consolidated reproductive health bill full text – House Bill RH 4244

15 March 2011

HON. ROGELIO J. ESPINA
Chairman
Committee on Population and Family Relations
House of Representatives
Constitution Hills, Quezon City

Dear Chairman Espina:

The principal authors of House Bill 4244, the consolidated substitute bill on “The Responsible Parenthood, Reproductive Health and Population and Development Act of 2011? met yesterday to formalize voluntary amendments to the bill in order to preclude misconceptions and protracted debates. The authors have also authorized me to inform you that the following amendments be adopted as Committee amendments at the proper time:

1. Section 13 on “Roles of Local Governments in Family Planning Programs” found on lines 9-14, page 12, of the bill, which reads: “The LGUs shall ensure that poor families receive preferential access to services, commodities and programs for family planning. The role of Population Officers at municipal, city and barangay levels in the family planning effort shall be strengthened. Barangay health workers and volunteers shall be capacitated to give priority to family planning work.”

should be amended by deleting the phrase “give priority to family planning work.” found in the last sentence of the Section, and should be substituted with the phrase “help implement this Act.” This would obviate complaints that family planning is given inordinate priority.

2. Section 15 on “Mobile Health Care Service” found on page 12, lines 20-25, and page 13, lines 1-6, reading “Each Congressional District may be provided with at least one (1) Mobile Health Care Service (MHCS) in the form of a van or other means of transportation appropriate to coastal or mountainous areas. The MHCS shall deliver health care supplies and services to constituents, more particularly to the poor and needy, and shall be used to disseminate knowledge and information on reproductive health. The purchase of the MHCS may be funded from the Priority Development Assistance Fund (PDAF) of each congressional district. The operation and maintenance of the MHCS shall be operated by skilled health providers adequately equipped with a wide range of reproductive health care materials and information dissemination devices and equipment, the latter including, but not limited to, a television set for audio-visual presentations. All MHCS shall be operated by a focal city or municipality within a congressional district.”

should be amended to read as follows: “Each Congressional District may be provided with at least one (1) Mobile Health Care Service (MHCS) in the form of a van or other means of transportation appropriate to coastal or mountainous areas, the procurement and operation of which shall be funded by the National Government. The MHCS shall deliver health care supplies and services to constituents, more particularly to the poor and needy, and shall be used to disseminate knowledge and information on reproductive health. [The purchase of the MHCS may be funded from the Priority Development Assistance Fund (PDAF) of each congressional district.] The operation and maintenance of the MHCS shall be operated by skilled health providers adequately equipped with a wide range of reproductive health care materials and information dissemination devices and equipment, the latter including, but not limited to, a television set for audio-visual presentations. All MHCS shall be operated by a focal city or municipality within a congressional district.”

The reason for this amendment is to liberate the PDAF without prejudice to Members of the House who may still wish to use a portion of their PDAF for the purchase and operation of the MHCS.

3. Section 16 on “Mandatory Age-Appropriate Reproductive Health and Sexuality Education” found on page 13 from lines 7-25, and page 14 from lines 1-13, which reads: “Age-appropriate Reproductive Health and Sexuality Education shall be taught by adequately trained teachers in formal and non-formal education system starting from Grade Five up to Fourth Year High School using life skills and other approaches. The Reproductive Health and Sexuality Education shall commence at the start of the school year immediately following one (1) year from the effectivity of this Act to allow the training of concerned teachers. The Department of Education (DEPED), Commission on Higher Education (CHED), TESDA, Department of Social Welfare and Development (DSWD), Department of Health (DOH) shall formulate the Reproductive Health and Sexuality Education curriculum. Such curriculum shall be common to both public and private schools, out of school youth, and enrollees in the Alternative Learning System (ALS) based on, but. not limited to, the psychosocial and physical wellbeing, demography and reproductive health, and the legal aspects of reproductive health.

“Age-appropriate Reproductive Health and Sexuality Education shall be integrated in all relevant subjects and shall include, but is not limited to, the following topics:

Values formation;

Knowledge and skills in self protection against discrimination, sexual violence and abuse, and teen pregnancy; Physical, social and emotional changes in adolescents; Children’s and women’s rights; Fertility awareness; STI, HIV and AIDS; Population and development; Responsible relationship; Family planning methods; Proscription and hazards of abortion; Gender and development; and Responsible parenthood.

“The DepEd, CHED, DSWD, TESDA, and DOH shall provide concerned parents with adequate and relevant scientific materials on the age-appropriate topics and manner of teaching Reproductive Health Education to their children.”

should be amended by providing a final paragraph which shall read: “Parents shall exercise the option of not allowing their minor children to attend classes pertaining to Reproductive Health and Sexuality Education.”

4. Section 20 on “Ideal Family Size” found from lines 5-9 on page 15 which reads: “The State shall assist couples, parents and individuals to achieve their desired family size within the context of responsible parenthood for sustainable development and encourage them to have two children as the ideal family size. Attaining the ideal family size is neither mandatory nor compulsory. No punitive action shall be imposed on parents having more than two children.”

should be deleted in its entirety considering that the norm on ideal family size is neither mandatory nor punitive. Its total deletion will preclude further misinformation and misrepresentation as to the import of the provision. Moreover, its deletion will also underscore freedom of informed choice.

5. Section 21 on “Employers’ Responsibilities” found on page 15 from lines 10-15 and on page 16 from lines 1-4 which reads: “The Department of Labor and Employment (DOLE) shall ensure that employers respect the reproductive rights of workers. Consistent with the intent of Article 134 of the Labor Code, employers with more than 200 employees shall provide reproductive health services to all employees in their own respective health facilities. Those with less than 200 workers shall enter into partnerships with hospitals, health facilities, or health professionals in their areas for the delivery of reproductive health services.

“Employers shall furnish in writing the following information to all employees and applicants:

1. The medical and health benefits which workers are entitled to, including maternity and paternity leave benefits and the availability of family planning services;

2. The reproductive health hazards associated with work, including hazards that may affect their reproductive functions especially pregnant women; and

3. The availability of health facilities for workers.

“Employers are obliged to monitor pregnant working employees among their workforce and ensure that they are provided paid half-day prenatal medical leave for each month of the pregnancy period that the pregnant employee is employed in their company or organization. These paid prenatal medical leave shall be reimbursable from the Social Security System (SSS) or the Government Service Insurance System (GSIS), as the case may be.”

should be deleted in its entirety considering that this provision is a restatement and amplification of the existing Article 134 of the Labor Code. This deletion would obviate further objections and debates.

5. Section 28 (e) on “Prohibited Acts” found on lines 24-25 on page 21 which reads: “Any person who maliciously engages in disinformation about the intent and provisions of this Act.” should be deleted in its entirety in order to afford widest latitude to freedom of expression within the limits of existing penal statutes.

Thank you and warmest personal regards.

Very truly yours,
EDCEL C. LAGMAN

this is the revised and latest RH Bill version that is up for review in congress. this consolidates all the other RH Bill that have been filed during the current congress to the original RH Bill 5043.

post your comments here.

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Republic of the Philippines

HOUSE OF REPRESENTATIVES

Quezon City, Metro Manila

Fifteenth Congress

First Regular Session

HOUSE BILL NO. _____

(In substitution to House Bill Nos. 96, 101, 513, 1160, 1520 & 3387)

Introduced by

Honorables Edcel C. Lagman, Arnulfo Fegarido Go, Janette L. Garin, Arlene Bag-ao, Walden Bello, Rodolfo G. Biazon, Rodante D. Marcoleta, Augusto Syjuco, Luzviminda Ilagan, Emerenciana De Jesus, Robert Estrella, Mar-Len Abigail S. Binay, Francis Emmanuel R. Ortega, Nur Gaspar Jaafar, Eufranio C. Eriguel, M.D., Ma. Angelica M. Amante-Matba, Catalina Leonen-Pizzaro, Marc Douglas Cagas IV, Salvador Escudero IIII, Napoleon Dy, Nur-Ana Sahidulla, Romeo Jalosjos Jr, Ignacio Arroyo Jr., Carol Jayne B. Lopez, Ronald V. Singson, Abigail C. Ferriol, Jeffrey Padilla Ferrer, Joel Roy Duavit, Jesus “Boying” F. Celeste, Teddy A. Casiño, Teddy Brawner

Baguilat Jr., Simeon A. Datumanong, Seth F. Jalosjos, Josefina Manuel Joson, Raymond Democrito C. Mendoza, Reena Concepcion G. Obillo, Raymond V. Palatino, Carlos Mapili Padilla, Angelo B. Palmones, Philip Arreza Pichay, Jesus Crispin Catibayan Remulla, Mark Aeron H. Sambar, Danilo Etorma Suarez, Susan A. Yap, Jose F. Zubiri III, Antonio L. Tinio, Victor Jo Yu, Ana Cristina Siquian Go, Emmeline Y. Aglipay, David L. Kho, Imelda Quibranza-Dimaporo, Vicente Florendo Belmonte Jr., Rodolfo Castro Fariñas, Eric Gacula Singson Jr., Narciso Recio Bravo Jr., Orlando Bongcawel Fua, Roy Maulanin Loyola, Mary Mitzi Lim Cajayon, Arturo Ompad Radaza, Pastor M. Alcover Jr., Leopoldo Nalupa Bataoil, Victor Francisco Campos Ortega,

Sharon S. Garin, Nicanor M. Briones, Godofredo V. Arquiza, Nancy Alaan Catamco, Acmad Tomawis, Mohammed Hussein P. Pangandaman, Elmer Ellaga Panotes, Aurora Enerio Cerilles, Antonio Chaves Alvarez, Rodel M. Batocabe, Enrique Murphy Cojuangco, Bernardo Mangaoang Vergara, Daisy Avance-Fuentes, Luis Robredo Villafuerte, Cresente C. Paez, Michael Angelo C. Rivera, Antonio Diaz, Jose Ping-ay, Teodorico Haresco, Josephine Veronique Lacson-Noel, Solaiman Pangandaman, Kimi S. Cojuangco, Jerry Perez Treñas, Niel Causing Tupas, Jr., Florencio Tadiar Flores, Jr., Jorge “Bolet” Banal, Rafael V. Mariano, Teddy A. Casiño, Neri Colmenares

AN ACT

PROVIDING FOR A COMPREHENSIVE POLICY ON RESPONSIBLE PARENTHOOD,

REPRODUCTIVE HEALTH, AND POPULATION AND DEVELOPMENT, AND FOR OTHER PURPOSES

Be it enacted by the Senate and the House of Representatives of the Philippines

in Congress assembled:

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SECTION 1. Title. – This Act shall be known

1 as the “The Responsible

2     Parenthood, Reproductive Health and Population and Development Act of 2011.”

3    SEC. 2. – Declaration of Policy. – The State recognizes and guarantees the

4    exercise of the universal basic human right to reproductive health by all persons,

5     particularly of parents, couples and women, consistent with their religious convictions,

6     cultural beliefs and the demands of responsible parenthood. Toward this end, there

7     shall be no discrimination against any person on grounds such as sex, age, religion,

8     sexual orientation, disabilities, political affiliation and ethnicity.

9     Moreover, the State recognizes and guarantees the promotion of gender

10     equality, equity and women’s empowerment as a health and human rights concern. The

11     advancement and protection of women’s human rights shall be central to the efforts of

12     the State to address reproductive health care. As a distinct but inseparable measure to

13     the guarantee of women’s human rights, the State recognizes and guarantees the

14     promotion of the welfare and rights of children.

15     The State likewise guarantees universal access to medically-safe, legal,

16     affordable, effective and quality reproductive health care services, methods, devices,

17     supplies and relevant information and education thereon even as it prioritizes the needs

18     of women and children, among other underprivileged sectors.

19     The State shall eradicate discriminatory practices, laws and policies that infringe

20     on a person’s exercise of reproductive health rights.

21     SEC. 3. Guiding Principles. – This Act declares the following as guiding

22     principles:

23     (a) Freedom of choice, which is central to the exercise of right must be fully

24     guaranteed by the State;

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(b) Respect for, protection and fulfillment of reproductive

1 health and rights

2     seek to promote the rights and welfare of couples, adult individuals, women and

3     adolescents;

4     (c) Since human resource is among the principal assets of the country,

5    maternal health, birth of healthy children and their full human development and

6     responsible parenting must be ensured through effective reproductive health care;

7     (e) The provision of medically safe, legal, accessible, affordable and effective

8     reproductive health care services and supplies is essential in the promotion of people’s

9     right to health, especially of the poor and marginalized;

10     (f) The State shall promote, without bias, all effective natural and modern

11     methods of family planning that are medically safe and legal;

12     (g) The State shall promote programs that: (1) enable couples, individuals

13     and women to have the number and spacing of children they desire with due

14     consideration to the health of women and resources available to them; (2) achieve

15     equitable allocation and utilization of resources; (3) ensure effective partnership among

16     the national government, local government units and the private sector in the design,

17     implementation, coordination, integration, monitoring and evaluation of people-centered

18     programs to enhance quality of life and environmental protection; (4) conduct studies to

19     analyze demographic trends towards sustainable human development and (5) conduct

20     scientific studies to determine safety and efficacy of alternative medicines and methods

21     for reproductive health care development;

22     (h) The provision of reproductive health information, care and supplies shall

23     be the joint responsibility of the National Government and Local Government Units;

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(i) Active participation by non-government, women’s, people’s, 1 civil society

2     organizations and communities is crucial to ensure that reproductive health and

3     population and development policies, plans, and programs will address the priority

4     needs of the poor, especially women;

5     (j) While this Act recognizes that abortion is illegal and punishable by law, the

6     government shall ensure that all women needing care for post-abortion complications

7     shall be treated and counseled in a humane, non-judgmental and compassionate

8     manner;

9     (k) There shall be no demographic or population targets and the mitigation of

10     the population growth rate is incidental to the promotion of reproductive health and

11     sustainable human development;

12     (l) Gender equality and women empowerment are central elements of

13     reproductive health and population and development;

14     (m) The limited resources of the country cannot be suffered to be spread so

15     thinly to service a burgeoning multitude that makes the allocations grossly inadequate

16     and effectively meaningless;

17     (n) Development is a multi-faceted process that calls for the coordination and

18     integration of policies, plans, programs and projects that seek to uplift the quality of life

19     of the people, more particularly the poor, the needy and the marginalized; and

20     (o) That a comprehensive reproductive health program addresses the needs

21     of people throughout their life cycle.

22     SEC. 4. Definition of Terms. – For the purposes of this Act, the following terms

23     shall be defined as follows:

24

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Adolescence refers to the period of physical and physiological

1 development of

2     an individual from the onset of puberty to complete growth and maturity which usually

3     begins between 11 to 13 years and terminating at 18 to 20 years of age;

4     Adolescent Sexuality refers to, among others, the reproductive system, gender

5     identity, values and beliefs, emotions, relationships and sexual behavior at

6     adolescence;

7     AIDS (Acquired Immune Deficiency Syndrome) refers to a condition

8     characterized by a combination of signs and symptoms, caused by Human

9     Immunodeficiency Virus (HIV) which attacks and weakens the body’s immune system,

10     making the afflicted individual susceptible to other life-threatening infections;

11     Anti-Retroviral Medicines (ARVs) refer to medications for the treatment of

12     infection by retroviruses, primarily HIV;

13     Basic Emergency Obstetric Care refers to lifesaving services for maternal

14     complications being provided by a health facility or professional, which must include the

15     following six signal functions: administration of parenteral antibiotics; administration of

16     parenteral oxytocic drugs; administration of parenteral anticonvulsants for pre17

eclampsia and eclampsia; manual removal of placenta; removal of retained products;

18     and assisted vaginal delivery;

19     Comprehensive Emergency Obstetric Care refers to basic emergency

20     obstetric care including performance of caesarian section and blood transfusion;

21     Employer refers to any natural or juridical person who hires the services of a

22     worker. The term shall not include any labor organization or any of its officers or agents

23     except when acting as an employer;

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Family Planning refers to a program which enables

1 couples, individuals and

2     women to decide freely and responsibly the number and spacing of their children,

3     acquire relevant information on reproductive health care, services and supplies and

4     have access to a full range of safe, legal, affordable, effective natural and modern

5     methods of limiting and spacing pregnancy;

6     Gender Equality refers to the absence of discrimination on the basis of a

7    person’s sex, sexual orientation and gender identity in opportunities, allocation of

8    resources or benefits and access to services;

9     Gender Equity refers to fairness and justice in the distribution of benefits and

10     responsibilities between women and men, and often requires women-specific projects

11     and programs to end existing inequalities;

12    Healthcare Service Provider refers to (1) health care institution, which is duly

13     licensed and accredited and devoted primarily to the maintenance and operation of

14     facilities for health promotion, disease prevention, diagnosis, treatment, and care of

15     individuals suffering from illness, disease, injury, disability or deformity, or in need of

16     obstetrical or other medical and nursing care; (2) a health care professional, who is a

17     doctor of medicine, nurse, or midwife; (3) public health worker engaged in the delivery

18     of health care services; and (4) barangay health worker who has undergone training

19     programs under any accredited government and non-government organization (NGO)

20     and who voluntarily renders primarily health care services in the community after having

21     been accredited to function as such by the local health board in accordance with the

22     guidelines promulgated by the Department of Health (DOH);

23     HIV (Human Immunodeficiency Virus) refers to the virus which causes AIDS;

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Male Responsibility refers to the involvement, commitment, 1 accountability, and

2     responsibility of males in relation to women in all areas of sexual and reproductive

3     health as well as the protection and promotion of reproductive health concerns specific

4     to men;

5     Maternal Death Review refers to a qualitative and in-depth study of the causes

6     of maternal death with the primary purpose of preventing future deaths through changes

7     or additions to programs, plans and policies;

8     Modern Methods of Family Planning refers to safe, effective and legal

9     methods, whether the natural, or the artificial that are registered with the Food and Drug

10     Administration (FDA) of the DOH, to prevent pregnancy;

11     People Living with HIV (PLWH) refers to individuals whose HIV tests indicate

12    that they are infected with HIV;

13     Poor refers to members of households identified as poor through the National

14     Household Targeting System for Poverty Reduction by the Department of Social

15     Welfare and Development (DSWD) or any subsequent system used by the national

16     government in identifying the poor.

17     Population and Development refers to a program that aims to: (1) help couples

18     and parents achieve their desired family size; (2) improve reproductive health of

19     individuals by addressing reproductive health problems; (3) contribute to decreased

20     maternal and infant mortality rates and early child mortality; (4) reduce incidence of

21     teenage pregnancy; and (5) recognize the linkage between population and sustainable

22     human development;

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Reproductive Health refers to the state of complete physical,

1 mental and social

2     well-being and not merely the absence of disease or infirmity, in all matters relating to

3     the reproductive system and to its functions and processes;

4     Reproductive Health Care refers to the access to a full range of methods,

5     facilities, services and supplies that contribute to reproductive health and well-being by

6     preventing and solving reproductive health-related problems. It also includes sexual

7     health, the purpose of which is the enhancement of life and personal relations. The

8     elements of reproductive health care include:

9     (1) family planning information and services;

10     (2) maternal, infant and child health and nutrition, including breastfeeding;

11     (3) proscription of abortion and management of abortion complications;

12     (4) adolescent and youth reproductive health;

13     (5) prevention and management of reproductive tract infections (RTIs), HIV

14     and AIDS and other sexually transmittable infections (STIs);

15     (6) elimination of violence against women;

16     (7) education and counseling on sexuality and reproductive health;

17     (8) treatment of breast and reproductive tract cancers and other gynecological

18     conditions and disorders;

19     (9) male responsibility and participation in reproductive health;

20     (10) prevention and treatment of infertility and sexual dysfunction;

21     (11) reproductive health education for the adolescents; and

22     (12) Mental health aspects of RH care;

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Reproductive Health Care Program refers to the systematic

1 and integrated

2     provision of reproductive health care to all citizens especially the poor, marginalized and

3     those in vulnerable and crisis situations;

4     Reproductive Health Rights refer to the rights of couples, individuals and

5     women to decide freely and responsibly whether or not to have children; to determine

6     the number, spacing and timing of their children; to make decisions concerning

7     reproduction free of discrimination, coercion and violence; to have relevant information;

8     and to attain the highest condition of sexual and reproductive health;

9     Reproductive Health and Sexuality Education refers to a lifelong learning

10     process of providing and acquiring complete, accurate and relevant information and

11     education on reproductive health and sexuality through life skills education and other

12     approaches;

13     Reproductive Tract Infection (RTI) refers to sexually transmitted infections, and

14     other types of infections affecting the reproductive system;

15     Responsible Parenthood refers to the will, ability and commitment of parents to

16     adequately respond to the needs and aspirations of the family and children by

17     responsibly and freely exercising their reproductive health rights;

18     Sexually Transmitted Infection (STI) refers to any infection that may be

19     acquired or passed on through sexual contact;

20     Skilled Attendant refers to an accredited health professional, such as midwife,

21     doctor or nurse, who has been educated and trained in the skills needed to manage

22     normal (uncomplicated) pregnancies, childbirth and the immediate postnatal period, and

23     in the identification, management and referral of complications in women and newborns,

24     to exclude traditional birth attendant or midwife (hilot), whether trained or not;

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Skilled Birth Attendance refers to childbirth managed by

1 a skilled attendant

2     including the enabling conditions of necessary equipment and support of a functioning

3     health system, and the transport and referral facilities for emergency obstetric care; and

4     Sustainable Human Development refers to bringing people, particularly the

5     poor and vulnerable, to the center of development process, the central purpose of which

6     is the creation of an enabling environment in which all can enjoy long, healthy and

7     productive lives, and done in a manner that promotes their rights and protects the life

8     opportunities of future generations and the natural ecosystem on which all life depends.

9     SEC. 5. Midwives for Skilled Attendance. – The Local Government Units

10     (LGUs) with the assistance of the DOH, shall employ an adequate number of midwives

11     to achieve a minimum ratio of one (1) fulltime skilled birth attendant for every one

12     hundred fifty (150) deliveries per year, to be based on the annual number of actual

13     deliveries or live births for the past two years; Provided, That people in geographically

14    Isolated and depressed areas shall be provided the same level of access.

15     SEC. 6. Emergency Obstetric Care. – Each province and city, with the

16     assistance of the DOH, shall establish or upgrade hospitals with adequate and qualified

17     personnel, equipment and supplies to be able to provide emergency obstetric care. For

18     every 500,000 population, there shall be at least one (1) hospital with comprehensive

19     emergency obstetric care and four (4) hospitals or other health facilities with basic

20     emergency obstetric care; Provided, That people in geographically isolated and

21     depressed areas shall be provided the same level of access.

22     SEC. 7. Access to Family Planning. – All accredited health facilities shall

23     provide a full range of modern family planning methods, except in specialty hospitals

24     which may render such services on optional basis. For poor patients, such services

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shall be fully covered by PhilHealth Insurance and/or government

1 financial assistance

2     on a no balance billing.

3     After the use of any PhilHealth benefit involving childbirth and all other

4     pregnancy-related services, if the beneficiary wishes to space or prevent her next

5     pregnancy, PhilHealth shall pay for the full cost of family planning.

6     SEC. 8. Maternal and Newborn Health Care in Crisis Situations. – Local

7     government units and the Department of Health shall ensure that a Minimum Initial

8     Service Package (MISP) for reproductive health, including maternal and neonatal health

9     care kits and services as defined by the DOH, will be given proper attention in crisis

10     situations such as disasters and humanitarian crises. MISP shall become part of all

11     responses by national agencies at the onset of crisis and emergencies.

12     Temporary facilities such as evacuation centers and refugee camps shall be

13     equipped to respond to the special needs in the following situations: normal and

14     complicated deliveries, pregnancy complications, miscarriage and post-abortion

15     complications, spread of HIV/AIDS and STIs, and sexual and gender-based violence.

16     SEC. 9. Maternal Death Review. – All Local Government Units (LGUs), national

17     and local government hospitals, and other public health units shall conduct annual

18     maternal death review in accordance with the guidelines set by the DOH.

19     SEC. 10. Family Planning Supplies as Essential Medicines. – Products and

20     supplies for modern family planning methods shall be part of the National Drug

21     Formulary and the same shall be included in the regular purchase of essential

22     medicines and supplies of all national and local hospitals and other government health

23     units.

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SEC. 11. Procurement and Distribution of Family

1 Planning Supplies. – The

2     DOH shall spearhead the efficient procurement, distribution to Local Government Units

3     (LGUs) and usage-monitoring of family planning supplies for the whole country. The

4     DOH shall coordinate with all appropriate LGUs to plan and implement this procurement

5     and distribution program. The supply and the budget allotments shall be based on,

6     among others, the current levels and projections of the following:

7     (a) number of women of reproductive age and couples who want to space or

8     limit their children;

9     (b) contraceptive prevalence rate, by type of method used; and

10     (c) Cost of family planning supplies.

11     SEC 12. Integration of Family Planning and Responsible Parenthood

12     Component in Anti-Poverty Programs. – A multi-dimensional approach shall be

13     adopted in the implementation of policies and programs to fight poverty. Towards this

14     end, the DOH shall endeavor to integrate a family planning and responsible parenthood

15     component into all anti-poverty programs of government, with corresponding fund

16     support. The DOH shall provide such programs technical support, including capacity17

building and monitoring.

18    SEC. 13. Roles of Local Government in Family Planning Programs. – The

19     LGUs shall ensure that poor families receive preferential access to services,

20     commodities and programs for family planning. The role of Population Officers at

21     municipal, city and barangay levels in the family planning effort shall be strengthened.

22     The Barangay Health Workers and Volunteers shall be capacitated to give priority to

23     family planning work.

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SEC. 14. Benefits for Serious and Life-Threatening

1 Reproductive Health

2     Conditions. – All serious and life threatening reproductive health conditions such as

3     HIV and AIDS, breast and reproductive tract cancers, obstetric complications,

4     menopausal and post-menopausal related conditions shall be given the maximum

5     benefits as provided by PhilHealth programs.

6     SEC. 15. Mobile Health Care Service. – Each Congressional District shall be

7     provided with at least one Mobile Health Care Service (MHCS) in the form of a van or

8     other means of transportation appropriate to coastal or mountainous areas. The MHCS

9     shall deliver health care supplies and services to constituents, more particularly to the

10     poor and needy, and shall be used to disseminate knowledge and information on

11     reproductive health. The purchase of the MHCS shall be funded from the Priority

12     Development Assistance Fund (PDAF) of each Congressional District. The operation

13     and maintenance of the MHCS shall be subject to an agreement entered into between

14     the district representative and the recipient focal municipality or city. The MHCS shall be

15     operated by skilled health providers and adequately equipped with a wide range of

16     reproductive health care materials and information dissemination devices and

17     equipment, the latter including, but not limited to, a television set for audio-visual

18     presentations. All MHCS shall be operated by a focal city or municipality within a

19     congressional district.

20     SEC. 16. Mandatory Age-Appropriate Reproductive Health and Sexuality

21     Education. – Age-appropriate Reproductive Health and Sexuality Education shall be

22     taught by adequately trained teachers in formal and non-formal education system

23     starting from Grade Five up to Fourth Year High School using life skills and other

24     approaches. Reproductive Health and Sexuality Education shall commence at the start

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of the school year immediately following one (1) year from the effectivity

1 of this Act to

2     allow the training of concerned teachers. The Department of Education (DepEd), the

3     Commission on Higher Education (CHED), the Technical Education and Skills

4    Development Authority (TESDA), the DSWD, and the DOH shall formulate the

5     Reproductive Health and Sexuality Education curriculum. Such curriculum shall be

6     common to both public and private schools, out of school youth, and enrollees in the

7     Alternative Learning System (ALS) based on, but not limited to, the psycho-social and

8     the physical wellbeing, the demography and reproductive health, and the legal aspects

9     of reproductive health.

10     Age-appropriate reproductive health and sexuality education shall be integrated

11     in all relevant subjects and shall include, but not limited to, the following topics:

12     (a) Values formation;

13     (b) Knowledge and skills in self protection against discrimination, sexual

14     violence and abuse, and teen pregnancy;

15     (c) Physical, social and emotional changes in adolescents;

16     (d) Children’s and women’s rights;

17     (e) Fertility awareness;

18     (f) STI, HIV and AIDS;

19     (g) Population and development;

20     (h) Responsible relationship;

21     (i) Family planning methods;

22     (j) Proscription and hazards of abortion;

23     (k) Gender and development; and

24     (l) Responsible parenthood.

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The DepEd, CHED, DSWD, TESDA, and DOH shall provide 1 concerned parents

2     with adequate and relevant scientific materials on the age-appropriate topics and

3     manner of teaching reproductive health education to their children.

4     SEC. 17. Additional Duty of the Local Population Officer. – Each Local

5     Population Officer of every city and municipality shall furnish free instructions and

6     Information on family planning, responsible parenthood, breastfeeding, infant nutrition

7     and other relevant aspects of this Act to all applicants for marriage license. In the

8     absence of a local Population Officer, a Family Planning Officer under the Local Health

9     Office shall discharge the additional duty of the Population Officer.

10     SEC. 18. Certificate of Compliance. – No marriage license shall be issued by

11     the Local Civil Registrar unless the applicants present a Certificate of Compliance

12     issued for free by the local Family Planning Office certifying that they had duly received

13     adequate instructions and information on family planning, responsible parenthood,

14     breastfeeding and infant nutrition.

15     SEC. 19. Capability Building of Barangay Health Workers. – Barangay Health

16     Workers and other community-based health workers shall undergo training on the

17     promotion of reproductive health and shall receive at least 10% increase in honoraria,

18     upon successful completion of training. The amount necessary for the increase in

19     honoraria shall be charged against the Maintenance and Other Operating Expenses

20     (MOOE) component of the Conditional Cash Transfer (CCT) program of the DSWD. In

21     the event the CCT is phased out, the funding sources shall be charged against the

22     Gender and Development (GAD) budget or the development fund component of the

23    Internal Revenue Allotment (IRA).

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SEC. 20. Ideal Family Size. – The State shall assist

1 couples, parents and

2     individuals to achieve their desired family size within the context of responsible

3     parenthood for sustainable development and encourage them to have two children as

4     the ideal family size. Attaining the ideal family size is neither mandatory nor compulsory.

5     No punitive action shall be imposed on parents having more than two children.

6     SEC. 21. Employers’ Responsibilities. – The Department of Labor and

7     Employment (DOLE) shall ensure that employers respect the reproductive rights of

8     workers. Consistent with the intent of Article 134 of the Labor Code, employers with

9     more than 200 employees shall provide reproductive health services to all employees in

10     their own respective health facilities. Those with less than 200 workers shall enter into

11     partnerships with hospitals, health facilities, and/or health professionals in their areas for

12     the delivery of reproductive health services.

13     Employers shall furnish in writing the following information to all employees and

14     applicants:

15     (a) The medical and health benefits which workers are entitled to, including

16     maternity and paternity leave benefits and the availability of family planning services;

17     (b) The reproductive health hazards associated with work, including hazards

18     that may affect their reproductive functions especially pregnant women; and

19     (c) The availability of health facilities for workers.

20     Employers are obliged to monitor pregnant working employees among their

21     workforce and ensure that they are provided paid half-day prenatal medical leaves for

22     each month of the pregnancy period that the pregnant employee is employed in their

23     company or organization. These paid pre-natal medical leaves shall be reimbursable

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from the Social Security System (SSS) or the Government

1 Service Insurance System

2     (GSIS), as the case may be.

3     SEC. 22. Pro Bono Services for Indigent Women. – Private and non4

government reproductive health care service providers, including but not limited to

5     gynecologists and obstetricians, are mandated to provide at least forty-eight (48) hours

6     annually of reproductive health services ranging from providing information and

7     education, to rendering medical services free of charge to indigent and low income

8     patients, especially to pregnant adolescents. The forty-eight (48) hours annual pro bono

9     services shall be included as prerequisite in the accreditation under the PhilHealth.

10     SEC. 23. Sexual And Reproductive Health Programs For Persons With

11     Disabilities (PWDs). – The cities and municipalities must ensure that barriers to

12     reproductive health services for persons with disabilities are obliterated by the following:

13     (a) providing physical access, and resolving transportation and proximity

14    issues to clinics, hospitals and places where public health education is provided,

15     contraceptives are sold or distributed or other places where reproductive health services

16     are provided;

17     (b) adapting examination tables and other laboratory procedures to the needs

18     and conditions of persons with disabilities;

19     (c) increasing access to information and communication materials on sexual

20     and reproductive health in braille, large print, simple language, and pictures;

21     (d) providing continuing education and inclusion rights of persons with

22     disabilities among health-care providers; and

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(e) undertaking activities to raise awareness and address

1 misconceptions among

2     the general public on the stigma and their lack of knowledge on the sexual and

3     reproductive health needs and rights of persons with disabilities.

4     SEC. 24. Right to Reproductive Health Care Information. – The government

5     shall guarantee the right of any person to provide or receive non-fraudulent information

6     about the availability of reproductive health care services, including family planning, and

7     prenatal care.

8     The DOH and the Philippine Information Agency (PIA) shall initiate and sustain a

9     heightened nationwide multi-media campaign to raise the level of public awareness of

10     the protection and promotion of reproductive health and rights including family planning

11     and population and development.

12     SEC. 25. Implementing Mechanisms. – Pursuant to the herein declared policy,

13     the DOH and the Local Health Units in cities and municipalities shall serve as the lead

14     agencies for the implementation of this Act and shall integrate in their regular operations

15     the following functions:

16     (a) Ensure full and efficient implementation of the Reproductive Health Care

17     Program;

18     (b) Ensure people’s access to medically safe, legal, effective, quality and

19     affordable reproductive health supplies and services;

20     (c) Ensure that reproductive health services are delivered with a full range of

21     supplies, facilities and equipment and that service providers are adequately trained for

22     such reproductive health care delivery;

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(d) Take active steps to expand the coverage of the

1 National Health

2     Insurance Program (NHIP), especially among poor and marginalized women, to include

3     the full range of reproductive health services and supplies as health insurance benefits;

4     (e) Strengthen the capacities of health regulatory agencies to ensure safe,

5     legal, effective, quality, accessible and affordable reproductive health services and

6     commodities with the concurrent strengthening and enforcement of regulatory mandates

7     and mechanisms;

8     (f) Promulgate a set of minimum reproductive health standards for public

9     health facilities, which shall be included in the criteria for accreditation. These minimum

10     reproductive health standards shall provide for the monitoring of pregnant mothers, and

11     a minimum package of reproductive health programs that shall be available and

12     affordable at all levels of the public health system except in specialty hospitals where

13     such services are provided on optional basis;

14     (g) Facilitate the involvement and participation of non-government

15     organizations and the private sector in reproductive health care service delivery and in

16     the production, distribution and delivery of quality reproductive health and family

17     planning supplies and commodities to make them accessible and affordable to ordinary

18     citizens;

19     (h) Furnish local government units with appropriate information and resources

20     to keep them updated on current studies and researches relating to family planning,

21     responsible parenthood, breastfeeding and infant nutrition; and

22     (i) Perform such other functions necessary to attain the purposes of this Act.

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The Commission on Population (POPCOM), as an attached

1 agency of DOH,

2     shall serve as the coordinating body in the implementation of this Act and shall have the

3     following functions:

4     (a) Integrate on a continuing basis the interrelated reproductive health and

5     population development agenda consistent with the herein declared national policy,

6     taking into account regional and local concerns;

7     (b) Provide the mechanism to ensure active and full participation of the

8     private sector and the citizenry through their organizations in the planning and

9     implementation of reproductive health care and population and development programs

10     and projects; and

11     (c) Conduct sustained and effective information drives on sustainable human

12     development and on all methods of family planning to prevent unintended, unplanned

13     and mistimed pregnancies.

14     SEC. 26. Reporting Requirements. – Before the end of April of each year, the

15     DOH shall submit an annual report to the President of the Philippines, the President of

16     the Senate and the Speaker of the House of Representatives. The report shall provide

17     a definitive and comprehensive assessment of the implementation of its programs and

18     those of other government agencies and instrumentalities, civil society and the private

19     sector and recommend appropriate priorities for executive and legislative actions. The

20     report shall be printed and distributed to all national agencies, the LGUs, civil society

21     and the private sector organizations involved in said programs.

22     The annual report shall evaluate the content, implementation and impact of all

23     policies related to reproductive health and family planning to ensure that such policies

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promote, protect and fulfill reproductive health and rights, particularly

1 of parents,

2     couples and women.

3     SEC. 27. Congressional Oversight Committee. – There is hereby created a

4     Congressional Oversight Committee composed of five (5) members each from the

5     Senate and the House of Representatives (HOR). The members from the Senate and

6     the House of Representatives shall be appointed by, the Senate President and the

7     Speaker, respectively, based on proportional representation of the parties or coalition

8     therein with at least one (1) member representing the Minority.

9     The Committee shall be headed by the respective Chairs of the Senate

10     Committee on Youth, Women and Family Relations and the House of Representatives

11     Committee on Population and Family Relations. The Secretariat of the Congressional

12     Oversight Committee shall come from the existing Secretariat personnel of the Senate’

13     and of the House of Representatives’ committees concerned.

14     The Committee shall monitor and ensure the effective implementation of this Act,

15     determine the inherent weakness and loopholes in the law, recommend the necessary

16     remedial legislator or administrative measures and perform such other duties and

17     functions as may be necessary to attain the objectives of this Act.

18     SEC. 28. Prohibited Acts. – The following acts are prohibited:

19     (a) Any healthcare service provider, whether public or private, who shall:

20     (1) Knowingly withhold information or restrict the dissemination

21     thereof, and/or intentionally provide incorrect information regarding

22     programs and services on reproductive health, including the right to

23    informed choice and access to a full range of legal, medically-safe and

24    effective family planning methods;

Page 22 of 24

1

2     (2) Refuse to perform legal and medically-safe reproductive

3     health procedures on any person of legal age on the ground of lack of

4     third party consent or authorization. In case of married persons, the

5     mutual consent of the spouses shall be preferred. However in case of

6     disagreement, the decision of the one undergoing the procedure shall

7     prevail. In the case of abused minors where parents and/or other family

8     members are the respondent, accused or convicted perpetrators as

9     certified by the proper prosecutorial office or court, no prior parental

10     consent shall be necessary; and

11     (3) Refuse to extend health care services and information on

12     account of the person’s marital status, gender, sexual orientation, age,

13     religion, personal circumstances, or nature of work; Provided, That, the

14     conscientious objection of a healthcare service provider based on his/her

15     ethical or religious beliefs shall be respected; however, the conscientious

16     objector shall immediately refer the person seeking such care and

17     services to another healthcare service provider within the same facility or

18     one which is conveniently accessible who is willing to provide the requisite

19     information and services; Provided, further, That the person is not in an

20     emergency condition or serious case as defined in RA 8344 penalizing the

21    refusal of hospitals and medical clinics to administer appropriate initial

22     medical treatment and support in emergency and serious cases.

23     (b) Any public official who, personally or through a subordinate, prohibits or

24     restricts the delivery of legal and medically-safe reproductive health care services,

Page 23 of 24

including family planning; or forces, coerces or induces

1 any person to use such

2     services.

3     (c) Any employer or his representative who shall require an employee or

4     applicant, as a condition for employment or continued employment, to undergo

5     sterilization or use or not use any family planning method; neither shall pregnancy be a

6     ground for non-hiring or termination of employment.

7     (d) Any person who shall falsify a certificate of compliance as required in

8     Section 15 of this Act; and

9     (e) Any person who maliciously engages in disinformation about the intent or

10     provisions of this Act.

11     SEC. 29. Penalties. – Any violation of this Act or commission of the foregoing

12     prohibited acts shall be penalized by imprisonment ranging from one (1) month to six (6)

13     months or a fine of Ten Thousand (P 10,000.00) to Fifty Thousand Pesos (P 50,000.00)

14     or both such fine and imprisonment at the discretion of the competent court; Provided

15     That, if the offender is a public official or employee, he or she shall suffer the accessory

16    penalty of dismissal from the government service and forfeiture of retirement benefits. If

17     the offender is a juridical person, the penalty shall be imposed upon the president or

18     any responsible officer. An offender who is an alien shall, after service of sentence, be

19     deported immediately without further proceedings by the Bureau of Immigration.

20     SEC. 30. Appropriations. – The amounts appropriated in the current annual

21     General Appropriations Act (GAA) for Family Health and Responsible Parenting under

22     the DOH and POPCOM and other concerned agencies shall be allocated and utilized

23     for the initial implementation of this Act. Such additional sums necessary to implement

24     this Act; provide for the upgrading of facilities necessary to meet Basic Emergency

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Obstetric Care and Comprehensive Emergency Obstetric Care

1 standards; train and

2     deploy skilled health providers; procure family planning supplies and commodities as

3     provided in Sec. 6; and implement other reproductive health services, shall be included

4     in the subsequent GAA.

5     SEC. 31. Implementing Rules and Regulations. – Within sixty (60) days from

6     the effectivity of this Act, the Secretary of the DOH shall formulate and adopt

7     amendments to the existing rules and regulations to carry out the objectives of this Act,

8     in consultation with the Secretaries of the DepED, the Department of Interior and Local

9     Government (DILG), the Department of Labor and Employment (DOLE), the DSWD,

10     the Director General of the National Economic and Development Authority (NEDA), and

11     the Commissioner of the CHED, the Executive Director of the Philippine Commission on

12     Women (PCW), and two Non-Governmental Organizations (NGOs) or Peoples’

13     Organizations (POs) for women. Full dissemination of the Implementing Rules and

14     Regulations to the public shall be ensured.

15     SEC. 32. Separability Clause. – If any part or provision of this Act is held invalid

16     or unconstitutional, other provisions not affected thereby shall remain in force and

17     effect.

18     SEC. 33. Repealing Clause. – All other laws, decrees, orders, issuances, rules

19     and regulations which are inconsistent with the provisions of this Act are hereby

20     repealed, amended or modified accordingly.

21     SEC. 34. Effectivity. – This Act shall take effect fifteen (15) days after its

22     publication in at least two (2) newspapers of general circulation.

23     Approved,

source: http://www.scribd.com/doc/49328993/Consolidated-RH-Bill-HB-4244