Legislations and Government

Policies Affecting Hospitals

 Republic Act
An act passed by the Congress of the Philippines, while the form
of government is Republican Government
Republic Act
• RA No. 349 – (Approved: May 17, 1949) Legalizes the use of human
organs for surgical, medical and scientific purposes
• RA No. 1054 – (June 12, 1954) Requires owners/lessee/operator of any
commercial, industrial or agricultural establishment to furnish free
emergency, medical and dental assistance to his employees and laborers.
• RA No. 1612 – (August 24, 1956) Payment of Privilege taxes; must be
paid before any business or occupation can be lawfully begun or pursued.
Republic Act
• RA No. 4226 – (June 19, 1965) Hospital Licensure Act; requires all hospitals
to be licensed before it can operate
• The Bureau of Medical Services – licensing agency, set standards in hospital construction
and operation; the Powers and duties include:

• conduct an ocular survey • make periodic inspection of all hospitals

• prescribe standard plans for government
hospital plants
• approve plans for hospital plants and
issue permits
• keep a permanent register of approved
hospitals or those issued licenses to
operate
• Grant or revoke licenses for the
operation and maintenance of hospitals
• publish yearly a list of all approved
hospitals
• submit yearly reports to the Secretary of
Health and make recommendations on
hospital needs or requirements for
hospital service in certain communities
that do not enjoy such hospital services
Republic Act
• RA No. 5921 – (June 21, 1969) The Pharmacy Act
• RA No. 5901 – (June 21, 1969) Prescribes 40 hours a week of labor for
government and private hospitals or clinic personnel
• RA No. 6111 – (August 4, 1969) “Philippine Medical Care Act of 1969”
• Provide total medical service to the people
• RA No. 6675 – (September 13, 1988) Generics Act of 1988
• Drug outlets, including hospital pharmacies shall inform buyers about all other products
having the same generic name together with their prices
Republic Act
• RA No. 6727 – (June 9, 1989) Wage Rationalization Act; rationalize fixing of
minimum wages
• Section 5. Daily minimum wage rates (Private hospitals):
Outside National Municipalities and
National Capital Region Capital Region Cities with
population not more
With bed capacity of more than 100 = 64.00- than 150,000
89.00
With bed capacity of 100 or less = 60.00- 60.00-85.00 60.00-75.00
85.00
Republic Act
• RA No. 6758 – (August 21, 1989) Compensation and Position Classification
Act of 1989; Department of Budget and Managements (DBM) is directed to
establish and administer a unified Compensation and Position Classification
System
• All allowances shall be deemed included in the standardized salary rates herein
prescribed
• RA No. 7164 – (November 21, 1991) Philippine Nursing Act of 1991
• RA No. 7170 – (January 7, 1992) Organ Donation Act of 1991
Republic Act

• RA No. 7875 – (July 25, 1994) National Health Insurance Act of 1995
• This Act seeks to provide all citizens of the Philippines with the mechanism to gain
financial access to health services
• To serve as the means to help the people pay for health care services
• Prioritize and accelerate the provision of health services to all Filipinos
• Establish the PHIC
Republic Act
• RA No. 8344 – (August 25,1997) An Act penalizing the refusal of hospitals
and medical clinics to administer appropriate initial medical treatment and
support in emergency or serious cases
• It shall be unlawful to request, solicit, demand or accept any deposit or any
other form of advance payment as a prerequisite for confinement or medical
treatment or to refuse to administer medical treatment and support as dictated
by good practice of medicine to prevent death or permanent disability
Republic Act
• RA No. 9439 – (April 27, 2007) An Act Prohibiting The Detention of Patients
in Hospitals and Medical Clinics on Grounds of Non-payment of Hospital
Bills or Medical Expenses
• Any officer/employee of the hospital or medical clinic responsible for
releasing patients who violates this act shall be punished by a fine of not less
than P20,000, but not more that P50,000, or imprisonment of not less than 1
month but not more that 6 months.
 Presidential Decree
An order of the President. This power of the President which allows him/her
to act as legislators was exercised during the Martial Law
Presidential Decree
• PD No. 169 – (April 4, 1973) Requiring doctors, hospitals, clinics, etc. to
report treatment for physical injuries.
• PD No. 442 – (May 1, 1974) – Labor Code of the Philippines
• Normal hours shall not exceed 8 hours a day, five days a week
• PD No. 626 – (December 27, 1974) Employee Compensation and State
Insurance Fund.
• Provide benefits covered by SSS and GSIS for immediate injury, illness and disability
Presidential Decree
• PD No. 851 – (December 16, 1976)Requiring all employers to pay their
employees a 13th month pay
• PD No. 4226 – (June 19, 1965) Hospital Licensure Act
 Administrative Order

Acts of the President which relate to particular aspects of governmental operations in

pursuance of his duties as administrative head shall be promulgated in administrative orders
Administrative Order
• AO 147 – (April 28, 2004)“Revised Rules and Regulations Governing
the Registration, Licensure and Operation of Hospitals and Other Health
Facilities in the Philippines”
• Issued to implement the provisions of RA No. 4226
• Has been further amended to AO 2005-0029 (December 12, 2005) & AO 2005-
0029-A (January 12, 2009)
Administrative Order
• AO 2006-0004 – (March 13, 2006) Guidelines for the Issuance of
Certificate of Need to Establish a New Hospital
• Ammended to AO 2006-0004-A (January 15, 2007)
• AO 2007-0021 – (June 6, 2007) Harmonization and Streamlining of the
Licensure System of Hospitals
• AO 2007-0022 – (June 6, 2007)Violations under the One-stop Licensure
System for Hospitals
Administrative Order
• AO 2007-0023 – (June 6, 2007) Schedule of Fees for the One-stop Shop
Licensure System for Hospitals
• AO 2007-0024 – (June 6, 2007) Guidelines for the Licensure of
Department of Health Hospitals
• AO 2007-0041 – (November 7, 2007) Guidelines on the Mandatory
Allocation of a Certain Percentage of the Authorized Bed Capacity as
Charity Beds in Private Hospitals
Administrative Order
• AO 2008-0001 -  (January 7, 2008) Implementing Rules and Regulations
of Republic Act No. 9439, Otherwise Known as "An Act Prohibiting the
Detention of Patients in Hospitals and Medical Clinics on Grounds of
Non-Payment of Hospital Bills or Medical Expenses”
• AO 2008-0002 – (January 16, 2008) Posting of Scheduled Fees for
Laboratory and Other Diagnostic Services of Hospitals and Other Health
Facilities
Department Memorandum
 Department Memorandum
• DM 2008-0020 – (February 1 2008) Reiterating the Provision of Newborn
Screening Services as a Mandatory Licensing Requirement For All
Hospitals
• DM 2008 – 0253 – (November 4, 2008) Reiterating The Posting of
Schedule of Fees for Laboratory and Other Diagnostic Services of
Hospitals and Other Regulated Health Facilities as a Mandatory
Requirement for Licensing or Accreditation
 Department Memorandum
• DM 2007-0099 – (July 13, 2007) Permits Issued by Other Health
Facilities That Do Not Have a Pharmacy
• DM 2009-0042 – (February 20, 2009) Rules and Regulations for the
Licensing of Level 1 Hospitals and Other Health Facilities That Do Not
Have A Pharmacy