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Irr Ra 11712
Irr Ra 11712
SECTION
1. TITLE
These rules and regulations shall be known as the Implementing Rules and
Regulations (IRR) of
the Republic Act No. 11712, otherwise known as the “Public Health
Emergency Benefits and
Allowances for Health Care Workers Act”. Hereinafter, these rules and regulations shall be referred
to as the Rules.
Consistent with the Act, the following terms shall have the corresponding definitions:
Provided, That for purposes of future public health emergencies, the DOH
may formulate a
new risk exposure categorization.
6.1 All inclusion criteria provided herein shall be satisfied by the HCWs
eligible for the grant of HEA, which shall replace and not be on
and non-HCWs be
top of the One COVID-19
to
Allowance (OCA).
6.2 The risk exposure classification for the grant of HEA for COVID-19 shall be based on risk
classification to high, medium or low risks of eligible public and private HCWs and
non-HCWs asdefined under Section 3.4 of this IRR.
6.3 HEA for every month of service during the state of public health
emergency based on the
risk exposure categorization as defined in the Act, as follows:
a.Those deployed in “low risk areas” shall be given at least three thousand
pesos
(Php 3,000.00);
b. Those deployed in “medium risk areas” shall be given at least six thousand
pesos (Php 6,000.00); and
c. Those deployed in “high risk areas” shall be given at least nine thousand
pesos
(Php 9,000.00).
6.6. Subject to the approval of the President, and in consultation with the Department of Budget
and Management (DBM), the DOH may increase the amounts of HEA,
taking into
consideration the cost of necessary expenses incurred by HCWs and non-HCWs
rendering services at the time of public health emergency.
in
6.7. For future national public health emergency declared by the President, the DOH
may
formulate a new set of risk exposure classification.
6.9. The allowance provided herein shall be subject to existing taxation laws.
7.1.3. A compensation of fifteen thousand pesos (Php 15,000.00) shall be provided to the
HCWs and non-HCWs who contracted mild or moderate COVID-19
infection in the
line of duty and who have recovered.
7.6. The compensation provided herein shall be subject to existing taxation laws.
7.7. The successive order of priority in the granting of death benefits to the legal heirs of the
deceased HCWs and non-HCWs shall be in accordance with applicable rules of intestate
succession under Republic Act No. 386 or the Civil Code of the Philippines. In the absence
of the foregoing, the death benefits shall revert to the funds set aside for sickness and death
compensation for HCWs and non-HCWs.
7.8. For purposes of future public health emergencies, the DOH and the DBM,
subject to the
approvalof the President, may modify the case categorization and compensation.
8.1. PhilHealth shall provide full coverage of hospitalization costs of HCWs and non-HCWs
due to COVID-19, based on the DOH-approved issuances, subject to the following
guidelines:
8.1.1. Only hospitalized confirmed COVID-19 cases shall be covered, as supported with
test result performed in accordance with relevant DOH issuance on testing; and
8.1.2. PhilHealth shall cover direct health care costs based on the current standards for the
clinical management of COVID-19.
8.2. For future national public health emergencies of national scale declared by the President,
PhilHealth coverage for direct health care costs of hospitalized HCWs and non-HCWs shall
be subject to fund availability, and the Health Technology Assessment Council (HTAC)
assessment and recommendation.
8.2.1. Coverage of appropriate intervention for the condition/disease that caused the
public health emergency will be based on DOH guidelines; and
8.2.2. PhilHealth shall secure recommendation from the HTAC for
any new or innovative
health technology that will be included in the benefit package.
8.3. Regular testing of HCWs and non-HCWs, as often as necessary, based on DOH guidelines,
shall be fully covered by the PhilHealth, based on the following guidelines and conditions:
8.3.1. Regardless of vaccination status, the regular testing of HCWs and non-HCWs,
involved in COVID-19 response shall be covered;
8.3.2. Entitlement of PhilHealth beneficiaries to the benefit package for SARS-CoV-2
testing shall be based on current/relevant DOH guidelines in consideration of the
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RULE
It. APPLICATION OF BENEFITS
SECTION 9. RETROACTIVITY
The benefits under this IRR shall have retroactive application from July 1, 2021 and shall remain
in full force and effect during the stateof national public health emergency as declared by the
President.
Nothing in this Act shall be construed to reduce any existing allowance and benefit under Republic
Act Nos. 7305 or the “Magna Carta of Public Health Workers”, 7875
or the “National Health
Insurance Act of 1995”, 11223 or the Universal Health Care Act, pertinent PhilHealth
Circulars,
and other existing laws, decrees and issuances, executive orders, and
contracts or agreements
between health care and non-health care workers and employers.
For purposes of
resolving the dispute arising from the failure to grant the benefits under RA
No. 11712, a non-adversarial mediation shall be adopted to
encourage the amicable
settlement of disputes under this IRR.
11.3.1. The DOH-CO Grievance Board, which shall be composed of the following
members as provided by RA No. 11712:
11.4.1. Each CHD shall create in its respective regions, a Regional Ad Hoc Grievance
Board, which shall be composed ofthe
following members:
a. One
(1) grievance officer appointed by the CHD;
b. One
(1)representative from the health professional organizations or recognized
employees’ organizations; and
One (1) arbitration officer from the DOLE exercising jurisdiction where the
is
health facility concerned located.
11.6.1. The grievable issues covered by this IRR shall be solely limited to issues
arising
from the failure of granting the benefits and other issues related to the
benefits or allowance.
payment of
11.6.2. The following issues are excluded from this
scope:
a. Delay in the payment and prioritization of claims due to
incomplete and
non-compliant submission of documentary requirements;
b. PhilHealth payments not related to the grant of benefit and
compensation
provided by RA No. 11712;
c, Claims for other benefits and compensation provided under other laws; and
d. Conflicting claims of the heirs of the beneficiaries.
The CAGB and RAGB shall receive, investigate, adjudicate, and recommend actions to
arrive at settlement of complaints related to the failure of granting the benefits.
The jurisdiction of CAGB and RAGB shall be based on the areas of the processing units
where the claims are filed.
11.9. Who may File the Grievances to the Board
a.All HCWs and non-HCWs who filed their claims with the processing units were denied
payment of the grant provided under R.A. No. 11712 may file grievance claims with the
proper Grievances Board pursuant tothe preceding section.
b. In cases of incapacity making it impossible for the claimant to personally file his
claims, the claimant may authorize his next of kin or attorney in fact to file the claim
before the proper Grievance Board, provided, that the authorized representative shall
submit a Special Power of Attorney (SPA) and proof of
incapacity, if available, shall be
presented to the Grievance Board. Provided further, that proof capacity to execute an
SPA shall be provided and in
case the next of kin will show proof of relationship.
c. In case of death and for purposes of claiming the death compensation, the legal heirs
may file the claim before the appropriate Grievance Board.
d. In case of conflicting claims among the legal heirs of the HCWs or non-HCWs,
latter shall settle their conflicting claims in accordance with the rules applicable to
the
resolve their dispute.
12,1 Pursuant to Section 9 of RA No. 11712, the amount necessary for the implementation of the
said law shall be charged against the available appropriations of the DOH and any sources
available as may be identified by the DBM. Thereafter, the amount
necessary for its
continuous implementation during the state of national public health emergency, including
any deficiency in the funding of the COVID-19 benefits and allowances incurred during
the period of July 1, 2021 until the period of state of national public health
emergency
effect, shall be included in the General Appropriations Act (GAA) subject to existing
in
is
budgeting, accounting and auditing rules and regulations.
122 Further, as provided under the aforecited Section, notwithstanding the provisions under
Section 69 of Republic Act No. 11518, or the Fiscal Year (FY) 2021 GAA, as amended by
Republic Act No. 11640, and Section 75 of Republic Act No. 11639, or the FY 2022 GAA,
the President is authorized to exercise powers that are
necessary and proper to undertake
and implement the grant of COVID-19 benefits and allowances under this IRR,
and reprogram, reallocate, and realign unreleased appropriations and unobligated allotment
under the executive department, including government-owned or -controlled corporations,
in the FYs 2021 and 2022 GAAs as may be
necessary to augment the available
appropriations for the grant of COVID-19 benefits and allowances under this Act:
12.3. The DBM shall release the funds for the payment of the allowances and benefits consistent
with this Act.
If any part or parts of this IRR shall be declared unconstitutional or invalid, other sections or
provisions hereof not affected thereby shall continue to
be in full force and effect.
All laws, decrees, executive orders, executive issuances or letters of instruction, rules and
regulations or any part thereof inconsistent with or contrary to the provisions of this IRR are
hereby deemed repealed, amended or modified accordingly.
These Rules shall take effect immediately after its publication in the Official Gazette or in a
newspaper of general circulation with three (3) certified copies to be filed with the Office of the
National Administrative Register (ONAR) of
the University of the Philippines Law Center
So~
Digitally signed by
Vega Leopoldo
FRANCISCO T.
Secretary
DUQUE
II TINA ROS
OlC-Secretary
L. CANDA
Digitally signed by
Carlos G. Dominguez
Date: 2022.06.23
17:14:51 +08'00'