Study Set Content:
Within two (2) years from the effectivity of this Act, PhilHealth shall implement a comprehensive outpatient benefit, including outpatient drug benefit and emergency medical services in accordance with the recommendations of the
Health Technology Assessment Council (HTAC)
HTAC created under
Section 34 hereof.
- The DOH and the local government units (LGUs) shall endeavor to provide a health care delivery system that will afford every Filipino a primary care provider that would act as the navigator, coordinator, and initial and continuing point of contact in the health care delivery system: Provided, That except in emergency or serious cases and when proximity is a concern, access to higher levels of care shall be coordinated by the primary care provider; and
Every Filipino shall register with a public or private primary care provider of choice. The DOH shall promulgate the guidelines on the licensing of primary care providers and the registration of every Filipino to a primary care provider.
- The DOH and the local government units (LGUs) shall endeavor to provide a health care delivery system that will afford every Filipino a primary care provider that would act as the navigator, coordinator, and initial and continuing point of contact in the health care delivery system: Provided, That except in emergency or serious cases and when proximity is a concern, access to higher levels of care shall be coordinated by the primary care provider; and
Every Filipino shall register with a public or private primary care provider of choice. The DOH shall promulgate the guidelines on the licensing of primary care providers and the registration of every Filipino to a primary care provider.
Membership into the Program shall be simplified into two (2) types,
direct contributors and indirect contributors,
Membership into the Program shall be simplified into two (2) types, direct contributors and indirect contributors, as defined in
Section 4 of this act
: Provided, That failure to pay premiums shall not prevent the enjoyment of any Program benefits: Provided, further, That employers and self-employed direct contributors shall be required to pay all missed contributions with an interest, compounded monthly, of at least FOR EMPLOYERS
three percent (3%)
: Provided, That failure to pay premiums shall not prevent the enjoyment of any Program benefits: Provided, further, That employers and self-employed direct contributors shall be required to pay all missed contributions with an interest, compounded monthly, of at least FOR SELF-EARNING PROFESSIONALS
(1.5%)
The PhilHealth Board of Directors, hereinafter referred to as the Board, is hereby reconstituted to have a maximum of how many members
13
thirteen (13) members, consisting of the following:
five (5) ex officio members
three (3) expert panel members
five (5) sectoral panel members
five (5) ex officio members, namely:
- Secretary of Health,
- Secretary of Social Welfare and Development,
- Secretary of Budget and Management,
- Secretary of Finance,
- Secretary of Labor and Employment
(2) three (3) expert panel members with expertise in
- public health,
- management,
- finance, and
- health economics; and
(5) sectoral panel members, representing the
- direct contributors,
- indirect contributors,
- employers group,
- health care providers to be endorsed by their national associations of health care institutions and health care professionals, and
- representative of the elected local chief executives to be endorsed by the League of Provinces of the Philippines, League of Cities of the Philippines and League of Municipalities of the Philippines:
How many woman in the expert panel members
1
How many women sectoral panel members
2
The sectoral and expert panel members must be
- Filipino citizens and of good moral character.
The expert panel members must:
- (i) be of recognized probity and independence and must have distinguished themselves professionally in public, civic or academic service;
- (ii) be in the active practice of their professions for at least seven (7) years; and
- (iii) not be appointed within one (1) year after losing in the immediately preceding elections, whether regular or special.
shall be an ex officio nonvoting Chairperson of the Board.
Secretary of Health
All appointive members of the Board shall be required to undergo training in health care financing, health systems, costing health services and HTA prior to the start of their term. Noncompliance shall be a
ground for dismissal
days following the effectivity of this Act, the Governance Commission for Government-Owned or -Controlled Corporations (GCG) shall, in accordance with the provisions of Republic Act No. 10149, promulgate the nomination and selection process for appointive members of the Board with a clear set of qualifications, credentials, and recommendation from the concerned sectors.
30
Within thirty (30) days following the effectivity of this Act, the Governance Commission for Government-Owned or -Controlled Corporations (GCG) shall, in accordance with the provisions of Republic Act
No. 10149,
