTICES THAT DISCRIMINATE BASED ON
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ACTUAL OR PERCEIVED TB STATUS, AGE, SEX, SEXUAL
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ORIENTATION, GENDER IDENTITY, ECONOMIC STATUS, DISABILITY,
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AND ETHNICITY HINDER THE EFFECTIVENESS OF THE TB RESPONSE
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AND ARE DEEMED INIMICAL TO PUBLIC INTEREST.
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(D) THE MEANINGFUL ENGAGEMENT OF PEOPLE DIRECTLY AND
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INDIRECTLY AFFECTED BY TB, ESPECIALLY TB PATIENTS AND TB
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SURVIVORS, IS CRUCIAL IN ENSURING EFFECTIVE TB PREVENTION,
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TREATMENT, AND CONTROL. AS SUCH, THE STATE SHALL ENSURE
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THEIR PARTICIPATION IN ALL LEVELS OF DECISION-MAKING IN
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PROGRAM PLANNING, IMPLEMENTATION, MONITORING, AND
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EVALUATION.


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Sec. 3. Sec. 4 of the same Act is hereby amended to read as follows:
"Sec. 4. SEC. 4. Comprehensive Philippine Plan of Action to Eliminate 
Tuberculosis. - The [Secretary of the] Department of Health (DOH) shall 
establish a Comprehensive Philippine Plan of Action to Eliminate Tuberculosis 
in consultation with appropriate public and private entities, CIVIL SOCIETY 
ORGANIZATIONS WORKING ON TB, INCLUDING ORGANIZATIONS OF 
TB PATIENTS AND SURVIVORS. The Philippine Plan of Action shall consist 
of the following:
XXX
(E) THE DEVELOPMENT OF STRATEGIES TO MEANINGFULLY ENGAGE 
AND MOBILIZE CIVIL SOCIETY ORGANIZATIONS, INCLUDING 
ORGANIZATIONS OF TB PATIENTS AND SURVIVORS, IN THE 
PLANNING, IMPLEMENTATION, MONITORING, AND EVALUATION OF 
THE NATIONAL TB RESPONSE.
Sec. 4. Section 8 of the same Act is amended to read as follows:
"Sec. 8 Education Programs. - The [Secretary of Health] CHAIRPERSON OF 
THE COMMISSION ON HIGHER EDUCATION (CHED), in coordination 
with the [Commission on Higher Education (CHED)] SECRETARY OF THE 
DEPARTMENT OF HEALTH (DOH), shall encourage the faculty of schools of 
medicine, nursing or medical technology and allied health institutions, to 
intensify information and education programs, including the development of 
curricula, to significantly increase the opportunities for students and for 
practicing providers to learn the principles and practices of preventing, 
detecting, managing and controlling tuberculosis."
Sec. 5. Section 9 of the same Act is hereby amended to read as follows:
"Sec. 9. Inclusion in Basic Education. - The Secretary of [Health] THE 
DEPARTMENT OF EDUCATION (DEPED), in coordination with the Secretary 
of the [Department of Education (DepED)] DOH, shall [work for] ENSURE the 
inclusion of modules on the principles and practices of preventing, detecting, 
managing and controlling tuberculosis, THE RIGHTS AND 
RESPONSIBILITIES OF PEOPLE AFFECTED BY TUBERCULOSIS, AND 
TUBERCULOSIS RELATED STIGMA AND DISCRIMINATION 
REDUCTION EDUCATION in the [health curriculum of every public and 
private elementary and high school] BASIC EDUCATION CURRICULUM
Sec. 6. Section 10 of the same Act is hereby amended to read as follows:
"Sec 10. Media Campaign - The [Secretary of Health] DIRECTOR-GENERAL 
OF THE PHILIPPINE INFORMATION AGENCY (PIA), in coordination with 
the [Philippine Information Agency (PIA)] SECRETARY OF THE DOH, shall 
encourage local media outlets to launch a MASSIVE, NATIONWIDE, 
CONSISTENT AND SUSTAINED media campaign on tuberculosis control, 
treatment, and management, using all forms of multimedia and other electronic 
means of communication,
"xxx"


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Sec. 7. Section 12 of the same Act is hereby amended to read as foilows;
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"SEC. 12. Notification on TB Cases. - All public and private health centers,
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hospitals, and facilities shall observe the national protocol on TB management,
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and WITH ADEQUATE PROTECTION TO THE PERSONAL
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INFORMATION OF TB PATIENTS, shall notify the DOH of all TB cases, as
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prescribed under the Manual of Procedures of the National TB Program and the
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Philippine Plan of Action on Tuberculosis Control."
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Sec. 8. A new section denominated as Section 12-A of the same Act is added
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to read as follows;
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"Sec. 12-A. TB NOTIFICATION COMMITTEE. - ADULT AND
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CHILDHOOD TB SHALL BE CONSIDERED AS A NOTIFIABLE DISEASE
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AT ALL LEVELS OF THE HEALTHCARE SYSTEM. ANY HOSPITAL OR
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CLINIC WHICH DIAGNOSES A PATIENT WITH TB SHALL REPORT THE
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SAME TO THE DOH. THE DOH SHALL PROVIDE THE FORM AND
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MANNER FOR THE REPORTING OF TB CASES.
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TO ENSURE COMPLIANCE THAT THE MANDATORY
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NOTIFICATION POLICY OF TB CASES IS OBSERVED AND ENFORCED,
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A TB NOTIFICATION COMMITTEE SHALL BE ORGANIZED IN ALL
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PUBLIC AND PRIVATE HEALTH CENTERS, HOSPITALS, AND
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FACILITIES. IT SHALL BE COMPOSED OF MEMBERS AS MAY BE
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DETERMINED BY THE SECRETARY OF THE DOH.
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ALL TB NOTIFICATION COMMITTEES SHALL SUBMIT REGULAR
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TB NOTIFICATION COMPLIANCE REPORTS TO THEIR RESPECTIVE
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DOH REGIONAL COORDINATING COMMITTEES, WHICH SHALL MAKE
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A CONSOLIDATED TB NOTIFICATION COMPLIANCE REPORT TO THE
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DOH NATIONAL COORDINATING COMMITTEE."
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Sec. 8. Section 13 of the same Act is hereby amended to read as follows;
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"Sec. 13. PhilHealth TB Package. - The Philippine Health Insurance
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Corporation, otherwise known as PhilHealth, shall, as far as practicable, expand
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its benefits package for TB patients to include new, relapse, and return-after-
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default cases, [and extension of treatment] MULTIDRUG-RESISTANT
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TUBERCULOSIS (MDR-TB), AND EXTENSIVELY DRUG-RESISTANT TB
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(XDR-TB), FOR BOTH ADULTS AND CHILDREN.
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ADDITIONAL TREATMENT FOR ADVERSE DRUG REACTIONS
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FROM THE TB MEDICINES SHALL ALSO BE COVERED, WITH SUCH
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MEDICINES AVAILABLE IN THE TREATMENT FACILITIES FOR THE
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CONVENIENCE OF PATIENTS.
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THE DEVELOPMENT OR EXPANSION OF ANY PHILHEALTH
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BENEFIT SHALL UNDERGO A PROPER, TRANSPARENT, AND
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STANDARDIZED PRIORITIZATION SETTING PROCESS, SUCH AS
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HEALTH TECHNOLOGY ASSESSMENT AND ACTUARIAL FEASIBILITY
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STUDY, TO AVOID INEQUITABLE ALLOCATION OF FUNDS FOR
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HEALTHCARE SERVICES.
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THE PHILHEALTH COVERAGE SHALL APPLY UNTIL THE
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PATIENT HAS COMPLETED ALL NECESSARY TREATMENT,
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REGARDLESS OF ITS DURATION.


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XXX
Sec. 9. A new section denominated as Section 14 of the same Act is added to 
read as follows:
"Sec. 14. TB REGISTRY AND MONITORING SYSTEM - THE DOH, 
IN COLLABORATION WITH THE APPROPRIATE AGENCIES AND 
STAKEHOLDERS, SHALL ESTABLISH A TB REGISTRY AND 
MONITORING SYSTEM WHICH SHALL COVER ALL FORMS OF TB 
AMONG ADULTS AND CHILDREN. THE POPULATION-BASED TB 
REGISTRY SHALL CONTAIN DATA ON ALL NEW CASES OF TB 
ACCORDING TO GEOGRAPHICAL REGIONS, PROVIDE THE 
FRAMEWORK FOR ASSESSING AND CONTROLLING THE IMPACT OF 
THE DISEASE, AND SHALL SERVE AS A REGULAR FEEDBACK OR 
NOTIFICATION SYSTEM FOR REFERRING HEALTHCARE PROVIDERS. 
THE TB REGISTRY SHALL FORM PART OF THE ELECTRONIC MEDICAL 
RECORDS REQUIREMENT OF THE DOH PER THE NATIONAL HEALTH 
DATA STANDARDS AND REPUBLIC ACT NO. 10173, OTHERWISE 
KNOWN AS THE "DATA PRIVACY ACT OF 2012".
EVERY PUBLIC AND PRIVATE HEALTH CENTER, HOSPITAL, AND 
HEALTH FACILITY, INCLUDING CLINICS, SHALL ESTABLISH AND 
MAINTAIN ITS OWN INTERNAL TB REGISTRY, WHICH SHALL COVER 
ALL TYPES OF TB. THE TB REGISTRY SHALL RECORD THE PERSONAL 
INFORMATION OF TB PATIENTS, THE TYPE OF TB, TREATMENT 
RECEIVED AND THE RESULTS, AND OTHER DATA THAT THE DOH MAY 
PRESCRIBE. THE REGIONAL COORDINATING COMMITTEES SHALL 
ENSURE THAT ALL FACILITIES WITHIN THEIR RESPECTIVE 
JURISDICTIONS HAVE A TB REGISTRY. ALL INFORMATION IN THE TB 
REGISTRY SHALL BE TREATED WITH UTMOST CONFIDENTIALITY 
AND SHALL NOT BE RELEASED TO THIRD PARTIES IN ACCORDANCE 
WITH THE DATA PRIVACY ACT. COMPLIANCE WITH THE 
REQUIREMENT TO MAINTAIN A TB REGISTRY AND SUBMISSION 
SHALL BE A REQUIREMENT FOR THE RENEWAL OF A LICENSE TO 
OPERATE A HEALTH CENTER, HOSPITAL, OR HEALTH FACILITY."
Sec. 10. A new section denominated as Section 15 of the same Act is added to 
read as follows:
"Sec. 15. TB PATIENTS' RIGHTS AND RESPONSIBILITIES. - 
"(A) A PERSON WITH TB SHALL HAVE THE FOLLOWING RIGHTS:
(1) THE RIGHT TO BE TREATED HUMANELY AND WITH RESPECT 
FOR THE INHERENT DIGNITY OF THE HUMAN PERSON IN THE 
DELIVERY OF SERVICES WITHOUT STIGMA, PREJUDICE, OR 
DISCRIMINATION;
(2) THE RIGHT TO FREE AND EQUITABLE ACCESS TO TB CARE 
FROM THE TIME OF DIAGNOSIS TO COMPLETION OF 
TREATMENT;
(3) THE RIGHT TO RECEIVE MEDICAL ADVICE AND TREATMENT 
THAT MEETS INTERNATIONAL STANDARDS FOR TB CARE, 
CENTERING ON PATIENT NEEDS, INCLUDING THOSE OF


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PATIENTS WITH XDR-TB, MDR-TB OR TB-HUMAN 
IMMUNODEFICIENCY VIRUS (HIV) COINFECTION, AND 
PREVENTIVE TREATMENT FOR YOUNG CHILDREN AND OTHERS 
CONSIDERED TO BE AT HIGH RISK;
(4) THE RIGHT TO BENEFIT FROM PROACTIVE HEALTH SECTOR 
COMMUNITY OUTREACH, EDUCATION, AND PREVENTION 
CAMPAIGNS AS PART OF COMPREHENSIVE HEALTHCARE 
PROGRAMS;
(5) RIGHT TO INFORMATION ABOUT TUBERCULOSIS, ITS 
CAUSES AND WAYS OF PREVENTION, TREATMENT, POSSIBLE 
SIDE EFFECTS OF TB DRUGS, THE RIGHTS OF PEOPLE 
AFFECTED BY TB, AVAILABLE HEALTHCARE AND NON-HEALTH 
SERVICES, THE RESPONSIBILITIES, ENGAGEMENTS, AND 
DIRECT OR INDIRECT COSTS INVOLVED;
(6) THE RIGHT TO CONFIDENTIALITY RELATING TO THE 
MEDICAL CONDITION WITHOUT PREJUDICE TO THE 
RESPONSIBILITY OF HEALTHCARE PROVIDERS TO NOTIFY TB 
CASES AS PROVIDED FOR UNDER THIS ACT;
(7) THE RIGHT TO PARTICIPATE AS STAKEHOLDERS IN THE 
DEVELOPMENT, IMPLEMENTATION, MONITORING, AND 
EVALUATION OF TB POLICIES AND PROGRAMS WITH LOCAL, 
NATIONAL, AND INTERNATIONAL HEALTH AUTHORITIES;
(8) THE RIGHT TO NUTRITIONAL SECURITY OR FOOD 
SUPPLEMENTS NEEDED TO MEET TREATMENT REQUIREMENTS;
(9) 
THE RIGHT TO EXERCISE ALL CIVIL, POLITICAL, 
ECONOMIC, SOCIAL, AND CULTURAL RIGHTS RESPECTING 
INDIVIDUAL QUALITIES, ABILITIES, AND DIVERSE 
BACKGROUNDS AND WITHOUT ANY DISCRIMINATION ON 
GROUNDS OF PHYSICAL DISABILITY, AGE, GENDER, SEXUAL 
ORIENTATION, RACE, COLOR, LANGUAGE, CIVIL STATUS, 
RELIGION OR ETHNIC OR SOCIAL ORIGIN OF THE TB PATIENT 
CONCERNED AS RECOGNIZED IN THE UNIVERSAL 
DECLARATION OF HUMAN RIGHTS, THE INTERNATIONAL 
COVENANT ON CIVIL AND POLITICAL RIGHTS, THE 
INTERNATIONAL COVENANT ON ECONOMIC, SOCIAL AND 
CULTURAL RIGHTS; AND
(10) 
THE RIGHT TO EMPLOYMENT SHALL HAVE THE 
FOLLOWING COMPONENTS:
A) 
POLICY AGAINST DENIAL OF EMPLOYMENT, 
CONSTRUCTIVE DISMISSAL, TERMINATION OF 
EMPLOYMENT, MODIFICATION OF JOB 
DESCRIPTION/ASSIGNMENT, DEMOTION, AND/OR 
TRANSFER SOLELY OR PARTIALLY BASED ON TB 
STATUS;
B) CREATION OF A SUSTAINED EDUCATION PROGRAM 
ON TB PREVENTION AND STIGMA REDUCTION IN THE 
WORKPLACE


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read
C) 
REFERRAL MECHANISM THAT WOULD ALLOW 
COMPANIES TO ASSIST THEIR EMPLOYEES IN 
ACCESSING TB SERVICES
D) A GRIEVANCE MECHANISM THAT WOULD RESOLVE 
COMPLAINTS OF TB-RELATED STIGMA AND 
DISCRIMINATION WITHIN THE WORKPLACE SETTING.
(B) A PERSON WITH TB SHALL HAVE THE FOLLOWING 
RESPONSIBILITIES:
(1) TO PROVIDE AS MUCH INFORMATION AS POSSIBLE TO 
HEALTHCARE PROVIDERS ABOUT THEIR PRESENT HEALTH 
CONDITION, PAST ILLNESSES, AND OTHER RELEVANT 
DETAILS;
(2) TO PROVIDE INFORMATION TO HEALTHCARE PROVIDERS 
ABOUT CONTACTS WITH IMMEDIATE FAMILY, FRIENDS, AND 
OTHER PERSONS WHO MAY BE VULNERABLE TO TB OR WHO 
MAY HAVE BEEN INFECTED;
(3) TO FOLLOW THE PRESCRIBED AND AGREED TREATMENT 
REGIMEN AND TO CONSCIENTIOUSLY COMPLY WITH THE 
INSTRUCTIONS GIVEN TO PROTECT THEIR HEALTH AND 
THOSE OF OTHER PERSONS;
(4) TO INFORM HEALTHCARE PROVIDERS OF ANY DIFFICULTY 
OR PROBLEM IN UNDERGOING OR COMPLETING THE 
PRESCRIBED TREATMENT OR IF ANY PART OF THE TREATMENT 
IS NOT CLEARLY UNDERSTOOD;
(5) TO CONTRIBUTE TO COMMUNITY WELL-BEING BY 
ENCOURAGING THOSE WHO EXHIBIT SYMPTOMS OF TB TO 
SEEK MEDICAL ADVICE;
(6) TO SHOW CONSIDERATION FOR THE RIGHTS OF OTHER 
PATIENTS AND HEALTHCARE PROVIDERS, UNDERSTANDING 
THAT THIS IS THE DIGNIFIED BASIS AND RESPECTFUL 
FOUNDATION OF THE TB COMMUNITY;
(7) TO SHOW MORAL RESPONSIBILITY AND SOLIDARITY 
WITH OTHER PATIENTS WHO ARE ON THE WAY TO RECOVERY 
AND CURE;
(8) TO SHARE INFORMATION AND KNOWLEDGE GAINED 
DURING TREATMENT AND TO SHARE THIS EXPERTISE WITH 
OTHERS IN THE COMMUNITY, THUS EMPOWERING OTHERS; 
AND
(9) TO JOIN IN EFFORTS TO PROMOTE HEALTHY AND TB-FREE 
COMMUNITIES."
Sec. 11. A new section denominated as Section 16 of the same Act is added to 
as follows:
"SEC. 16. PRIVATE SECTOR PARTICIPATION. - THE DOH SHALL 
ENCOURAGE THE PARTICIPATION OF THE PRIVATE SECTOR IN THE 
NATIONAL TB ELIMINATION PROGRAM, WHICH SHALL INCLUDE 
PRIVATE CORPORATIONS, CIVIL SOCIETY ORGANIZATIONS (CSOs), 
NONGOVERNMENT ORGANIZATIONS (NGOs) AND SUCH OTHER


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GROUPS OR ORGANIZATIONS, BOTH FOREIGN AND LOCAL, THAT
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MAY WISH TO PARTICIPATE IN THE IMPLEMENTATION OF THIS ACT.
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ALL BUSINESS ORGANIZATIONS ESTABLISHED AND
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OPERATING UNDER PHILIPPINE LAWS, WHETHER DOMESTIC OR
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FOREIGN, ARE ENCOURAGED TO CONTRIBUTE TO THE
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GOVERNMENT'S CONTINUING EFFORTS TO REDUCE THE INCIDENCE
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OF TB IN THE COUNTRY BY CONDUCTING TB PREVENTION OR OTHER
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PROJECTS THAT ENCOURAGE HEALTHY LIFESTYLES AND EARLY
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DETECTION OF TB AS PART OF THEIR CORPORATE SOCIAL
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RESPONSIBILITY (CSR) PROGRAMS. THE DOH SHALL GIVE
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NATIONAL RECOGNITION AND REWARDS TO ALL BUSINESS
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ORGANIZATIONS FOR OUTSTANDING, INNOVATIVE, AND WORLD-
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CLASS CSR-RELATED SERVICES FOR TB ELIMINATION."
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Sec. 12. A new section denominated as Section 17 of the same Act is added to
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read as follows:
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"SEC. 17. CONVERGENCE OF TB SERVICES. -
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(1) EACH LOCAL GOVERNMENT UNIT (LGU) SHALL HAVE A TB
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STRATEGIC PLAN TO BE INITIATED BY ITS LOCAL HEALTH BOARD
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AND APPROVED BY ITS SANGGUNIAN. FOR THIS PURPOSE, THE
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LOCAL HEALTH BOARD AT THE PROVINCIAL, CITY, MUNICIPAL, OR
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BARANGAY LEVEL SHALL ASSIST THE CORRESPONDING
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SANGGUNIAN IN THE CRAFTING OF TB LOCAL ORDINANCE AND
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BUILDING LOCAL OWNERSHIP FOR TB INTERVENTIONS WITHIN ITS
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TERRITORIAL JURISDICTION.
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(2) THE LG Us, THROUGH THEIR LOCAL SOCIAL WELFARE AND
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DEVELOPMENT OFFICES, SHALL COVER ALL INDIRECT COSTS OF
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ACCESSING TB TREATMENT, INCLUDING TRANSPORTATION, MEALS,
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ACCOMMODATION OR HALFWAY HOUSE, AMONG OTHERS. THE
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DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT (DSWD) MAY
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HELP DEFRAY THESE EXPENSES THROUGH THE CRISIS
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INTERVENTION UNIT.
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(3) THE DEPARTMENT OF LABOR AND EMPLOYMENT (DOLE) SHALL
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REQUIRE ALL PRIVATE WORKPLACES TO DEVELOP THEIR POLICIES
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ON TB PREVENTION, WHICH SHALL BE IMPLEMENTED FOLLOWING
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NATIONAL LAWS AND POLICIES AND PREVENTION STRATEGIES
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THROUGH ADVOCACY, EDUCATION, AND TRAINING. MEASURES TO
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IMPROVE OCCUPATIONAL SAFETY AND HEALTH CONDITIONS IN THE
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WORKPLACE SHALL BE EMPHASIZED.
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(4) THE CIVIL SERVICE COMMISSION (CSC) SHALL REQUIRE ALL
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GOVERNMENT WORKPLACES TO DEVELOP THEIR POLICIES ON TB
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PREVENTION WHICH SHALL BE IMPLEMENTED FOLLOWING
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NATIONAL LAWS AND POLICIES AND PREVENTION STRATEGIES
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THROUGH ADVOCACY, EDUCATION, AND TRAINING. MEASURES TO
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IMPROVE OCCUPATIONAL SAFETY AND HEALTH CONDITIONS IN THE
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WORKPLACE SHALL BE EMPHASIZED.
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(5) THE TECHNICAL EDUCATION AND SKILLS DEVELOPMENT
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AUTHORITY (TESDA) SHALL IMPLEMENT A NONDISCRIMINATORY


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APPROACH IN DEALING WITH TB PATIENTS AND SHALL 
INCORPORATE TB AWARENESS IN THE TRAINING PROGRAM OF ITS 
TECHNICAL AND VOCATIONAL EDUCATION AND TRAINING (TVET) 
INSTITUTIONS THROUGH THE CONDUCT OF RELEVANT SEMINARS 
FOR ALL ITS STUDENTS. THE TESDA SHALL ESTABLISH FOCUS 
GROUPS FOR CLIENTS WHO ARE AFFLICTED WITH THE DISEASE. 
THE DEPED, CHED, TESDA, DOLE, DEPARTMENT OF THE INTERIOR 
AND LOCAL GOVERNMENT, AND OTHER APPROPRIATE GOVERNMENT 
AGENCIES SHALL DEVELOP A COMPREHENSIVE PROGRAM OF 
SUPPORT AND COUNSELING SERVICES FOR TB PATIENTS AND 
MEMBERS OF THEIR FAMILIES, AND TB SURVIVORS, ESPECIALLY 
THOSE TRAUMATIZED FROM ADVERSE DRUG REACTIONS AND 
EXPERIENCE OF DISCRIMINATION.
THE DEVELOPMENT OF THE PROGRAMS AND POLICIES IN ALL THE 
ABOVE-MENTIONED GOVERNMENT AGENCIES SHALL LIKEWISE BE 
DONE IN CONSULTATION WITH CSOs AND ORGANIZATIONS OF TB 
PATIENTS AND SURVIVORS.
Sec. 13. A new section denominated as Section 18 of the same Act is added to 
read as follows:
"SEC. 18. SERVICE DELIVERY NETWORK (SDN). - THE DOH, 
THROUGH ITS REGIONAL OFFICES, AND IN COORDINATION WITH 
LG Us, SHALL INTEGRATE AND STRENGTHEN THE PROVISION OF TB 
SERVICES INTO ESTABLISHED SDNs OR LOCAL HEALTH REFERRAL 
SYSTEM, WHICH SHALL NOT BE RESTRICTED WITHIN THE 
GEOGRAPHIC OR POLITICAL BOUNDARIES OF LGUs. 
COLLABORATION ACROSS LGUs SHALL BE ENCOURAGED.
THE SDN SHALL BE A NETWORK OF FACILITIES RANGING 
FROM BARANGAY HEALTH STATIONS (BHS), RURAL HEALTH UNITS 
(RHUS), DISTRICT AND/OR CITY HOSPITALS, TO THE PROVINCIAL 
AND/OR DOH-RETAINED HOSPITALS. THE DOH AND LGUs MAY 
ENGAGE PRIVATE HEALTH FACILITIES OR PROVIDERS, CIVIL 
SOCIETY ORGANIZATIONS, AND COMMUNITY LED-SERVICES TO 
FORM PART OF THE SDN."
Sec. 14. A new section denominated as Section 19 of the same Act is added, 
to read as follows:
"SEC. 19. COMPLETION OF TB TREATMENT AS CONDITION FOR 
RETENTION IN THE CONDITIONAL CASH TRANSFER PROGRAM. - 
BENEFICIARIES OF THE CONDITIONAL CASH TRANSFER PROGRAM 
OF THE GOVERNMENT WHO ARE DIAGNOSED WITH TB, INCLUDING 
DRUG-SUSCEPTIBLE AND DRUG-RESISTANT TB, SHALL BE 
REQUIRED TO UNDERGO TB-DOTS AS ONE OF THE ESSENTIAL 
CONDITIONS FOR RETENTION IN THE PROGRAM."
Sec. 15. A new section denominated as Section 20 of the same Act is added to 
read as follows:


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"SEC. 20. SCREENING FOR HIGH-RISK POPULATIONS. - AS A 
POLICY, TB SCREENING SHALL BE HIGHLY RECOMMENDED FOR 
HIGH-RISK POPULATIONS AND MAY INCLUDE THE FOLLOWING:
(A) THOSE THAT ARE IN CLOSE CONTACT WITH PERSONS KNOWN OR 
SUSPECTED TO HAVE TB;
(B) THOSE WHO ARE TB SURVIVORS WHO MAY HAVE WEAKENED 
THEIR LUNGS, MAKING THEM SUSCEPTIBLE TO TB REINFECTION;
(C) 
THOSE INFECTED WITH HIV AND ACQUIRED IMMUNE 
DEFICIENCY SYNDROME (AIDS);
(D) THOSE WHO ARE SMOKERS OF CIGARETTES, USERS OF 
VAPORIZED NICOTINE AND NON-NICOTINE PRODUCTS, AND 
PERSON WHO USE DRUGS.
(E) THOSE WHO INJECT ILLICIT DRUGS OR ARE USERS OF OTHER 
LOCALLY IDENTIFIED HIGH-RISK SUBSTANCES;
(F) THOSE WHO HAVE MEDICAL RISK FACTORS, SUCH AS DIABETES 
AND OTHER COMPARABLE DISEASES, KNOWN TO INCREASE THE 
RISK FOR DISEASE WHEN INFECTION OCCURS;
(G) RESIDENTS AND EMPLOYEES OF HIGH-RISK CONGREGATE 
SETTINGS;
(H) HEALTHCARE WORKERS WHO SERVE HIGH-RISK CLIENTS;
(I) INFANTS, CHILDREN, AND ADOLESCENTS EXPOSED TO ADULTS 
IN HIGH-RISK CATEGORIES; AND
(J) SUCH OTHER PERSONS AS MAY BE IDENTIFIED BY THE 
SECRETARY OF HEALTH.
THE ROUTINE TB SCREENING TEST SHALL FORM PART OF THE 
NORMAL STANDARD OF CARE OFFERED IRRESPECTIVE OF WHETHER 
OR NOT THE PATIENTS EXHIBIT SIGNS AND SYMPTOMS OF 
UNDERLYING TB INFECTION OR HAVE OTHER REASONS FOR 
PRESENTING TO THE FACULTY.
IT SHALL ALSO INCLUDE STIGMA-REDUCTION EDUCATION FOR THE 
PUBLIC AND COUNSELING FOR PATIENTS.
THE DOH SHALL ENSURE ACCESS TO ROUTINE TB SCREENING TESTS 
AS PART OF CLINICAL AND MEDICAL CARE IN ALL HEALTHCARE 
SETTINGS AND FACILITIES."
Sec. 16. A new section denominated as Section 21 of the same Act is added to 
as follows:
"SEC. 21. INTEGRATION OF TB SCREENING IN HIV AND AIDS 
PREVENTION AND CONTROL. - SYMPTOMATIC TB SCREENING AND 
TB PREVENTIVE THERAPY OF ALL PERSONS LIVING WITH HIV AND 
AIDS WITHOUT TB SYMPTOMS SHALL BE PROVIDED AS PART OF THE 
DELIVERY OF HIVE AND AIDS-RELATED SERVICES."
Sec. 17. A new section denominated as Section 22 of the same Act is added to 
as follows:
"SEC. 22. PRIVATE HEALTH FACILITIES FOR TB-DOTS. TO ENHANCE 
AND MAXIMIZE THE PARTICIPATION OF PRIVATE HEALTH 
FACILITIES IN TB CONTROL, ALL PRIVATE HEALTH FACILITIES ARE


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MANDATED TO SEEK ACCREDITATION FROM PHILHEALTH AS TB- 
DOTS PROVIDERS."
Sec. 18. A new section denominated as Section 23 of the same Act is added to 
read as follows:
"SEC. 23. CONTACT TRACING AND PROPHYLATIC TREATMENT. - 
SCREENING BY CHEST X-RAY SHALL BE INITIATED AMONG ALL 
CONTACTS OF AN INDEX CASE WITH BACTERIOLOGICALLY 
CONFIRMED OR CLINICALLY DIAGNOSED PULMONARY TB IN ORDER 
TO OFFER PREVENTIVE TREATMENT WHEN NECESSARY TO THOSE 
WITH LATENT TB INFECTION, FOLLOWING PRESCRIBED 
GUIDELINES AND STANDARDS."
Sec. 19. A new section denominated as Section 24 of the same Act is added to 
read as follows:
"SEC. 24. PERSONNEL COMPLEMENT. - TO ENSURE THE EFFECTIVE 
IMPLEMENTATION OF THIS ACT, THE DOH SHALL ENSURE THAT 
THERE SHALL BE ADEQUATE COMPETENT AND QUALIFIED STAFF AND 
ALLIED PROFESSIONALS WHO SHALL EFFECTIVELY CARRY OUT THE 
OBJECTIVES OF THE TB ELIMINATION PROGRAM. THE 
FORMULATION OF QUALIFICATION STANDARDS FOR THE STAFF'S 
COMPLEMENT MUST BE PURSUANT TO CIVIL SERVICE RULES AND 
REGULATIONS.
THE SECRETARY OF THE DOH SHALL SUBMIT THE PROPOSED 
ORGANIZATIONAL AND STAFFING MODIFICATION TO THE 
DEPARTMENT OF BUDGET AND MANAGEMENT (DBM) FOR REVIEW 
AND APPROVAL.
ALL DOH EMPLOYEES AND STAFF INVOLVED IN TB 
ELIMINATION PROGRAM SHALL PARTICIPATE IN CAPACITY­
BUILDING PROGRAMS AND ACTIVITIES TO BOOST COMPETENCE 
AND SKILL PROFICIENCY. THESE PROGRAMS SHALL INCLUDE 
SENSITIZATION COURSES ON TB-RELATED STIGMA AND 
DISCRIMINATION AND THE RIGHTS OF PEOPLE AFFECTED BY TB.
Sec. 20. A new section denominated as Section 25 of the same Act is added to 
read as follows:
"SEC. 25. MOBILIZATION. - THE DOH, IN COORDINATION WITH LGUS 
AND OTHER RELEVANT GOVERNMENT AGENCIES, PRIVATE SECTOR, 
CIVIL SOCIETY ORGANIZATIONS, AND ORGANIZATIONS OF TB 
PATIENTS AND SURVIVORS, SHALL SPEARHEAD THE MOBILIZATION 
OF KEY AFFECTED POPULATIONS FOR PUBLIC AWARENESS 
CAMPAIGNS AND STIGMA REDUCTION ACTIVITIES. 
ORGANIZATIONS OF TB PATIENTS AND SURVIVORS SHALL BE 
INVOLVED IN THE PLANNING, IMPLEMENTATION, MONITORING, 
AND EVALUATION OF THE POLICIES AND PROGRAMS THAT AFFECT 
THEM.
ORGANIZATIONS OF TB PATIENTS AND SURVIVORS SHALL BE 
CAPACITATED AND SUPPORTED BY THE NATIONAL AND LOCAL TB
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PROGRAM TO CONDUCT COMMUNITY-LED TB PROGRAMS AND 
SERVICES.
Sec. 21. A new section denominated as Section 26 of the same Act is added to 
read as follows:
"SEC. 26. ALTERNATIVE FINANCING SCHEMES. - THE DOH IS HEREBY 
MANDATED TO EXPLORE ALTERNATIVE FINANCING SCHEMES IN 
CONSULTATION WITH THE DEPARTMENT OF FINANCE (DOF) AND TO 
ENTER INTO CONTRACTS WITH ANY PRIVATE HOSPITAL OR HEALTH 
FACILITY UNDER THE PUBLIC-PRIVATE PARTNERSHIP (PPP) 
APPROACH TO STRENGTHEN AND EXPAND THE PROVISION OF TB 
DIAGNOSIS AND TREATMENT SERVICES NATIONWIDE.
Sec. 22. A new section denominated as Section 27 of the same Act is added to 
read as follows:
"SEC. 27. TAX EXEMPTION. - ALL GRANTS, REQUESTS, 
ENDOWMENTS, DONATIONS, AND CONTRIBUTIONS MADE TO THE 
DOH TO BE USED DIRECTLY AND EXCLUSIVELY BY THE DOH FOR THE 
PRIMARY PURPOSE OF CONTRIBUTING TO TB ERADICATION 
ACTIVITIES SHALL BE EXEMPT FROM DONOR'S TAX AND THE SAME 
SHALL BE CONSIDERED AS ALLOWABLE DEDUCTION FROM THE 
GROSS INCOME OF THE DONOR FOR PURPOSES OF COMPUTING THE 
TAXABLE INCOME OF THE DONOR IN ACCORDANCE WITH THE 
PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, 
AS AMENDED."
Sec. 23. A new section denominated as Section 28 of the same Act is added to 
read as follows:
"SEC. 28. OTHER SOURCES OF FUNDS. - THE NATIONAL 
GOVERNMENT SHALL PRIORITIZE THE OUTSOURCING OF FUNDS 
FOR THIS ACT THROUGH NEGOTIATION AND UTILIZATION OF LONG­
TERM CONCESSIONAL OFFICIAL DEVELOPMENT ASSISTANCE (ODA), 
OTHER SOURCES OF FUNDS SUCH AS GRANTS, DONATIONS, 
COLLECTIONS, AND OTHER FORMS OF ASSISTANCE FROM LOCAL 
AND FOREIGN DONORS OR OTHER PUBLIC OR PRIVATE ENTITIES. 
OTHER PRIVATE DOMESTIC AND INTERNATIONAL SOURCES MAY BE 
TAPPED AND FACILITATED BY THE DOH TO SUPPORT THE HEALTH 
SERVICES UNDER THIS ACT, SUBJECT TO THE REGULAR 
ACCOUNTING AND AUDITING GUIDELINES AND PROCEDURES: 
PROVIDED THAT IN CASE OF DONATIONS FROM FOREIGN SOURCES, 
ACCEPTANCE THEREOF SHALL BE SUBJECT TO EXISTING 
GOVERNMENT RULES AND REGULATIONS."
Sec. 24. A new section denominated as Section 29 of the same Act is added to 
read as follows:
"SEC. 29. JOINT CONGRESSIONAL OVERSIGHT COMMITTEE ON THE 
ELIMINATION OF TB (JCOC-ETB). - THERE IS HEREBY CREATED A 
JCOC-ETB, WHICH SHALL CONDUCT A REGULAR REVIEW OF THE
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IMPLEMENTATION OF THIS ACT. THE JCOC-ETB SHALL CONDUCT A 
SYSTEMATIC EVALUATION OF THE PERFORMANCE, IMPACT, AND 
ACCOMPLISHMENTS OF THE COMPREHENSIVE PHILIPPINE PLAN OF 
ACTION TO ELIMINATE TUBERCULOSIS AND THE VARIOUS 
AGENCIES INVOLVED IN THE TB ELIMINATION PROGRAM, 
PARTICULARLY WITH RESPECT TO THEIR OBJECTIVES AND 
FUNCTIONS.
THE JOINT CONGRESSIONAL OVERSIGHT COMMITTEE SHALL 
BE COMPOSED OF FIVE (5) MEMBERS FROM THE SENATE AND FIVE 
(5) MEMBERS FROM THE HOUSE OF REPRESENTATIVES TO BE 
APPOINTED BY THE SENATE PRESIDENT AND THE SPEAKER OF THE 
HOUSE OF REPRESENTATIVES, RESPECTIVELY. THE JOINT 
CONGRESSIONAL OVERSIGHT COMMITTEE SHALL BE JOINTLY 
CHAIRED BY THE CHAIRPERSONS OF THE SENATE COMMITTEE ON 
HEALTH AND DEMOGRAPHY AND THE HOUSE OF REPRESENTATIVE'S 
COMMITTEE ON HEALTH."
Section 25. Section 14 of the same Act is hereby renumbered as Section 30.
Section 26. Section 15 of the same Act is hereby renumbered as Section 31 and 
amended to read as follows:
"SEC. [15] 31. Appropriations. - The amount necessary to [implement] 
CARRY OUT the provisions of this Act shall be charged against the CURRENT 
YEAR appropriations of the [DOH, the DEPED, the CHED, and the PIA 
under the General Appropriations Act] CONCERNED GOVERNMENT 
AGENCIES. IN ADDITION TO, AND CONSISTENT WITH THE 
COUNTRY'S COMMITMENT TO ENSURE SUFFICIENT AND 
SUSTAINABLE FINANCIAL SUPPORT TO END THE TB EPIDEMIC, 
PARTICULARLY ON THE DEVELOPMENT OF A NATIONAL STRATEGIC 
PROGRAM TO LOCATE AND TREAT OVER TWO (2) MILLION 
FILIPINOS INFLICTED WITH TB IN THE NEXT FIVE (5) YEARS, AN 
AMOUNT TO BE DETERMINED BY THE DOH, IN CONSULTATION WITH 
THE DOF AND THE DBM, SHALL BE INCLUDED IN THE ANNUAL 
APPROPRIATION OF THE DOH: PROVIDED, THAT THE 
ADMINISTRATIVE EXPENSES TO IMPLEMENT THE PROGRAM SHALL 
NOT EXCEED ONE PERCENT Cl°/o) OF THE PROGRAM COST; 
PROVIDED FURTHER, THAT LOCAL GOVERNMENT UNITS MAY USE 
THEIR SHARES OF NATIONAL TAX ALLOCATIONS TO PROVIDE OR 
AUGMENT FUNDING TO TB PROGRAMS DETAILED IN THIS ACT.
Sec. 27. A new section denominated as Section 32 of the same Act is added to 
read as follows:
"SEC. 32. SUNSET PROVISION. - TWO (2) YEARS AFTER THE 
EFFECTIVITY OF THIS ACT, CONGRESS, THROUGH THE JCOC-ETB, 
SHALL CONDUCT A "SUNSET REVIEW" OF THE MANDATED 
APPROPRIATIONS, WHICH SHALL ENTAIL A SYSTEMATIC 
EVALUATION OF SUCH APPROPRIATION TO DETERMINE WHETHER 
OR NOT ITS PERFORMANCE, IMPACT, AND ACCOMPLISHMENTS
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WITH RESPECT TO THE TB ELIMINATION GOAL MERITS CONTINUED 
EXISTENCE/'
Sec. 28. A new section denominated as Section 33 of the same Act is added to 
read as follows:
"SEC. 33 PENALTIES. - THE PROFESSIONAL REGULATION 
COMMISSION (PRC) SHALL HAVE THE AUTHORITY TO SUSPEND THE 
LICENSE TO PRACTICE OF ANY MEDICAL PROFESSIONAL FOR ANY 
VIOLATION OF THIS ACT.
THE CSC SHALL HAVE THE AUTHORITY TO SUSPEND FROM 
PUBLIC OFFICE A CIVIL SERVANT WHO IS FOUND TO BE IN 
VIOLATION OF THIS ACT.
IF THE OFFENSE IS COMMITTED BY A PUBLIC OR PRIVATE 
HEALTH FACILITY, INSTITUTION, AGENCY, CORPORATION, OR 
OTHER JURIDICAL ENTITY DULY ORGANIZED IN ACCORDANCE WITH 
LAW, THE CHIEF EXECUTIVE OFFICER, PRESIDENT, GENERAL 
MANAGER, OR SUCH OTHER OFFICER IN CHARGE SHALL BE LIABLE. 
IN ADDITION, THE BUSINESS PERMIT AND LICENSE TO OPERATE OF 
THE CONCERNED FACILITY, INSTITUTION, AGENCY, CORPORATION, 
OR LEGAL ENTITY SHALL BE SUSPENDED ACCORDINGLY.
Sec. 29. A new section denominated as Section 34 of the same Act is added to 
read as follows:
"SEC. 34. TRANSITORY PROVISION. - THE PENALTIES 
CONTEMPLATED IN SECTION 33 OF THIS ACT SHALL BE 
IMPLEMENTED ONLY AFTER EFFICIENT AND MASSIVE TRAINING 
AND ORIENTATION FOR PHYSICIANS AND ALLIED HEALTH 
PROFESSIONALS AND A FRAMEWORK AND SYSTEM SUPPORT FOR 
THE IMPLEMENTATION AND MONITORING OF THE REQUIREMENTS 
OF SECTION 11 ON THE REGULATION ON SALE AND USE OFTB DRUGS 
AND SECTION 12 ON TB CASES NOTIFICATION OF REPUBLIC ACT NO. 
10767 HAS BEEN ESTABLISHED: PROVIDED THAT SUCH PERIOD OF 
IMPLEMENTATION SHALL BE COMPLETED BY THE YEAR 2025.
Sec. 30. Section 16 of Republic Act No. 10767 is hereby renumbered as Section 
35 and amended to read as follows:
"Sec. 35. Implementing Rules and Regulations. - The DOH, in consultation with 
the DEPED, the CHED, the PIA, the LGUs, nongovernment organizations, CSOs, 
BROADCAST MEDIA, PRINT MEDIA, DIGITAL MEDIA and other 
concerned entities, shall Issue the rules and regulations [implementing] to 
implement the provisions of this Act within ninety (90) days from its effectivity.
Sec. 31. Sections 17, 18, and 19 of the same Act are hereby renumbered as 
36, 37, and 38, respectively.
Sec. 32. Effectivity. - This Act shall take effect fifteen (15) days after Its 
publication in the Official Gazette or in a newspaper of general circulation.
Approved,
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