RA 11223

Universal Health Care Law

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Universal Health Care Act (RA 11223):
Providing all Filipinos with access to quality and affordable health care services

OBJECTIVES: Mandatory Enrollment • ALL Filipinos are covered and automatically enrolled in NHIP or PhilHealth; Ensures every Filipino is
covered by health insurance and can avail of PhilHealth-provided benefits & services.
Health Care Services • Guarantees access to a comprehensive set of basic health care services, including preventive, promotive,
Improve
curative, and rehabilitative services. All are entitled to an essential health benefit package.
access to health
care services Primary Health Care • Primary health care as foundation of the health care system; An organized network of health care facilities
and barangay health stations provide primary health care services .
Health Facilities Enhancement Program (HFEP) • Establishes the HFEP to improve health care facilities and infrastructure in the
Protect the country, especially in underserved areas.
right to health of
Health Human Resource Development • Focuses on strengthening the health workforce; Promotes equitable distribution of health
all Filipinos
personnel across regions; Provides incentives to attract and retain health professionals in rural and underserved areas.
Health Financing • Aims to achieve universal health care coverage through sustainable, equitable health financing; Starts a
Promote a National Health Insurance Fund sourced from sin taxes, national government subsidies, PhilHealth contributions & other sources.
more efficient PhilHealth Reforms • Introduces reforms in the governance and management of PhilHealth to enhance its efficiency, transparency,
and equitable and accountability.
health care
Health Technology Assessment • Promotes the use of health technology assessment in the evaluation and selection of health
system
interventions that are evidence-based, cost-effective, and beneficial to patients.
Local Health Systems • Strengthens the capacity of LGUs to plan, implement, and manage health programs and services.
 CONDITIONS REMARKS

Based on sound theory Right to life and health, Accessibility, equity, affordability of
quality healthcare/ services

Clear policy directives and Automatic enrollment of all Filipinos to PhilHealth;

implementation structure Health Financing (PhilHealth monthly individual contributions, sin taxes, NG subsidies)
Health Facilities Enhancement Program (HFEP)
Health Human Resource Development

Implementing leaders possess DOH Sec Francisco Duque III (at the time of its implementation); now OIC
effective managerial and political skills Usec R. Vergerie,
Dr. Roy B. Ferrer, CEO Philhealth (2018); now Emmanuel Ledesma Jr

With active support Congress (HOR and Senate), LGU- CHO/MHO, Malasakit Centers,
HMOs, Private hospitals and Medical practitioners

Law’s objective are not undermined by During COVID pandemic, UHC Law was greatly felt by the public in
conflicting public policies or changes in socio- defraying cost of medical bills
economic conditions; attainment of original Supportive/complements the Reproductive Health Law, Malasakit Centers
objectives Law