Hy Sens CONGRESS OF THE PHILIPPINES } a Seventeenth Congress ‘Oitive of the Hrceetary Third Regular Session 7 18 DEC -6 P1337 hereby report to their respective Houses the following, that: 1. The Senate version was adopted as the working draft with amendments. 2, The highlights of the Reconciled Bill include the following: + SEC. 5 (Population Coverage), SEC. 6 ( Service Coverage) and JOINT EXPLANATORY STATEMENT — FECT! 3 P = The Conference Committee on the disagreeing provisions of Senate Bill No. 1896 and House Bill No. 5784, after having met and fully discussed the subject matter, | v SEC. 9 (Entitlement to Benefits) provide that every Filipino citizen shall be automatically included in the National Health Insurance Program (NHIP) and shall be granted immediate eligibility for health benefit package under the Program, and that PhilHealth shall provide additional Program benefits for direct contributors where applicable. : ‘i «SEC. 8 (Program Membership) classifies the membership into the NHIP 7 into two categories: (1) direct contributors, i.e. which refer to members \ who have the capacity to pay premiums, including their qualified dependents and lifetime members; and (2) indirect contributors, Le. refers < to members who are not classified as direct contributors, as well as their & qualified dependents. ego,Sec. 10 (Premium Contributions) of the Reconciled Bill prescribes the contribution schedule, and monthly income floor and ceiling for direct contributors, as shown in this table: [Year] Premium Rate | Income Floor | Income Ceiling | 3919-7 2.75% ) Php 10,000.00 Php 50,000.00 | 2020 3.00 % Php 10,000.00 Php 60,000.00 2021 | Php 10,000.00 Php 70,000.00 [eezozze {Php 10,000.00 | Php 80,000.00 | 2023 | “Php 10,000.00 | Php 90,000.00 | [2024 | [Php 10,000.00 Php 100,000.00 2025 0 | “Php 10,000.00 | Php 100,000. SEC. 13 (PhilHealth Board of Directors) of the Reconciled Bill reconstitutes the PhilHealth Board of Directors, which shall now have 4 maximum of thirteen (13) members, consisting of the following: (i) five (5) ex officio members, namely, the Secretary of Health, Secretary of Social Welfare and Development, Secretary of Budget and Management, Secretary of Finance, Secretary of Labor and Employment; (ii) three (3) expert panel members with expertise in public health, management, finance, and health economics; and (ii) five (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 one GE wa,League of Provinces of the Philippines, League of Cities of the Philippines and League of Municipalities of the Philippines. The provision also provides that at least one (1) of the expert panel members and at least two (2) of the sectoral panel members are women. SEC. 19 (Integration of Local Health Systems into Province-wide and City-wide Health System) provides that the DOH, DILG, PhilHeaith and LGUS shall endeavor to integrate health systems into province-wide and city-wide health systems. SEC. 20 (Special Health Fund) provides that province-wide or city-wide health system shall pool and manage all resources intended for health services, thru a Special Health Fund, which shall be used to improve the health services in the LGUs. SEC. 21. (Income Derived from PhilHealth Payments) provides that all income derived from PhilHealth payments shall accrue to the Special Health Fund to be allocated by the LGUs exclusively for the Improvement of the LGU health system. However, the PhilHealth payments shall be credited to the annual regular income (ARI) of the LGU. sec. 37. (Appropriations) provides that the sources of funds for the implementation of this Act include, among others, the following: (1) total incremental revenue from RA 10351; (2) Fifty percent (50%) of the National Government share from the income of the Philippine Amusement Gaming Corporation (PAGCOR); and (3) Forty percent (40%) of the aoe,