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

EIGHTEENTH CONGRESS
First Regular Session

House Bill No. 958

Introduced by Representative Ron P. Salo

EXPLANATORY NOTE

Elderly people have special healthcare needs that can make caring for them

more complicated. A large number of adults age 65 and older have 3 or more
medical problems, such as heart disease, diabetes, arthritis, or high blood pressure
In addition, it has long been recognized that older people are at greater risk of
acquiring certain diseases because human immune defenses become weaker with
age. Hence, older people need specialized care from healthcare professionals.

Recognizing the specific needs and vulnerabilities of the elderly, Section 11,
Article XIII of the Philippine Constitution highlights the duty of the State to prioritize
the health needs of the elderly, along with other underprivileged groups, sick
persons, the disabled, women, and children.

Intemational bodies have long affirmed the right of the elderly to the highest
attainable standard of health. In 1982, the United Nations (UN) General Assembly
endorsed the Vienna International Plan of Action on Aging, which highlighted health
and nutrition as key areas of concern for aging individuals. Stressing that policies
and programs which respond to the specific needs and constraints of the elderly
need to be implemented, the document stated that “the promotion of health, the
prevention of disease and the maintaining of functional capacities among elderly
persons should be actively pursued.” In 2002, the UN endorsed the Political
Declaration and Madrid International Plan of Action on Ageing, identifying the
following priorities for action: (i) older persons and development; (ii) advancing health
and well-being into old age; and (iii) ensuring that older people benefit from enabling
and supportive environments. The World Health Organization (WHO), in its 2015
World Report on Ageing and Health, stressed that ‘a wide range of laws, policies
and actions is required to help create the appropriate conditions to ensure that older
people can enjoy the highest attainable standard of health.”

In light of the foregoing, this bill seeks to establish a National Center for
Geriatric Health, a specialty hospital that will cater to the elderly population. The first
of its kind in the country, it will ensure the availability and accessibility of quality
health care services for the elderly. It will provide a full range of health care services
including primary health care, wellness services, and behavioral health care for the
elderly. It will be a fulfilment of the State's commitment under international laws to

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deliver, without discrimination of any kind, good quality health facilities, goods and
services. It is a step forward towards the full realization of the fundamental right to
health of the elderly.

Hence, approval of this bill is earnestly sought

RON P. SALO
KABAYAN Partylist

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

EIGHTEENTH CONGRESS
First Regular Session

House Bill No. __958

Introduced by Representative Ron P. Salo

AN ACT
ESTABLISHING THE NATIONAL CENTER FOR GERIATRIC HEALTH, DEFINING
ITS OBJECTIVES, POWERS AND FUNCTIONS,
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 “An Act Establishing
the National Center for Geriatric Health.”

SEC. 2. Declaration of Policy. — It is hereby declared the policy of the State
to protect and promote the right of the elderly to enjoy the highest attainable
standard of health. It shall ensure that quality health services are available and
accessible to them through the establishment of a specialized hospital that will cater
to their medical needs.

SEC. 3. Definition of Terms. — For the purpose of this Act, the following
terms shall be defined as follows:

a) Elderly, also sometimes referred to as Senior Citizen, refers to any
Filipino citizen who is at least sixty (60) years old

b)

Geriatrics refers to the branch of medicine that deals with the biological
and physical characteristic of aging, and the diagnosis and treatment of
diseases and problems specific to elderly people

°)

Geriatric health services refer to the medical services or intervention
provided to the elderly by a multi-specialty team usually headed by a
Geriatrician.

s

Geriatrician refers to a medical doctor who is specially trained to evaluate
and manage the unique healthcare needs and treatment preferences of
older people; and has passed the necessary training and examination to
specialize in the field geriatrics.

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e) Integrated delivery of geriatric health services refers to hospital and
community-based medical and psycho-social services provided to senior
citizens by a multi-disciplinary team,

f) Multi-disciplinary team refers to a team composed of health
professionals with varied expertise to provide holistic care, which includes
a range of interventions to address medical and psycho-social problems of
the elderly. The team is headed by a Geriatrician and includes surgeons,
organ-system specialists, nurses, clinical pharmacist, rehabilitation
therapists, nutritionists, dentists, social workers, caregivers, family
members, and patients themselves.

SEC. 4. National Center for Geriatric Health. — The National Center for
Geriatric Health (NCGH), a government owned and controlled corporation, is hereby
established as a specialty hospital for the primary benefit of the elderly or senior
citizens. The NCGH shall be located in San Miguel, Manila, and in such other places
that its Board may determine, and shall have a bed capacity of at least fifty (50)

SEC. 5. Purposes and Objectives. ~ The NCGH shall have the following
purposes and objectives:

a) Provide quality health care services tailored to the needs of the elderly;

b) Equip, maintain, administer and operate an integrated medical institution
which shall specialize in geriatric health services,

°)

Coordinate the various efforts and activities of other government agencies
and local government units for the purpose of achieving a more effective
approach to the delivery of geriatric health services;

d)

Promote and conduct medical and scientific researches relative to the

prevention, diagnosis, treatment, care, rehabilitation and relief of diseases
of the elderly;

e)

Encourage and assist in the education and training of physicians, nurses,
health officers, social workers and other medical and technical personnel
in the practical and scientific implementation of health services to the
elderly; and

f) Sponsor, hold or participate in congresses, conventions, seminars
conferences, workshops, and training programs on geriatric health
services or related fields in the Philippines and abroad

SEC. 6. Scope of Services. ~ Consistent with its purposes and objectives,
the NCGH shall provide the following services:

a) Hospital-based services to ensure the availability of medical facilities and
equipment necessary to provide long term and palliative services, with its

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wards divided into the following: dementia, long term care, palliative care,
respite care, and other units as may be deemed necessary:

b) Community-based services and programs in partnership with local
government units. Research and necessary training shall be conducted for
the social functioning of senior citizens and their families, utilizing the
multi-disciplinary team approaches; and external outsourcing of resources
may be done as needed to implement community based integrated
geriatric health services;

©) Education programs to pursue excellence and the highest level of practice
in the specialized field of geriatrics and other related fields; post-graduate
training and short-terms courses for medical doctors and allied medical
professionals; and

d) Program development and research to develop cutting edge research and
programs to combat diseases of old age and to improve health care
services for the elderly.

SEC. 7. Board of Trustees. — The NCGH shall have a Board of Trustees,
hereinafter referred to as the Board, to be composed of the following

a) Secretary of Health, as Chairperson;

b) Secretary of Social Welfare and Development, as Vice Chairperson;

c) The Executive Director of the NCGH;

d) Representative from the Federation of Senior Citizens Association of the
Philippines;

e) President of the Philippine College of Geriatric Medicine;

f) Representative from the academe with expertise in the field of geriatrics
and gerontology; and

g) Representative from non-government organizations which may be regional
or national in scope, mainly providing services for senior citizens, duly
registered with the Securities and Exchange Commission, Cooperative
Development Authority, or any appropriate government regulatory body,
and with programs accredited by the Department of Social Welfare and
Development, as members

The appointive members of the Board of Trustees shall be appointed by the
President of the Philippines and shall serve for a term of three (3) years.

Members serving in ex-officio capacities shall not be entitled to compensation
from the Board other than allowances for actual and necessary expenses incurred
either for attendance in meetings or other official business of the Board. The
appointive members shall be entitled to reasonable per diem allowances for their

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attendance to meetings and other official business of the Board. The per diem
allowances shall be adopted through a Resolution by the Board and shall comply
with existing guidelines on the grant of allowances

SEC. 8. Powers and Functions. — The Board shall have the following powers
and functions in addition to their general powers of administration:

a) Provide leadership and policy direction to the officials of NCGH to ensure
that its mandate is realized;

b) Formulate and adopt the by-laws, rules, and regulations, policies,
guidelines and procedures consistent with law and the provisions of this
Act to govern the administration and operations of the NCGH:

°)

Formulate and develop programs for the enhancement of healthcare
services for the elderly, including the training of NCGH personnel and
resident doctors;

d)

Enter into such agreements and arrangements with other medical
institutions, domestic or foreign, as may be necessary in attaining the
purposes and objectives of the NCGH;

e)

Receive in trust legacies, gifts, and donations, including real or personal
property of any kind, and administer the same for the benefit of the NCGH,
in accordance with the directions and instructions of the donor, and in
default thereof, in such manner as the Board of Trustees may, in its
discretion, determine;

f) Receive and appropriate to the ends specified by law such sums as may
be provided by law for the support of the NCGH; and

g) Perform such other acts as may be necessary for or incidental to the
accomplishment of the objectives of the NCGH:

SEC. 9. Organizational Structure and Staffing. — The Board shall approve
the organizational and staffing pattern of the NCGH subject to the evaluation by the
Civil Service Commission and of the Organizational Position Classification and
Compensation Bureau of the Department of Budget and Management. The Board
may reorganize said structure, modify staffing pattem, and create or abolish
divisions, sections or units in the NCGH.

SEC. 10. Appointment by, and Disciplining Authority of, the Board. ~ The
Board, either motu proprio or upon the recommendation of the Executive Director
shall have the authority to appoint, promote, transfer, remove, suspend, or otherwise
discipline the officers of the NCGH up to the level of Director, as well as to remove or
dismiss all other officials and employees of NCGH, subject to Civil Service laws
rules, and regulations.

SEC. 11. Executive Director. - The NCGH shall be headed by an Executive
Director who shall be appointed by the President of the Philippines upon the

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recommendation of the Secretary of Health. The Executive Director shall serve for a
term of five (5) years, may be reappointed once, and shall have a rank equivalent to
the Directors of the Department of Health administering the same bed capacity.

The Executive Director shall exercise the following powers and functions:

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

b) Submit for the consideration and approval of the Board proposed
measures, policies, guidelines, and programs as may be deemed

necessary or proper for the effective implementation of the purposes and
objectives of this Act;

°)

Direct and supervise the management, operation, and administration of
the NCGH, with the prerogative to delegate this power and any or some of
his/her administrative responsibilities and duties to the other officers of the
NCGH;

d

Execute, on behalf of the Board, all contracts and agreements which the
latter may enter into; and execute, accomplish and/or deliver any
document relative to such contracts and agreements;

e)

Represent the NCGH in all dealings with other offices, agencies, and
instrumentalities of the government, and all other persons or entities,
whether domestic or foreign and whether government or private;

f) Appoint, promote, transfer, and suspend officials and employees of the
NCGH below the level of Director; and

g) Exercise such other powers and perform such other duties as may be
vested or reposed by the Board

SEC. 12. Program for Indigents. — The Board shall ensure that the NCGH
shall adopt and enforce an effective program for indigents. The number of beds

allocated for the indigent patients shall not be less than forty per cent (40%) of the
total number of hospital beds.

SEC. 13. Increase of Bed Capacity. - The Board, pursuant to a valid
Resolution, may increase the bed capacity of NCGH upon compliance with
guidelines of the Department of Health concerning bed capacity

SEC. 14. Income Retention. — The NCGH is authorized to retain its earnings
from its operations for the improvement of its service delivery

SEC. 15. Tax Exemption and Other Privileges. — The provisions of any
general or special law to the contrary notwithstanding, all donations, grants.
contributions, gifts, endowments, received by the NCGH pursuant hereto, shall be
exempt from income, donor's, and all other kinds of taxes, and shall be further

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considered as allowable deductions from the gross income of the donor, in

accordance with the provisions of the National Internal Revenue Code of 1997, as
amended.

The NCGH is hereby declared exempt from all income and all other internal
revenue taxes, tariff and customs duties and all other kinds of taxes, fees, charges
and assessments levied by the government and its political subdivisions, agencies
and instrumentalities.

The NCGH may request and receive assistance from the different agencies,
bureaus, offices or instrumentalities of the government, including the Philippine
Charity Sweepstakes Office and the Philippine Amusement and Gaming Corporation
in pursuit of its purposes and objectives.

SEC. 16. Annual Report. — The NCGH shall submit an annual report to the
President of the Philippines, the Senate Committee on Health and Demography, and
the House Committee on Health, on its activities, accomplishments and
recommendations, to better improve the delivery of geriatric health services.

SEC. 17. Implementing Rules and Regulations (IRR). — Within (90) days
from the effectivity of this Act, the Secretary of Health, in coordination with the
Secretary of Welfare and Development and the Secretary of Budget and
Management, shall promulgate rules and regulations necessary for the effective
implementation of this Act.

SEC. 18. Appropriations. — The amount of Five Hundred Fifty Million Pesos
(PhP 500,000,000.00) is hereby appropriated for the initial operation and
maintenance of the NCGH. Thereafter, such amount as may be necessary for the
continued operation of the NCGH shall be included in the Annual General
Appropriations Act.

SEC. 19. Separability Clause. — If any provision of this Act is held invalid or
unconstitutional, the remainder of the Act or the provision not otherwise affected
shall remain valid and subsisting.

SEC. 20. Repealing Clause. — Any law, presidential decree or issuance
executive order, letter of instruction, administrative rule or regulation contrary to or
inconsistent with the provisions of this Act is hereby repealed, modified or amended
accordingly

SEC 21. Effectivity. - This Act shall take effect fifteen (15) days upon its
publication in at least two (2) national newspapers of general circulation

Approved.

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