Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY
JUL 10 2019

DEPARTMENT ORDER
No. 2019- 0225
SUBJECT: GUIDELINES ON OFFICIAL LOCAL AND FOREIGN TRAVELS
INCLUDING ALLOWABLE RATES FOR DEPARTMENT OF
HEALTH, ATTACHED AGENCIES AND ALL OTHERS
CONCERNED

T. RATIONALE

Executive Order (E.O.) No. 77, dated March 15, 2019 entitled “Prescribing Rules and
Regulations and Rates of Expenses and Allowances for Official Local and Foreign Travels of
Government Personnel,” was issued by the President of the Republic of the Philippines to
update outdated rates of per diem and other allowances for official local and foreign travel in
the government.

Likewise, it has been observed that the Department of Health (DOH) rate for
transportation expenses, as prescribed under Department Order No. 2007-0082 dated
September 4, 2007 entitled ‘Policies and Guidelines on Travel and Training Allowances
Including Cash Advances Related Thereto” and as amended under Department Order No.
2007-0082-A dated July 1, 2010, does not anymore meet the current economic standards.

Pursuant to the
above, the following guidelines is hereby issued to ensure judicious, fair
and reasonable utilization of public funds on travel expenses of DOH personnel.

Il. OBJECTIVES

1. To standardize implementation of E.O. No. 77 in DOH and attached agencies; its

ih)
To ensure that claims for travel expenses and allowances for official travels are within the
bounds of E.O. No. 77 and within the financial capability of the DOH; and,
3. To regulate the amount oftransportation expenses not specifically itemized in E.O. No.77.

III. COVERAGE

This Department Order shall apply to all DOH

« and its attached agencies’ officials, and
employees and Contract of Service (COS) personnel.

[V. DEFINITION OF TERMS

A. Permanent Official Station -

geographic location or address where the
is the
official/employee normally reports for duty and/or spends the majority of his/her
productive time and must be designated as such in writing by the employer.
B. Daily Travel Expenses (DTE) — the amounts authorized to cover expenses for local
travel, which consist of the following: (1) costs for hotel accommodation or lodging,
including the prescribed taxes and service charges; (2) meals; and (3) incidental
expenses, including cost
for local or
inland transportation and reasonable miscellaneous
expenses at
the place of assignment.

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Building |, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila @ Trunk Line 651-7800 local 1108, 11 Y, W112, 1
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Direct Line: 711-9502; 711-9503 Fax: 743-1829 e URL: http://www.doh.gov.ph; e-mail: ftduque(@doh. \
 C. Transportation Expenses the actual fares of the authorized modes of transportation
—

(e.g., land, sea and air) for local and foreign travels, i.e. from the official station to the
destination or place of assignment and back.
D. Daily Subsistence Allowance (DSA) — the amount to
cover to
the cost of foreign travel
which includes costs for hotel accommodation or lodging, meals and incidental
expenses.
E. Minimal Cost — the cost most economical to the government.
F. Authorized Official — is the head of the office and who has the legal authority to
approve and sign.
V. GENERAL GUIDELINES

A. Personnel may be paid travel expenses when required to travel away from their
permanent official station.
B. The official local and foreign travels contemplated by this Order should meet the
following criteria:
1. the official or employee’s mandate or
It is essential to the effective performance of

functions;
2. The presence of the official or employee
is
critical to the outcome of the meeting,
conference, seminar, consultation or any official activity to be attended;
W
The projected expenses are not excessive or involve minimum expenditure;
.

4. The travel authority by the official and employees is approved by the authorized
official;
5. The funding source of local and foreign travel has been be specifically indicated in
the travel authority.

C. With the adoption of plane ticketing through the portal system as required by
Procurement Service —Department of Budget and Management (PS-DBM),
procurement of air tickets through travel agency shall be allowable only on exceptional
cases with approved justification by the Head of Office, however, reimbursement of
agency processing fee
shall not be allowed.
D. Request for plane ticket shall be made within seven (7) days before the travel to ensure
the proper utilization of advance deposit to PS-DBM for plane ticketing and to avoid
cancellation of unused tickets coupled with rebooking fee in case of change of travel
dates.

VI. SPECIFIC GUIDELINES

A. For Local Travels

1. Approval of Local Travel

a. The officialtravels of the Secretary of Health irrespective of the number of days,

need not be approved by Office of the President.

b. The authority to travel of officials and personnel and payment of their

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corresponding travel expenses shall be approved by the Secretary of Health or
his/her authorized representative.

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2. Travel Beyond 50-kilometer Radius from the Permanent/Official Station

Official travel to destination beyond the 50-kilometer radius from the

permanent/official station shall be allowed the following expenses:

a. Travel Beyond 50-kilometer Radius from the Permanent/Official Station

(1) From the office or residence to the point of embarkation, and vice versa;
(2) From the point of embarkation to the point of disembarkation in the place
of destination, and vice versa;
(3) From the point of disembarkation to the office of destination or place of
assignmentin the field, and vice versa.

b. Allowable transportation under Section VI.A.2.a officials and employees may

claim are as follows:

(1) Taxi fare and Transportation Network Vehicle (TNVS) fares (based on the
taxi fare on the matrix presented in the succeeding section)
(2) Bus fare
(3) Ferry boat fare
(4) Utility van (based on prevailing rates per passenger approved by the Land
Transportation Franchising and Regulatory Board)
(5) Motorized boats (based on prevailing rates per passenger in the locality)
(6) Habal-habal (based on prevailing rates per passenger in the locality)
(7) Jeepney fare (based on prevailing rates per passengerin the locality)
(8) in
Tricycle fare (based on prevailing rates per passenger the locality)
(9) Train Fare

c. Reasonable miscellaneous expenses such asthe following may be claimed by the

travelling officials and personnel upon presentation of bills and receipts in
reference to SectionVI.A.2. a.:

(1) Terminal fees

(2) Parking fees
(3) Road tolls

d. Personnel using government vehicle shall not be allowed to claim transportation

expenses.
e. Personnel using private vehicle shall be entitled to the equivalent fare of the
customary mode of transportation.
f. Rates for taxi fares/transportation expenses from residence to airport, seaport,
bus station, whichever is applicable, and vice-versa within Metro Manila or
outside Metro Manila (e.g. Rizal, Cavite, Bulacan) shall be as follows:

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 Maximum Allowable
Place Rate per Trip (in Php)
All areas nearest to the airport including Paranaque 350.00

San Andres, Sta. Ana, Sta. Mesa, Blumentritt, Quezon City

Rotonda, Greenhills, San Juan, Cubao, Pasig, Makati, Las 400.00
Pinas, Taguig and other areas within the vicinity of the above
Navotas, Malabon, Sangandaan, Southern part of Caloocan,
Central Area of Quezon City, and other areas within the 500.00
vicinity of the above
Northern Caloocan, Novaliches, Fairview, Valenzuela,
Meycauyan, Marikina, Antipolo, Cainta, Cavite and all
areas
outside Metro Manila and other areas within the vicinity of 550.00
the above

A similar fare matrix shall be prepared and promulgated by the respective Centers for
Health Development.

g. Rates for Taxi Fares or other authorized mode of transportation in DOH Central
Office to catch DOH shuttle or rented bus for a minimum travel of three (3)
days.

Place of Residence to DOH Maximum Allowance

per Trip (in Php)
Blumentritt, Espafia, Welcome Rutonda, Tondo, Divisoria and 100.00
other areas within the vicinity
San Andres, Sta. Ana, Sta. Mesa, Pasay, Greenhills, San Juan
250.00
and other areas within the vicinity ,

Monumento, Navotas, Malabon, Sangandaan, Southern part of

Caloocan, Cental area of Quezon City and other areas within the 300.00
vicinity
Makati, Las Pifias, Taguig and other areas within the vicinity 400.00
Tala, Northern Caloocan, Novaliches, Fairview, Valenzuela,
Marikina, Antipolo, Cainta, Muntinlupa, Cavite and all
areas 450.00
outside Metro Manila and other areas within the vicinity

Claims for the above mentioned shall be subject to the provision of COA Circular
No. 2017-001 dated June 19, 2017.

h. Daily Travel Expenses (DTE)

(1) The maximum allowable DTE of officials and personnel, regardless of rank
and position, shall be the following rates:

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 Destination Maximum DTE (in
I
Php)
Cluster
I Region
Region II
Region III
Region V
Region VIII
1,500
Region IX
Region XII
Region XIII
Bangsamoro Autonomous Region in Muslim
Mindanao (BARMM)
Cluster II Cordillera Administrative Region (CAR)
Region VI
Region VII 1,800
Region X
Region XI
Cluster III National Capital Region (NCR)
Region IV-A 2,200
Region IV-B

(2) Claims for travel expenses as provided under Section VI.A.2.g. payment of
DTE as presented above shall not require presentation bills and receipts.
of

i. Apportioned Travel Expenses

(1) The allowable DTE for travel beyond the 50-kilometer radius from the
permanent official station or residence shall be based on the following
apportionment:

Particulars Percentage To Cover

Day
of arrival at pointof destination Hotel/ Lodging 50%
(regardless of time) and succeeding day/s 100% Meals 30%
thereof on official business Incidental Expenses 20%

Day
of departure from permanent official Meals 30%
station or residence (regardless of time)
other than date arrival
of
if 50% Incidental Expenses 20%

(2) Subsistence allowance of Php 50.00- per day received through payroll shall
be deducted from the amount allotted for meals during regular working
days. Subsistence allowance shall not be deducted if the travel falls on
weekends, holidays and non-working days.
(3) When hotel/lodging and meals are provided or under live-in arrangement,
the official /employee concerned shall be entitled to claim incidental
expenses which is 20% of DTE for one day before and after respectively.

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 (4) If the is
venue a hotel under a live-out arrangement the official/employee
concerned shall be entitled to claim actual fare at the prevailing rates of
authorized modes of transportation from the permanent station or residence
to venue and back.

j. Travel Expenses in Excess of Authorized Travel Rates

Claims for reimbursement of actual accommodation expenses (excluding

amount expenses for valets, room attendants, laundry, pressing, haircuts and
similar services furnished by hotels) in excess of the accommodation component
of the DTE may be allowed, under the following conditions; however, said in
no case shall the difference exceed 100% of such components of the prescribed
DTE
rate, and only upon:
(1) Submission of
certification by the agency head or authorized representative
as absolutely necessary in the performance of an assignment; and
(2) Presentation of bills and official receipts. A certification or affidavit of loss
shall not be considered as appropriate replacement for lost bills and official
receipts.

k. Precluding Double Payment of Travel Expenses

To preclude double payment, the corresponding portion of the DTE shall not be
allowed when the
fare paid for transportation includes meals and/or quarters
enroute, or where meals and/or lodging are paid for or furnished by the
government or other parties.

3. Travel Within the 50-Kilometer Radius from the Permanent Official Station

a. For officials and employee authorized to stay in the place of assignment.

Personnel who are

authorized to stay in the place of assignment within the 50-
kilometer radius from the Permanent Official Station may claim the appropriate
DTE under Section VI.A.2.g.(1), provided that the concerned employee
present
proofs, that he/she had stayed inthe place of assignment for the whole duration
of the official travel, otherwise claim for DTE shall only be subject to the
provisions of Section VI.A.3.b. In addition, herein actual fare at the prevailing
rates from permanent official station to destinations and vice versa may be
claimed.

For those using government vehicle no amount of transportation expenses may

be claimed except for parking fees and road tolls.

In addition to the hotel bills/receipts, as strictly required under EO No. 77, the
following are the other required supporting documents as proof that the
concerned employee or personnel opted to stay in the place of assignment for
the whole duration of the official travel:

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 (1) Department Personnel Order/ Office Order citing therein the necessity for the
concerned employee
of the activity; and
to
stay in the place of assignment for the full duration

(2) Certificate of Appearance.

b. For official or employee

assignment
who
is authorized to commute daily to the place of

Personnel on official travel who commute daily from the place of assignment to
the place of residence or permanent official station shall be allowed the
following expenses:

(1) Actual fare receipt at the prevailing rates of authorized modes of

transportation from the permanent official station or residence
and back.
to
the place of
assignment
(2) Those personnel who are authorized to conduct monitoring, validation,
assessment, audit, inspection, investigation, evaluation and other related
activities shall be allowed 20% of meal allowance based on Section VI.A.2.
g. (1). Additional 10% maybe allowed only if the aforementioned day-to-day
activities will be beyond 7 P.M. Said extension should be supported by
reasonable justification and approved by the Head of
Office.
(3) Attendance to official activities such as but not limited to meetings, forums,
seminars, workshops and conventions outside the DOH facility, but still
within the 50-kilometer radius shall entitle the personnel to the following:

(a) Actual fare at the prevailing rates of transportation from the permanent
official station or residence to the place of assignment and back.
(b) Incidental expenses may be claimed based on Section VI.A.2.h.(1) with
a justification that the specific activity extended beyond 7 P.M. duly
approved by the Head of Office.

(4) Those personnel who

are designated to act as Liaison Officer shall be entitled
to:

(a) Actual fare at the prevailing rates of authorized modes of transportation

from the permanent official station to the place of assignment and back.
(b) DTE of 10% based on Section VI.A.2.h.(1) if
the Liaison Officer left the
official station on or before 8 A.M. Additional 10% meal allowance
may be
provided ifthe said personnel returned to the official station after
3 P.M.

Presentation of transportation ticket or any equivalent document shall be

required as proof of
actual travel undertaken.

4. Mode of Transportation and Type of Accommodation

a. The mode and class of transportation shall be restricted to the lowest fare of
economy class for airfares and regular air-conditioned bus for land
transportation unless authorized by the President of the Republic of the

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 b. Unauthorized deviations from the regular route or mode of transportation that
will result to additional costs shall be for the account of the official/employee
concerned.
c. The most economical and efficient type of hotel/lodging shall be availed for
official local travel.

5. Registration/Participation Fee to Conventions, Seminars, Conferences, Symposia

and such other activities

The registration or participation fee in conventions, seminars, conferences,

symposia and such other activities conducted by non-government organizations or
private institutions for a fee, as part of the human resource development maybe
availed through cash advance subject to liquidation or reimbursement after the
activity chargeable against government funds based on the
existing rates of DBM.

6. Registration/Participation Fee to Training, Courses and other Non DOH-Health

Human Resource Development Bureau (HHRDB) Activities

Courses Fee for human resource development activities shall be based on the current
fees prescribed by the academes and other learning institutions, cleared by HHRDB
and recommended for approval to the concerned head of office based on existing
rates of DBM. Also, payment for these can be availed through cash advance subject
to liquidation or reimbursement after the participation.

7. Availment of Department of Tourism (DOT)-Accredited Accommodations

Officials and personnel on official local travel are encouraged to patronize DOT
accredited accommodation to ensure availment of adequate but reasonably priced
services and amenities.

8. Liquidation of Cash Advances

Overlapping of cash advances shall not be allowed, thus liquidation of cash

advance for
local travel shall be made within seven (7) calendar days after the travel.
Failure to do so, will cause removal of the concerned personnel from the payroll until
the cash advance is fully liquidated.

B. For Foreign Travel

1. Types of Foreign Travels

Authorized Foreign travels shall refer only to those under the following categories:

a.International conferences or meetings to which the Philippine Government

has commitments, or to undertake official missions/assignments which
cannot be assigned to government officials posted abroad.
b. Scholarship, fellowships, trainings and studies abroad which are grant-funded
or undertaken at minimal cost.
c. Invitations for speaking engagements or receiving of awards from foreign
governments/institutions or international agencies/organizations as defined

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 law, whether fully or partially funded by the government,
under international
upon the endorsement of the Department of Foreign Affairs (DFA).

In case of trips
involving delegations, the authorized approving authority shall
ensure that the number of participants is kept to the barest minimum and the role
of each member in
the delegation is clearly specified and justified in the travel
application or proposal.

2. Approval of Foreign Travels

a. The Office of the President (OP) shall approve the official foreign travels of
the Secretary of Health irrespective of the number of days.
b. The Secretary of Health or his/her authorized representative shall approve
official travels of officials and personnel and payment of their
corresponding travel expenses
c. Foreign Travel of
officials and personnel shall also be endorsed by the DFA.

3. Exclusion from Foreign Travel

The following individuals shall not be issued foreign travel authorities nor be
entitled to government funding for such trips:

a. Private individuals
b. Consultants of, and/or those engaged by way of contract of service by
government agencies, except in highly meritorious circumstances (e.g.
unavailability of qualified employees in highly technical or specialized
fields), and upon written justification submitted to the authorized approving
officials
c. Spouses or
children of government officials, except when diplomatic protocol
or established international practices provide otherwise
d. Job Orders/Contract of Service Personnel

4. Pre-Departure Expenses and Return Trip Fees

a. Pre-departure expenses not exceeding Php 3,500.00 shall be allowed to cover

miscellaneous expenses for taxicab fare, passport processing, immunization
and medical laboratory fees, photographs, porterage, airport terminal fees, if
any, and other related expenses.
b. Likewise, reimbursement of airport terminal fees imposed at the point/s of
embarkation/boarding on the return trip to the Philippines upon presentation
of the corresponding receipt, if any, shall be allowed upon completion of the
official trip.

5. Transportation Expenses

If the transportation expenses will not be provided by the host country or the
sponsoring organization, they shall be allowed ofthe following:

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 a. Business class airfares for the Secretary of Health, Undersecretaries and
Assistant Secretaries may be authorized, subject to the approval of the OP.

For long-haul trips, described as flights exceeding four (4) hours without
counting lay-overs, of Secretary of Health, Undersecretaries, Assistant
Secretaries and those of equivalent ranks, business class airfares may be
authorized, subject to approval of the OP.

b. Economy class airfares shall be allowed to other officials and personnel,

which for purposes of this Order does not include premium economy class
in case they are not provided with transportation expenses by the host or
sponsoring organization.

6. Clothing Allowance

a. Clothing allowance shall be granted to personnel on foreign travel in

tropical countries for the period coinciding with the summer and spring
seasons, regardless of the nature of travel, if the travel will last for more
than one (1) month. The clothing allowance shall be granted on pro-rated
basis, as follows:
Duration of Travel Allowable Clothing Allowance (in US$)
More than one (1) month but less than three 200.00
(3) months
Three (3) months and more but less than six 300.00
(6) months
Six (6) months and more 400.00

Provided, however, that the clothing allowance in connection with study

trips to tropical countries shall not exceed US$ 300.00.

. When the travel to temperate countries, regardless of the nature of

travel, coincides with the autumn or winter seasons, the clothing allowance
shall be granted as follows:

Duration of Travel Allowable Clothing Allowance (in USS)

Two less
(2) weeks or 200.00
More than two (2) weeks but less than one 300.00
(1) month
One (1) month and more 400.00

c. Grantees who received clothing allowance provided by donor institutions at

rates equal to or higher than those indicated above shall no longer be entitled
to the said allowance.
d. When the clothing allowance granted by the donor is
less than the rates
indicated above, the personnel concerned may be given the difference.
e. The clothing allowance may be granted more than once in every 24 months
however, it shall not exceed US$400.00 within a 24-month period.

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 f. Applicable rate of clothing allowance shall be based on the official weather
forecast of authorized agency accessible through the internet in the country
of destination. In case the travel period falls in two (2) seasons,
the prescribed rates of clothing allowance shall be based on the most,
number ofdays the grantee was authorized to
stay.

7. Daily Subsistence Allowance

a. Those who travel abroad shall be granted the DSA based onthe daily rates
established by the International Civil Service Commission of the United
Nations Development Programme which may be accessed at
www.undp.org.ph or at www.dfa.gov.ph of the DFA.

When the country of destination

rate for
is
the
not listed therein, DSA for the nearest
country or “elsewhere” country shall be adopted.

b. The DSA shall only start upon arrival at the country of destination and
shall cease upon departure therefrom, at the following percentages:

Particulars Percentage To Cover |

Day
of arrival of
at point Hotel/lodging 50%
destination (regardless of time) 100% Meals 30%
and succeeding day/s thereon on Incidental Expenses 20%
official travel
Day of Departure for permanent
official station (regardless of 50% Meals 30%
time) if other than date of Incidental Expenses 20%
arrival

c. If hotel/lodging, meals and incidental expenses are provided by the host

country or donor institution, the DSA shall not be allowed.
d. Claims for payment of DSA as provided under Section VI.B.7.a&b hereof
shall not require presentation of bills and receipts.
e. Subject to the approval under Section VI.B.7.b of this Order, claims for
reimbursement of actual accommodation expenses in excess of the
accommodation component of
the DSA may be allowed, but in no case
shall the difference exceed 30% of such component of the prescribed
DSA
rate, and only upon certification by the head of agency as absolutely
necessary in the performance of an assignment and presentation of bills
and receipts. An affidavit of loss shall not be considered as appropriate
replacementfor the required bills and receipts.
Exchange rate or DSA to be used shall be the prevailing rate of the day
that cash advance was made/processed. For liquidation purposes, the
same exchange rate shall be used for computation because the amount
subject for liquidation is the amount granted in the cash advances.

In case no cash advances was requested and granted, the claimant is

entitled to the DSA per UNDP ratebased on the actual foreign exchange
rate on the first day of the travel and is applicable throughout the duration

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 of the travel, based on the supporting documents in the reimbursement
voucher.

8. Payment of DSA Differential

a. Where personnel on travel abroad, to attend international conferences or

meetings or to undertake official missions or assignments, are provided
by the host government with DSA and allowances lower than those
prescribed in this Order, such personnel shall only be entitled to the
difference.
b. Personnel on scholarship, fellowship, trainings, workshop, and study
grants abroad shall not be allowed payment of DSA differentials.

9. Reimbursement of Representation Expenses

a. The following officials authorized to attend international conferences or

meetings or undertake official missions or assignmentsin the exigency of
the service, may be entitled to reimbursement of actual reasonable
representation expenses not exceeding the following rates, subject to the
approval of the authorities listed in Section VI.B.2. based on approved
justification by the HeadofOffice presented and upon presentation of bills
and receipts.
Position Representation Expenses Allowed for
Reimbursement (in US$)
Secretary of Health 1,000.00
Department Undersecretaries
are designated as head of the
if they 700.00
delegation
Department Assistant Secretaries, if
500.00
they are designated as head of the
‘

delegation
Those holding positions lower than
Assistant Secretaries, who are
300.00
designated as head of the delegation

Such expenses may cover necessary entertainment, contributions,

flowers, wreaths, and the like, when justified by circumstances and in
conformity with generally accepted customs, usages and practices.

b. Officials on travel abroad for speaking engagements, and for scholarships,

fellowships, trainings, workshops and studies, and those whose travel are
fully funded by donors for sponsoring organizations shall not be allowed
reimbursement of
representation expenses.

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10. Insurance

Personnel on foreign travel pursuant to this Order may be entitled to travel

insurance at the minimum amount required by the country of destination,
depending on the duration of the official travel or a travel coverage of
P500,000.00 if there is no minimum coverage set
by a country.

11. Miscellaneous Provisions

a. Prohibition against Junkets of Government Officials and Employees. All

forms of travel junkets shall be strictly prohibited. The conduct of strategic
planning workshops or team building activities abroad shall not be
allowed. The taking of a personal leave immediately before or after the
official activity is highly discouraged. If travel circumstances, such as the
nature of activity, purpose and itinerary, indicate that the trip is mainly
intended for personal purposes, no part thereof shall be considered
official.
b. Travel in Connection with Official Duties Paid for by a Private Source.
Official foreign trips partially or fully sponsored or funded by private
corporations or private individuals shall be fully disclosed. No official or
personal travel of officials and employees shall be funded directly or
indirectly, fully or partially, by private individuals, including suppliers or
contractors, with pending requests/s or applications/s or future dealing
with any branch, department, bureau or office of the National Government
or local government units concerned. This prohibition applies to
invitations to travel purportedly to undertake study or assessment of the
proponents’ capabilities as such contractors or suppliers.
c. Overlapping of cash advances relative to official travels shall not be
allowed, thus liquidation of cash advances for foreign travel shall be made
within 30 calendar days after the return of the concerned personnel to the
permanent official station. Failure to comply shall cause removal of the
concerned personnel from the payroll until the cash advance is fully
liquidated.

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 d. The concerned personnel shall submit to the Head of the Office copy
furnished Bureau of International Health Cooperation and Health Human
Resource Development Bureau a duly approved post travel report, with
recommendations in connection with the conference or seminar attended,
or mission undertaken and Re-entry Plan within 10 working days as per
DO No. 2018-0138 after the travel period.

VII. SEPARABILITY CLAUSE

If any part or provision of this Order shall be held unconstitutional or invalid, other parts
or provisions hereof which are not affected shall continue to be in full force and effect.

VII]. REPEALING CLAUSE

All other issuances which are inconsistent with this Department Order shall be deemed
superseded.

IX. EFFECTIVITY

This Department Order shall take effect on April 1, 2019.

SCO ; , MD, MSc

Secretary of Health

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