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Uhl

Republic Act No. 11223, enacted on February 20, 2019, aims to provide universal health care access for all Filipinos by strengthening the health care system through reforms in financing, service delivery, and governance. Key features include automatic enrollment in PhilHealth, a no balance billing policy for vulnerable sectors, and improved primary health care services. The act faces challenges such as funding sustainability and a shortage of medical professionals, but it represents a significant step toward affordable health care for all Filipinos.

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239 views10 pages

Uhl

Republic Act No. 11223, enacted on February 20, 2019, aims to provide universal health care access for all Filipinos by strengthening the health care system through reforms in financing, service delivery, and governance. Key features include automatic enrollment in PhilHealth, a no balance billing policy for vulnerable sectors, and improved primary health care services. The act faces challenges such as funding sustainability and a shortage of medical professionals, but it represents a significant step toward affordable health care for all Filipinos.

Uploaded by

cmapat
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Republic Act No.

11223
“Universal Health Care (UHC) Law”
Expanding Health Access for All Filipinos
What is Republic Act No. 11223?
• Enacted on February 20, 2019, signed by President Rodrigo Duterte
• Aims to provide equitable access to quality and affordable health care
for all Filipinos
• Strengthens the Philippine health care system through reforms in
financing, service delivery, and governance
Objectives of RA 11223
• Universal health care coverage for all Filipinos
• Automatic inclusion in the National Health Insurance
Program (PhilHealth)
• Strengthened primary health care services
• Sustainable health care financing system
Key Features of RA 11223
• Automatic PhilHealth Enrollment – All Filipinos are now PhilHealth
members.
• Primary Health Care Provider Network (PCPN) – Strengthens
community-based health services.
• Two Types of Membership:
• Direct Contributors – Employed, self-employed, OFWs, professionals, etc.
• Indirect Contributors – Indigents, senior citizens, PWDs, and those sponsored by
the government.

• No Balance Billing Policy (NBB) – No additional fees for indigent


and vulnerable sectors.
• Integrated Local Health System – Public and private hospitals
work together to improve service delivery.
Sources of Funding for RA 11223
• General Appropriations Act (National Budget)
• Sin Taxes (Tobacco & Alcohol Products)
• PhilHealth Contributions
• Local Government Funds

PhilHealth’s Role in RA 11223


• Becomes the main purchaser of health services
• Expands coverage for outpatient and preventive care
• Ensures financial protection against medical expenses
Benefits of RA 11223 for Filipinos
• Free access to primary, preventive, curative, rehabilitative, and palliative care
services
• Reduced out-of-pocket expenses for hospitalization and medical treatments
• Improved health facilities and access to essential medicines
• Stronger health care workforce (more doctors, nurses, and barangay health
workers)

Challenges in UHC Implementation


• Funding sustainability – Ensuring long-term financial support
• Shortage of medical professionals – Addressing gaps in the health workforce
• Hospital congestion – Strengthening primary care to ease hospital burden
• Public awareness and access – Ensuring Filipinos understand and utilize UHC
benefits
The Future of Universal Health Care in the Philippines
• Policy improvements and amendments – Addressing
implementation gaps
• Integration of digital health services – Telemedicine,
electronic health records
• Continued investment in health infrastructure
TAKE NOTE
• RA 11223 is a major step toward
affordable and accessible health care
for all Filipinos.
• Effective implementation and
continued reforms are needed for
sustainability.

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