Republic of the Philippines
HOUSE OF REPRESENTATIVES
Quezon City, Metro Manila

TWENTIETH CONGRESS
First Regular Session

HOUSE BILL NO. 2703

Introduced by Rep. FERDINAND ALEXANDER A. MARCOS.
1* District, locos Norte

EXPLANATORY NOTE

Mocos Norte continues to face critical challenges in delivering accessible and
comprehensive tertiary healthcare services. Existing government hospitals are routinely
burdened by high patient volume, driven not only by the province’s population but also
by referrals from adjacent localities. This overextension compromises both quality and
timeliness of care. To address this, this legislative measure seeks to establish the
Mariano Marcos State University Hospital (University Hospital), a Level 3 tertiary
healthcare institution to be located within the premises of the Mariano Marcos State
University (MMSU) in the City of Batac, Province of locos Norte.

The proposed University Hospital is thus envisioned as a strategic and transformative
intervention. It shall decongest existing healthcare facilities, increase service coverage,
and provide equitable access to quality medical care, particularly for marginalized and
‘geographically isolated communities in Northem Luzon. At full maturity, it will offer
advanced diagnostic, therapeutic, intensive, and subspecialty clinical services, and
serve as a vital component of the Universal Health Care system through an integrated
referral and service delivery network.

Significantly, the measure adopts a dual-service framework. This proposed hospital
shall shall also serve as a teaching, training, and research institution for MMSU’s
College of Medicine and College of Health Sciences. This will facilitate the hands-on
training of future physicians and allied health professionals in a clinical setting that
emphasizes community-oriented, primary care-driven, and ethically grounded practice.

The establishment of the Mariano Marcos State University Hospital thus represents a
forward-looking investment in public health, education, and regional development. It
will bolster the healthcare delivery system, strengthen institutional health capacity, and
serve as a comerstone of inclusive, research-informed, and community-based
healthcare in the locos Region and beyond.

In light of the foregoing, the immediate passage of this bill is earnestly sought.

FERDINAND ALEXANDER A, MARCOS


Republic of the Philippines
HOUSE OF REPRESENTATIVES,
Quezon City, Metro Manila

TWENTIETH CONGRESS
First Regular Session

HOUSE BILLNo._2703

Introduced by Rep. FERDINAND ALEXANDER A. MARCOS
1* District, ocos Norte

AN ACT
ESTABLISHING THE MARIANO MARCOS STATE UNIVERSITY
HOSPITAL, A LEVEL 3 HOSPITAL AT THE MARIANO MARCOS STATE
UNIVERSITY, PROVINCE OF ILOCOS NORTE, APPROPRIATING FUNDS
‘THEREFOR, AND FOR OTHER PURPOSES

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

SECTION 1. Short Title, - This Act shall be known as the "Mariano Marcos State
University Hospital Act.”

SEC. 2. Declaration of Policy. - It is hereby declared the policy of the State to to
promote and protect the right to health of all citizens and to ensure accessible, equitable,
and quality healthcare services across the country. In furtherance of this policy, the
State affirms the strategic role of educational institutions in expanding healthcare
infrastructure and human resources. The establishment of hospitals within academic
institutions shall improve community health outcomes and strengthen the integration of
medical education, research, and clinical services.

SEC. 3. Establishment, - The Mariano Marcos State University College of Medicine
(MMSU-COM) in the City of Batac, Province of Ilocos Norte, shall establish a Level
3 hospital. This facility shall be designated as the "Mariano Marcos State University
Hospital" (hereinafter, the "University Hospital").

SEC. 4, General Mandate. The University Hospital's establishment shall alleviate
congestion in the proximate tertiary hospital, foster medical research, and advance
‘community health, It shall serve as a primary provider of healthcare services to the
university and surrounding communities, a training and research facility for MMSU-
COM and other health-related academic units, and a support institution under the
Universal Health Care framework. It shall address the congestion of existing public
hospitals, contribute to community-based healthcare development, and support the
advancement of medical and health science education and research.

SEC. 5. Objectives. - The University Hospital shall pursue the following objectives:


(a) To deliver comprehensive primary healthcare services to MMSU students,
faculty, staff, and residents of Batac and adjacent municipalities, thereby
ensuring access to quality medical care for the entire community;

(a) Provide accessible and comprehensive healthcare services to MMSU students,
personnel, and residents of Batac and neighboring municipalities;

(b) Function as a teaching and training hospital for MMSU's medical and allied
health students, offering clinical exposure and research opportunities:

(©) Undertake innovative medical and health sciences research that contribute to
national and regional healthcare advancement;

(@) Deliver preventive, promotive, curative, and rehabilitative healthcare services
in collaboration with relevant agencies of the government and the private
sectors; and

(@) Reduce patient congestion at the nearby hospitals and medical institutions and
improve the overall healthcare service delivery network in Ilocos Norte.

SEC. 6. Initial Implementation. - The University Hospital shall commence operations
asa Level | hospital, upon compliance with Department of Health (DOH) standards for
such classification. It shall implement a phased development strategy, pursuant to a
Hospital Development Plan, to progressively upgrade its services and facilities toward
Level 3 status. MMSU and the DOH shall jointly formulate the Hospital Development
Plan, as outlined in Section 10 of this Act.

SEC. 7. Hospital Facilities and Services. The Hospital shall be equipped with the
requisite facilities and shall provide the following services, commensurate with its
operational level:

(a) Emergency and Trauma Services;
(b) General and Specialized Medical Services;

(c) Maternal and Child Care;

(@) Women's Health Services;

(@) Intensive and Neonatal Intensive Care;

(f) Respiratory Unit;

(g) Ambulatory Surgical Services;

(h) Surgical and Maternity Care;

(i) Dialysis Services;

() Rehabilitation and Physical Therapy;

(k) Nutrition Services;

(D) Dental and Oral Health Care;

(m)Animat Bite Treatment;

(n) TB DOTS Program;

(0) Blood Banking;

(p) Diagnostic Laboratory and Radiologic Services; and
(q) Pharmacy Services.

SEC. 8. Organizational Structure and Staffing Pattern. - The Hospital shall
comprise five (5) fundamental organizational units, namely:


(a) Chief of Hospital. This official shall oversee the hospital's overall management
and administration, including the formulation of policies, plans, programs, and
strategies to ensure adherence to health standards. The Chief of Hospital shall
ensure quality healthcare, maintain high standards of clinical training for
medical and allied health personnel, and manage the daily operations of all
functional units.

(b) Medical Service. This unit shall provide high-quality outpatient and inpatient
care, maintain high standards of clinical training for medical and allied health
personnel, offer ancillary and allied health services, promote research activities,
and implement a clinical resource management system. It shall also advise and
support the Chief of Hospital in policy, plan, and program development.
Medical doctors within this unit shall serve as full-time physicians, allocating
twenty (20) hours per week to teaching and twenty (20) hours to clinical
services, totaling forty (40) hours per week.

(©) Nursing Service. This unit shall implement nursing programs focused on total
quality healthcare, deliver nursing care to patients, and develop, coordinate, and
implement relevant training programs for nursing personnel.

(d) Hospital Operations and Patient Support Service. This unit shall provide
administrative services, including personnel management, administrative
records management, property and supply management, general services,
engineering, and security.

(e) Finance Services. This unit shall provide financial services pertaining to
budgeting, accounting, cash operations, billing, and claims.

For purposes of this Act, a plantilla of the following positions shall be created, in
accordance with the Revised Organizational Structure and Staffing Standards for
Government Hospitals, excluding positions already available under the auxiliary
service for health and wellness of MMSU, All positions in the auxiliary service for
health and wellness shall be transferred to the University Hospital.

SALARY
ORGANIZATIONAL UNIT POSITION TITLE GRADE
OFFICE OF THE CHIEF OF 1,
HOSPITAL 1 Chief of Hospital IT SG 25
Administrative Officer II sGll
Administrative Officer 1 SG 10
Administrative Assistant SG8
MEDICAL SERVICE
Outpatient 1 Medical Officer IV* SG 23
1 Administrative Assistant II sG8
Emergency Room 1 Medical Officer [V SG 23
1 Administrative Assistant I SG8


Clinical Units

Clinical Laboratory

Radiology

Health Information Management
Admitting/Information

Pharmacy

Rehabilitation and Physical
Therapy Services

NURSING SERVICE

Outpatient

Emergency Room

Clinical Units

5 Medical Specialist
4 Medical Officer IV

2 Medical Officer III*

2 Administrative Assistant II

1 Medical Specialist
1 Medical Technologist II
2 Medical Technologist I

1 Laboratory Technician I

1 Medical Specialist II
1 Radiologic Technologist II
1 Radiologic Technologist I

1 Dentist II *
1 Dental Aide *

1 Admin Officer III
2 Administrative Assistant II

1 Pharmacist II
1 Pharmacist

Physical Therapist II
Physical Therapist I
Occupational Therapist

1 Nurse V
1 Nurse I *

2 Nurse I *
1 Nurse Attendant

1 Nurse III *

2 Nurse II*

2 Nurse 1

2 Nurse Attendant

8G 23
SG 23
SG21

SG8

8G 23
SG 15
SGI
SG6

SG 23
SG 13
SGIL

S8G17
sG4

SG 14
S8G8

SG 15
sGll

SG 15
SGIL
sci

SG 20
SGI

SG 15
sG4

SG 17
SG 15
SG1l
SG4


Delivery Room
HOSPITAL OPERATIONS AND
PATIENT SUPPORT SERVICE

Procurement, Property, and Supply

Physical Planning and Development
ice

Engineering and Facilities Management

Housekeeping/Laundry

FINANCE SERVICES

Accounting
Billing and Claims

Cash operations

“Existing Plantilla Positions at MMSU.

1 Nurse IT
1 Midwife I
1 Nursing Attendant

1 Administrative Officer V
1 Administrative Assistant I

Administrative Officer III
Administrative Officer
Administrative Assistant II

Administrative Officer III

Administrative Officer I
Administrative Assistant II

Engineer III
Engineer II

Administrative Officer I
Administrative Assistant II

2 Administrative Aide II
2 Administrative Aide I

1 Accountant III
1 Accountant IIL
1 Administrative Assistant I

Administrative Officer II
Administrative Officer 1
Administrative Assistant Il

Administrative Officer II]
Administrative Officer I
Administrative Assistant II

SG 15
sco
SG6

SG 18
SG7

SG 14
SG 10
SG8

SG 14

SG10
SG8

8G19
SG 16
SG 10

scs

SG4
8G3

SG19
SG 16
SG8

sGll
SG 10
SG8

SG14
SG 10
SGs


Additional plantilla positions shall be determined by MMSU, in consultation with the
Hospital management, DOH, Department of Budget and Management (DBM), and
Civil Service Commission (CSC), as bed capacity increases to Level 2 o 3

SEC. 9. Governance, The University Hospital shall operate under the direct
supervision and control of the MMSU Board of Regents (hereinafter referred to as the
Board"). The Board's powers are delineated in Presidential Decree No. 1279, entitled
"Merging The Mariano Marcos Memorial College Of Science And Technology And
Northen Luzon State College Into A State University To Be Known As The Mariano
Marcos State University, Transferring The College Level Courses Of Hocos Norte
Agricultural College And Hocos Norte College Of Arts And Trades Into Said
University, Providing A Charter For The Purpose, And Appropriating Funds Therefor,”
and other applicable laws and regulations, unless subsequently amended.

SEC. 10. Administration and Supervision. - The Chief of Hospital shall be appointed
by the MMSU Board of Regents upon recommendation of the Dean of MMSU-COM
and approval of the University President, subject to CSC and Board qualifications. The
Chief of Hospital shall be assisted by duly appointed medical and support personnel.

MMSU and the Chief of Hospital, in consultation with the DOH, shall prepare a
Hospital Development Plan containing timelines and benchmarks for facility upgrades,
staffing needs, budgetary estimates, and service capacity expansion.

SEC. 11. Faculty of the College of Medicine. - Medical specialists and medical
officers of the University Hospital shall constitute part of the core faculty of MMSU-
COM in accordance with CHED and CSC guidelines.

‘SEC. 12. Appropriations, - The amount necessary for the implementation of this Act
shall be included in the annual General Appropriations Act in the fiscal year
immediately following its enactment into law, and thereafter.

SEC, 13. Separability Clause. Should any provision or portion hereof be declared
invalid of unconstitutional, the remaining provisions or parts not otherwise affected
shall remain in full force and effect.

SEC. 14. Repealing Clause. All laws, decrees, executive orders, rules, and regulations,
or portions thereof inconsistent with the provisions of this Act, are hereby repealed or
modified accordingly.

SEC. 15. Effectivity. This Act shall take effect fifteen (15) days after its publication in
the Official Gazette or in a newspaper of general circulation.

Approved,