MATRIX ON THE UNIVERSAL HEALTH CARE ACT
SBN 1458 SBN 1156
(SEN. JV EJERCITO) (SEN. SONNY ANGARA)
Sec. 1. Short Title: Universal Health Sec. 1. Short Title: Enhanced and
Care for All Filipinos Act Sustained Universal Health Care
Act of 2016 or the ENSURE Health
Act
Sec. 4. UHC Entitlement of Every Sec. 3. The Medical Residency
Filipino Expansion Training Program
Access to health services shall be The Medical Residency Expansion
through every Filipino's automatic Training Program is to be
inclusion into the National Health established to ensure a continuing
Insurance Program supply of trained medical
specialists, including primary care
specialists in the countryside and
provide training and work
opportunities for new physicians.
All graduates of Philippine medical
institutions who had passed the
Philippine Physicians Licensure
Examination is qualified to the
program.
SBN 845
(SEN. RAPLH RECTO)
Amendment of Republic Act No.
1169 or the Philippine Charity
Sweeptakes Office Charter - The
PCSO shall raise and provide
funds for the National Health
Insurance Program (NHIP) and
charities of national character, by
allocating 70% of the 30% Charity
Fund of the PCSO. It shall be
administered by the PhilHealth
for the purpose of achieving
universal health care coverage
and improved philhealth benefit
packages.
SBN 823 SBN 60
(SEN. RAPLH RECTO) (SEN. RAPLH RECTO)
Amendment of Republic Act No. Sec. 1. Short Title:
1169 or the Philippine Charity Enhanced Universal
Sweeptakes Office Charter - The Healthcare Act of
PCSO shall raise and provide funds 2016
for the National Health Insurance
Program (NHIP) and charities of
national character, by
appropriating ALL the 30% Charity
Fund of the PCSO as contributions
to the NHIP. It shall be
administered by the PhilHealth for
the purpose of achieving universal
health care coverage and improved
philhealth benefit packages.
Sec. 3. Universal
Healthcare
The PhilHealth shall
provide all Filipino
citizens an insurance
coverage under the
NHIP. All Filipinos
shall be covered and
shall not be required
to present a
Philhealth
Identification card to
avail of health
insurance benefits
but should present
any valid
identification card in
lieu thereof.
Sec. 5. Primary Care as First and
Continuing Point of Contact
All Filipinos are required to register
with a primary care facility which
shall be the initial point of contact
prior to gaining access to higher
level facilities, except
severe/emergency cases.
Sec. 7. Financing of Population-
based Health Services
The DOH, in consultatio with the
NEDA, shall determine the annual
per capita health allocation which
LGUs shall appropriate for health
and shall be complemented by
national government support.
Sec. 8. Renaming of PhilHealth
The PhilHeath shall be renamed as
Philippine Health Security
Corporation (PHSC) in view of the
expanded scope and role in
financial protection.
Sec. 4. Creation of Residency Sec. 4. Improved
Positions Benefit Packages
There shall be created 900 The improved benefit
residency positions per year for 3 packages shall
consecutive years, until it reaches guarantee an annual
a total of 2,700. benefit of at least
in P30,000.00 for each
PhilHealth member.
Sec. 6. Contract Sec. 5. Fund Sources
Upon admission, the trainee shall The fund
sign a 3-year training and service requirements to
contract. The trainee who has implement this Act
completed the three-year training shall be sourced from
under the Program shall render 1 the following:
year service for every year of (a.) Total sin tax
service or a total of 3 years in any collection;
government hospital of his/her (b) The 50% national
choice. Failure to finish the government share
training or render the required 3 from the income of
years shall reimburse the total the PAGCOR, and
cost of training and salaries and (c) the Charity Fund
benefits received during the said of the PCSO.
training.
Sec. 7. Incentives for Enrolment to
the Program
Qualified applicants to the
Program shall receive an annual
salary of P600,000.00 and upon
completion of the Residency
Training, they shall be allowed to
practice in DOH hospitals
nationwide.
Sec. 13. Public Access to Price
Information
Every health care facility is
mandated to establish a desk where
the public may obtain relevant and
up to date information regarding
prices of all goods and services
being offered by such facility
Sec. 17. Health Technology
Assistant Group (HTAG)
A HTAG will be established to
ensure explicit and transparent
prioritization of all health benefits
that the PHSC shall cover.
Sec. 18. Coverage of Health
Benefits
 Covers health benefits for both
outpatient and in-hospital care.
 Includes medicines, diagnostic
studies, vaccinations, and
geriatric care.
 Inpatient care includes room
and board; services of health
Sec. 9. Distribution of Resident
Traineess to Hospitals and LGUs
40% of the resident trainees shall
serve as primary care doctors who
shall be equally assigned in the
hospitals and in the municipalities
on rotation basis. 60% shall be
distributed to indicative hospital
departments of surgery, internal
medicine, obstetrics and
gynecology, pediatrics, anesthesis,
orthopedics and other specialties
such as cardiology, ENT and
ophthalmology.
Sec. 10. Creation of a Medical
Residency Training Board (MRTB)
There shall be created a MRTB to
ensure the quality of medical
residency training. The Board shall
be headed by the Secretary of
DOH and the Assistant Secretary
of DOH, as Vice Chairperson. The
members shall be representatives
from the PRC, CSC, DILG, PMA and
Philippine Health Association
(PHA).
 care professionals including
dentists; diagnostic, laboratory,
and other medical and dental
services; use of surgical,
medical, or dental equipment
and facilities; prescription of
drugs and biologicals; inpatient
education packages; and post-
inpatient hospital care
rehabilitation services.

 Out-patient care includes

services of health care
professionals including
dentists; diagnostic, laboratory
and other medical and dental
services; use of surgical,
medical or dental equipment
and facilities; personal
preventive services;
prescription drugs and
biologicals; and port-outpatient
surgical home and
rehabilitation services.

Sec. 20. Patient-friendly

Procedures
The DOH shall adopt a standard
admission, billing and discharge
procedures which will ensure that
(1) patients are not treated
differently based on their capacity
to pay; (2) patients are
accomodated and provided
necessary health service at the
most convenient, responsive and
efficient way, and (3) medical social
workers are seamlessly integrated
into a single process.
Sec. 22. Network of Health Service
Providers
All health facilities are mandated to
form a single network for purposes
of effective referral system.
Sec. 23. Establishment of New
Health Care Facilities
All new health facilities shall be in
line with the health facility
development plan and shall require
the issuance of a Certificate of Need
from the DOH prior to
establishment.
Sec. 24. Income Retention
All government hospitals are hereby
authorized to retain and utilize
100% of their income that will
constitute the trust fund for capital
outlays for the purpose of
equipment and infrastructure
projects, other expenses for
maintenance and operation of the
facility, assistance to indigents,
additional allowances of medical
personnel and staff and for other
purposes to be determined by the
DOH.
Sec. 25. Government Hospitals as
No Balance Billing (NBB) hospitals
All government hospitals are
required to operate with not less
than 90% NBB beds. Specialty
hospitals are required to operte
with not less than 60%, and private
hospitals not less than 10% of their
capacity as NBB beds.
Sec. 26. Appropriate Compensation
Package
The DOH shall set up a board which
shall determine the remuneration
and other benefits due to health
professionals based on their
qualification, with rates updated
periodically.
Sec. 29. Available Plantilla Items
The DOH shall work with the DBM
to regularly adjust plantilla items in
the government health facilities for
both general practitioners and
specialists, including residency
positions such that the ratio for
health professionals will be met
Sec. 30. Return of Service
Health professional graduates from
public schools shall be required to
serve for at least two (2) full years
in an undeserved area or in the
public sector prior to obtaining their
permanent/official license to
practice.
Sec. 31. Publicly-funded Health
Professional Education
Within the nect five (5) years, the
DOH shall ensure that health
professional education shall be
publicly funded. The DOH, CHED
and DBM shall develop and plan the
expansion of health professional
education degree programs as well
as regulate the slots for each
depending on market needs.
Sec. 34. Health Research Data
Warehouse
DOH shall create a databank which
shall serve as a hubof all health
transactions/data including but not
limited to administrative, medical,
prescription and reimbursement
data.
Sec. 37. Generics prescribing
All medical, dental and veterinary
practitioners, including private
practitioners, shall write
prescriptions using the international
nonproprietary name (INN) or
generic name ONLY. No brand
names shall be allowed in any part
of the prescription.
Sec. 38. Availability of Generics
All drug outlets shall be required at
all times to carry the generic
equivalent of all drugs in the
Primary Care Formulary.
Sec. 39. Informed Choice
All health care providers are
required to put up a desk within
their health facilities where the
public can readily access pertinent
information regarding the costs of
medical services. Drug outlets shall
be required to provide customers
with a list of therapeutic equivalent
and their corresponding prices
when fulfilling prescriptions and/or
in any transaction.
Sec. 41. Tarriff Exemption for Raw
Materials of Medicines
Manufacturers of generic medicines
may apply for exemption from
tariffs through PEZA in the
importation of raw materials for the
sole use in the manufacturing of
generic medicines.
Sec. 55. Reorganization of
Philhealth
The PHSC shall be governed by a
Board of Directors, composed of the
following members: the Secretary
of DOH, DOLE, DILG, DSWD, DBM,
the President and CEO of PHSC, Vice
Chairperson of the National Anti-
Poverty Commission, PCSO,
PAGCOR as ex-officio board
members. The appointive board
members shall be composed of the
following: a permanent
representative of Filipino migrant
workers, members in the formal
and informal economy,
representative of employers, health
care providers and a permanent
representative of the elected local
chief executives.