EIGHTEENTH CONGRESS OF THE 
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REPUBLIC OF THE PHILIPPINES 
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First Regular Session 
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£.K(0KiC? of tijf !;'!:'!■
20 MAY “ff PI :36
SENATE
S. B. No. 1472
REOilVcD eV;
Introduced by SENATOR SONNY ANGARA
AN ACT
ESTABLISHING THE PHILIPPINE eHEALTH SYSTEM AND SERVICES IN 
SUPPORT OF UNIVERSAL HEALTH CARE USING INFORMATION AND 
COMMUNICATIONS TECHNOLOGY IN THE PHILIPPINES, AND 
APPROPRIATING FUNDS THEREFOR
EXPLANATORY NOTE
The World Health Organization (WHO) defines eHealth as "the use of 
information and communication technologies (ICT) for health." In 2005, the World 
Health Assembly (WHA) recognized the potential of eHealth to strengthen health 
systems and improve quality, safety and access to care, and encouraged Member 
States to take action to incorporate eHealth into their health systems and services 
(58th WHA, 2005; Geneva, Switzerland).
As early as 2010, my father - former Senate President Edgardo J. Angara - 
already saw the potential of eHealth to become a "game changer" to the medical 
industry not only in delivering health services but also in providing the country an 
edge in the medical tourism market. In fact, the now defunct Congressional 
Commission on Science, Technology, and Engineering (COMSTE) - which my father 
also chaired - identified eHealth as a national priority in 2011 and had pushed for 
greater cooperation between providers and the government.
In neighboring countries like Indonesia, Malaysia, Singapore, and China, 
eHealth services are not only encouraged but are financially boosted by investors - 
seeing its potential to become the next big industry. Halodoc, which is one of 
Indonesia's biggest telemedicine apps has received funding from the Bill and Melinda 
Gates Foundation among others. Singapore's telemedicine providers are in 
collaboration with the government while experts project China's eHealth industry to 
balloon from around $1.6B in 2016 to $28B by 2026.
Since then, the Department of Health (DOH) harnessed the potential value of 
eHealth as an innovative measure to deliver cost-efficient and sustainable 
interventions towards an integrated and comprehensive approach to health 
development and universal access to healthcare. Specifically, its use has provided 
new and more efficient ways of improving the delivery of healthcare and making the


health systems more efficient and responsive to people's needs and expectations, 
and concomitantly, in promoting access to evidence-based information for decision 
making.
This has become more evident especially during the COVID-19 pandemic as 
we - including the government - are seeing how telemedicine, e-prescription, and 
other eHealth services are literally putting the public out of harm's way by providing 
safer basic healthcare services {e.g., consultation, online drug purchasing, e- 
prescription) at minimal cost.
Given the growing prevalence of eHealth technologies and applications, and 
to achieve optimum and meaningful use of ICTs in health and to protect all the 
beneficiaries and stakeholders, this Bill aims to provide a policy framework and 
establish a national eHealth system that will direct and regulate the practice of 
eHealth in the country.
Specifically, this measure will help direct and regulate action of providers; 
streamline and make systems and services interoperable; ensure patient safety and 
protection; define and guarantee quality of service; define and institutionalize 
governance mechanism to achieve coherence, cooperation and complementation; 
address issues on provision, access, availability, privacy and cybersecurity and 
information exchange, among others; support research, development and 
innovation; avoid duplication among eHealth services and efforts among government 
agencies with the private sector; establish the critical infrastructure; and define a 
budget to finance and sustain it. Through this measure, we are optimistic that more 
public and private hospitals will be encouraged and empowered to adapt to this 
emerging new technology.
sought.
In view of the foregoing, the immediate passage of this Bill is earnestly
lONNY ANGARA


EIGHTEENTH CONGRESS OF THE 
)
REPUBLIC OF THE PHILIPPINES 
)
First Regular Session 
)
of i\)i- &K’:v.'tp.ip
20 HAY -4
PI :36
SENATE
S. B. No. 1472
Introduced by SENATOR SONNY ANGARA
AN ACT
ESTABLISHING THE PHILIPPINE eHEALTH SYSTEM AND SERVICES IN 
SUPPORT OF UNIVERSAL HEALTH CARE USING INFORMATION AND 
COMMUNICATIONS TECHNOLOGY IN THE PHILIPPINES, AND 
APPROPRIATING FUNDS THEREFOR
Be it enacted by the Senate and House of Representatives of the Philippines in 
Congress assembled:
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ARTICLE I
GENERAL PROVISIONS
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SECTION 1. Short Title. - This Act shall be known as the "eHealth System 
and Services Act".
SEC. 2. Declaration of Policies. - It is the policy of the State to protect 
and promote the right to health of all Filipinos and instill health consciousness 
among them. Towards this end, the State shall institutionalize a system of providing 
wide access and quality healthcare information and services through electronic 
means using information and communication technologies (ICT) or eHealth resulting 
in improved health outcomes for every Filipino, and further recognizing public and 
private partnership.
The national eHealth system shall be comprehensive, integrated, 
interconnected, sustainable, measurable, synchronized, interoperable, and 
progressive based on best practices, and shall facilitate inter-agency and inter­
sectoral coordination at various levels of governance covering both the public and 
private sectors. It shall recognize eHealth as equal with other healthcare delivery 
methods to the extent allowable by existing laws, provide and support healthcare


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delivery, including diagnosis, consultation, treatment, transfer of care of patient, 
exchange of health data and education, especially in medically unserved and 
underserved geographically isolated and disadvantaged areas (GIDAs).
SEC. 3. Objectives. - This Act shall provide a policy framework and 
establish a national eHealth system that shall direct and regulate the practice of 
eHealth, which shall:
a) Set policies, standards, regulations and services in eHealth to reduce 
inequalities, achieve universal health care and improve health outcomes;
b) Realize health information exchange to measure and monitor health 
system performance and responsiveness; and
c) Enable the citizenry with access to health information and health services, 
including teleHealth, needed for better management and control of their 
own health.
SEC. 4. Scope and Application. - This Act covers all existing healthcare 
providers and other entities developing and using eHealth systems, services and 
applications, whether public or private. It shall cover all eHealth solutions, services, 
and applications including relevant standard equipment in the field of health and 
ancillary services that use ICT and are complementary to existing minimum 
modalities or standards of health care and other access to information.
SEC. 5. Definition of Terms. - As used in this Act:
a) Compliant eHealth Applications refer to services and solutions that are 
compliant with defined architecture of eHealth standards that allow for 
interoperability and health information exchange across geographic, 
organizational and vendor boundaries, and ensure data protection in 
accordance with Republic Act (R.A.) No. 10173, otherwise known as the 
"Data Privacy Act" and other related laws and issuances.
b) eHealth Data Services refer to key architectural data registries of the 
health sector enterprise needed to enable and support large scale health 
information interoperability and exchange.
c) eHealth System refers to the interplay of enabling (governance and 
accountability; strategy and investment; human resources; standards and 
interoperability; monitoring and compliance; research and development)


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and foundational (infrastructure; and services and applications) elements 
essential for a successful national eHealth implementation;
d) eHealth Services and Applications refer to the soiutions and products 
with defined objectives to serve its intended ciients or users, such as 
Heaith Information Systems, EMR Systems, EHR System, Hospital 
Information System, ePharmacy System, Laboratory System, Radiology 
System, Registry systems, mobiie health, teleHealth, telemedicine, 
wearables, and biomedical and related devices with ICT component;
e) Electronic Health or eHealth refers to the use of cost-effective and 
secure information communications technology for health;
f) Electronic Health Record (EHR) refers to a computerized health record 
used to capture, store, access and share information of a patient between 
and across heaithcare organizations and providers;
g) Electronic Medical Record (EMR) refers to a computerized medical 
record used to capture, store and share information between heaithcare 
providers in an organization;
h) Electronic Prescription (ePrescription) refers to a system that allows 
healthcare providers to write and send prescriptions in an automated or 
eiectronic way to a pharmacy with capability to receive such;
i) Enterprise Resource Planning (ERP) refers to an efficient system of 
managing and integrating the important parts of a business such as 
pianning, purchasing, inventory, finance, and other resource management 
and operations;
j) Geographically Isolated and Disadvantage Areas (GIDAs) refer to 
communities with marginaiized popuiation physicaily and socio- 
economicaiiy separated from the mainstream society and characterized by:
(1) Physical factors such as those isolated due to distance, weather 
conditions and transportation difficulties (island, upland, lowland, 
landlocked, hard to reach and unserved or underserved communities); and
(2) Socio-economic factors such as high poverty incidence, presence of 
vuinerabie sector, communities in or recovering from situation of crisis or 
armed conflict;


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k) Health Care Providers refer to any of the following:
1. Health care professional refers to doctor of medicine, nurse, 
midwife, dentist, or other skilled allied professional or practitioner duly 
licensed to practice in the Philippines;
2. Health facility refers to a public or private facility or institution 
devoted primarily to the provision of services for health promotion, 
prevention, diagnosis, treatment, rehabilitation and palliation of 
individuals suffering from illness, disease, injury, disability, or 
deformity, or in need of medical and nursing care;
3. Community-based health care organization refers to an 
organization or association of members of the community organized for 
the purpose of improving the health status of that community;
4. Pharmacies or drug outlets refer to any establishment which sells 
or offers to sell any health product directly to the general public as 
defined in R.A. No. 9711, otherwise known as the "Food and Drug 
Administration Act of 2009;" and
5. Laboratories and diagnostic clinics refer to any facility where tests 
are done on specimens from the human body to obtain information 
about the health status of a patient for the prevention, diagnosis and 
treatment of diseases.
l) Health Knowledge Resources refers to those services that manage and 
provide access to trusted information to support health care providers and 
individuals, including local and international online journals and resource 
collections, national electronic journals printed information, archives, and 
other information resources;
m) Health-Related Entities refer to health care providers, health 
maintenance organizations and private health insurance companies issued 
certificates of authority by the Insurance Commission, pharmacies and 
pharmaceutical companies licensed for operation by the Food and Drug 
Administration, ICT service providers and companies, and all other 
agencies involved in the collection and processing of health and health-


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related data, and/or providing health services, and those identified by the 
Department of Health (DOH);
n) Health Sector Enterprise Architecture refers to the blueprint on which 
eHealth services and applications shall be developed, implemented and 
scaled up;
o) Information and Communications Technology (ICT) refers to all 
technologies for the communication of information, which includes data, 
application or information systems, internet, network, connectivity, 
telecommunications, among others;
p) Mobile Health (mHealth) refers to the services and information 
supported by mobile technology, such as mobile phones, wearables, and 
handheld computers;
q) Personal Health Record (PHR) refers to a computerized health record 
created and maintained by an individual;
r) TeleHealth refers to the delivery of health-related services and 
information, at a distance, which encompasses preventive, promotive, 
curative, and palliative aspects. It is also a collection of means or methods 
for enhancing health care, public health, health research and health 
education delivery and support in the various health fields using 
telecommunications and virtual technologies;
s) Telemedicine refers to the remote diagnosis and treatment of patients 
by means of telecommunications technologies.
SEC. 6. Implementing Agency. - The Department of Health (DOH) shall 
be the lead implementing agency to carry out the provisions of this Act, including its 
components. The DOH shall strengthen and transform its existing Knowledge 
Management and Information Technology Service (KMITS) into a full-fledged 
Bureau, to be named as Knowledge Management and Health Information 
Technology Bureau, which shall perform the overall management and administration 
of this Act. Additional plantilla positions shall be created for this purpose.
The Bureau shall also serve as a secretariat of the eHealth Policy and 
Coordination Council as provided on Sec. 8 hereof.


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SEC. 7. Regional and Local Implementation Structures and Staffing 
Pattern. - To assist in the implementation of this Act and subject to the approval 
of the Department of Budget and Management (DBM), the DOH shall determine the 
regional and local implementation structures and create divisions or units as it may 
deem necessary, and shall appoint officers and employees with permanent 
appointments and supported with an adequate yearly budget in accordance with the 
civil service law, rules, and regulations.
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ARTICLE II
GOVERNANCE AND ACCOUNTABILITY
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SEC. 8. Creation of the eHealth Policy and Coordination Council. - An
independent body to be known as the eHealth Policy and Coordination Council 
(eHPCC) shall be created to provide and promote relevant policies and guidelines for 
the effective coordination and implementation of this Act. The Council shall be 
composed of the following key officials:
1. Secretary, Department of Health - Chairperson
2. Secretary, Department of Information and Communications Technology 
(DICT) - Co-Chairperson
3. President & Chief Executive Officer, Philippine Health Insurance 
Corporation (PhilHealth) - Co-Chairperson
Members:
Secretary, Department of Science and Technology (DOST);
Secretary, Department of Social Welfare and Development (DSWD); 
Secretary, Department of Interior and Local Government (DILG); 
Secretary, Department of Budget and Management (DBM);
8. Chancellor, University of the Philippines -Manila (UPM);
9. Chairperson, Commission on Higher Education (CHED);
10. Chairperson, National Privacy Commission (NPC);
11. National Statistician, Philippine Statistics Authority (PSA);
12. Two (2) representatives from professional medical or health societies;
13. One (1) representative from patients group; and
14. One (1) representative from the ICT industry associations.
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The heads of government agencies may be represented by an official whose 
rank shall not be lower than an Assistant Secretary or its equivalent. Members 
representing the private sector shall be appointed by the President of the Philippines 
not later than thirty (30) days after the date of enactment of this Act and shall serve 
for a term of three (3) years, renewable upon recommendation of the Council for a 
maximum of two (2) consecutive terms.
The government agency-members of the Council shall have the authority to 
act upon and decide on all urgent matters pending the formation of the Council and 
the appointment of members from the private sector by the President of the 
Philippines.
SEC. 9. Powers and Duties of the Council. - The Council shall exercise 
the following powers and functions:
a) Establish eHealth policies, standards, regulations, and ethical frameworks 
pertinent to use, practice and provision of eHealth services;
b) Direct and coordinate the eHealth services and applications at the national 
level and ensure alignment of the system and services with the overall 
health and ICT goals of the government;
c) Spearhead the activities that promote eHealth awareness and engage the 
participation of stakeholders;
d) Measure and monitor the performance and progress of the implementation 
of this Act; and
e) Submit yearly assessments to the Senate Committee on Health and 
Demography and the House of Representatives Committee on Health.
SEC. 10. Creation of the Sub-Structure or Mechanism. - The Council 
shall create multi-sectoral groups, composed of both the private and public sectors 
to ensure broader stakeholder participation and for the furtherance of its objectives.
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ARTICLE III
STANDARDS AND INTEROPERABILITY
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SEC. 11. Health Sector Enterprise Architecture. - The Council shall
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develop, regularly update, and implement a health sector enterprise architecture to
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provide guidance to align and ensure that data can easily be made available and


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accessible, business processes are harmonized and integrated, and services and 
applications are usable, safe, efficient, and effective.
All health care providers and health-related entities shall adopt a health 
enterprise architecture as defined and guided by the Council.
SEC. 12. Standards Compliance. - All health care providers and health- 
related entities shall comply with the data standards, as defined by the Council to 
allow interoperability and health information exchange, and ensure data protection 
in accordance with R.A. No. 10173, otherwise known as the "Data Privacy Act" and 
other related laws and issuances.
These standards shall include, inter alia, patient identifier, provider identifier, 
health facility identifier, terminology and messaging standards, and shall be in 
accordance with the Philippine eGovernment interoperability framework and other 
relevant standards.
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ARTICLE IV
SERVICES AND APPLICATIONS
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SEC. 13. Rationalization of eHealth Services and Applications. -
Design, development, and implementation of eHealth services and applications shall 
focus on the automation and interoperability of the various mandatory eHealth 
business processes and data services as laid out in the Health Sector Enterprise 
Architecture.
SEC. 14. Scope of eHealth Services and Applications. - eHealth shall 
include the following areas:
a) Mandatory eHealth Data Services:
1. Master Person Index
2. Master Provider Index
3. Master Facility Index
4. Terminology Registry
b) Compliant eHealth Applications:
1. Electronic Health Record/Electronic Medical Record
2. Enterprise Resource Planning
3. Laboratory, Radiology, and ePrescription


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4. Human Resources for Health Information System
5. TeleHealth
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ARTICLE V 
TELEHEALTH
SEC. 15. Regulations of TeleHealth Services and eHealth Reiated 
Devices. - The Council, through the DOH, shall establish and maintain a regulatory 
system for telehealth services and eHealth-related devices.
SEC. 16. Standards of Practice and Certification of Individuals and 
Entities Providing TeleHealth Services. - To complement the regulations of 
telehealth services and eHealth-related devices, the DOH, in consultation with 
Professional Regulatory Commission (PRC), PhilHealth, UPM - National TeleHealth 
Center, DICT, academia, medical and specialty societies, non-government 
organizations, the private and business sectors, shall set the standards of practice 
and implement a certification mechanism for individuals and entities providing 
telehealth services.
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ARTICLE VI 
HUMAN RESOURCES
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SEC. 17. Human Resource in eHealth. - The human resources for
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eHealth are health professionals who shall plan, design, build, operate, use,
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maintain, and support the eHealth services and applications, and innovations.
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The DOH, CHED, DICT, Technical Education and Skills Development Authority
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(TESDA), and Professional Regulation Commission (PRC), in consultation with
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medical and specialty societies, IT professional associations, and academia, shall
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establish the minimum competencies and impose the same on health, health-related
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and digital health professionals. This shall be part of the curriculum of health and
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health-related courses.
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SEC. 18. Human Resource Development Plan. -The DOH, CHED,
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TESDA, and PRC shall formulate the Human Resource Development Plan which shall
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develop new curricula, integrate changes in existing curricula, create formal and
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non-formal training programs, and continuing professional development programs.


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There shall also be creation of personnel service item, plantilla positions, and other
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employment opportunities for human resources in government hospitals and
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institutions to manage and enable eHealth in healthcare and related services.
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ARTICLE VII 
INFRASTRUCTURE
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SEC. 19. ICT Infrastructure. - The DICT, in coordination with DOH,
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PhilHealth, and DOST, shall establish the necessary national ICT infrastructure to
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implement eHealth services and applications.
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SEC. 20. National Health Data Center. - The PhilHealth, in coordination
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with the DOH, DICT and DOST, shall establish and maintain the national health data
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center, and implement an agile and sustainable data management and governance
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framework and system in support to R.A. No. 11223, otherwise known as the
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"Universal Health Care Act," and in compliance with R.A. No. 10173, otherwise
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known as the "Data Privacy Act of 2012" for data protection.
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ARTICLE VIII
STRATEGY AND INVESTMENT
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SEC. 21. National eHealth Strategic Framework and Plan. - The
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Council shall spearhead the development and monitoring of strategic framework and
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plan to serve and guide the operations of a national eHealth system.
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SEC. 22. Financing the eHealth Strategic Framework and Plan. -
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Financing for the national eHealth system by DOH, PhilHealth and other partners, as
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defined by the Council, shall be made available to scale up eHealth implementation
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at the national level.
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SEC. 23. Private Sector Participation. -The DOH shall promulgate rules
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regarding the participation of the private sector in the provision of eHealth services
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and applications, including public-private partnerships, and other suitable
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arrangements.
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ARTICLE IX
RESEARCH AND DEVELOPMENT
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SEC. 24. Research and Development. - Consistent with R.A. No. 10532 
otherwise known as the "Philippine National Health Research System Act of 2013," 
and the mandate of the DOST, the DOST — Philippine Council for Health Research 
and Development (DOST-PCHRD), in consultation with DOH, CHED, DICT, 
PhilHealth, UPM - National TeleHealth Center, academia, regional health research 
consortia, medical and specialty societies, non-government organizations, the private 
and business sectors, shall ensure the development of new eHealth services, 
applications and innovations through:
a) Formulation of eHealth research priority areas under the National Unified 
Health Research Agenda (NUHRA), and other research agendas;
b) Funding and mobilizing resources for researches on eHealth which are 
aligned with the research agenda;
c) Establishment and strengthening of centers of excellence of eHealth policy 
studies, research and innovation, including creation of formal and non- 
formal capability building programs; and
d) Adherence of eHealth research outputs to the health technology 
assessment process as provided in the Universal Health Care Act.
A separate unit within the PCHRD shall handle and manage eHealth related 
activities and programs. The human resource requirement of such unit shall be 
determined by PCHRD in consultation with DOH, CSC and DBM.
SEC. 25. Funding Source for Research and Development. -The DOH, 
PhilHealth, DOST, DICT, CHED, and DILG shall allocate at least 1% of their 
respective annual regular budget in support of eHealth research and development.
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ARTICLE X
ADMINISTRATIVE PENALTIES
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SEC. 26. Rules and Procedures for Administrative Violations and
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Complaints. - The Council shall promulgate rules and procedures relating to
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administrative violations and complaints, insofar as they relate to the establishment
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and operations of the national eHealth system.
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ARTICLE XI
MISCELLANEOUS PROVISIONS
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SEC. 27. Transitory Provisions. - The transformation of KMITS into a full- 
fledged Bureau and the formulation of the internal organic structure and regional 
and local implementation structures, staffing pattern, operating system, and the 
revised budget of the Department for health information technology shall be 
completed within six (6) months from the effectivity of the Implementing Rules and 
Regulations (IRR) of this Act, during which time, the existing KMITS and regional 
and local implementation personnel shall continue to serve in holdover capacities 
until a full and permanent bureau is constituted and functioning, and new 
appointments are issued.
SEC. 28. Appropriations. - The amount needed for the initial 
implementation of this Act shall be taken from the current fiscal year's appropriation 
of the DOH for health information technology.
For the succeeding years, the amount needed for eHealth in the DOH budget 
and in the budget of other agencies with specific mandates provided in this Act shail 
be based on the strategic plan formulated by the Council, in coordination with other 
stakeholders. The amount shall be included in the National Expenditure Program 
(NEP) as basis for the General Appropriations Bill (GAB).
Further, other sources of funds can come from the Private Sector Participation 
Program, Joint DOH-PhilHealth-DICT-DOST undertakings on eHealth, and Medium- 
Term Information and Communications Technology Harmonization Initiative 
(MITHI).
SEC. 29. Implementing Rules and Regulations - Within ninety (90) days 
from the effectivity of this Act, the Secretary of DOH, after consultation with the 
Secretaries of DICT and DOST, the President and Chief Executive Officer of 
PhilHealth, the Chancellor of UPM, the Chairperson of CHED, the National Statistician 
of PSA, and representatives of medical and paramedical associations and societies, 
and other stakeholders shall promulgate the necessary rules and regulations 
implementing the provisions of this Act.
SEC. 30. Separability Clause. - If any part or provision of this Act is held 
invalid or unconstitutional, the remaining parts or provisions not affected shall 
remain in full force and effect.
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SEC. 31. Repealing Clause. - All general and special laws, decrees,
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executive orders, 12 proclamations and administrative regulation, or any parts
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thereof which are inconsistent with this Act are hereby repealed, amended and
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modified accordingly.
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SEC. 32. Effectivity. - This Act shall take effect fifteen (15) days after its
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publication in the Official Gazette or in any newspaper of general circulation.
Approved.
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