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House committee on health holds hearing on National Telemedicine and Unified e-Health System

ANC 24/7 May 13, 2026 1h 57m 12,300 words
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About this transcript: This is a full AI-generated transcript of House committee on health holds hearing on National Telemedicine and Unified e-Health System from ANC 24/7, published May 13, 2026. The transcript contains 12,300 words with timestamps and was generated using Whisper AI.

"comprehensive care to include rehabilitation medicine. And the specialists actually now submitting in PRC the level alignment matrix in terms of competencies for specialists and diplomates and fellows. But the competency for primary, there are limited number of physiatrists in the Philippines, but..."

[0:00] comprehensive care to include rehabilitation medicine. And the specialists actually now [0:07] submitting in PRC the level alignment matrix in terms of competencies for specialists and [0:14] diplomates and fellows. But the competency for primary, there are limited number of physiatrists [0:23] in the Philippines, but we have more primary care physicians which should be capacitated now to [0:29] provide the primary care rehabilitation medicine. What is happening now is that there is limited capacity, [0:36] limited competency of these primary care physicians to do rehabilitation medicine. So it's nice to have [0:44] the rehabilitation centers in regional, which regional hospitals already have. Unfortunately, [0:52] the community-based rehabilitation services, yun po yung nagkukulang. And this can be done by the [0:59] primary care providers. So the PRC would like also to regulate the practice of rehabilitation [1:10] medicine at various settings. It's not only in hospital setting, it's those who are going home-based [1:18] rehabilitation. From observation, there are difficulty of patients now who are coming to rehabilitation [1:27] facilities to avail the services. Thank you. Thank you. Yes, Honorable Arroyo. Mr. Chair, among all of the [1:40] comments made earlier is the issue of the funding. But I like the recommendation regarding exploring public-private [1:48] partnerships. And I think that that's important enough and empowering enough to be included in the [1:54] bill. In other words, when you say look for funding, including that as an option. Thank you, Chair. [2:02] Thank you, Honorable Arroyo. Any other comments before we act on the bill, Mr. Chair? I'd like to move to [2:16] the passage of the passage of this bill subject to technical consultation. So move, Mr. Chair. [2:30] So there's a motion to approve the bill subject to technical consultation. [2:39] Julie seconded, hearing no objection. House bill number 6456 is now approved. A reminder to our [2:51] resource persons, please submit your comprehensive or complete position paper to this committee. [2:58] maybe in a week's time. Thank you. [3:03] Mr. Chair. Yes. [3:06] Mr. Vergara. [3:08] Gusto ko lang kung mag-add ng konti. I'm sorry. But I was quite late. [3:18] Ang importante po kasi, narito rin yung Department of Development and Planning, [3:24] Dep-Dev. Kasi yung Dep-Dev, isang taong pa lamang po ang tandaon niya. [3:31] So, pero the very word, Department of Development and Planning, [3:41] dapat po ay dibdimin nila yung salitang yun. [3:47] So, lahat po kami, na palagay ko po, lahat po kami ng mga kongresista, [3:57] meron po ang kanya-kanyang pet bill, tulad po ni Gagalang-galang Rufus Rodriguez [4:04] and Maximo Rodriguez. Lahat po kami, meron po kaming pet bill. [4:13] Ngunit, parating ang salta, walang pondo. [4:17] So, dapat talaga na bukod ro sa sinabi po ng ating former President Arroyo na include public-private partnership, [4:33] eh, dapat talaga yung Dep-Dev, eh, magkaroon po ng insight sa lahat ng bagay na nangyayari sa Kongreso at Senado. [4:50] At, nang ma-iplano nila, ma-iplano nila, bawat rehyon, kung yung mga pinagbigyan po na batas, [5:03] ay magkaroon na ng katuparan, ng katuparan. [5:09] Whether it be in health, or in public works, or in any other committee, [5:19] kailangan po talaga na sa ISO, may suggest that Dep-Dev should always be present [5:27] because of, uh, they should coordinate with the proper agency and plan ahead. [5:42] Kung nangyayari po, um, hindi naman po pwede na six-year plan lang, eh. [5:55] Kaya ano, malayo yung paningin. Malayo ng konti yung paningin. [6:00] Pananaw. [6:01] Dahil yung dumaki po ako na sa isang salta na, [6:07] ang malayo ngayon, malapit bukas. [6:12] Malayo ngayon, pero ngayon, bukas, malapit na. [6:16] Eh, ang hirap po, in planning natin, [6:22] ay, if six years lang, kulang. [6:26] Kailangan po long term ng konti. [6:30] So, yun lamang po ang gusto kong hiag [6:33] dahil kailangan po ng, natin, [6:38] na ma-realize na maraming magkakad ng bill [6:42] ang bawat kongresista, [6:45] ngunit hindi nagkakaroon ng pagkakataon [6:48] dahil sa much-needed funds. [6:52] Yun lamang po. [6:54] Thank you very much, Honorable Vergara, for your input. [6:56] We'll take that into consideration [6:58] in the preparation of the final substitute. [7:04] For the resource person on rehabilitation medicine, [7:11] you are now excused. [7:15] We now move to the second agenda, [7:18] the House Bill No. 2943, [7:27] ANAP, Integrating Preventive and Lifestyle Medicine [7:30] into the Philippine Healthcare System, [7:31] appropriating funds, therefore, and for other purposes. [7:35] Authored by Honorable Catherine Joyce Goriseta. [7:39] Dr. Goriseta is now recognized. [7:42] Thank you, Mr. Chair. [7:43] Good morning once again. [7:44] I stand before you today not just as a representative, [7:50] but as a doctor. [7:52] Every day in my practice, [7:53] I have seen the same heartbreaking story. [7:57] A breadwinner in his 40s suffering a stroke, [8:01] a mother losing her sight to diabetes, [8:04] or a family sinking into debt because of chronic illness. [8:08] This is the reality of non-communicable diseases, [8:12] or NCDs, in the Philippines. [8:13] Today, I advocate for House Bill 2943, [8:18] or the Preventive and Lifestyle Medicine Act, [8:22] through three simple lenses, [8:26] the necessity, the practicability, and the beneficiality. [8:31] To the members of the committee, [8:33] NCDs like heart disease, cancer, and diabetes [8:37] are the leading causes of death in our country. [8:40] They account for 68% of all deaths in the Philippines. [8:45] We are losing Filipinos in their prime [8:48] between the ages of 30 and 70. [8:51] These are the years when they should be working [8:54] for their families and building their nation. [8:57] Right now, our healthcare system is a sick care system. [9:02] We wait for people to get sick before we treat them. [9:06] We must pivot. [9:08] We need this law because we cannot continue [9:10] to watch our people die from diseases [9:12] that are, in many cases, entirely preventable. [9:17] Some might ask, [9:18] is this too expensive to implement? [9:21] My answer is no. [9:23] In fact, lifestyle medicine is the most practical tool we have. [9:29] Lifestyle medicine isn't about expensive machines [9:32] or imported drinks. [9:33] It is about the six pillars, [9:36] which are healthy eating, [9:38] physical activity, [9:39] restorative sleep, [9:41] stress management, [9:43] avoiding risky substances, [9:45] and social connection. [9:47] This bill is practical [9:48] because it doesn't reinvent the wheel. [9:51] It integrates these interventions [9:53] into our existing hospitals, [9:56] rural health units, [9:57] and field health packages. [9:59] It trains our current health workers [10:02] to be lifestyle medicine coaches. [10:05] We are simply giving our doctors and nurses [10:08] a better, more natural prescription [10:10] to give to their patients. [10:13] The benefits of this bill [10:16] are felt in the heart and in the pocket. [10:19] For the Filipino family, [10:21] it means remission and reversal. [10:23] Instead of taking maintenance medicine for 30 years, [10:27] a patient can actually get better [10:29] and live a drug-free life. [10:31] For the government, [10:33] research shows that investing in NCD prevention [10:36] can save the Philippines up to 4.8% over annual GDP. [10:42] Every peso we spend on lifestyle medicine today [10:45] saves us thousands of pesos [10:47] in intensive care and dialysis costs for tomorrow. [10:51] For the poor, [10:53] this bill ensures that the underprivileged [10:55] have access to the same lifestyle interventions [10:58] that were once only available [11:00] to those who could afford [11:01] expensive wellness centers. [11:04] My dear committee members, [11:06] they say health is wealth, [11:09] but for many Filipinos, [11:10] sickness is poverty. [11:13] House Bill 2943 is our chance to change that. [11:17] Let us move from just treating the disease [11:19] to actually creating health. [11:22] Let us give our people not just a longer life, [11:25] but a better quality of life. [11:26] So I respectfully seek [11:29] the immediate passage of this measure. [11:32] Thank you. [11:32] Thank you, Honorable Goriseta. [11:40] From the Department of Health, [11:41] we now recognize Dr. Dominic Madumba. [11:46] Magandang umaga po sa ating last members [11:56] po ng Committee on Health and Care. [11:58] The Department of Health recognizes [12:00] the global objectives of House Bill No. 2943 [12:03] as a measure rate 6 to promote preventive health care, [12:07] reduce the national burden of non-communicable diseases, [12:10] of course, literally long-term health expenditures, [12:13] and strengthen the implementation po [12:14] of our universal health care, [12:16] and improve the overall quality of Filipinos. [12:19] Sa pamamagitan po ng pagsamen ng preventive [12:21] and lifestyle medicine sa ating sistema [12:24] ng pangkalusugan, [12:25] ito ay isang cost-effective na hakbang [12:27] na hindi lamang matapagligtas ng buhay, [12:29] kundi makakabawis din po sa [12:31] pangmatagalang gustusin sa kalusugan [12:34] at magkawala ng produktividad [12:36] na dulot ng mga chronic conditions. [12:38] Ang inisiyatibong ito ay naayon din po [12:40] sa universal health care [12:42] dahil itinataguyod nito ang integrasyon [12:44] ng preventive interventions [12:46] sa parehong pampubliko at pribadong [12:48] health care delivery systems. [12:50] Kinikilaya na rin po ng kagawalaan ng kalusugan [12:53] ang kahalagahan ng pingsama ng lifestyle medicine [12:55] sa evokasyon ng mga health professionals [12:58] at sa pinsasanay sa ating mga community health workers [13:01] upang higit pang mapalikas [13:03] ng kakayahan ng ointing health care system [13:05] sa lanayon ng preventive care. [13:08] The Department of Health respectfully commits po [13:10] to submit a more comprehensive position paper [13:12] containing details, comments and inputs [13:14] and recommendations for the consideration [13:16] of our legislators. [13:17] Marami sanong na. [13:18] Thank you, Dr. Madumba. [13:24] Next is from the Department of Education, [13:30] Assistant Secretary Janir Datukan. [13:35] Good morning, Mr. Chia. [13:36] Good morning, honorable members of this committee. [13:39] Thank you. [13:39] On the part of the Department of Education, [14:50] we recognize the importance of House Bill No. 2943 [14:54] in strengthening preventive and lifestyle medicine [14:58] approaches within the Philippine system. [15:01] The proposed measure aligns with national commitment [15:05] to promote health consciousness, [15:07] prevent non-communicable disease, [15:10] and empower Filipino citizens to adopt healthy [15:13] and sustainable lifestyles. [15:16] The med supports the intent of the proposed legislative [15:18] and really its... [15:20] Okay naman po, no. [15:25] With promotion, disease prevention, [15:27] physical activity, food literacy, [15:28] stress management, [15:30] behavioral change interventions. [15:32] These principles are actually consistent [15:35] with the goals of the revised K-10 curriculum, [15:38] specifically within the physical education [15:40] and health area. [15:42] However, we note that several provisions provided [15:45] under Section 9D of the bill, [15:48] particularly the integration of age-appropriate lifestyle medicine [15:59] subjects into the grade school [16:01] to senior high school curriculum [16:03] and already substantially embedded po [16:05] in the existing and revised K-10 [16:08] physical education and health curriculum. [16:10] The current curriculum already incorporates competencies [16:13] related to preventive health care, [16:15] e-health literacy, [16:17] healthy lifestyle behaviors, [16:20] physical fitness, [16:21] food literacy, [16:23] stress management, [16:24] and prevention of non-communicable diseases. [16:26] In view of the foregoing, [16:28] the Department of Education reiterates [16:30] its support for the proposed legislation [16:32] and recommends policy harmonization [16:35] and strengthened implementation [16:37] to avoid duplication [16:38] of implemented learning competencies. [16:41] Strengthening existing education programs, [16:45] teacher training, [16:46] and interagency collaboration [16:47] will further advance [16:49] the shared national goal [16:50] of developing literate, [16:53] physically active, [16:54] and wellness-oriented Filipino learners. [16:56] Mr. Chair, [16:58] all of these are incorporated [16:59] in a very comprehensive position paper [17:02] that we are just seeking clearance [17:03] from our principals [17:05] and then we'll submit both to the committee. [17:07] Thank you, Mr. Chair. [17:08] Thank you, sir, Datukan. [17:11] From the Philippine College of Lifestyle Medicine, [17:14] Dr. Michelle Palma. [17:20] Good morning, everyone. [17:22] For decades, [17:23] the Philippine health care system [17:25] has been largely designed to treat disease [17:29] only after it has already taken hold. [17:31] Yet today, [17:33] we're confronted [17:33] with a very different reality. [17:36] One, [17:37] that non-communicable diseases [17:38] such as heart disease, [17:39] diabetes, [17:40] cancer, [17:40] and chronic disease [17:41] have become the leading causes [17:43] of death, [17:44] disability, [17:44] and financial hardship [17:46] among Filipinos. [17:48] And these conditions [17:48] were no longer [17:49] isolated medical concerns. [17:52] House Bill 2943 [17:53] responds to this urgent challenge [17:56] with a bold [17:57] and transformative vision [17:58] to integrate preventive [18:00] and lifestyle medicine [18:01] into the Philippine health care system. [18:03] At its core, [18:04] the bill recognizes [18:05] a fundamental truth [18:07] that many of these disease burden [18:08] of our nation [18:10] are largely preventable, [18:12] manageable, [18:12] and even reversible [18:14] at some point [18:15] through evidence-based [18:16] lifestyle interventions. [18:18] This is not [18:19] alternative medicine. [18:21] This is not [18:21] complementary medicine. [18:23] But this is [18:24] the initial input, [18:26] the initial management, [18:27] unanimously recommended [18:29] in all clinical practice guidelines [18:30] for non-communicable diseases. [18:33] So our goal here [18:34] is instead of waiting [18:36] for illness to progress, [18:38] this measure seeks [18:39] to reposition health care [18:40] toward early risk detection, [18:43] behavior change, [18:44] and long-term disease remission. [18:45] The proposed law [18:47] envision self-care system [18:49] where lifestyle medicine [18:50] becomes the first line of care [18:52] and not the last resort [18:55] as unanimously recommended [18:57] in CPGs. [18:58] From primary care centers [19:00] to tertiary hospitals, [19:02] patients are envisioned [19:04] to receive [19:05] not only medications, [19:07] but also structured programs [19:09] to achieve [19:09] sustainable lifestyle modification. [19:12] Care will become [19:13] more patient-centered, [19:14] coordinated, [19:15] and holistic, [19:15] addressing not just [19:17] the symptoms [19:18] but the root causes [19:19] of the disease. [19:20] Also central [19:21] to this transformation [19:22] is the establishment [19:23] of lifestyle medicine [19:24] services framework, [19:26] which will guide [19:27] the implementation [19:27] of programs [19:28] in both hospital [19:29] and community settings. [19:31] Those programs [19:32] aim to improve [19:33] quality of life, [19:34] reduce complications, [19:35] and empower patients [19:36] to finally [19:37] take an active role [19:39] in their own [19:39] healing journey. [19:41] Recognizing that [19:42] such a shift [19:42] requires a strong [19:44] workforce, [19:45] the bill emphasizes [19:46] the development [19:46] of a new generation [19:48] health care professionals, [19:50] lifestyle medicine specialists, [19:52] allied health providers, [19:53] and health coaches [19:54] who are trained [19:55] to deliver evidence-based [19:57] behavior-focused care. [19:58] It also calls [20:00] for integration [20:01] of lifestyle medicine [20:02] into medical education, [20:04] ensuring that future [20:05] health professionals [20:06] are equipped [20:07] not only to treat disease [20:09] but have the lens [20:10] to somehow [20:11] patch it [20:11] or really prevent [20:12] and reverse it. [20:14] We have current [20:15] collaborations [20:15] with several [20:16] DOH, [20:17] CHDs, [20:18] and hospitals [20:18] in training [20:19] primary care physicians [20:21] and allied health professionals [20:22] to provide [20:23] lifestyle medicine programs. [20:24] Unfortunately, [20:26] once the directorship [20:29] has changed, [20:30] then the direction [20:31] also will change. [20:33] Importantly, [20:34] the bill aligns [20:35] with the vision [20:35] of universal health care, [20:37] reinforcing the shift [20:38] from the active system [20:40] to one that prioritizes [20:41] health promotion [20:42] and disease prevention. [20:44] It also fosters [20:45] collaboration [20:47] across sectors, [20:48] health, [20:49] education, [20:50] labor, [20:50] and most importantly, [20:52] agriculture. [20:52] recognizing that health [20:56] is shaped [20:57] not only [20:58] in our clinics [20:59] and hospitals [20:59] but in the environments [21:01] where people [21:02] actually live [21:03] or work [21:03] and learn. [21:05] So finally, [21:06] House Bill 2943 [21:07] is more than a policy. [21:09] It is a paradigm shift. [21:11] It calls [21:11] for reorientation [21:12] of our health care system [21:14] towards prevention, [21:15] empowerment, [21:16] and sustainability [21:17] utilizing [21:19] presently existing [21:20] programs [21:21] and resources [21:22] allocated [21:23] for lifestyle-related [21:24] disease [21:25] within rural health [21:26] units, [21:27] hospitals, [21:28] and full health packages. [21:30] We will just [21:30] integrate [21:31] this intervention [21:33] into the existing [21:34] programs, [21:35] thereby not requiring [21:36] too much budget [21:37] or more money [21:38] to operate this. [21:41] Thank you, [21:41] Dr. Palma. [21:43] Before we proceed, [21:44] we'd like to acknowledge [21:45] the presence [21:46] of our committee member, [21:47] Honorable Johan Monique Bautista [21:50] of a party list [21:51] trabaho. [21:52] Thank you. [21:57] From PhilHealth, [22:02] Mr. J. Bernoglia. [22:04] Thank you. [22:07] Thank you. [22:14] Thank you. [22:22] Thank you. [22:22] Thank you. [22:23] Thank you. [22:23] Thank you very much. [22:50] From the Professional Regulations Commission, Hon. Poli Carpi Joves, Jr. [22:59] Mr. Chair, the Professional Regulation Commission supports House Bill No. 2943 and recognizes preventive and lifestyle medicine as a real progression pathway for healthcare professionals. [23:16] We are likewise revising the table of specifications so that preventive and lifestyle medicine shall be included in the physician licensure examination aligned with primary healthcare. [23:30] Thank you very much. [23:31] Thank you, Honorable Joves. [23:33] From TESDA, Sir Carlore Pagliado. [24:06] Anyone from TESDA? [24:08] Good morning, Mr. Chair. I'm Carlore Pagliado, the Supervising TSD Specialist in Technical Education and Skills Development Authority. [24:32] So with respect to House Bill No. 2943, this supports the integration of lifestyle medicine into the Philippine healthcare system, particularly its focus on preventive and promoting healthcare. [25:06] So TESDA recognizes the community level health workers play a vital role in advancing the objectives of the bill, especially in promoting healthy lifestyle disease prevention and health education at the grassroots level. [25:24] So TESDA believes that incorporating lifestyle medicine-related competencies into technical vocational and community-based health training programs would strengthen the country's primary healthcare framework. [25:39] So this is particularly relevant for barangay health workers, barangay nutrition scholars, or BNAs, and community-based workers who are often within TESDA's training reach. [25:54] So TESDA likewise notes that on Section 9 of the bill mainly pertains to undergraduate and postgraduate medical education, residency and fellowship programs, and licensure related matters, which properly fall under the jurisdiction of the Commission on Hearing Education, the Professional Regulations Commission, and the relevant professional bodies. [26:22] So in this regard, TESDA's role is supportive and complementary. [26:25] So in this regard, TESDA's role is supportive and complementary. [26:26] Nevertheless, TESDA respectfully recommends that the bill expressly recognize the T-VET two-degree articulation pathway and the RA 10647, or the Laterized Education Act, to ensure that competencies acquired through TESDA programs may be properly credited should T-VET graduates' [26:49] T-VET's later personalized health degree programs, which there is already a, what we call, or PCTS, or under the Philippine Credit Transfer System. [27:01] Thank you. [27:02] Thank you, Mr. Pagliado. [27:04] From the Department of Interior and Local Government, Attorney Noel Sala. [27:09] Good morning again, Mr. Chair. [27:13] The Department is set to submit its position paper on House Bill 2943 for the Preventive and Lifestyle Medicine Act. [27:22] However, we would like to convey our support on the proposed Preventive and Lifestyle Medicine Act. [27:31] Health Services is the Department of Provisioning of Local Government Units for Suwan 2017 of the Local Government Unit of 1991. [27:40] The Department also supports the provision that identified the Department of Health as the primary implementing agency in implementing this proposed Act when it adapted into law. [28:00] It was easily observed that the LGUs will serve as indispensable partners in the implementation of this measure once enacted into law. [28:10] The Department stands ready to collaborate, cooperate, and coordinate with the Department of Health, and is ready to closely monitor local government units' compliance with existing laws, especially on health-related laws, and promotion of health services. [28:26] The Department will submit a comprehensive position paper once it receives clearance from the appropriate office. [28:34] That's all, Mr. Chair. Thank you. [28:36] Thank you, Attorney Sala. [28:38] And last, from the Department of Budget and Management, Mr. Rinaldo Moreno. [28:45] Thank you, Mr. Chair. [28:53] Now, Mr. Chair, the DPM support the bill, and we defer po sa DOH on the other provisions of the bill. [29:06] However, in the funding support, we suggest to Section 13. [29:18] The DBM supports the intention of the bill and we defer to the DOH on the [30:17] SIPP provisions in Section 4, the health response is what we want to clarify, Mr. Chair. [30:46] Can we have a two-minute suspension so we can fix the SOM system? [30:51] But before we proceed, we'd like to acknowledge the presence of our committee member, Honorable [31:02] Florabel Yatko of Apartilis Nanay. [31:06] Thank you. [32:45] The meeting is resumed. [32:47] Honorable Goriseta. [32:53] Regarding the question from DBM, the trust funds, actually, sir, these trust funds will come [33:00] from our private funders. [33:03] It's just like, for example, recently we have Rockefeller Foundation from the U.S. [33:09] They already promised to help the Lifestyle Medicine Society in our advocacies and programs [33:17] and we also have partners from Europe and other countries. [33:22] So, thank you. [33:28] Yes. [33:29] The question, Mr. Chair, the answer to the question of DBM, the trust fund, health trust fund. [33:45] DBM? [33:48] Yes, Mr. Chair. [33:52] Thank you, ma'am. [33:54] Ang susunod po na katanungan po ay, sino po ang gmanage ng nasabing trust fund? [33:59] Nabangki po ninyo na na-identify po yung mga sources of said trust fund. [34:04] So, yun po yung next po na. [34:06] Gusto po namin ng clarification, Mr. Chair. [34:08] Thank you. [34:09] It would be the Lifestyle Medicine Society po of the Philippines. [34:15] So, it would be a private, it's just like a private partnership po. [34:19] Mr. Chair, siguro po ang mungkahi lang po namin para po ba iwasan din po yung kalituhan. [34:29] Baka po mas painam po na merong separate na provision tungkol dito. [34:34] Kasi pagka po nasa mo po dun sa provision na ito, it seems na parang it's government. [34:39] Yeah. [34:40] So, yun lamang po yung aming kahi. [34:43] Thank you, ma'am. [34:44] Thank you. [34:45] Thank you for the suggestion. [34:49] Can you, I mean, from the DBM? [34:54] DBM. [34:55] Yung gumulo na. [35:02] Can we have the DBM again on your last opposition paper? [35:10] Ah, opposition. [35:12] Because Honorable La Vergara wasn't able to appreciate your statement. [35:15] Yes, Mr. Chair, the DBM post support the intent of the bill and we depurpose DOH on their coverage provided in the provisions of the bill. [35:29] And we suggest to solicit the comments of the PAGCOR and the PCS as mentioned in Section 14 of the bill [35:36] and request for the clarification on the proposed health plans as mentioned in the said provision. [35:43] Mr. Chair, thank you. [35:44] Please submit your complete position paper to this committee. [35:50] And that includes also the all other resource person to please submit your position paper to this committee. [35:56] Just a clarification, medyo bago lang sa akin yung lifestyle medicine, ano? [36:06] May I know how many years ang residency program ng lifestyle medicine [36:13] and what are the institutions that are accredited training centers for lifestyle medicine? [36:22] Thank you for the question, Mr. Chair. [36:25] The lifestyle medicine, preventive and lifestyle medicine training program is currently in place in different interprofessional education. [36:33] We currently have a master's degree in public health majoring in lifestyle medicine and that's already in place within the Adventist University of the Philippines College of Health. [36:44] And we have also integrated lifestyle medicine competencies within medical undergraduate medical education in several colleges and universities. [36:57] With regards to residency program, it's a three-year residency program and it's an affiliate specialty society under the Philippine Academy of Family Physicians. [37:07] And currently, because this is a new medical specialty in the Philippines, officially introduced in the country in 2015, [37:15] we started with CME TRAC training program, which is open to any medical specialty. [37:22] The basic entry level here is a general practitioner and that's the current CME TRAC. [37:29] And then they can, now we already have the residency program, which is also implemented either as dual TRAC in some residency programs with family medicine, [37:40] family and community medicine residency program. [37:42] Apart from that, Mr. Chair, we already have the sub-specialty training in lifestyle medicine. [37:49] So this is a two-year fellowship training within three consortium training institutions existing in the country. [37:56] Primarily, the University of the Philippines, Philippine General Hospital, the Southern Philippine Medical Center for Mindanao, [38:04] and then we have St. Paul's Hospital Iloilo for the Visayas. [38:07] You have two programs, yung isa parang sub-specialty program in the family medicine, [38:13] and there's a separate residency program for lifestyle medicine and preventive medicine. [38:21] Yes, preventive and lifestyle medicine. [38:23] Preventive and lifestyle medicine. [38:25] May I know how many, and then you take your specialty board examination. [38:30] Yes, we have a specialty board examination. [38:31] May I know how many members are presently? [38:33] Currently, there are over thousands of us already all over the country. [38:39] So this is one TRAC that we're looking forward. [38:42] 1,000? [38:42] Over 1,000. [38:44] Over the Philippines. [38:46] Boarded. [38:47] Boarded diplomats in lifestyle medicine. [38:49] Boarded in lifestyle medicine. [38:51] Mr. Chair, this is where we're looking forward to having our DUH physicians actually get a specialization TRAC. [39:00] We know that most of them are general practitioners, and this is a good TRAC for them to go through a specialization [39:07] so that they would have that competency in implementing preventive and lifestyle medicine. [39:13] So you have training centers in Luzon, Visayas, and Mindanao? [39:17] Yes. [39:18] Thank you, Dr. Palma, for educating me. [39:23] Mr. Chair. [39:29] I'd just like to ask DOH kung ano na yung ginagawa natin with regards to lifestyle medicine. [39:39] Kasi as I know, we have also some trainings on that. [39:44] We have some exposures on that. [39:46] Do you really have a program, program coordinators for every region, every province that handles lifestyle medicine? [39:59] Thank you. [40:07] Thank you, Mr. Chair. [40:08] So for this one, actually, when we look at the different pillars of the proposed law, this is actually already incorporated [40:18] in the health promotion framework strategy of the Department of Health, wherein we put in social behavioral change, [40:23] education, and lifestyle modification into this one. [40:26] But there is no specialized or there is no institutionalized training yet for this particular primary caregivers. [40:33] So I would like to also to second the proposal for the education for this particular primary care workers [40:42] extended of the different categories that we have now, different cadres right now. [40:52] And we can see that in our ground, the healthcare workers that would be barangay healthcare workers, [40:59] midwives, and as such. [41:01] And I would like to recommend that we extend also the different capacity building to this particular cadres [41:07] because they're the first-line implementers po of health. [41:11] So thank you, Mr. Chair. [41:12] Thank you. [41:18] Any more members? [41:19] Mr. Chair, if there are no more questions, I move to approve House Bill 2943 subject to technical consultation with stakeholders. [41:41] Second, Mr. Chair. [41:43] There's a duly seconded motion. [41:47] Paul Vergara, leave for you. [41:51] My dear colleague, so naka-PPP ho kayo with Rockefeller Foundation. [42:00] This person po answered that. [42:04] Yes. [42:06] The Rockefeller Foundation actually supports many different endeavors and programs in terms of health, [42:15] particularly non-pharmacologic interventions. [42:22] And Rockefeller Foundation is providing education, venues, and resources, you know, to fund these programs. [42:30] And the partnership that we have with them is, of course, through our international affiliations. [42:35] The Philippine College of Lifestyle Medicine is affiliated with the Lifestyle Medicine Global Alliance [42:40] and the World Lifestyle Medicine Organization. [42:43] And we're currently fortunate, we're fortunate because just recently we had a representation for the Asia-Pacific [42:49] and it was Philippines that was selected to represent the preventive and lifestyle medicine movement within Asia [42:58] because currently within Asia we are the only and we're the first to have a structured training program [43:05] and integration of lifestyle medicine within our healthcare system. [43:09] So that was currently conducted just this month, you know, in Bellagio, Italy. [43:17] So it's course through our international affiliates. [43:22] And they choose Philippines, you know, as one of the four movers in this implementation throughout Asia-Pacific. [43:29] So, Dr. Palma, hindi ho kami mag-walong yung budget talagang makukuha namin para sa buong PDP, ha? [43:42] Mawak ang the foundation? [43:43] Okay, sir. [43:44] I cannot really speak for that because, in fact, these are a group of funders. [43:49] I was also amazed when I was there because you're facing funders. [43:53] And you just have to propose your program. [43:55] And then they like what we're doing in lifestyle medicine. [43:58] We're talking about food as medicine. [44:00] We're talking about front-of-pact labeling, you know, climate change, how planetary health is actually supported through lifestyle interventions, [44:11] through the dietary interventions we offer. [44:13] They are actually the ones who offered to support us in this endeavor. [44:17] We did not know them initially. [44:19] So, they chose us, you know, to be part of this program. [44:23] But for me to say that they will provide fund for the Philippines, I couldn't really speak for that. [44:28] But for the program, yes. [44:31] Yes, sir. [44:32] Yeah. [44:33] Program race. [44:35] So, meron po akong anak na doktor, eh. [44:39] So, kaya ako nagtatanong din at nagliliwanag. [44:45] Kung, excuse me. [44:46] Kung. [44:47] I agree with Dr. Akita. [44:50] Yes. [44:51] Kasi 68% na yung title sa lugar namin, around 68% yung may problema ang cost of debt ay ganun po malaki. [45:06] So, talagang malaking bagay para sa atin na i-adopt yung measure na debt. [45:16] Kung, if I may add po, of course, our concern is, of course, as usual, the budget. [45:23] But with this bill naman po, I think hindi naman masyadong malaki yung budget. [45:28] And if ever, we also have budget from the OH for the prevention, prevention of this NCDs. [45:36] And I think with that budget, pwede natin i-work on or i-realign siguro into this, if ever ma-institutionalize po. [45:44] So, I think hindi naman po masyadong malaking budget yung i-ano natin gamitin. [45:49] Thank you. [45:52] Parami salamat po. [45:53] Mag-aaral po kami sa yung-ano. [45:55] Mr. Chair, if I may add, for the information of those who just heard lifestyle medicine for the first time, [46:04] please, I would like to take this opportunity to educate you a bit. [46:07] In lifestyle medicine, we don't only talk about preventing your chronic conditions. [46:11] Once we catch it early, our goal is to reverse it, or for your diabetes to achieve remission. [46:18] Once we catch fatty liver disease, our goal is to reverse your fatty liver disease because we know this is a spectrum. [46:24] Once you have gone through the cirrhosis level, that's not reversible anymore. [46:31] If we give budget for dialysis, for dialysis centers, why can't we give budget for patients who are at stage 1 to 3, [46:40] where we can arrest progression of chronic kidney disease? [46:43] And we're talking about years of delaying dialysis. [46:47] Why can't we provide programs for those who have just had bypass operation or stent insertion, [46:52] and then just after 2 years or 3 years, they get bypass operation again? [46:57] So, this is where the lens and interventions of lifestyle medicine can come in [47:02] because our goal here is for patients to develop that identity of taking care of their health and not just being medicated. [47:09] Thank you. Dr. Palma. [47:12] Mr. Chair, excuse me, last one. [47:14] So, in short, in summary, we spend too much for the treatment. [47:18] In our country, we spend billions of pesos for the treatment. [47:21] Why not spend a lesser budget for the prevention compared to the more budget for the treatment? [47:30] That's all. [47:31] Mr. Chair, thank you. [47:32] Thank you, Honorable Goriseta. [47:34] Thank you, Honorable Vergara. [47:35] We now act on the, there was a previous motion. [47:39] I second. [47:41] Honorable Bautista. [47:42] If I may, Mr. Chair, I just wanted to manifest my support to the bill, [47:48] and I think I guess in relation to being educated about the lifestyle medicine [47:54] and having gone through the proposed bill, [47:57] and I mentioned it for how we are spending billions on treatment, [48:03] maybe we can, just as a form of suggestion, [48:07] if we can have more aggressive programs for the preventive portion, ma'am, [48:14] because as I understand it po dito sa inyong lifestyle medicine, [48:19] it seems that parang it points to clinical care, [48:25] kumbaga parang it assumes na meron na pong mga pasyente. [48:29] But if we are talking about preventive, [48:31] we don't want it to be a patient in the first place. [48:35] So, if we are to adopt lifestyle medicine as a form of preventive care, [48:41] baka po merong program na mas magfocus po [48:44] na hindi po maging pasyente ang ating mga tao in the first place. [48:50] And I think this was also discussed by the DOH in their programs last year po [48:55] during po the budget hearings, [48:57] that they're also looking into having programs in terms of preventive care din po [49:03] and down to our community. [49:05] Baka po the lifestyle medicine we can use as a form of a program [49:10] to, I don't know, strengthen whatever DOH programs they have right now [49:15] down to the community. [49:17] This one po na bago pa man din po sila magkaroon ng mga sakit po [49:22] or maging borderline pa man din po. [49:25] Kasi kapag ka po kasi, as I understand, [49:28] may mga doktor din po kasi akong kinokonsult, [49:31] may mga maintenance po tayo, hindi po ba? [49:34] Kapag ka ano, [49:35] tinuturo naman din po nila yung kailangan na lifestyle change [49:39] in addition dun po sa mga medical interventions that we have to go through. [49:47] But then, ako, misa po iniisip po, [49:50] sana po nalaman ko nung simula pa lang na ganito na [49:53] that we are able to manage these things before we even become, [49:59] have contract these kinds of diseases [50:01] or tumataas yung ganito, ganyan, [50:05] dapat magbawas kayo sa ganito. [50:07] But sa simula pa lang po, [50:08] we know the lifestyle that we need to adopt [50:14] or to watch out for. [50:16] Baka po, mas hindi na po kailangan in the first place [50:19] na mag-manage even yung mga stage 1 na mga sakit po. [50:23] So I think yun lang po yung suggestion po namin [50:26] dito po sa bill na ito, [50:27] if we can have more programs to have a more preventive approach po. [50:31] Yes ma'am, thank you po. [50:34] Mr. Chair. [50:35] Kong, thank you so much for the support [50:37] and thank you for the suggestion po. [50:39] That is in fact my question during the budget hearing [50:42] to the OH na yung prevention natin na budget, [50:47] bakit yan lang? [50:48] And sometimes it just stops sa promotion [50:51] like the caravans, you know, [50:53] the advertisements, social media, [50:56] but hindi siya nakakarating sa grounds. [51:00] Like for example, we should, yeah, [51:02] we should be like screening the patients [51:04] first and foremost kung may family history na ng diabetes. [51:07] And this is what the bill actually wants to implement. [51:11] Down to the BHWs, down to the community health workers, [51:15] malalaman na na kahit wala pang diabetes, [51:18] wala pang hypertension, [51:19] o ikaw high risk ka na kasi may family history, [51:21] o ikaw obese ka na. [51:23] So, high risk ka na kasi nga overweight ka na. [51:26] So, yeah, that is exactly the bill. [51:30] That is what exactly what I want to implement with this bill. [51:33] Thank you. [51:36] Dr. Palma. [51:39] Ma'am, thank you so much for the support to the bill. [51:42] This is actually the very reason why we were calling [51:45] for the integration and collaboration with the DepEd, [51:49] with the TESDA, [51:51] even with the agriculture sector, [51:53] for the information of everyone. [51:55] Lifestyle medicine is not working within just the clinic. [51:58] We have what we call the nutrition-sensitive agriculture program [52:01] that we work with the Department of Agriculture. [52:04] So, we utilize existing budgets that they have [52:07] so that we can implement this in the community. [52:09] We have proof of concepts [52:11] and pilot programs that we have implemented, [52:14] even in the grade school area. [52:17] For the information of DepEd, [52:19] thank you so much for the support. [52:21] We understand that it's already embedded in your subject. [52:24] But this bill is actually calling [52:26] for a structured intervention. [52:29] And even with the DOH, [52:31] the current existing lifestyle-related disease programs [52:34] that we already have, [52:35] it's already existing. [52:36] But it's more educational rather than interventional. [52:39] So, we just have to reorient the system [52:42] and we integrate education [52:43] so that we have the lens and the competencies [52:46] to provide the services. [52:55] Mr. Chair, [52:56] I'd just like to manifest my support to the bill. [52:59] And if it's okay with the author, [53:02] we can be all present, [53:04] all members present can be co-authors. [53:08] Thank you. [53:08] Of course. [53:09] Of course. [53:10] Thank you. [53:11] Let's approve first the bill [53:12] and then we can move that. [53:14] Yes, Honorable Pancho. [53:16] Mr. Chair, [53:17] Before Lifestyle Medicine, [53:20] existing na po sa atin yung mga nutritionists. [53:24] Diba? [53:24] Parang ito yung work po nila eh. [53:27] So, ano difference po, Ma'am? [53:30] Okay, let me answer the question, Ma'am. [53:32] The nutritionists and dietitians [53:35] are actually dependent on the prescriptions also [53:38] of the physicians. [53:39] However, can you imagine [53:41] if the lens of the physicians [53:42] is not towards reversal of the disease [53:45] and just maintaining the condition? [53:47] So, that will be implemented [53:48] and given and prescribed to the patients as well. [53:52] So, let's say, for example, [53:54] we all prescribe in our chart [53:55] diabetes diet, [53:57] but it doesn't mean that our goal [53:59] is to reverse diabetes. [54:01] So, that's the difference. [54:02] So, in lifestyle intervention, [54:04] this is where intensive nutrition prescriptions [54:07] can come in [54:08] and there's more programs [54:12] that would come in [54:12] not only just giving foods [54:15] that are included in the food list. [54:18] We are guideline-based [54:20] and that's the gap. [54:21] And whether we like it or not, [54:23] the gap in implementing [54:24] the clinical practice guideline recommendation [54:27] towards clinical practice, [54:28] we're talking about 5 to 10 years. [54:31] Hindi siya nababasa ng mga doktor [54:32] papano nila i-order sa chart [54:34] papano i-implement ng nutritionist. [54:36] Because doctors are so busy [54:38] taking care of the acute conditions, [54:41] so this specialty is actually focusing [54:45] towards what we can do [54:46] on the non-pharmacologic interventions. [54:51] Okay. [54:51] Just, just, ano po, addition. [54:54] Kasi po, sometimes, [54:56] yung nutritionist po, [54:57] people just say, [54:58] oh, mag-diet ka, [54:59] mag-vegetables ka, [55:00] mag-anyan ka, [55:01] but there's no monitoring po. [55:02] Wala tayong output. [55:03] So, in case na ma-institutionalize to yung bill, [55:07] we will have monitoring, [55:10] may mga BHWs na tayo [55:12] na mag-train na to check [55:13] na nagda-diet ba talaga, [55:16] yung food ba talaga healthy. [55:18] So, I think that would be the difference ko. [55:20] Thank you. [55:21] Mara, Guru Roque? [55:24] Yes, Mr. Chair. [55:26] Pasensya pa, [55:27] pahabain ko na ng konti. [55:29] I'm actually, [55:31] also, [55:31] one of those na bago lang sa akin na to. [55:34] But all at the same time, [55:36] I am only happy [55:37] na the Department of Education [55:39] is into this collaboration [55:42] kasi I believe [55:43] that we should start with the children [55:45] from the moment [55:47] that we educate our children [55:49] that they should be [55:51] having a better lifestyle. [55:53] hindi yung junk food, [55:54] hindi yung mga sodas na nakikita natin [55:56] kasi I've seen schools here in Manila [56:00] who has already implemented that. [56:02] They actually educate the children [56:04] and tell them, [56:06] this is not good for you [56:08] because, [56:09] not just because, [56:10] kasi sabi ko, [56:12] but because this will happen to you [56:13] if you do this. [56:14] But then again, [56:15] I was hoping that we would be having [56:17] a resource person from DPI, [56:20] sana ba, [56:20] or mga, [56:23] mga bibenta [56:24] ng heat naman talaga [56:26] magandang yung mga pagkain, [56:28] lalo na yung energy drinks [56:30] na sa Sobrang Park. [56:32] Kasi, [56:33] sa mga pagkai, [56:35] usually, [56:35] ang cause of death [56:37] is anjan. [56:39] Yung inak niya, [56:40] ito lang yung parating inakain niya. [56:42] Nakikita mo, [56:43] na nasa pagkain talaga nila [56:45] at iniinom nila [56:46] ang dahilan bakit sila. [56:49] So now that we are into this preventive, [56:52] lifestyle medicine, [56:54] ang kailangan ng monitor. [56:56] Pero maganda rin [56:56] na ang pagkain natin [56:58] in-accessible sa mga bata [57:00] o sa mga mata [57:01] o sino man [57:01] nagtatrabaho [57:03] na may mga pinagkain [57:04] na yung hindi mga [57:05] sa ating kalusok. [57:07] Kaya ang maganda po [57:09] na mayroon nga [57:09] talaga kakasyon [57:10] sa iba-ibang mga. [57:12] Pero all that is safe, [57:14] saan nga, [57:15] magsimpla tayo [57:16] sa mga pag-e-educate [57:18] na mga tao. [57:19] Lalo na rin po [57:20] ang lifestyle din [57:21] kasi nakikita na natin [57:22] ng social media. [57:23] Nakikita na natin [57:24] bakit di tayo [57:25] kumain ganito, [57:26] dapat ganito na yung [57:27] lifestyle natin. [57:28] I've been changing [57:29] my lifestyle na rin. [57:30] I've been fasting, [57:31] I've been doing everything [57:32] that I see online. [57:34] But the thing is, [57:35] importante, [57:36] bata pa lang [57:37] ang mga tao [57:38] from the schools. [57:41] Preschool, [57:42] elementary, [57:43] high school, [57:44] college, [57:45] everybody should be [57:46] educated [57:46] to prevent [57:48] from becoming [57:50] a patient. [57:53] And then again, [57:54] of course, [57:55] very helpful talaga [57:55] na may mag-monitor [57:56] sa kanila. [57:57] Na nasa right directly. [58:00] Yan lang. [58:00] Thank you, [58:03] Honorable Roque. [58:04] Before, [58:05] yes, [58:06] Honorable Apple. [58:09] Good morning, [58:10] everyone. [58:11] I'd like to express [58:12] the word [58:12] about health. [58:13] Number two, [58:14] I'd like to talk [58:15] about health. [58:18] I'd like to talk [58:18] about health. [58:20] But lastly, [58:24] I'd like to talk [58:25] to what we're trying [58:27] to do. [58:28] We've got the [58:29] SDG, [58:31] the SDG, [58:33] to ensure [58:35] healthy lives [58:35] and promote [58:36] healthy youth [58:37] to all of us [58:38] at all ages. [58:40] And more specifically, [58:42] at this point, [58:43] or [58:43] it's to be [58:44] reduced by [58:45] 2030. [58:47] So you want [58:47] the premature [58:49] mortality [58:49] from non-communicable [58:51] diseases, [58:53] cardiac diseases, [58:54] cardiovascular diseases, [58:55] pulmonary disease, [58:56] and cancer. [58:58] Based on the numbers, [59:00] from 2015 [59:01] and to the most [59:02] recent one, [59:03] 2022, [59:05] we have remained [59:06] unmoved [59:06] of our target. [59:08] So numbers [59:10] in 2015 [59:10] reflect the same [59:11] to 2022. [59:14] So the thing is, [59:16] I think we really need [59:17] something like this [59:18] to move the needle [59:19] or else you'll end up [59:21] spending more money [59:22] just to manage [59:25] the problems [59:27] arising from [59:28] the disease. [59:32] Before we proceed, [59:34] we'd like to [59:34] acknowledge the presence [59:37] of a committee member, [59:40] Honorable Iris Marie [59:41] Demesa-Montes [59:42] of Particle 4K, [59:45] our Vice Chair, [59:46] Honorable [59:46] Walfredo Armand [59:47] Demagula Jr. [59:48] of the [59:49] Long District of [59:49] City of Binian, [59:52] and Honorable [59:53] Keith [59:54] Micah-Atony, [59:56] Mike, [59:56] son of [59:57] the 14th [59:57] Yes, [59:59] Honorable Yatko. [1:00:01] Good morning. [1:00:05] I'd like to [1:00:06] manifest my support [1:00:07] for the deal. [1:00:08] But I'd like to also [1:00:10] mention with [1:00:11] DOH that [1:00:12] we also have [1:00:13] the first [1:00:14] 1,000 days, [1:00:15] so that's the [1:00:16] prevent. [1:00:17] So bago pa [1:00:19] mabuntis [1:00:20] ang mga nanay, [1:00:22] so kailangan na talaga [1:00:23] napapaalagaan sila. [1:00:24] And then we have [1:00:25] this 1,000 days [1:00:25] na yun yung [1:00:27] connect sa [1:00:27] prevention na. [1:00:29] So sana at least [1:00:30] mapalakas ng DOH [1:00:32] yung first 1,000 days [1:00:34] natin. [1:00:35] Mas lalong [1:00:35] ma-promote. [1:00:38] Thank you, [1:00:39] Honorable Yatko. [1:00:41] Any more? [1:00:41] Yes, [1:00:42] Honorable Pansha. [1:00:44] Ma'am, [1:00:44] you mentioned [1:00:44] a while ago [1:00:45] that you will [1:00:45] have the [1:00:46] barangay health [1:00:46] workers. [1:00:47] Am I right, [1:00:48] ma'am? [1:00:48] They lack [1:00:49] training, [1:00:55] ma'am? [1:00:57] And this is [1:00:58] the reason [1:00:58] why we really [1:00:59] were calling [1:01:00] for the [1:01:01] collaboration [1:01:02] with the [1:01:03] TESDA [1:01:03] because they [1:01:05] are the ones [1:01:05] who can [1:01:05] capacitate our [1:01:06] barangay health [1:01:07] workers through [1:01:08] competency training. [1:01:12] They have [1:01:13] competency [1:01:13] trainings as [1:01:14] discussed [1:01:14] earlier [1:01:15] from our [1:01:15] representative. [1:01:21] I don't know [1:01:21] ma'am, [1:01:22] ang training [1:01:22] nila usually [1:01:23] six months [1:01:24] lang. [1:01:24] I think [1:01:25] that's not [1:01:25] enough [1:01:26] because we [1:01:26] were talking [1:01:27] about life. [1:01:29] Healthy [1:01:30] lifestyle, [1:01:31] the life [1:01:31] of the [1:01:32] people. [1:01:34] So yung [1:01:34] six months, [1:01:35] I think [1:01:35] that's not [1:01:35] enough. [1:01:36] Okay lang [1:01:36] yung mga [1:01:37] massage, [1:01:39] dressmaking, [1:01:42] vulcanizing, [1:01:43] bending, [1:01:44] driving. [1:01:46] So for [1:01:46] health, [1:01:48] the life [1:01:48] of the [1:01:48] people, [1:01:49] I think [1:01:49] six months [1:01:50] is not [1:01:50] enough. [1:01:50] If I [1:01:52] may answer [1:01:53] it, [1:01:53] ma'am, [1:01:53] by experience [1:01:55] in terms [1:01:55] of training [1:01:57] programs, [1:01:57] even health [1:01:58] coaches, [1:01:58] the training [1:01:59] program for [1:01:59] health coaches [1:02:00] are also [1:02:01] six months [1:02:02] or even [1:02:02] lesser. [1:02:03] And since [1:02:04] this is a [1:02:04] behavioral change [1:02:06] competency, [1:02:07] you don't [1:02:07] actually deal [1:02:08] clinically. [1:02:09] The clinical [1:02:10] part would [1:02:10] be the [1:02:11] responsibility [1:02:13] of the [1:02:13] physicians [1:02:14] and the [1:02:14] nutritionist. [1:02:15] So the [1:02:16] barangay [1:02:17] health [1:02:17] workers [1:02:17] will be [1:02:18] the [1:02:18] ones [1:02:18] who [1:02:18] will [1:02:18] be [1:02:19] following [1:02:19] up [1:02:19] and [1:02:20] then [1:02:21] monitoring. [1:02:22] And so they [1:02:23] should have [1:02:23] the lens [1:02:24] on what [1:02:24] to monitor. [1:02:25] And when [1:02:25] we talk [1:02:26] about [1:02:26] behavioral [1:02:27] change, [1:02:28] it's changing [1:02:30] the mindset [1:02:30] of the [1:02:30] people [1:02:31] within [1:02:31] the [1:02:31] community. [1:02:33] So [1:02:33] definitely [1:02:33] there should [1:02:35] be a [1:02:36] tailored [1:02:36] fit [1:02:37] competencies [1:02:37] at their [1:02:38] level of [1:02:39] education. [1:02:40] Kasi po [1:02:40] hindi [1:02:40] lahat [1:02:40] ng [1:02:40] BHW [1:02:41] po [1:02:41] ay [1:02:41] college [1:02:42] graduate. [1:02:43] Yes po. [1:02:45] Kaya [1:02:45] yung [1:02:45] kanila po, [1:02:46] if I may [1:02:47] share, [1:02:49] this [1:02:49] program [1:02:50] in [1:02:50] nutrition [1:02:50] sensitive [1:02:51] agriculture [1:02:51] is [1:02:52] actually [1:02:52] enhancing [1:02:53] access [1:02:54] to [1:02:54] healthy [1:02:55] foods. [1:02:56] Kasi [1:02:56] kahit [1:02:57] mag-prescribe [1:02:57] po kami [1:02:58] ng [1:02:58] healthy [1:02:58] food, [1:02:58] pagdating [1:02:59] sa [1:02:59] barangay, [1:02:59] wala [1:03:00] namang [1:03:00] pong [1:03:00] source. [1:03:01] Sa [1:03:01] 500 [1:03:01] pesos [1:03:02] nila, [1:03:03] hindi [1:03:03] aabot [1:03:04] ang [1:03:04] gulay [1:03:04] dun [1:03:04] at [1:03:04] frutas. [1:03:06] So [1:03:06] there [1:03:06] is a [1:03:07] program, [1:03:08] there's [1:03:08] a lot [1:03:09] of [1:03:09] proof [1:03:09] of [1:03:09] concepts [1:03:10] already [1:03:10] that [1:03:10] enhancing [1:03:11] accessibility [1:03:11] to [1:03:12] resources. [1:03:13] They already [1:03:14] have [1:03:14] gulayan [1:03:17] sa [1:03:17] barangay [1:03:17] and what [1:03:18] we're [1:03:18] implementing [1:03:19] are [1:03:19] community [1:03:20] teaching [1:03:21] kitchens [1:03:21] so that [1:03:21] we teach [1:03:22] mothers [1:03:22] on how [1:03:23] to [1:03:23] prepare [1:03:23] their [1:03:23] foods. [1:03:24] So [1:03:24] yung [1:03:24] po yung [1:03:25] level [1:03:25] ng [1:03:25] barangay [1:03:26] health [1:03:26] workers. [1:03:30] In [1:03:31] support [1:03:31] to [1:03:32] the [1:03:34] program [1:03:34] or [1:03:35] the [1:03:35] bill [1:03:35] of [1:03:35] our [1:03:36] speaker, [1:03:37] yes, [1:03:38] TESDA [1:03:38] has [1:03:39] our [1:03:39] barangay [1:03:40] health [1:03:41] services [1:03:41] NC2 [1:03:42] which [1:03:42] this [1:03:43] is [1:03:44] actually [1:03:44] a [1:03:44] community [1:03:45] focused [1:03:45] 463 [1:03:47] hour [1:03:47] program [1:03:48] teaching [1:03:48] household [1:03:49] health [1:03:49] filing, [1:03:51] disease [1:03:51] transmission [1:03:52] containment [1:03:53] and [1:03:53] health [1:03:54] care [1:03:54] reporting [1:03:55] at [1:03:55] the [1:03:55] local [1:03:55] sector [1:03:56] level. [1:03:57] So [1:03:57] with [1:03:57] regard [1:03:57] to [1:03:58] the [1:03:58] data [1:03:58] I [1:03:58] think [1:03:59] on [1:03:59] how [1:04:00] many [1:04:00] barangay [1:04:02] health [1:04:02] workers [1:04:02] have [1:04:03] been [1:04:03] trained [1:04:04] on [1:04:04] this [1:04:04] specific [1:04:05] program. [1:04:06] So [1:04:06] maybe [1:04:07] we [1:04:07] can [1:04:07] provide [1:04:08] or [1:04:08] we [1:04:09] can [1:04:09] submit [1:04:10] our [1:04:10] data [1:04:11] on [1:04:12] this [1:04:12] and [1:04:13] also [1:04:13] just [1:04:14] to [1:04:14] inform [1:04:14] everyone [1:04:14] we [1:04:15] have [1:04:15] our [1:04:15] test [1:04:15] the [1:04:15] online [1:04:16] program [1:04:16] on [1:04:17] this [1:04:17] specific [1:04:17] program [1:04:18] which [1:04:19] is [1:04:19] the [1:04:19] health [1:04:19] services [1:04:21] which [1:04:22] is [1:04:22] free [1:04:22] for [1:04:23] all [1:04:23] to [1:04:23] access [1:04:24] in [1:04:24] our [1:04:24] test [1:04:24] online [1:04:25] program. [1:04:26] Yes, [1:04:27] Honorable [1:04:28] Pancho. [1:04:29] In favor [1:04:30] of [1:04:30] TESNA, [1:04:31] our [1:04:31] experience. [1:04:33] It's [1:04:34] not [1:04:34] going to [1:04:34] give [1:04:35] on [1:04:35] time. [1:04:37] It's [1:04:38] about [1:04:38] six [1:04:38] months [1:04:39] to [1:04:39] one [1:04:39] year. [1:04:39] I'll [1:05:00] make [1:05:01] this [1:05:01] quick [1:05:01] on [1:05:01] us. [1:05:02] We [1:05:02] agree [1:05:02] with [1:05:02] our [1:05:03] different [1:05:05] matters [1:05:05] especially [1:05:06] when we [1:05:07] talk about [1:05:07] health [1:05:07] education. [1:05:08] Health [1:05:09] promotion [1:05:09] before [1:05:10] was [1:05:10] viewed as [1:05:10] health [1:05:10] education [1:05:11] but we're [1:05:11] going [1:05:12] farther [1:05:12] from [1:05:13] health [1:05:13] education [1:05:13] we're [1:05:13] actually [1:05:14] looking [1:05:15] for the [1:05:15] social [1:05:15] determinants [1:05:16] of [1:05:16] health. [1:05:17] That [1:05:17] is [1:05:17] why [1:05:17] the [1:05:17] Health [1:05:17] Promotion [1:05:18] Bureau [1:05:18] is [1:05:18] having [1:05:18] three [1:05:19] major [1:05:19] settings. [1:05:20] healthy [1:05:20] learning [1:05:21] institutions [1:05:21] we're [1:05:22] in [1:05:22] DILG, [1:05:24] TESNA, [1:05:26] DepEd, [1:05:26] and CHED [1:05:27] is actually [1:05:27] working with [1:05:28] us. [1:05:28] We have [1:05:28] also our [1:05:29] healthy [1:05:29] communities [1:05:30] we're [1:05:30] actively [1:05:31] coordinating [1:05:33] with the [1:05:33] Department [1:05:33] of Agriculture [1:05:34] for the [1:05:35] health [1:05:35] sensitive [1:05:35] and [1:05:35] specific [1:05:37] programs. [1:05:37] We also [1:05:38] have the [1:05:38] healthy [1:05:38] workplace. [1:05:39] We [1:05:39] support [1:05:39] this [1:05:40] one as [1:05:40] we [1:05:41] extend [1:05:41] from [1:05:42] health [1:05:42] education [1:05:42] to [1:05:42] actually [1:05:43] looking [1:05:43] to [1:05:43] the [1:05:43] social [1:05:44] determinants [1:05:44] of [1:05:44] health. [1:05:45] I [1:05:45] would [1:05:45] also [1:05:46] like [1:05:46] to [1:05:46] second [1:05:46] that [1:05:47] this [1:05:47] is [1:05:47] not [1:05:47] budget [1:05:49] heavy. [1:05:49] There [1:05:50] are [1:05:50] a lot [1:05:50] of [1:05:50] cost [1:05:52] effective [1:05:52] analysis [1:05:52] that [1:05:55] says [1:05:55] that [1:05:56] health [1:05:56] interventions [1:05:57] if we're [1:05:57] going to [1:05:58] put it [1:05:58] in [1:05:58] preventive [1:05:59] and [1:05:59] promotive [1:05:59] way [1:05:59] will [1:06:00] actually [1:06:00] give [1:06:01] a lot [1:06:01] of [1:06:01] benefits [1:06:02] for [1:06:03] the [1:06:03] government. [1:06:04] That [1:06:04] is [1:06:04] why [1:06:04] Mr. [1:06:06] Chair [1:06:06] I [1:06:07] would [1:06:07] like [1:06:07] to [1:06:07] reiterate [1:06:07] that [1:06:08] if [1:06:08] we [1:06:08] really [1:06:09] push [1:06:09] for [1:06:09] this [1:06:09] is [1:06:09] to [1:06:10] have [1:06:10] the [1:06:10] Department [1:06:11] of [1:06:11] Health [1:06:11] promotions [1:06:12] budget [1:06:12] to [1:06:12] be [1:06:12] at [1:06:13] 1% [1:06:13] as [1:06:14] mandated [1:06:16] by [1:06:16] the [1:06:16] Universal [1:06:16] Health [1:06:17] Care [1:06:17] Act [1:06:17] which [1:06:18] currently [1:06:18] we [1:06:19] reach [1:06:19] the [1:06:20] 1%. [1:06:20] So [1:06:20] this [1:06:21] will [1:06:21] actually [1:06:21] also [1:06:21] put [1:06:22] into [1:06:22] a [1:06:22] lot [1:06:23] of [1:06:23] strain [1:06:25] with [1:06:25] our [1:06:25] department [1:06:26] with [1:06:26] our [1:06:26] bureau [1:06:26] when [1:06:27] it [1:06:27] comes [1:06:27] to [1:06:27] this [1:06:28] particular [1:06:28] implementation. [1:06:30] And [1:06:30] lastly [1:06:30] about [1:06:32] the [1:06:32] training [1:06:32] for [1:06:33] our [1:06:33] health [1:06:33] workers [1:06:34] we [1:06:34] have [1:06:34] different [1:06:35] competency [1:06:35] models [1:06:36] and [1:06:36] frameworks [1:06:37] which [1:06:37] are [1:06:37] actually [1:06:38] parallel [1:06:39] with [1:06:39] the [1:06:39] practice [1:06:40] and [1:06:40] with [1:06:40] the [1:06:41] skill [1:06:41] set [1:06:41] of [1:06:41] our [1:06:41] different [1:06:42] cadres. [1:06:42] So [1:06:43] we [1:06:43] will [1:06:43] be [1:06:43] working [1:06:43] hand [1:06:44] in [1:06:44] hand [1:06:44] with [1:06:44] the [1:06:45] different [1:06:45] stakeholders [1:06:46] with [1:06:46] lifestyle [1:06:47] medicine [1:06:47] specially [1:06:48] so [1:06:48] that [1:06:49] we [1:06:49] could [1:06:49] have [1:06:49] a [1:06:50] more [1:06:50] integrative [1:06:51] and [1:06:51] more [1:06:51] nuanced [1:06:52] curriculum [1:06:53] for our [1:06:54] Barangay [1:06:54] health [1:06:54] graders. [1:06:55] Thank you [1:06:55] Mr. [1:06:55] Shirek. [1:06:56] Thank you. [1:07:03] There was [1:07:04] an early [1:07:04] motion [1:07:05] by [1:07:05] Honorable [1:07:06] Cruzado [1:07:07] Julie [1:07:07] Seconded [1:07:08] that [1:07:08] we [1:07:08] approve [1:07:09] House [1:07:10] Bill [1:07:10] Number [1:07:11] 2943 [1:07:12] subject [1:07:12] to [1:07:13] style [1:07:13] and [1:07:13] amendment. [1:07:14] Do I [1:07:15] hear [1:07:15] any [1:07:16] objection? [1:07:17] Hearing [1:07:17] none [1:07:17] House [1:07:18] Bill [1:07:18] Number [1:07:19] 2943 [1:07:20] is now [1:07:20] approved. [1:07:22] Congratulations. [1:07:25] Any [1:07:25] motion [1:07:26] to [1:07:27] include [1:07:28] those [1:07:29] who are [1:07:29] present [1:07:29] as [1:07:30] co-authors? [1:07:31] I move [1:07:32] that [1:07:33] all [1:07:33] members [1:07:34] present [1:07:34] second [1:07:38] researcher. [1:07:39] With [1:07:40] the [1:07:40] permission [1:07:40] of the [1:07:41] principal [1:07:41] author [1:07:42] there is [1:07:42] a [1:07:43] motion [1:07:43] by [1:07:43] Honorable [1:07:44] Zagarbaria [1:07:44] that [1:07:44] all [1:07:45] those [1:07:45] present [1:07:45] this [1:07:46] morning [1:07:46] be [1:07:47] made [1:07:47] co-authors [1:07:48] of the [1:07:48] said [1:07:48] bill [1:07:48] hearing [1:07:49] no [1:07:50] objection [1:07:50] the [1:07:51] same [1:07:51] is [1:07:52] approved. [1:07:53] Congratulations. [1:08:01] Before we [1:08:02] proceed to [1:08:02] the [1:08:03] last [1:08:03] agenda [1:08:04] we'd like [1:08:06] to thank [1:08:06] our [1:08:07] resource [1:08:07] person [1:08:08] on [1:08:08] the [1:08:08] preventive [1:08:09] and [1:08:10] lifestyle [1:08:10] medicine. [1:08:11] Thank you [1:08:11] very much [1:08:11] for your [1:08:12] present. [1:08:13] You [1:08:13] are [1:08:14] no [1:08:15] excuse. [1:08:26] We [1:08:27] now [1:08:27] proceed [1:08:27] with [1:08:27] the [1:08:28] bills [1:08:28] on [1:08:29] e-health [1:08:31] or [1:08:31] electronic [1:08:32] health. [1:08:34] We [1:08:34] now [1:08:35] recognize [1:08:36] the [1:08:39] author [1:08:40] of [1:08:40] House [1:08:40] Bill [1:08:40] number [1:08:41] 1387 [1:08:42] an [1:08:43] act [1:08:43] establishing [1:08:43] the [1:08:44] electronic [1:08:44] health [1:08:44] or [1:08:45] e-health [1:08:45] system [1:08:46] and [1:08:46] services [1:08:46] in [1:08:46] support [1:08:47] of [1:08:47] universal [1:08:47] health [1:08:48] care [1:08:48] using [1:08:49] information [1:08:50] and [1:08:50] communications [1:08:51] technology [1:08:51] and [1:08:51] operating [1:08:52] funds [1:08:52] therefore [1:08:53] by [1:08:53] Honorable [1:08:54] Attorney [1:08:55] Mike [1:08:55] Tan [1:08:55] and [1:08:56] Honorable [1:08:57] Iris [1:08:58] Montes [1:08:59] is now [1:09:02] record. [1:09:02] Thank you [1:09:03] Mr. [1:09:03] Chair. [1:09:04] Congressman [1:09:05] Attorney [1:09:05] Mike [1:09:05] Tan [1:09:06] of the [1:09:06] 4th [1:09:06] District [1:09:07] of [1:09:07] Quezon [1:09:07] and I [1:09:08] would like [1:09:08] to thank [1:09:08] the [1:09:09] committee [1:09:09] for the [1:09:09] opportunity [1:09:10] to sponsor [1:09:12] this [1:09:12] measure [1:09:13] today. [1:09:14] House [1:09:14] Bill [1:09:14] number [1:09:15] 1387 [1:09:16] to [1:09:16] institutionalize [1:09:17] a system [1:09:18] of providing [1:09:19] wide access [1:09:20] to quality [1:09:21] health [1:09:21] information [1:09:22] and services [1:09:22] using [1:09:23] information [1:09:24] and communication [1:09:25] technology [1:09:26] referred to [1:09:27] as the [1:09:27] national [1:09:28] e-health [1:09:28] system. [1:09:29] This [1:09:30] measure [1:09:30] leverages [1:09:31] ICT [1:09:31] to provide [1:09:32] universal [1:09:33] access [1:09:33] to quality [1:09:34] health [1:09:34] services [1:09:35] fulfilling [1:09:36] a mandate [1:09:36] recognized [1:09:37] by the [1:09:37] World Health [1:09:38] Assembly [1:09:39] as early [1:09:39] as 2005. [1:09:41] Building [1:09:42] this digital [1:09:42] infrastructure [1:09:43] is a necessity [1:09:44] for the [1:09:44] success [1:09:45] of the [1:09:46] universal [1:09:46] healthcare [1:09:47] ensuring [1:09:48] that our [1:09:48] poor [1:09:48] vulnerable [1:09:49] and those [1:09:50] in geographically [1:09:51] isolated [1:09:52] and disadvantaged [1:09:53] areas [1:09:53] are not [1:09:54] left behind. [1:09:55] Once [1:09:56] enacted [1:09:56] the [1:09:57] NEHS [1:09:57] will encompass [1:09:58] all public [1:09:59] and private [1:10:00] providers [1:10:01] creating [1:10:02] a unified [1:10:03] ecosystem [1:10:03] that [1:10:04] complements [1:10:05] existing [1:10:06] healthcare [1:10:06] standards [1:10:07] innovation. [1:10:08] By [1:10:08] institutionalizing [1:10:10] this [1:10:10] framework [1:10:10] we are [1:10:11] not just [1:10:12] adopting [1:10:12] technology [1:10:13] we are [1:10:14] reimagining [1:10:15] a health [1:10:15] system [1:10:16] that [1:10:16] increases [1:10:17] accessibility [1:10:18] while [1:10:19] containing [1:10:19] costs. [1:10:20] This [1:10:20] builds [1:10:21] a more [1:10:23] responsive [1:10:24] and effective [1:10:25] healthcare [1:10:25] delivery [1:10:26] for every [1:10:27] Filipino. [1:10:28] In vivo [1:10:28] we ask [1:10:30] the committee's [1:10:31] favorable [1:10:32] consideration [1:10:32] of [1:10:33] thank you [1:10:36] Mr. [1:10:36] Chair. [1:10:36] Thank you [1:10:38] Honorable [1:10:39] Montes. [1:10:41] Next is [1:10:42] House Bill [1:10:43] No. [1:10:43] 3115 [1:10:44] an act [1:10:45] establishing [1:10:45] the [1:10:45] Philippine [1:10:46] electronic [1:10:46] health [1:10:47] system [1:10:48] and services [1:10:49] in support [1:10:49] of universal [1:10:50] healthcare [1:10:50] and appropriating [1:10:51] funds [1:10:51] therefore [1:10:52] by [1:10:53] Honorable [1:10:53] Ching [1:10:53] Bernos. [1:10:54] Honorable [1:10:55] Bernos is [1:10:55] now [1:10:55] recommended. [1:10:57] Mr. [1:10:58] Chair [1:10:58] I move [1:10:58] that the [1:10:59] explanatory [1:10:59] note of [1:11:00] the bill [1:11:01] be adopted [1:11:01] as the [1:11:02] sponsorship [1:11:03] Thank you [1:11:04] Mr. [1:11:05] Chair. [1:11:05] Thank you [1:11:07] Honorable [1:11:07] Bernos. [1:11:08] Next is [1:11:10] House Bill [1:11:10] No. [1:11:11] 7176 [1:11:12] providing [1:11:14] for national [1:11:14] policy [1:11:15] and regulatory [1:11:17] framework [1:11:17] for the [1:11:18] Philippine [1:11:18] telemedicine [1:11:19] system [1:11:19] appropriating [1:11:20] funds [1:11:20] therefore [1:11:21] and for [1:11:22] other [1:11:22] purposes [1:11:22] authored [1:11:23] by [1:11:23] Honorable [1:11:23] Salvador [1:11:24] Prieto [1:11:24] Honorable [1:11:25] Prieto [1:11:26] is now [1:11:26] recognized. [1:11:27] Thank you [1:11:28] Mr. [1:11:28] Chair. [1:11:28] Morning [1:11:29] po. [1:11:29] Esteemed [1:11:30] guests [1:11:30] and our [1:11:31] distinguished [1:11:32] guests [1:11:32] and [1:11:33] colleagues [1:11:34] allow me [1:11:35] to [1:11:35] sponsor [1:11:36] my [1:11:37] bill [1:11:37] House [1:11:37] Bill [1:11:37] 7176 [1:11:39] entitled [1:11:40] An Act [1:11:41] Providing [1:11:41] for National [1:11:42] Policy [1:11:43] and [1:11:43] Regulatory [1:11:44] Framework [1:11:44] for the [1:11:45] Philippine [1:11:45] Telemedicine [1:11:46] System. [1:11:47] Mr. [1:11:47] Chair [1:11:48] this [1:11:49] measure [1:11:49] is more [1:11:49] than [1:11:50] a [1:11:50] technological [1:11:50] upgrade. [1:11:52] It [1:11:52] is a [1:11:53] lifeline [1:11:53] for [1:11:53] millions [1:11:54] of [1:11:54] Filipinos [1:11:55] who [1:11:55] continue [1:11:56] to [1:11:56] struggle [1:11:56] with [1:11:57] access [1:11:57] to [1:11:57] healthcare [1:11:58] simply [1:11:59] because [1:11:59] of [1:12:00] where [1:12:00] they [1:12:00] live. [1:12:02] For [1:12:02] decades [1:12:02] access [1:12:03] to [1:12:03] quality [1:12:03] healthcare [1:12:04] in our [1:12:04] country [1:12:05] has [1:12:06] largely [1:12:06] depended [1:12:07] on [1:12:07] geography. [1:12:08] For [1:12:09] many [1:12:09] Filipinos [1:12:10] living [1:12:10] in [1:12:10] remote [1:12:11] provinces, [1:12:12] island [1:12:12] communities, [1:12:13] and far-flung [1:12:14] barangays, [1:12:15] seeing a [1:12:16] doctor [1:12:16] often means [1:12:17] enduring [1:12:17] long [1:12:17] travel [1:12:18] hours, [1:12:19] expensive [1:12:19] transportation [1:12:20] costs, [1:12:21] and delayed [1:12:22] medical [1:12:22] attention. [1:12:23] The [1:12:24] COVID-19 [1:12:24] pandemic [1:12:25] changed [1:12:25] that [1:12:26] reality [1:12:26] and it [1:12:28] accelerated [1:12:28] the use [1:12:29] of [1:12:29] telemedicine [1:12:30] across [1:12:30] the [1:12:31] country. [1:12:32] Doctors [1:12:33] began [1:12:34] conducting [1:12:35] consultations [1:12:35] online, [1:12:37] prescriptions [1:12:37] were [1:12:38] issued [1:12:38] digitally [1:12:39] and [1:12:40] healthcare [1:12:40] services [1:12:41] became [1:12:41] more [1:12:41] accessible [1:12:42] even [1:12:42] during [1:12:43] lockdowns. [1:12:44] But [1:12:44] while [1:12:45] telemedicine [1:12:46] proved [1:12:46] its [1:12:46] value, [1:12:47] it [1:12:47] also [1:12:48] exposed [1:12:48] serious [1:12:49] gaps [1:12:49] in our [1:12:50] system. [1:12:51] Questions [1:12:52] arose [1:12:52] regarding [1:12:54] professional [1:12:54] liability, [1:12:56] patient [1:12:56] safety, [1:12:58] data [1:12:58] privacy, [1:12:59] and the [1:12:59] absence [1:12:59] of [1:12:59] clear [1:13:00] national [1:13:00] standards. [1:13:02] House [1:13:02] Bill [1:13:02] 7176 [1:13:04] institutionalizes [1:13:05] telemedicine [1:13:06] as an [1:13:07] integral part [1:13:08] of our [1:13:08] healthcare [1:13:09] delivery [1:13:09] system. [1:13:11] It [1:13:11] establishes [1:13:11] clear [1:13:12] standards, [1:13:13] safeguards [1:13:14] patient [1:13:14] rights, [1:13:15] and ensures [1:13:15] that [1:13:15] virtual [1:13:16] healthcare [1:13:16] services [1:13:17] remain [1:13:18] accountable, [1:13:19] ethical, [1:13:20] secure, [1:13:21] and at par [1:13:21] with [1:13:22] in-person [1:13:23] medical [1:13:24] care. [1:13:25] More [1:13:25] importantly, [1:13:26] this measure [1:13:26] strengthens [1:13:27] the implementation [1:13:28] of the [1:13:29] Universal [1:13:29] Healthcare [1:13:29] Act by [1:13:31] enabling [1:13:31] the [1:13:32] broader [1:13:32] integration [1:13:33] of [1:13:33] telemedicine [1:13:34] into our [1:13:34] public [1:13:35] health [1:13:35] system, [1:13:36] including [1:13:37] field [1:13:37] health [1:13:37] coverage [1:13:38] for [1:13:39] consultations. [1:13:41] In doing [1:13:41] so, [1:13:41] we move [1:13:42] closer [1:13:43] toward [1:13:44] healthcare [1:13:44] that is [1:13:45] truly [1:13:45] affordable, [1:13:47] accessible, [1:13:48] and inclusive. [1:13:49] Mr. Chair, [1:13:50] telemedicine is [1:13:50] not meant [1:13:51] to replace [1:13:52] the human [1:13:52] touch in [1:13:53] medicine. [1:13:54] It is meant [1:13:54] to extend [1:13:55] its reach. [1:13:57] Today, [1:13:57] we stand [1:13:58] at a [1:13:59] crossroads. [1:14:00] We can [1:14:00] either allow [1:14:01] technology to [1:14:02] outpace our [1:14:03] laws and [1:14:04] leave our [1:14:05] citizens [1:14:05] vulnerable, [1:14:06] or we [1:14:07] can build [1:14:07] a safe, [1:14:08] responsible, [1:14:09] and modern [1:14:09] healthcare [1:14:10] system that [1:14:11] meets the [1:14:11] realities of [1:14:12] our time. [1:14:13] In view [1:14:13] before going, [1:14:14] Mr. Chair [1:14:14] and members, [1:14:16] respectfully seek [1:14:17] the immediate [1:14:18] passage of [1:14:18] this measure. [1:14:19] Thank you, [1:14:19] Mr. Chair. [1:14:21] Thank you, [1:14:21] Honorable [1:14:22] Keito. [1:14:23] Next is [1:14:23] House Bill [1:14:24] No. 9008, [1:14:26] an act [1:14:26] establishing a [1:14:27] national [1:14:27] electronic [1:14:27] health record [1:14:28] system to [1:14:29] ensure [1:14:29] continuity [1:14:30] of care, [1:14:31] improve [1:14:31] medical [1:14:32] efficiency, [1:14:32] and promote [1:14:33] universal [1:14:33] health access [1:14:34] for all [1:14:34] Filipinos [1:14:35] by [1:14:36] Honorable [1:14:37] Dr. [1:14:38] Philip [1:14:38] Conrad [1:14:39] Akov. [1:14:40] Honorable [1:14:40] Akov is [1:14:41] now [1:14:41] recognized. [1:14:41] Thank you, [1:14:42] Chairman Gato. [1:14:43] Sa bawat [1:14:44] konsulta sa [1:14:45] clinic, [1:14:46] sa bawat [1:14:46] emergency room [1:14:47] nating pinapasukan, [1:14:49] sa bawat [1:14:49] paglipat [1:14:50] natin ng [1:14:50] ospital, [1:14:52] hindi [1:14:52] lamang [1:14:52] karamdaman [1:14:53] ng ating [1:14:53] dala, [1:14:54] hindi [1:14:54] kaba [1:14:54] at pag-alinlangan. [1:14:56] Kaba, [1:14:57] nabaka [1:14:57] sa gitna [1:14:58] ng pagmamadali [1:14:58] at pagkabahala, [1:15:00] baka [1:15:00] makaligtaan [1:15:01] natin [1:15:01] ang mga [1:15:02] importanteng [1:15:02] detalye [1:15:03] ng ating [1:15:03] national [1:15:03] history. [1:15:04] Pag-alinlangan [1:15:06] dahil [1:15:06] madalas [1:15:06] itong [1:15:07] nangyayari [1:15:07] sa kapwa [1:15:08] natin [1:15:08] mga [1:15:08] pasan [1:15:09] na [1:15:09] karamdaman. [1:15:11] Isipin [1:15:11] natin [1:15:12] si [1:15:12] Mang [1:15:12] Cardo, [1:15:13] 65 taong [1:15:14] gulang, [1:15:15] pamilyado, [1:15:16] may high [1:15:16] blood [1:15:17] at [1:15:17] diabetes. [1:15:19] Mula sa [1:15:19] kanyang [1:15:19] liblib [1:15:20] na [1:15:20] barangay, [1:15:21] kinailangan [1:15:21] siyang [1:15:22] itakbo [1:15:22] sa [1:15:22] mas [1:15:22] malaking [1:15:23] ospital [1:15:23] sa [1:15:23] lingkod [1:15:24] sa [1:15:24] lungsod. [1:15:26] Ngunit [1:15:26] sa [1:15:26] gitna [1:15:26] ng [1:15:27] kirot [1:15:27] na [1:15:28] nararamdaman [1:15:28] at [1:15:28] kakapusan [1:15:29] hindi [1:15:29] lamang [1:15:30] sa [1:15:38] emergency [1:15:38] room, [1:15:39] ang [1:15:39] oras [1:15:40] ay [1:15:40] hindi [1:15:40] lamang [1:15:40] ginto. [1:15:41] Ito [1:15:41] po [1:15:41] ay [1:15:42] buhay. [1:15:43] Ngunit [1:15:43] imbis [1:15:43] na [1:15:44] agarang [1:15:44] lunas [1:15:44] ang [1:15:45] sumalubong [1:15:45] kay [1:15:45] Mang [1:15:46] Cardo [1:15:46] at [1:15:46] sa [1:15:46] pamilya [1:15:47] niya, [1:15:48] ay [1:15:48] ang [1:15:48] paulit-ulit [1:15:49] na [1:15:49] mga [1:15:49] tanong. [1:15:50] Kailan [1:15:51] po [1:15:51] kayo [1:15:51] huling [1:15:51] nagpatingin [1:15:52] sa [1:15:52] doktor? [1:15:53] May [1:15:53] allergy [1:15:54] po [1:15:54] ba [1:15:54] kayo? [1:15:55] Ano [1:15:55] po [1:15:55] ba [1:15:56] ang [1:15:56] gamot [1:15:56] na [1:15:56] inyong [1:15:56] iniinom? [1:15:58] Nasaan [1:15:58] po [1:15:58] ang [1:15:59] lab [1:15:59] test results [1:16:00] niya. [1:16:03] Ang [1:16:03] kwento [1:16:04] ni Mang [1:16:04] Cardo [1:16:04] ay [1:16:05] isang [1:16:05] kwentong [1:16:05] paulit-ulit [1:16:07] na [1:16:07] nagaganap [1:16:07] sa mga [1:16:08] klinika, [1:16:09] sa mga [1:16:09] emergency [1:16:09] rooms, [1:16:11] at [1:16:11] kahit [1:16:11] na sa [1:16:11] mga [1:16:11] kwarto [1:16:12] ng [1:16:12] hospital, [1:16:13] oras-oras, [1:16:14] araw-araw. [1:16:16] Pero [1:16:16] hindi [1:16:16] dapat [1:16:16] ganun. [1:16:18] Mga [1:16:18] kagalang-galang [1:16:19] nakasama [1:16:19] sa [1:16:20] bulwagang [1:16:20] ito, [1:16:21] ang [1:16:21] One [1:16:21] Patient, [1:16:22] One [1:16:22] Health [1:16:22] Record [1:16:23] Act [1:16:23] of [1:16:23] 2026 [1:16:24] ay [1:16:25] hindi [1:16:25] lamang [1:16:25] isang [1:16:25] technological [1:16:26] progress [1:16:27] para [1:16:27] sa [1:16:27] health [1:16:28] sector. [1:16:29] Mas [1:16:29] importante, [1:16:31] ito ay [1:16:31] isang [1:16:32] pagtugon [1:16:32] sa kwento [1:16:33] ni Mang [1:16:33] Cardo [1:16:34] at [1:16:34] ng [1:16:34] milyon-milyong [1:16:35] Pilipino [1:16:36] na hindi [1:16:36] na dapat [1:16:37] kailanganin [1:16:38] pang [1:16:38] magpaliwanag [1:16:39] ng [1:16:39] paulit-ulit [1:16:40] habang [1:16:41] namimilipit [1:16:42] sa sakit. [1:16:43] Sa ilalim [1:16:44] ng panukalang [1:16:45] ito, [1:16:46] itinatatag [1:16:47] natin [1:16:47] ang [1:16:48] National [1:16:48] Electronic [1:16:49] Health [1:16:49] Record [1:16:49] System. [1:16:51] Tapos [1:16:52] na [1:16:52] ang [1:16:52] panahon [1:16:52] na [1:16:53] ang [1:16:53] isang [1:16:53] pasyente [1:16:53] ay [1:16:54] biktima [1:16:54] ng [1:16:54] redundancy. [1:16:55] Wala [1:16:56] sa [1:16:56] paulit-ulit [1:16:57] na [1:16:57] pangungulit [1:16:57] ng [1:16:58] mahalagang [1:16:59] tanong [1:16:59] hanggang [1:17:00] sa mga [1:17:01] laboratory [1:17:01] test [1:17:01] na [1:17:02] kinakailang [1:17:02] ulitin [1:17:03] dahil [1:17:04] lamang [1:17:04] nawala [1:17:04] ang [1:17:04] papel [1:17:05] o [1:17:06] hindi [1:17:06] mabasa [1:17:06] ang [1:17:06] sulat [1:17:07] kamay [1:17:07] ng [1:17:07] doktor. [1:17:09] Kadalasan [1:17:09] ang [1:17:10] gastusin [1:17:10] ito [1:17:10] ay [1:17:11] higit [1:17:11] sa [1:17:11] isang [1:17:11] linggong [1:17:12] sahod. [1:17:13] Hindi [1:17:13] dapat [1:17:14] nasasayang [1:17:14] ang [1:17:14] perang [1:17:15] pinaghirapan [1:17:15] ng [1:17:15] pamilyang [1:17:16] Pilipino [1:17:16] sa [1:17:17] mga [1:17:17] bagay [1:17:18] na [1:17:18] efekto [1:17:18] lamang [1:17:19] ng [1:17:19] kakulangan [1:17:19] ng [1:17:19] ating [1:17:20] sistem [1:17:20] ang [1:17:20] pangkalusugan. [1:17:23] Sa [1:17:23] pamamagitan ng [1:17:23] isang [1:17:24] secure [1:17:24] cloud [1:17:24] system, [1:17:25] binibigyan [1:17:26] natin [1:17:26] ang [1:17:26] ating [1:17:27] mga [1:17:27] doktor [1:17:27] ng [1:17:27] isang [1:17:28] komprehensibong [1:17:28] clinical [1:17:29] record [1:17:29] na [1:17:30] nagsusulong [1:17:31] ng [1:17:31] continuity [1:17:31] of [1:17:32] care [1:17:32] para [1:17:33] mas [1:17:33] mapagtibay [1:17:33] ang [1:17:34] kanilang [1:17:34] kakayang [1:17:34] mag-diagnose [1:17:35] ng [1:17:38] tama [1:17:38] at [1:17:39] magbigay [1:17:39] lunas [1:17:40] ito [1:17:41] ng [1:17:41] mas [1:17:41] mabilis [1:17:41] at [1:17:41] ng [1:17:42] mas [1:17:42] maayos. [1:17:45] Inilalagay [1:17:45] ng [1:17:46] One [1:17:46] Patient [1:17:46] One [1:17:47] Health [1:17:47] Record [1:17:47] Act [1:17:53] Development [1:17:53] Goals [1:17:54] particular [1:17:55] ang [1:17:55] SDG [1:17:56] 3 [1:17:56] patungkol [1:17:57] sa [1:17:57] Good [1:17:58] Health [1:17:58] and [1:17:58] Well [1:17:58] Being [1:17:59] at [1:17:59] SDG [1:17:59] 9 [1:18:00] na [1:18:00] patungkol [1:18:00] naman [1:18:01] po [1:18:01] sa [1:18:02] industry [1:18:02] innovation [1:18:03] at [1:18:03] infrastructure. [1:18:05] Ito [1:18:06] ay [1:18:06] investment [1:18:06] upang [1:18:07] wakasan [1:18:07] ng [1:18:07] nasasayang [1:18:08] na [1:18:08] pondo [1:18:09] hindi [1:18:09] lamang [1:18:10] sa [1:18:10] posibleng [1:18:11] broad [1:18:12] or [1:18:12] manual [1:18:13] record [1:18:13] inefficiencies [1:18:14] kundi [1:18:15] dahil [1:18:15] na rin [1:18:15] sa [1:18:16] system [1:18:16] inefficiencies. [1:18:18] The [1:18:18] One [1:18:18] Patient [1:18:19] One [1:18:19] Health [1:18:19] Record [1:18:19] Act [1:18:20] is [1:18:20] foundational [1:18:20] to [1:18:21] any [1:18:21] healthcare [1:18:21] system. [1:18:22] It [1:18:23] is [1:18:23] a [1:18:23] significant [1:18:24] step [1:18:24] towards [1:18:24] ensuring [1:18:25] its [1:18:25] cost [1:18:25] efficiency [1:18:26] by [1:18:27] optimizing [1:18:27] its [1:18:28] impact [1:18:28] on [1:18:28] every [1:18:28] Filipino [1:18:29] like [1:18:29] Pancardo. [1:18:31] Panukalang ito [1:18:32] ay ang [1:18:32] ating [1:18:32] panata. [1:18:33] Isang [1:18:33] Pilipino, [1:18:34] isang [1:18:34] health [1:18:35] record, [1:18:36] isang [1:18:36] mas [1:18:36] makataong [1:18:37] healthcare [1:18:37] system. [1:18:38] Thank you, [1:18:41] Honorable [1:18:41] Akop. [1:18:43] Next [1:18:43] is [1:18:44] House [1:18:45] Bills [1:18:45] Number [1:18:46] 43 [1:18:47] by Honorable [1:18:48] Representative [1:18:49] Ernesto [1:18:50] Junisio [1:18:50] Jr. [1:18:51] House [1:18:52] Bill [1:18:52] Number [1:18:52] 162 [1:18:53] by Honorable [1:18:54] Vicenzo [1:18:55] Renato [1:18:56] Luigi [1:18:56] Villapuerte [1:18:57] House [1:18:58] Bill [1:18:58] 1440 [1:19:00] by Honorable [1:19:01] Aniela [1:19:02] Bianca [1:19:02] Torrentino [1:19:03] House [1:19:04] Bill [1:19:04] Number [1:19:04] 1701 [1:19:05] by Honorable [1:19:06] Miguel [1:19:07] Luis [1:19:08] Villapuerte [1:19:08] House [1:19:09] Bill [1:19:09] Number [1:19:10] 2463 [1:19:11] by Honorable [1:19:12] Gurley [1:19:13] Villoso [1:19:13] House [1:19:14] Bill [1:19:14] Number [1:19:15] 2881 [1:19:16] by Honorable [1:19:18] Patrick [1:19:18] Michael [1:19:19] Vargas [1:19:19] House [1:19:20] Bill [1:19:20] Number [1:19:21] 4199 [1:19:22] by Honorable [1:19:22] Brother [1:19:24] Eddie [1:19:24] Villeneva [1:19:26] House [1:19:26] Bill [1:19:26] Number [1:19:27] 5601 [1:19:28] by Honorable [1:19:29] Howard [1:19:29] Guinto [1:19:30] House [1:19:31] Bill [1:19:31] Number [1:19:31] 6705 [1:19:33] by Honorable [1:19:33] Christopher [1:19:34] Son [1:19:34] Yap [1:19:35] House [1:19:36] Bill [1:19:36] Number [1:19:36] 6744 [1:19:38] by Honorable [1:19:39] Ferdinand [1:19:40] House Bill [1:19:41] 7851 [1:19:41] by Honorable [1:19:42] and Andrew Julian Romualdez and Honorable Jude Asidre. [1:19:49] House bill number 6759 by Honorable Ferdinand Martin Romualdez, [1:19:56] Yedda Marie Romualdez, Andrew Julian Romualdez, [1:19:59] and Jude Asidre. [1:20:01] House bill number 6915 by Honorable Christopher Soniap. [1:20:08] House bill number 7851 by Honorable Alfredo Los Santos. [1:20:13] House bill number 7866 by Honorable Brian Raymond Yamsuan. [1:20:19] House bill number 8437 by Honorable Representative Nelson Ligacion. [1:20:25] House bill number 8972 by Honorable Eric Goyap. [1:20:29] And house bill number 8975 by Honorable Eric Goyap. [1:20:37] In behalf of the authors, [1:20:40] Mr. Chair. [1:20:41] Ah, there's also House bill number 9008 by, [1:20:52] Mr. Chair. [1:20:53] In behalf of the authors of the said bills, [1:20:56] we now recognize Honorable Cosado to sponsor in their bill. [1:21:02] Mr. Chair, in behalf of the authors of house, [1:21:05] enumerated House bills, [1:21:07] I would like to sponsor the measures [1:21:09] and move to adopt their explanatory notes [1:21:12] as the respective sponsorship speeches. [1:21:16] Thank you, Honorable Cosado. [1:21:18] Our resource persons, [1:21:23] we now recognize from the Department of Health, [1:21:28] Dr. Rainier Estrella. [1:21:36] Hello. [1:21:36] Correction. [1:21:37] Good morning, Mr. Chair, [1:21:42] person, and honorable members of the committee. [1:21:45] The Department of Health recognizes [1:21:47] that an effective health system [1:21:49] is instrumental in attaining universal health care [1:21:52] for all Filipinos [1:21:54] as it is not only enables easier access to health services [1:21:59] but also addresses disparities in service delivery [1:22:03] and improves the flow of health information [1:22:06] towards the achievement of better and equitable health outcomes. [1:22:10] The institutionalization of critical health components [1:22:14] on standards and interoperability, [1:22:17] ICT infrastructure, [1:22:19] health human resources, [1:22:21] and capacity development, [1:22:23] strategy and investments, [1:22:25] and health services and applications [1:22:27] will pave the way for foundational reforms [1:22:31] by way of information and communication technologies, [1:22:34] or ICT, [1:22:36] that will be used to improve the delivery of health systems [1:22:39] or health services rather. [1:22:42] The DOH will submit its detailed comments [1:22:44] and recommendations through a position paper [1:22:47] upon approval by our Secretary of Health [1:22:50] for the committee's consideration. [1:22:52] Thank you, Mr. Chair. [1:22:54] Thank you, Mr. Estrella. [1:22:56] From the Department of Information [1:22:59] and Communications Technology, [1:23:01] Mr. MacNeil Adam. [1:23:06] Mr. Chair, [1:23:08] distinguished members of the committee [1:23:09] and our colleagues in public service, [1:23:12] good morning. [1:23:12] The DICT would like to express its support [1:23:16] for the proposed electronic health bills, [1:23:19] recognizing their potential to advance [1:23:22] a more accessible, interoperable, secure, [1:23:25] and technology-driven healthcare system [1:23:27] for all Filipinos, [1:23:29] particularly those in DDoS. [1:23:34] The DICT remains committed to support initiatives [1:23:36] that will enable seamless [1:23:38] and secure health information exchange [1:23:41] across both public and private institutions. [1:23:43] We likewise stand ready to assist [1:23:46] in strengthening the necessary [1:23:48] digital infrastructure and systems [1:23:50] to promote interoperability, [1:23:53] portability of patient records, [1:23:54] and efficient delivery of healthcare services. [1:23:57] In addition, [1:23:58] DICT remains prepared [1:24:00] to provide technical assistance [1:24:02] and capacity building initiatives. [1:24:04] Thank you, Mr. Chair. [1:24:07] Thank you. [1:24:08] From the Philippine Statistics Authority, [1:24:10] Mr. Oliver Changkok. [1:24:30] Thank you, sir. [1:24:30] Thank you very much, Mr. Chair, [1:24:35] and the honorable members of this committee. [1:24:38] The Philippine Statistics Authority [1:24:40] strongly supports the passage [1:24:43] of the Consolidated eHealth Act, [1:24:45] which seeks to establish [1:24:47] the national eHealth system [1:24:49] as an integrated, interoperable, [1:24:52] secure, and sustainable platform [1:24:54] for healthcare delivery [1:24:55] across all levels of governance [1:24:57] in the public and private sector. [1:24:59] This legislative measure, [1:25:03] which aligns with the campaign [1:25:05] of the Philippine Statistics Authority [1:25:06] for Digitalization, [1:25:08] collectively seeks to modernize, [1:25:11] digitize, and digitalize, [1:25:13] and strengthen [1:25:13] the Philippine healthcare system [1:25:15] through telemedicine, [1:25:17] interoperability, [1:25:19] electronic health records, [1:25:20] and eHealth system. [1:25:22] As the implementing agency [1:25:24] of official statistics, [1:25:25] the community-based monitoring system, [1:25:28] the civil registration system, [1:25:30] and the national ID, [1:25:31] we commit to deliver relevant, [1:25:34] timely, and accurate [1:25:35] official statistics, [1:25:38] inclusive civil registration services, [1:25:41] and the implementation [1:25:43] of the national ID [1:25:44] as support [1:25:46] to the authentication of this, [1:25:49] authentication of our clients [1:25:52] for this measure, Your Honor. [1:25:53] And the official document [1:25:57] for this or stand [1:25:59] of the Philippine Statistics Authority [1:26:00] will be submitted [1:26:01] to the Honorable Committee [1:26:04] once signed [1:26:05] by the head of our agency. [1:26:08] Thank you. [1:26:10] From the Department of Science [1:26:12] and Technology, [1:26:13] Dr. Mr. Paul John Serrano. [1:26:18] Good morning, Mr. Chair. [1:26:19] For the Department of Science and Technology, [1:26:22] we fully support [1:26:23] the legislation [1:26:24] and we help. [1:26:25] Particularly, we want [1:26:27] to be considered [1:26:28] like investment in R&D [1:26:31] that will foster [1:26:32] emergent technologies [1:26:33] such as use of AI [1:26:35] or artificial intelligence [1:26:36] for diagnostics, [1:26:38] enhancing telemedicine platforms [1:26:39] for remote communities, [1:26:42] and accessible health data analytics [1:26:44] for disease surveillance. [1:26:45] Also, we want the bill [1:26:47] to enhance sustainable [1:26:48] and cost-efficient systems [1:26:50] by prioritizing [1:26:51] and support locally developed [1:26:53] technologies [1:26:53] that will potentially [1:26:54] reduce the reliance [1:26:55] on expensive foreign systems [1:26:57] and enable [1:26:58] long-term scalability. [1:27:00] At the same time, [1:27:01] we want the bill [1:27:02] or the acts [1:27:03] or the laws [1:27:04] to provide evidence-based [1:27:05] and context-specific solutions [1:27:07] by supporting [1:27:08] local research initiatives [1:27:09] which enable [1:27:10] solutions tailored [1:27:12] to Philippine reality [1:27:13] for the geographic fragmentation, [1:27:15] disaster vulnerability, [1:27:16] and resource cost. [1:27:18] Thank you, Mr. Serrano. [1:27:23] From PhilHealth, [1:27:24] Dr. Adeline Messina. [1:27:26] Good morning, Mr. Chair [1:27:30] and Mr. J. Benavadon. [1:27:31] And the members [1:27:31] of the Committee on Health, [1:27:35] PhilHealth acknowledges [1:27:37] and supports [1:27:37] the intent [1:27:38] of the proposed bills [1:27:39] to institutionalize [1:27:41] national telemedicine, [1:27:43] electronic medical record, [1:27:45] and e-health [1:27:46] or digital health system [1:27:47] that may improve continuity [1:27:50] and coordination of care [1:27:51] as in the UHC Act, [1:27:54] enhance interoperability [1:27:56] and health information exchange, [1:27:58] support evidence-based [1:27:59] policy development [1:28:01] to improve claims processing [1:28:03] and fraud detection [1:28:04] as well as to strengthen [1:28:06] health care access, [1:28:08] especially in the GDAS. [1:28:10] Likewise, [1:28:11] PhilHealth supports [1:28:12] the creation [1:28:13] and composition [1:28:14] of an interagency e-health [1:28:16] or digital health [1:28:17] governance mechanism. [1:28:20] Lastly, [1:28:20] to enhance operational efficiency, [1:28:22] PhilHealth recommends [1:28:23] the following five measures. [1:28:26] One, [1:28:26] to harmonization [1:28:27] and consolidation [1:28:29] of the proposed measures [1:28:31] into a unified [1:28:33] and comprehensive [1:28:34] digital health framework [1:28:36] anchored on interoperability, [1:28:39] data governance, [1:28:41] patient protection, [1:28:42] and sustainability. [1:28:44] Number two, [1:28:45] the alignment [1:28:45] with the UHC Act, [1:28:47] particularly on Section 31st, [1:28:50] which is supporting [1:28:51] the National Health Data Repository, [1:28:54] interoperability, [1:28:55] and Health Information Exchange, [1:28:57] covered by Section 36 [1:28:58] of the UHC Act. [1:29:00] Third is the inclusion [1:29:01] and recognition [1:29:02] of National Health Data Repository [1:29:05] as the core component [1:29:06] of the National [1:29:07] Digital Health Architecture. [1:29:10] Four, [1:29:10] require all healthcare providers [1:29:12] to maintain [1:29:13] interoperable [1:29:14] health information systems [1:29:16] consistent with DOH standards [1:29:18] and existing laws. [1:29:20] And lastly, [1:29:22] the pace [1:29:22] and sustainable [1:29:23] implementation approach [1:29:25] supported by adequate investment [1:29:27] in ICT infrastructure, [1:29:30] human resource development, [1:29:32] cybersecurity, [1:29:33] and digital health [1:29:34] capacity building. [1:29:36] That's all, [1:29:36] Mr. Chair. [1:29:37] Thank you. [1:29:39] Thank you. [1:29:46] From the [1:29:46] Professional Regulation Commission, [1:29:49] Mr. Ovis. [1:29:53] Good morning, [1:29:54] Mr. Chair. [1:29:54] The Professional Regulation Commission [1:29:56] supports the bills [1:30:00] on interoperable [1:30:02] electronic health systems. [1:30:04] We just have [1:30:04] some recommendations. [1:30:06] One, [1:30:07] we would like to recommend [1:30:09] that instead of [1:30:10] individual-based record, [1:30:12] we are proposing [1:30:14] to have a family-based [1:30:16] medical record. [1:30:19] After all, [1:30:21] some diseases [1:30:22] are actually [1:30:22] heredofamilial [1:30:24] in nature. [1:30:26] Second, [1:30:26] we have to understand [1:30:27] the existing [1:30:29] family resources [1:30:30] and the family [1:30:31] psychodynamics. [1:30:34] We have to identify [1:30:35] who is going to be [1:30:36] the suitable [1:30:37] family caregiver. [1:30:39] We also have to [1:30:40] identify [1:30:41] the financial support [1:30:42] for the patient. [1:30:44] We also have to [1:30:45] know about [1:30:46] the home environment [1:30:48] as well as [1:30:49] the cultural beliefs [1:30:50] of the family. [1:30:51] All of these factors [1:30:52] will be affecting [1:30:53] patients' health outcomes. [1:30:55] It has been noted [1:30:56] from researches [1:30:58] that family-focused [1:31:00] care [1:31:00] will [1:31:01] bring about [1:31:03] better health outcomes [1:31:04] compared to [1:31:05] just individual-based [1:31:07] care. [1:31:08] So, [1:31:08] that's the proposal. [1:31:09] The other thing is, [1:31:11] this is a question, [1:31:12] because the primary care [1:31:13] providers now [1:31:14] will be caring [1:31:15] for Filipino families [1:31:17] and we need [1:31:19] subscription [1:31:20] to the electronic [1:31:21] health record [1:31:22] in order for us [1:31:23] to be accredited [1:31:25] or licensed [1:31:26] by the Department [1:31:27] of Health. [1:31:28] So, [1:31:28] the cost of the [1:31:29] electronic medical [1:31:30] record is actually [1:31:31] quite prohibitive [1:31:32] for some of the [1:31:35] primary care providers. [1:31:36] So, [1:31:36] this is something [1:31:37] that we want to [1:31:38] be looked into [1:31:40] as well. [1:31:41] Thank you. [1:31:42] Thank you, [1:31:43] Mr. Hovec. [1:31:50] From TESDA, [1:31:52] Mr. [1:31:53] Pagliado. [1:31:56] So, [1:31:57] Mr. Chair, [1:31:58] TESDA supports [1:31:59] the establishment [1:32:00] of a stronger [1:32:01] and more integrated [1:32:02] e-health system [1:32:03] in the country. [1:32:05] So, [1:32:05] TESDA also recognizes [1:32:06] the importance [1:32:07] of digital health systems [1:32:08] in improving [1:32:09] health service delivery, [1:32:11] strengthening health [1:32:12] information management [1:32:13] and expanding [1:32:14] access to health care, [1:32:15] particularly in [1:32:17] geographically isolated [1:32:18] and disadvantaged [1:32:20] areas, [1:32:21] or we call it [1:32:22] GIDAS. [1:32:23] So, [1:32:23] TESDA, [1:32:24] however, [1:32:24] respectfully emphasizes [1:32:25] that the human [1:32:26] resource development [1:32:27] provisions of the [1:32:28] bills should explicitly [1:32:30] recognize TESDA's [1:32:32] mandate over the [1:32:33] technical vocational [1:32:34] e-health workforce. [1:32:36] While the bills [1:32:37] refer to health [1:32:39] or health-related [1:32:41] and digital health [1:32:42] professionals, [1:32:43] such terminology [1:32:45] may unintentionally [1:32:46] exclude technical [1:32:47] and vocational [1:32:48] workers who are [1:32:49] essential to the [1:32:50] implementation and [1:32:51] operation of [1:32:52] e-health systems. [1:32:54] So, [1:32:55] this includes [1:32:56] health information [1:32:57] technicians, [1:33:00] medical records [1:33:01] personnel, [1:33:02] telehealth support [1:33:03] staff, [1:33:04] community digital [1:33:05] health facilitators, [1:33:06] and other workers [1:33:08] who may not be [1:33:09] licensed professionals [1:33:10] under the PRC [1:33:11] framework, [1:33:12] but who remain [1:33:13] indispensable to the [1:33:14] effective rollout of [1:33:16] digital health [1:33:17] services, [1:33:18] particularly in rural [1:33:19] health units, [1:33:21] barangay health [1:33:21] centers, [1:33:22] and government [1:33:23] hospitals. [1:33:24] TESDA respectfully [1:33:25] submits that the [1:33:26] development of the [1:33:27] country's e-health [1:33:29] workforce should not [1:33:31] adopt an inclusive [1:33:32] approach that [1:33:34] recognizes both [1:33:35] degree-level [1:33:35] professionals and [1:33:37] TVET-trained [1:33:38] technical personnel. [1:33:40] So, TESDA's role [1:33:41] in this area should [1:33:42] therefore be [1:33:42] expressly acknowledged [1:33:44] as co-equal within [1:33:46] the sphere of [1:33:47] technical education [1:33:49] and skills development. [1:33:50] TESDA also welcomes [1:33:52] the bill's recognition [1:33:53] of non-formal and [1:33:54] community-based [1:33:55] training programs. [1:33:57] TESDA's nationwide [1:33:58] network of TESDA [1:33:59] technology institutions, [1:34:01] community-based [1:34:02] training programs, [1:34:04] mobile training [1:34:05] initiatives, [1:34:05] and community [1:34:06] training and [1:34:07] employment [1:34:07] coordinators, [1:34:08] or CTEX, [1:34:09] may serve as [1:34:10] effective platforms [1:34:11] for delivering [1:34:12] accessible e-health [1:34:13] training, [1:34:14] especially in [1:34:15] underserved [1:34:16] communities in [1:34:17] GIDAS, [1:34:19] or in [1:34:20] geographically [1:34:21] isolated and [1:34:21] disadvantaged areas. [1:34:24] In this regard, [1:34:25] TESDA respectfully [1:34:26] recommends that [1:34:27] the Department of [1:34:27] Health and [1:34:29] the Department of [1:34:30] Information and [1:34:31] Communications [1:34:31] Technology, or [1:34:32] the ICT, [1:34:33] in coordination with [1:34:34] TESDA, be [1:34:35] mandated to [1:34:36] jointly develop and [1:34:37] implement community-based [1:34:39] e-health skills [1:34:40] training programs [1:34:41] supported by [1:34:42] appropriate funding [1:34:43] and budgetary [1:34:44] allocations. [1:34:45] That would be all, [1:34:46] Mr. Chair. [1:34:47] Thank you. [1:34:49] Thank you, Mr. [1:34:49] Paliado. [1:34:50] From the DILG, [1:34:52] Attorney Noelle [1:34:52] Sala. [1:34:53] Good morning, [1:34:59] again, Mr. [1:35:00] Chair. [1:35:00] The Department is [1:35:01] yet to submit its [1:35:02] official position [1:35:03] paper on [1:35:03] house skills on [1:35:07] the subject [1:35:07] housing. [1:35:10] However, we [1:35:11] would like to [1:35:12] convey our [1:35:12] support in the [1:35:13] proposed support. [1:35:18] However, the [1:35:19] Department can [1:35:19] base its support [1:35:20] on various [1:35:21] house skills [1:35:21] establishing [1:35:22] electronic health [1:35:23] e-health [1:35:23] services. [1:35:24] The legislative [1:35:26] measures seek [1:35:27] to realize [1:35:29] health information [1:35:30] exchange to [1:35:31] measure and [1:35:31] monitor health [1:35:32] system performance [1:35:33] in this country. [1:35:34] Section 6 of [1:35:35] House Wills [1:35:35] No. 2463 [1:35:38] and 766 [1:35:39] require health [1:35:40] facilities under [1:35:41] local government [1:35:42] units to fully [1:35:43] integrate into [1:35:44] the Unified Health [1:35:45] Record System [1:35:46] or the UHRS [1:35:48] within three years [1:35:48] from the [1:35:49] effectiveness of [1:35:50] this act. [1:35:51] The Department [1:35:52] acknowledges the [1:35:53] government's [1:35:53] policy on [1:35:54] digitalization. [1:35:55] However, there [1:35:56] exist challenges [1:35:57] in ICT services [1:35:58] in local [1:35:59] government units. [1:36:01] Some LGUs [1:36:01] lack IT personnel. [1:36:04] Challenges are [1:36:04] foreseen in [1:36:08] implementing this [1:36:09] provision if no [1:36:09] technical assistance [1:36:10] will be given to [1:36:11] LGUs by the [1:36:12] appropriate government [1:36:14] agency or [1:36:14] agencies on this [1:36:15] act. [1:36:16] Section 25 of [1:36:17] House Bill [1:36:18] Numbers 1387 [1:36:20] and 7851 [1:36:21] require DILG to [1:36:23] allocate at least [1:36:24] 1% of its annual [1:36:25] budget to e-health [1:36:26] research and [1:36:27] development. [1:36:27] On this regard, [1:36:29] our official position [1:36:30] on this matter [1:36:30] will be included in [1:36:31] our position papers [1:36:32] is submitted to [1:36:33] the committee. [1:36:34] Thank you, [1:36:34] Mr. Chair. [1:36:37] Thank you, [1:36:37] Attorney Sala. [1:36:39] Next is from the [1:36:40] National Privacy [1:36:41] Commission, [1:36:42] Attorney Arthur [1:36:43] Benedict King. [1:36:45] On will, [1:36:45] Chairperson, [1:36:46] distinguished members [1:36:47] of the committee, [1:36:48] other resource [1:36:49] persons, [1:36:50] maganda umaga po. [1:36:51] On behalf of the [1:36:51] National Privacy [1:36:52] Commission, [1:36:53] we thank the [1:36:54] committee as well [1:36:54] as the authors [1:36:55] and sponsors [1:36:55] of this bill [1:36:56] for the opportunity [1:36:57] to comment on [1:36:58] this important [1:36:58] and very relevant [1:37:00] measure. [1:37:01] The NPC fully [1:37:02] supports the intent [1:37:03] of these proposed [1:37:04] bills, [1:37:04] we emphasize at [1:37:05] the outset that [1:37:06] effective digital [1:37:07] health implementation [1:37:08] is complementary [1:37:09] to data privacy [1:37:11] protection. [1:37:12] Patients are more [1:37:13] likely to trust [1:37:14] and use telemedicine, [1:37:15] electronic health [1:37:16] records, [1:37:17] and national health [1:37:17] system when they [1:37:18] know their personal [1:37:19] and medical [1:37:19] information is [1:37:21] protected. [1:37:23] For the NPC, [1:37:24] the central privacy [1:37:24] issue is not [1:37:25] whether health data [1:37:26] may be used, [1:37:27] it can and must be [1:37:29] used to treat [1:37:29] patients, [1:37:30] save lives, [1:37:31] and prevent the [1:37:32] spread of disease. [1:37:33] The real question [1:37:34] is whether the [1:37:34] law clearly [1:37:35] defines who [1:37:35] may access [1:37:36] what data [1:37:37] for what [1:37:38] purpose, [1:37:38] under what [1:37:39] authority, [1:37:40] and with what [1:37:40] safeguards. [1:37:41] So in this [1:37:42] regard, [1:37:42] we respectfully [1:37:42] highlight three [1:37:43] points among [1:37:44] many. [1:37:45] We will send [1:37:45] our position [1:37:46] paper for the [1:37:48] rest. [1:37:48] But first, [1:37:49] we raise the [1:37:50] point of [1:37:50] accountability. [1:37:51] It should be [1:37:51] clear. [1:37:53] Where several [1:37:53] actors are [1:37:53] involved, [1:37:54] such as the [1:37:54] DOA, [1:37:55] health, [1:37:55] LGUs, [1:37:56] hospital, [1:37:57] laboratories, [1:37:57] and even [1:37:58] private technology [1:37:59] provider, [1:38:00] the law should [1:38:00] make clear [1:38:01] who is [1:38:01] responsible [1:38:02] for the [1:38:02] data, [1:38:03] proper handling [1:38:04] of the [1:38:04] personal data. [1:38:06] And second, [1:38:07] consent should [1:38:07] be properly [1:38:08] situated within [1:38:08] the broader [1:38:09] lawful basis [1:38:10] under the [1:38:11] Data Privacy [1:38:11] Act. [1:38:13] In healthcare, [1:38:14] data may also [1:38:14] need to be [1:38:16] processed for [1:38:16] emergency [1:38:17] treatment, [1:38:18] public health, [1:38:18] legal reporting, [1:38:19] and other [1:38:20] lawful purposes. [1:38:21] So therefore, [1:38:22] we should not [1:38:23] overly focus on [1:38:24] consent as the [1:38:26] basis for [1:38:27] lawful processing. [1:38:28] And third, [1:38:30] national system [1:38:30] requires concrete [1:38:32] safeguards for [1:38:33] proposals involving [1:38:34] electronic health [1:38:35] records, [1:38:36] digital health [1:38:36] IDs, [1:38:37] national databases, [1:38:39] or even [1:38:40] field-sys linkages. [1:38:41] Safeguards such as [1:38:42] purpose limitation, [1:38:43] data minimization, [1:38:45] role-based access, [1:38:46] audit logs, [1:38:47] encryption, [1:38:48] clear emergency [1:38:48] access rules should [1:38:49] be built into the [1:38:50] law. [1:38:52] We are very much [1:38:53] encouraged that [1:38:54] several bills [1:38:54] already recognize [1:38:55] privacy, [1:38:56] server security, [1:38:57] access controls, [1:38:58] and patient rights. [1:38:59] Our hope [1:39:00] is that these [1:39:01] safeguards will be [1:39:02] strengthened as a [1:39:03] committee works [1:39:04] towards a [1:39:04] consolidated measure. [1:39:07] The NPC stands [1:39:08] ready to assist [1:39:09] this committee in [1:39:10] the aspect that [1:39:12] even the [1:39:14] drafting of the [1:39:14] IRR if you [1:39:16] call on us to [1:39:17] assist. [1:39:18] We also request [1:39:19] the kind indulgence [1:39:20] of this committee [1:39:21] to allow us to [1:39:21] submit our [1:39:22] written comments [1:39:23] later on. [1:39:26] Thank you so [1:39:27] much for this [1:39:27] opportunity. [1:39:29] Thank you, [1:39:29] attorney King. [1:39:31] And last is [1:39:32] the Department of [1:39:33] Budget and [1:39:33] Management, [1:39:34] Mr. [1:39:34] Rinaldo Moret. [1:39:37] Muli po, [1:39:38] magandang umaga, [1:39:39] Mr. Chair. [1:39:41] The BBM po [1:39:42] recognizes the [1:39:44] intent of the [1:39:46] various bills [1:39:47] on the [1:39:50] e-health. [1:39:52] We'd like to [1:39:53] manifest our [1:39:54] initial observation [1:39:55] and comments. [1:39:57] Una po sa lahat, [1:39:59] doon po sa [1:40:00] provision [1:40:01] information under [1:40:02] HB 8437, [1:40:05] HB 1387, [1:40:09] and HB 7851, [1:40:14] to pull po sa [1:40:14] earmarking. [1:40:16] Doon sa [1:40:17] 8437, [1:40:19] meron pong earmarking. [1:40:21] Doon sa [1:40:21] dalawang bill po [1:40:23] ay meron pong [1:40:25] person to [1:40:26] earmark. [1:40:27] So, [1:40:28] we would like [1:40:28] to reiterate [1:40:29] the policy [1:40:30] stance [1:40:30] of the [1:40:31] manager [1:40:31] on this [1:40:32] that we [1:40:34] discourage [1:40:34] earmarking [1:40:35] of hands. [1:40:36] Instead, [1:40:37] we suggest [1:40:37] the usual [1:40:38] upper line [1:40:38] of hands. [1:40:40] Also, [1:40:41] we would like [1:40:41] to [1:40:41] agree [1:40:44] to the [1:40:45] DALG [1:40:45] as to the [1:40:46] concern [1:40:46] of the [1:40:47] LGU. [1:40:49] May mga [1:40:49] provision po [1:40:50] kasi na [1:40:50] merong [1:40:50] role [1:40:51] yung LGU [1:40:52] o minamanday [1:40:53] yung LGU. [1:40:54] So, [1:40:54] kailangan po [1:40:54] natin [1:40:54] tignan yung [1:40:55] capacity [1:40:55] ng this. [1:40:58] On the [1:40:58] establishment [1:41:00] po of [1:41:00] the [1:41:01] systems [1:41:01] and data, [1:41:02] our [1:41:03] suggestion [1:41:04] is to [1:41:05] ensure [1:41:05] na [1:41:06] i-harmonize [1:41:06] po ito [1:41:07] sa existing [1:41:07] to avoid [1:41:08] the duplication [1:41:09] po. [1:41:11] So, [1:41:11] we defer [1:41:12] po sa [1:41:12] DICT [1:41:13] on this. [1:41:14] That's [1:41:14] all, [1:41:15] Mr. [1:41:15] Thank you. [1:41:17] Thank you, [1:41:17] Mr. Moreno. [1:41:18] May I [1:41:20] reiterate [1:41:21] for our [1:41:22] esteemed [1:41:24] resource [1:41:24] speakers [1:41:25] to please [1:41:25] submit [1:41:25] your [1:41:26] official [1:41:27] position [1:41:28] paper [1:41:28] to this [1:41:29] committee. [1:41:31] Hopefully [1:41:31] by next [1:41:31] week. [1:41:38] Any [1:41:44] interpolation [1:41:46] from the [1:41:46] members? [1:41:50] Yes, [1:41:50] Honorable [1:41:51] Montez. [1:41:52] Yes, [1:41:52] Mr. [1:41:53] Chair, [1:41:53] I would [1:41:53] just like [1:41:54] to [1:41:54] comment [1:41:55] doon po [1:41:56] sa [1:41:56] suggestion [1:41:57] ng [1:41:57] PRC. [1:41:58] The [1:41:58] PRC [1:41:59] is [1:41:59] recommending [1:42:00] that we [1:42:00] do [1:42:00] a [1:42:01] family [1:42:01] based [1:42:29] the [1:42:33] family [1:42:33] or the [1:42:34] individual. [1:42:34] So may [1:42:35] mga [1:42:35] we [1:42:37] will [1:42:37] have [1:42:37] to [1:42:37] face [1:42:38] some [1:42:38] legal [1:42:38] issues [1:42:39] on that. [1:42:40] Perhaps [1:42:40] we [1:42:41] can [1:42:41] do a [1:42:43] hybrid [1:42:43] model [1:42:44] on that. [1:42:45] We [1:42:46] use [1:42:46] individual [1:42:47] based [1:42:47] recording [1:42:48] but we [1:42:49] can [1:42:49] link [1:42:49] the [1:42:51] family [1:42:51] members [1:42:52] to the [1:42:53] household. [1:42:54] In that [1:42:54] case, [1:42:55] we can [1:42:56] still use [1:42:57] the [1:42:57] household [1:42:57] for [1:42:58] targeting [1:42:58] social [1:43:00] amelioration [1:43:01] programs [1:43:02] of the [1:43:02] government. [1:43:03] So [1:43:03] napoprotektahan [1:43:04] po [1:43:04] natin [1:43:05] yung [1:43:05] individuals [1:43:06] for [1:43:07] easier [1:43:08] care. [1:43:10] At the [1:43:11] same time, [1:43:12] nagagamit [1:43:13] natin [1:43:13] yung [1:43:13] records [1:43:14] for the [1:43:14] household [1:43:15] for [1:43:15] social [1:43:16] protection. [1:43:16] In addition [1:43:22] to what [1:43:23] Honorable Montez [1:43:24] mentioned, [1:43:25] I think [1:43:25] baka [1:43:26] pwedeng [1:43:26] ano, [1:43:27] pag [1:43:28] ang [1:43:29] patient [1:43:30] is minor [1:43:30] below [1:43:31] 18, [1:43:32] pwedeng [1:43:32] isiguro [1:43:32] as a [1:43:33] family. [1:43:34] Pero [1:43:34] pag [1:43:34] above [1:43:35] 18, [1:43:36] baka [1:43:36] we [1:43:37] might [1:43:37] be [1:43:37] treading [1:43:38] on [1:43:38] the [1:43:38] confidentiality [1:43:39] issues. [1:43:41] Siyempre [1:43:41] hindi [1:43:42] naman [1:43:42] lahat [1:43:43] ng [1:43:43] sakit [1:43:43] mo [1:43:43] kailangan [1:43:44] alam [1:43:44] ng [1:43:44] mga [1:43:45] kapatid [1:43:46] mo [1:43:46] or [1:43:47] in-laws [1:43:49] mo. [1:43:49] Baka [1:43:50] sama [1:43:50] sa [1:43:50] pamilya [1:43:51] mo [1:43:51] yun. [1:43:52] Yes? [1:44:01] Yeah, [1:44:01] I brought [1:44:02] that up [1:44:02] because [1:44:03] there [1:44:03] are [1:44:04] 6,000 [1:44:05] family [1:44:06] medicine [1:44:07] practitioners [1:44:07] in the [1:44:08] Philippines [1:44:08] and their [1:44:09] focus of [1:44:10] care is [1:44:10] actually [1:44:11] the [1:44:11] unit of [1:44:12] care is [1:44:12] the [1:44:12] family. [1:44:13] That's [1:44:13] the [1:44:14] issue. [1:44:18] Thank [1:44:18] you. [1:44:19] And [1:44:19] Mr. [1:44:20] Chair, [1:44:20] that will [1:44:20] also make [1:44:21] it easier [1:44:22] for the [1:44:23] interprofessional [1:44:24] collaboration [1:44:25] as [1:44:28] 40 [1:44:29] particular [1:44:30] family [1:44:30] for family [1:44:31] members. [1:44:33] Thank [1:44:33] you, [1:44:33] Mr. [1:44:33] Hobbes. [1:44:38] Any [1:44:39] other [1:44:39] questions, [1:44:41] comments? [1:44:50] Just one [1:44:50] question. [1:44:51] There's [1:44:52] such [1:44:52] thing [1:44:52] as [1:44:52] 100% [1:44:53] cyber [1:44:53] secure. [1:44:57] See, [1:44:57] that's [1:44:58] my [1:44:58] concern [1:44:58] for [1:44:59] any [1:45:00] online [1:45:02] or [1:45:02] electronic [1:45:03] because [1:45:04] confidentiality [1:45:05] is a [1:45:06] very [1:45:07] important [1:45:07] aspect [1:45:07] of [1:45:08] medical [1:45:09] care [1:45:10] and [1:45:10] medical [1:45:10] record [1:45:10] system. [1:45:12] So, [1:45:12] ang [1:45:12] concern [1:45:13] ko, [1:45:13] and I [1:45:14] think [1:45:14] everybody [1:45:15] is [1:45:15] concerned, [1:45:16] paano [1:45:16] kong [1:45:16] mahack [1:45:17] yung [1:45:18] medical [1:45:19] records? [1:45:23] Any [1:45:24] comment [1:45:25] from [1:45:25] the [1:45:27] ICT? [1:45:35] Sorry, [1:45:35] I'm not [1:45:36] from [1:45:36] Cyber [1:45:36] Security [1:45:37] Bureau. [1:45:37] But [1:45:38] as [1:45:39] high [1:45:41] city, [1:45:42] ang [1:45:43] alam ko [1:45:44] wala [1:45:44] po [1:45:44] talagang [1:45:45] 100%. [1:45:45] Kaya [1:45:46] po, [1:45:47] we have [1:45:48] to [1:45:49] strengthen [1:45:49] our [1:45:50] policies, [1:45:51] our [1:45:52] infrastructure, [1:45:53] the [1:45:53] human [1:45:53] resources, [1:45:54] we [1:45:55] have [1:45:55] to [1:45:55] train [1:45:55] them. [1:45:56] Yun po. [1:45:57] Yun po yung [1:45:57] control [1:45:58] natin [1:45:59] actually. [1:45:59] Yun yung [1:46:00] pinapalakas [1:46:01] po natin. [1:46:01] That's all. [1:46:02] In the [1:46:04] recent [1:46:04] history ba, [1:46:05] meron [1:46:05] na bang [1:46:06] nag-cross [1:46:06] or [1:46:07] data, [1:46:12] electronic [1:46:13] data, [1:46:15] like say [1:46:15] pill health [1:46:16] or [1:46:16] DOH, [1:46:19] he wants [1:46:19] to [1:46:20] announce [1:46:20] to the [1:46:21] world [1:46:21] that [1:46:21] maybe [1:46:21] Mr. [1:46:23] so-and-so [1:46:23] underwent [1:46:24] vasectomy [1:46:25] or [1:46:25] doh [1:46:27] ba? [1:46:29] Mr. [1:46:29] Chair [1:46:29] from [1:46:30] Pill [1:46:30] Health. [1:46:33] Though [1:46:33] it's [1:46:34] something [1:46:35] critical [1:46:36] that we [1:46:37] need to [1:46:37] discuss [1:46:38] this [1:46:38] matter [1:46:38] because [1:46:39] the [1:46:39] intention [1:46:39] of [1:46:40] the [1:46:40] law [1:46:40] is [1:46:41] that [1:46:41] the [1:46:42] accountability [1:46:43] of [1:46:43] the [1:46:44] processor [1:46:45] is not [1:46:46] limited [1:46:47] only [1:46:47] on [1:46:48] whether [1:46:48] it [1:46:49] was [1:46:49] intentional [1:46:50] or [1:46:51] accidentally [1:46:52] exposed. [1:46:55] So [1:46:55] this is [1:46:55] similar [1:46:56] to what [1:46:56] happened [1:46:57] with [1:46:57] Pill [1:46:57] Health. [1:46:57] We've [1:46:58] been at [1:46:59] the [1:46:59] limelight [1:46:59] because [1:46:59] of [1:47:00] the [1:47:00] Medusa [1:47:00] and [1:47:01] we [1:47:01] are [1:47:01] in [1:47:02] Medusa [1:47:02] because [1:47:02] of [1:47:02] the [1:47:03] data [1:47:07] that [1:47:07] was [1:47:08] exposed [1:47:09] was [1:47:10] only [1:47:11] for [1:47:11] the [1:47:11] PII [1:47:12] but [1:47:13] not [1:47:13] on [1:47:13] the [1:47:14] sensitive [1:47:14] health [1:47:15] data. [1:47:16] So [1:47:16] that's [1:47:17] it [1:47:17] Mr. [1:47:17] Chair. [1:47:19] The [1:47:20] experience [1:47:21] of [1:47:21] other [1:47:21] countries [1:47:22] or [1:47:22] more [1:47:22] advanced [1:47:22] countries [1:47:23] what [1:47:24] experience [1:47:27] nila [1:47:28] say [1:47:28] U.S. [1:47:29] or [1:47:29] Estonia [1:47:30] Estonia [1:47:31] is [1:47:31] noted [1:47:31] for [1:47:32] cyber [1:47:32] security [1:47:33] etc. [1:47:35] Nahahack [1:47:36] din ba? [1:47:36] Nagka-crash [1:47:37] din ba? [1:47:46] National [1:47:46] privacy? [1:47:50] Good morning [1:47:51] po. [1:47:51] Wala [1:47:51] kong [1:47:52] specific [1:47:53] information [1:47:54] for [1:47:54] Estonia. [1:47:55] But [1:47:55] of [1:47:55] course [1:47:56] wala [1:47:56] pong [1:47:56] 100% [1:47:57] secure [1:47:58] na [1:47:58] lalo [1:48:00] na [1:48:01] dahil [1:48:02] pag [1:48:02] mas maraming [1:48:03] involved [1:48:03] mas mataas [1:48:05] talaga [1:48:05] yung risk [1:48:06] kasi [1:48:06] maraming [1:48:06] access [1:48:07] points. [1:48:08] So [1:48:08] ang [1:48:08] pinaka [1:48:08] importante [1:48:08] po [1:48:09] is [1:48:09] ensure [1:48:10] natin [1:48:10] na [1:48:11] yung [1:48:11] ating [1:48:12] security [1:48:12] measures [1:48:13] are [1:48:13] all in [1:48:13] place [1:48:14] and [1:48:15] regularly [1:48:16] na-review [1:48:17] natin [1:48:17] kasi [1:48:19] usually [1:48:20] dun po [1:48:20] tayo [1:48:21] nagkakaroon [1:48:21] ng problem. [1:48:23] Baka [1:48:24] okay siya [1:48:24] nung start [1:48:25] pero [1:48:26] baka [1:48:26] hindi [1:48:26] na-update [1:48:27] and [1:48:27] therefore [1:48:28] later on [1:48:29] nagbago [1:48:31] ng standard [1:48:31] pero [1:48:32] parehas [1:48:32] pa rin [1:48:32] yung [1:48:32] system [1:48:33] natin. [1:48:34] So [1:48:34] tumataas [1:48:35] yung chance [1:48:35] ng leak [1:48:36] and then [1:48:36] of course [1:48:37] yung mga [1:48:38] taong [1:48:38] involved [1:48:39] din. [1:48:40] So [1:48:40] kaya [1:48:40] sinasabi [1:48:41] namin [1:48:41] lagi [1:48:42] na [1:48:42] purpose [1:48:42] limitation [1:48:43] sino [1:48:44] lang [1:48:44] ba [1:48:44] talaga [1:48:44] dapat [1:48:45] nang [1:48:45] maka-access [1:48:46] kasi [1:48:46] pag [1:48:47] mas [1:48:47] maraming [1:48:47] may [1:48:47] access [1:48:47] mas [1:48:48] maraming [1:48:48] areas [1:48:50] kung saan [1:48:50] pwede [1:48:51] magkaroon [1:48:51] ng [1:48:51] failure. [1:48:53] If [1:48:55] and [1:48:55] when [1:48:55] these [1:48:55] bills [1:48:56] be [1:48:56] enacted [1:48:57] into [1:48:57] law [1:48:58] siyempre [1:48:59] una [1:49:00] dapat [1:49:00] nationwide [1:49:02] and [1:49:03] then [1:49:04] interoperability [1:49:05] with [1:49:05] other [1:49:06] agencies [1:49:07] do we [1:49:08] have [1:49:08] a [1:49:09] ballpark [1:49:10] figure [1:49:10] on [1:49:10] how [1:49:11] much [1:49:11] will [1:49:13] this [1:49:13] cost [1:49:13] component [1:49:21] BBM [1:49:32] Good [1:49:38] morning [1:49:38] to [1:49:38] Mr. [1:49:39] Chair [1:49:39] As [1:49:40] we'll [1:51:15] do it [1:51:15] in such [1:51:17] a way [1:51:17] that [1:51:17] we'll [1:51:18] build on [1:51:19] local [1:51:19] facilities [1:51:21] first [1:51:21] or [1:51:21] provincial [1:51:22] level [1:51:23] or city [1:51:23] or [1:51:24] municipality [1:51:24] level [1:51:26] and [1:51:26] build on [1:51:27] those [1:51:27] structures [1:51:28] and [1:51:28] connect [1:51:28] them [1:51:29] together [1:51:30] so [1:51:30] as [1:51:31] of [1:51:31] now [1:51:31] we [1:51:32] still [1:51:32] don't [1:51:32] have [1:51:33] the [1:51:34] exact [1:51:35] figures [1:51:35] but [1:51:35] we [1:51:37] can [1:51:37] work with [1:51:39] our [1:51:40] digital [1:51:41] health [1:51:41] steering [1:51:42] committee [1:51:42] which is [1:51:43] a [1:51:43] multi [1:51:43] sector [1:51:44] governance [1:51:46] committee [1:51:47] on how [1:51:48] or what [1:51:49] we need [1:51:50] to consider [1:51:50] to build [1:51:51] on these [1:51:52] foundations [1:51:53] thank you [1:51:53] Mr. [1:51:54] Chair [1:51:54] maybe I [1:51:58] request [1:51:58] DOH [1:51:59] and maybe [1:51:59] DBM [1:52:00] to please [1:52:00] include that [1:52:01] in your [1:52:03] position [1:52:05] paper [1:52:05] so that [1:52:07] we will have [1:52:07] an idea [1:52:08] because [1:52:08] definitely [1:52:09] this bill [1:52:10] will be [1:52:10] referred to [1:52:12] the committee [1:52:12] on appropriations [1:52:13] and I'm [1:52:14] sure that [1:52:14] the committee [1:52:15] on appropriations [1:52:16] would like [1:52:16] to know [1:52:17] how much [1:52:19] will this [1:52:19] cost [1:52:20] to [1:52:21] our [1:52:22] I mean [1:52:24] from our [1:52:24] national [1:52:24] treasury [1:52:25] I'd like to [1:52:29] ask a [1:52:29] question [1:52:29] to [1:52:30] DOH [1:52:30] or [1:52:31] health [1:52:31] we have [1:52:32] already [1:52:33] a program [1:52:33] and [1:52:34] profiling [1:52:37] of [1:52:37] patients [1:52:39] family [1:52:40] individuals [1:52:40] done by [1:52:42] hospitals [1:52:43] and [1:52:43] RHU [1:52:46] is this [1:52:47] already [1:52:47] an initial [1:52:48] move [1:52:50] for the [1:52:51] digitalization [1:52:52] of [1:52:53] our [1:52:53] health [1:52:53] program [1:52:59] yes [1:52:59] so [1:52:59] the [1:53:01] profiling [1:53:02] is part [1:53:04] of the [1:53:04] digitalization [1:53:05] process [1:53:05] we need [1:53:07] to first [1:53:07] build up [1:53:08] the [1:53:08] registries [1:53:09] and [1:53:09] one of [1:53:10] the [1:53:10] registries [1:53:11] is [1:53:11] the [1:53:12] patient [1:53:13] registry [1:53:13] so [1:53:14] we're [1:53:15] currently [1:53:16] building [1:53:16] on [1:53:16] those [1:53:17] registries [1:53:18] currently [1:53:19] we [1:53:19] already [1:53:20] have [1:53:20] built [1:53:21] up [1:53:21] the [1:53:22] national [1:53:23] health [1:53:23] facility [1:53:24] registry [1:53:24] the [1:53:25] insurance [1:53:33] and [1:53:33] I [1:53:35] think [1:53:35] for [1:53:35] other [1:53:36] registries [1:53:37] are [1:53:37] already [1:53:37] built [1:53:38] up [1:53:38] and [1:53:38] we [1:53:38] need [1:53:39] to [1:53:39] update [1:53:41] them [1:53:41] consistently [1:53:43] and [1:53:44] also [1:53:45] we [1:53:45] need [1:53:45] to [1:53:45] add [1:53:46] other [1:53:46] registries [1:53:47] so [1:53:48] that [1:53:48] we [1:53:48] can [1:53:49] build [1:53:49] the [1:53:49] standards [1:53:49] for [1:53:50] the [1:53:50] Philippines [1:53:50] on [1:53:56] the [1:53:56] side [1:53:57] of [1:53:57] the [1:53:57] health [1:53:57] yes [1:53:58] po [1:53:58] we [1:53:58] recognize [1:53:59] that [1:53:59] the [1:54:00] initial [1:54:01] start [1:54:02] of [1:54:02] the [1:54:03] build [1:54:03] up [1:54:03] of [1:54:03] the [1:54:03] national [1:54:04] health [1:54:04] data [1:54:04] repository [1:54:05] but [1:54:06] this [1:54:06] is [1:54:06] only [1:54:06] part [1:54:07] of [1:54:07] the [1:54:07] requirement [1:54:08] under [1:54:08] section [1:54:09] 31st [1:54:09] which [1:54:09] clearly [1:54:10] stated [1:54:10] that [1:54:11] all [1:54:12] health [1:54:12] and [1:54:12] health [1:54:12] related [1:54:13] data [1:54:13] coming [1:54:15] from [1:54:15] health [1:54:16] and [1:54:16] health [1:54:16] related [1:54:16] entities [1:54:17] shall [1:54:18] be [1:54:18] submitted [1:54:19] to [1:54:20] the [1:54:20] national [1:54:20] health [1:54:21] repository [1:54:22] so [1:54:23] we [1:54:23] agree [1:54:23] that [1:54:24] this [1:54:24] should [1:54:24] be [1:54:24] included [1:54:25] as [1:54:25] part [1:54:26] of [1:54:26] this [1:54:27] e-health [1:54:27] ecosystem [1:54:28] thank [1:54:29] you [1:54:29] sir [1:54:29] thank [1:54:31] you [1:54:31] mr. [1:54:42] chair [1:54:42] if there [1:54:44] is no [1:54:45] more [1:54:45] question [1:54:45] from [1:54:47] the [1:54:47] group [1:54:47] i move [1:54:48] that [1:54:48] we [1:54:48] approve [1:54:49] house [1:54:49] bills [1:54:49] number [1:54:50] 43 [1:54:50] 162 [1:54:51] house [1:54:52] bill [1:54:52] 1387 [1:54:53] 1440 [1:54:54] 1701 [1:54:56] 2463 [1:54:57] 28813 [1:54:58] 1115 [1:54:59] 4199 [1:55:00] 5601 [1:55:02] 6705 [1:55:03] 6744 [1:55:04] 6759 [1:55:06] 6915 [1:55:07] 7176 [1:55:09] 7851 [1:55:11] 7866 [1:55:12] 847 [1:55:13] 8972 [1:55:15] 8975 [1:55:17] 9008 [1:55:18] subject to [1:55:19] style and [1:55:20] amendments [1:55:20] and comments [1:55:21] of the [1:55:22] committee [1:55:22] on [1:55:22] appropriation [1:55:23] and for [1:55:24] committee [1:55:24] to prepare [1:55:25] and file [1:55:26] its corresponding [1:55:27] committee report [1:55:28] and approve [1:55:28] the same [1:55:29] second [1:55:31] there's a [1:55:33] motion by [1:55:34] honorable [1:55:34] all those [1:55:51] present [1:55:52] in this [1:56:28] meeting [1:56:28] today [1:56:29] be made [1:56:31] co-authors [1:56:32] of the [1:56:33] consolidated [1:56:34] and the [1:56:36] substitute [1:56:36] bill [1:56:37] hearing [1:56:38] objection [1:56:38] the same [1:56:39] is [1:56:39] there's a [1:56:54] motion [1:56:54] there's a [1:56:56] motion [1:56:57] second [1:56:58] the meeting [1:57:02] this morning [1:57:02] is now [1:57:03] adjourned [1:57:04] maraming [1:57:05] salamat [1:57:05] dear [1:57:06] colleagues [1:57:07] and of [1:57:07] course [1:57:07] our [1:57:08] resource [1:57:09] persons [1:57:11] thank you [1:57:13] very much [1:57:13] for your [1:57:13] time [1:57:14] at [1:57:43] ang [1:57:43] klaro [1:57:43] diyan [1:57:44] lahat [1:57:44] ito [1:57:44] politika [1:57:45] saan [1:57:46] ito [1:57:46] nagsimula [1:57:46] politika [1:57:47] doon pa [1:57:48] pero ito [1:57:49] superior [1:57:50] doon [1:57:50] kay [1:57:50] president

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