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Republic Act No.

8344

August 25, 1997

AN ACT PENALI IN! T"E RE#$%AL &# "&%PITAL% AN' (E'ICAL CLINIC% T& A'(INI%TER APPR&PRIATE INITIAL (E'ICAL TREAT(ENT AN' %$PP&RT IN E(ER!ENC) &R %ERI&$% CA%E%, A(EN'IN! #&R T"E P$RP&%E *ATA% PA(*AN%A *ILAN! 7+2, &T"ER,I%E -N&,N A% .AN ACT PR&"I*ITIN! T"E 'E(AN' &# 'EP&%IT% &R A'/ANCE PA)(ENT% #&R T"E C&N#INE(ENT &R TREAT(ENT &# PATIENT% IN "&%PITAL% AN' (E'ICAL CLINIC% IN CERTAIN CA%E%. Be it enacted by the Senate and House of Representatives of the Philippines in Congress assembled: : %ectio0 1. Section 1 of Batas Pambansa Bilang 70 is hereby amended to read as follo!s: "SECTION 1. In emergency or serious cases, it shall be unlawful for any ro rietor, resi!ent, !irector, manager or any other officer, an!"or me!ical ractitioner or em loyee of a hos ital or me!ical clinic to re#uest, solicit, !eman! or acce t any !e osit or any other form of a!$ance ayment as a rere#uisite for confinement or me!ical treatment of a atient in such hos ital or me!ical clinic or to refuse to a!minister me!ical treatment an! su ort as !ictate! by goo! ractice of me!icine to re$ent !eath or ermanent !isability: %ro$i!e!, That by reason of ina!e#uacy of the me!ical ca abilities of the hos ital or me!ical clinic, the atten!ing hysician may transfer the atient to a facility where the a ro riate care can be gi$en, after the atient or his ne&t of 'in consents to sai! transfer an! after the recei$ing hos ital or me!ical clinic agrees to the transfer: %ro$i!e!, howe$er, That when the atient is unconscious, inca able of gi$ing consent an!"or unaccom anie!, the hysician can transfer the atient e$en without his consent: %ro$i!e!, further, That such transfer shall be !one only after necessary emergency treatment an! su ort ha$e been a!ministere! to stabili(e the atient an! after it has been establishe! that such transfer entails less ris's than the atient)s continue! confinement: %ro$i!e!, furthermore, That no hos ital or clinic, after being informe! of the me!ical in!ications for such transfer, shall refuse to recei$e the atient nor !eman! from the atient or his ne&t of 'in any !e osit or a!$ance ayment: %ro$i!e!, finally, That strict com liance with the foregoing roce!ure on transfer shall not be construe! as a refusal ma!e unishable by this *ct." %ectio0 2. Section of Batas Pambansa Bilang 70 is hereby deleted and in place thereof" ne! sections " # and $ are added" to read as follo!s: "SEC. +. ,or ur oses of this *ct, the following !efinitions shall go$ern: "-a. )Emergency) / a con!ition or state of a atient wherein base! on the ob0ecti$e fin!ings of a ru!ent me!ical officer on !uty for the !ay there is imme!iate !anger an! where !elay in initial su ort an! treatment may cause loss of life or cause ermanent !isability to the atient. "-b. )Serious case) / refers to a con!ition of a atient characteri(e! by gra$ity or !anger wherein base! on the ob0ecti$e fin!ings of a ru!ent me!ical officer on !uty for the !ay when left unatten!e! to, may cause loss of life or cause ermanent !isability to the atient. "-c. )Confinement) / a state of being a!mitte! in a hos ital or me!ical clinic for me!ical obser$ation, !iagnosis, testing, an! treatment consistent with the ca ability an! a$ailable facilities of the hos ital or clinic. "-!. )1os ital) / a facility !e$ote! rimarily to the !iagnosis, treatment an! care of in!i$i!uals suffering from illness, !isease, in0ury or !eformity, or in nee! of obstetrical or other me!ical an! nursing care. It shall also be construe! as any institution, buil!ing or

to si& -:. at the !iscretion of the court.. u on con$iction by final 0u!gment. *ny official...oun!ation . 7. "-h... 4.. referably to a go$ernment hos ital. &his 'ct shall ta(e effect fifteen )1%* days after its publication in t!o ) * national ne!spapers of general circulation.lace where there are facilities an! ersonnel for the continue! an! rolonge! care of atients.. Section $ of Batas Pambansa Bilang 70 amended to read as follo!s: shall become Section % thereof and shall be "SEC... %ectio0 4. or both..... years.. *fter the hos ital or me!ical clinic mentione! abo$e shall ha$e a!ministere! me!ical treatment an! su ort... years an! four -7. "SEC. )Emergency treatment an! su ort) / any me!ical or surgical measure within the ca ability of the hos ital or me!ical clinic that is a!ministere! by #ualifie! health care rofessionals to re$ent the !eath or ermanent !isability of a atient... it may cause the transfer of the atient to an a ro riate hos ital consistent with the nee!s of the atient. months.... s ecially in the case of oor or in!igent atients. otherwise 'nown as the 9abor Co!e of the %hili ines. or both. u on con$iction by final 0u!gment. or a fine of not less than One hun!re! thousan! esos -%1.. at the !iscretion of the court: %ro$i!e!..i$e hun!re! thousan! esos -%<." %ectio0 3.. )Stabili(e) / the ro$ision of necessary care until such time that the atient may be !ischarge! or transferre! to another hos ital or clinic with a reasonable robability that no hysical !eterioration woul! result from or occur !uring such !ischarge or transfer. howe$er. !ay but not more than two -+.. me!ical ractitioner or em loyee of the hos ital or me!ical clinic who $iolates the ro$isions of this *ct shall.... "-e. )2e!ical clinic) / a lace in which treatment on an out atient basis.. "SEC. the !irector or officer of such hos ital or clinic res onsible for the formulation an! im lementation of such olicy shall. be unishe! by im risonment of not less than si& -:. but not more than . "-f. but not more than One hun!re! thousan! esos -%1. )%ermanent !isability) / a con!ition of hysical !isability as !efine! un!er *rticle 13+/ C an! *rticle 134/5 an! C of %resi!ential 6ecree No 77+8 as amen!e!.." %ectio0 5... * ro$e!: August 25. 1997 The 9aw hil %ro0ect / *rellano 9aw .. suffer im risonment of four -7. The 6e artment of 1ealth shall romulgate the necessary rules an! regulations to carry out the ro$isions of this *ct. months an! one -1. That if such $iolation was committe! ursuant to an establishe! olicy of the hos ital or clinic or u on instruction of its management.... atients can a$ail of me!ical consultation or "-g. or a fine of not less than Twenty thousan! esos -%+. Section # of Batas Pambansa Bilang 70 is hereby repealed .. <.

an!"or me!ical ractitioner or em loyee of a hos ital or me!ical clinic to re#uest. &T"ER. testing. ?477 on ines signe! into law >. &T"ER. Section 1 of sai! *ct ro$i!es: "In emergency or serious cases. howe$er. That when the atient is unconscious.4 Confinement / a state of being a!mitte! in a hos ital or me!ical clinic for me!ical obser$ation. the hysician can transfer the atient e$en without his consent.N A% AN ACT PR&"I*ITIN! T"E 'E(AN' &# 'EP&%IT% &R A'/ANCE PA)(ENT% #&R T"E C&N#INE(ENT &R TREAT(ENT &# PATIENT% IN "&%PITAL% AN' (E'ICAL CLINIC% IN CERTAIN CA%E%. NO= T1E>E. =1E>E*S. !eman! or acce t any !e osit or any other form of a!$ance ayment as a rere#uisite for confinement or me!ical treatment of a atient in such hos ital or me!ical clinic or to refuse to a!minister me!ical treatment an! su ort as !ictate! by goo! ractice of me!icine to re$ent !eath or ermanent !isability: %ro$i!e!.I(PLE(ENTIN! R$LE% AN' RE!$LATI&N% &# REP$*LIC ACT N&. That strict com liance with the foregoing roce!ure on transfer shall not be construe! as a refusal ma!e unishable by this *ct.<. 133A8 =1E>E*S." +.AN ACT PENALI IN! T"E RE#$%AL &# "&%PITAL% AN' (E'ICAL CLINIC% T& A'(INI%TER APPR&PRIATE INITIAL (E'ICAL TREAT(ENT AN' %$PP&RT IN E(ER!ENC) &R %ERI&$% CA%E%. ursuant to the ro$isions of >. !iagnosis.or the ur ose of im lementing the abo$e. the %resi!ent of the >e ublic of the %hili 133A8 ines enacte! >e ublic *ct No. A(EN'IN! #&R T"E P$RP&%E *ATA% PA(*AN%A *ILAN! 7+2. an! treatment consistent with the ca ability an! a$ailable facilities of the hos ital or clinic.N A% . +. . ?477 on *ugust +<.I%E -N&. the Tenth Congress of the >e ublic of the %hili @une . manager or any other officer. That by reason of ina!e#uacy of the me!ical ca abilities of the hos ital or me!ical clinic.+ Serious Case / refers to a con!ition of a atient characteri(e! by gra$ity or !anger wherein base! on the ob0ecti$e fin!ings of a ru!ent me!ical officer on !uty for the !ay when left unatten!e! to. after the atient or his ne&t of 'in consents to sai! transfer: %ro$i!e!. may cause loss of life or cause ermanent !isability to the atient. it shall be unlawful for any ro rietor. is man!ate! to romulgate the necessary rules an! regulations to carry out the ro$isions of the aforementione! law. un!er Section < of >. solicit. .*. 8344. ?477. the following !efinitions are ro$i!e!: +. finally. resi!ent. further.*. the following are hereby issue!: 1.I%E -N&.*. %ro$i!e!. ?477 authori(ing the 6e artment of 1ealth to romulgate the necessary rules an! regulations. !irector. the 6e artment of 1ealth -6O1. =1E>E*S.O>E.1 Emergency / * con!ition or state of atient wherein base! on the ob0ecti$e fin!ings of a ru!ent me!ical officer on !uty for the !ay there is imme!iate !anger an! where !elay in initial su ort an! treatment may cause loss of life or cause ermanent !isability to the atient. +. the atten!ing hysician may transfer the atient to a facility where a ro riate care can be gi$en. inca able of gi$ing consent an!"or unaccom anie!. That such transfer shall be !one only after the necessary emergency treatment an! su ort ha$e been a!ministere! to stabili(e the atient an! after it has been establishe! that such transfer entails less ris's than the atient)s continue! confinement: %ro$i!e!.

otherwise 'nown as the 9abor Co!e of the %hili ines.4 Treatment gi$en to atient 7.+. 7.+.+.orm of transferring hos ital. The hos ital shall be !uly license! by the 5ureau of 9icensing an! >egulation of the 6O1. ?477 ro$i!es: "*fter the hos ital or me!ical clinic mentione! abo$e shall ha$e a!ministere! me!ical treatment an! consistent with the nee!s of the atients referably to a go$ernment hos ital. It shall also be construe! as any institution.1 Cital signs 7.+ The transfer of atients contem late! un!er this *ct shall at all times be !ocumente!.7 1os ital / a facility !e$ote! rimarily to the !iagnosis..+ Name of *tten!ing %hysician 7. buil!ing or lace where there are facilities an! ersonnel for the continue! an! rolonge! care of atients.+.+.7 Name of recei$ing hos ital .4 1os itals may re#uire a !e osit or a!$ance ayment when the atient is no longer un!er the state of emergency an! he"she refuses to be transferre!.. shall be as much as racticable. atients can a$ail of me!ical consultation or +.: 2e!ical Clinic / a lace in which treatment on an out atient basis. as amen!e!. -In !etermining the ca ability of a hos ital or clinic.A %ermanent 6isability / a con!ition of hysical !isability as !efine! un!er *rticle 13+/C an! *rticle 134/5 an! C of %resi!ential 6ecree No.1 *!mission . be within ten -1. 'ilometer ra!ius of each other. to inclu!e but not necessarily limite! to the following information: 7. ro erly 4.1 The transferring an! recei$ing hos ital. 77+. 4.orm of Transferring 1os ital. 7. +." 4. the stan!ar!s an! the classification of these facilities set by the 6O1 5ureau of 9icensing an! >egulation shall be use!. +.+ Transfer . *ll hos itals shall use a Bniform 6ischarge"Transfer Sli for cases co$ere! by >* ?477 which shall inclu!e the following information: 7. s ecially in the case of oor or in!igent atients. 4. +.*.? Stabili(e / the ro$ision of necessary care until such time that the atient may be !ischarge! or transferre! to another hos ital or clinic with a reasonable robability that no hysical !eterioration woul! result from or occur !uring such !ischarge or transfer. Transfer of %atients / Section 4 of >.< Emergency Treatment an! Su ort / any me!ical or surgical measure within the ca ability of a hos ital or me!ical clinic that is a!minister by #ualifie! health care rofessionals to re$ent the !eath or ermanent !isability of a atient. treatment an! care of in!i$i!uals or other me!ical an! nursing care.

The hos ital shall en!ea$or to use all forms of me!ia to contact the ne&t of 'in of the unaccom anie! minor or atient. for the refusal. .. * co y of the Bniform 6ischarge"Transfer Sli is hereto attache! as *nne& *D.... counters an! me!ical clinic remises.. or to the nearest >egional 1ealth Office which shall imme!iately con!uct a fact/fin!ing in$estigation. That if such $iolation was committe! ursuant to an establishe! olicy of the hos ital or clinic or u on instruction of its management. howe$er. !ay but not more than two -+. <. an! !o not co$er the ro$ision of non/me!ical amenities which ha$e nothing to !o with the treatment of the emergency or serious case. me!ical ractitioner or em loyee of the hos ital or me!ical clinic who $iolates the ro$isions of >* ?477 shall.. In or!er to !emonstrate com liance with the *ct)s ro$isions. :.1 * co y of the law an! this im lementing rules an! regulations shoul! be !is laye! rominently at hos ital emergency rooms. the !irector or officer of such hos ital or clinic res onsible for the formulation an! im risonment of four -7. at the !iscretion of the court....+. hos ital a!mission.+ 1os ital an! clinic managers shall establish billing an! collection roce!ure for treatment or confinement of emergency an! serious cases which shall not commence until the essential a ro riate treatment of such cases has been com lete!.. the name-s...+. to si& -:... :. 6e artment of 1ealth..7 It is clarifie! that the law an! this a!ministrati$e or!er co$ers only the ro$ision of me!ical an! surgical goo!s an! ser$ices..A In case of refusal of transfer. %enal %ro$isions / any official. years.+. or a fine of not less than One 1un!re! Thousan! %esos -%1.. months an! one -1....< Name of contact erson an! a ro$ing official at recei$ing hos ital 7..7.. :.. 7.. be unishe! by im risonment of not less than si& -:. of ersons who refuse! an! the reason-s. the name of the hos ital. The ro$isions of an! ayment for these non/me!ical amenities shall be sub0ect to a ro riate institutional business ractice.. but not more than . %ersons con$icte! of $iolation shall be unishe! in accor!ance with the *ct.. Cru(. In case of an unaccom anie! minor or atient. they may be transferre! without consent ro$i!e! that the ro$isions of Section 1 of >* ?477 is strictly obser$e!.... all hos itals an! me!ical clinics are instructe! to institute the following measures: :.i$e 1un!re! Thousan! %esos -%<.. u on con$iction by final 0u!gment.: Consent of the atient or com anion...4 1os ital an! clinic managers shall instruct their ersonnel to ro$i!e rom t an! imme!iate me!ical attention to emergency an! serious cases without any rior re#uirements for ayment or !e osit. :. 2anila. Office for Stan!ar!s an! >egulations. Sta. years an! four months. The fin!ings shall be referre! to the a ro riate fiscal for criminal rosecution. :.. or a fine of not less than Twenty Thousan! %esos -%+.... but not more than One 1un!re! Thousan! %esos -%1.< *llege! $iolations of the *ct an! this Or!er may be re orte! to the 5ureau of 9icensing an! >egulations. or both. or both at the !iscretion of the court: %ro$i!e!.

: *t the instance of the 5ureau of 9icensing an! >egulation.:.. (' D &e+t 'vailable at . Secretary of Health CAR(ENCITA N&RIE!A1RE&'ICA.ebruary 1?. These >ules an! >egulations shall ta'e effect fifteen -1<. !ays after ublication in the Official Ea(ette or in a news a er of general circulation. 133? -SE6./P/ 0a! Comple+" 1iliman" 2/C . *!ministrati$e rocee!ings may also be ursue! against erring clinics or hos itals that coul! lea! to either sus ension or re$ocation of a ro riate licenses. .ffice of the -ational 'dministrative Register" . *!o te!: .