Final Review Version of Draft IRR For RA 11166
Final Review Version of Draft IRR For RA 11166
Final Review Version of Draft IRR For RA 11166
2
3 PHILIPPINE NATIONAL AIDS COUNCIL
4 RESOLUTION No. 1
5
6 WHEREAS, Republic Act No. 11166, otherwise known as the “Philippine HIV
7 and AIDS Policy Act”, was signed into Law by the President of the Republic of the
8 Philippines on 20 December 2018;
9
10 WHEREAS, Section 55 of Republic Act No. 11166 expressly repealed Republic
11 Act No. 8504, otherwise known as the “Philippine AIDS Prevention and Control Act of
12 1998”;
13
14 WHEREAS, based on Section 57 of Republic Act No. 11166, this Act took
15 effect on 25 January 2019, or fifteen (15) days after its complete publication in the
16 Official Gazette on 10 January 2019;
17
18 WHEREAS, Section 54 of Republic Act No. 11166 mandates that, within ninety
19 (90) days from the date of effectivity of this Act, the Philippine National AIDS Council
20 shall promulgate the necessary rules and regulations to implement the provisions of
21 this Act;
22
23 WHEREAS, the Philippine National AIDS Council is the multi-sectoral, central
24 advisory, planning and policy-making, and implementing body mandated by this Act
25 to oversee a comprehensive and integrated national policy on the prevention and
26 control of HIV and AIDS in the Philippines;
27
28 THEREFORE, the Philippine National AIDS Council hereby resolves to adopt
29 and issue the following Implementing Rules and Regulations of Republic Act No.
30 11166:
31
32 RULE 1
33 TITLE AND APPLICATION
34
35 SECTION 1. Title – This resolution shall be known as the “Implementing Rules and
36 Regulations of the Philippine HIV and AIDS Policy Act”.
37
38 SEC. 2. Purpose – The Implementing Rules and Regulations (IRR) shall prescribe
39 guidelines, procedures and standards for the implementation of the mandates and
40 objectives of R.A. No. 11166, and to ensure and facilitate compliance to its provisions.
41
42 SEC. 3. Declaration of Policies – (Section 2 of the RA 11166)
43
44 1. The Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency
45 Syndrome (AIDS) are public health concerns that have wide-ranging social,
46 political, and economic repercussions. Responding to the country’s HIV and
1 AIDS situation is therefore imbued with public interest and shall be anchored
2 on the principles of human rights upholding human dignity.
3 2. Policies and practices that discriminate on the basis of perceived or actual HIV
4 status, sex, gender, sexual orientation, gender identity, age, economic status,
5 disability, and ethnicity hamper the enjoyment of basic human rights and
6 freedoms guaranteed in the Constitution and are deemed inimical to national
7 interest.
8
9 3. The State shall respect, protect, and promote human rights as the cornerstones
10 of an effective response to the country’s HIV and AIDS situation. Hence, HIV
11 and AIDS education and information dissemination shall form part of the right
12 to health.
13
14 4. The meaningful inclusion and participation of persons directly and indirectly
15 affected by HIV and AIDS, especially persons living with HIV, are crucial in
16 eliminating the virus. Thus, unless otherwise provided in this IRR, the
17 confidentiality, and the non-compulsory nature of HIV testing and HIV-related
18 testing shall always be guaranteed and protected by the State.
19
20 5. Towards this end, the State shall ensure the delivery of non-discriminatory HIV
21 and AIDS services by the government and private HIV and AIDS service
22 providers and shall develop redress mechanisms for persons living with HIV to
23 ensure that their civil, political, economic, and social rights are protected.
24
25 6. Accordingly, the State shall:
26 (a) Establish policies and programs to prevent the spread of HIV and deliver
27 treatment, care, and support services to Filipinos living with HIV in accordance with
28 evidence-based strategies and approaches that uphold the principles of human rights,
29 gender-responsiveness, and age-appropriateness, including meaningful participation
30 of communities affected by HIV and AIDS situation;
31
32 (b) Adopt a multi-sectoral approach in responding to the country’s HIV and
33 AIDS by ensuring that the whole of government approach, local communities, civil
34 society organizations, and persons living with HIV are at the center of the process;
35
36 (c) Ensure access to HIV and AIDS-related services by eliminating the
37 climate of stigma and discrimination that surrounds the country’s HIV and AIDS
38 situation and the people directly and indirectly affected by it; and
39
40 (d) Positively address and seek to eradicate conditions that aggravate the
41 spread of HIV infection, which include poverty, gender inequality, marginalization,
42 and ignorance.
1
2 SEC. 4. Definition of Terms – For the purposes of this IRR, the following terms
3 shall be defined as follows: (section 3 in RA)
4
5 (a) “Acquired Immune Deficiency Syndrome (AIDS)” refers to a health condition
6 where there is a deficiency of the immune system that stems from infection with the
7 Human Immunodeficiency Virus (HIV) making an individual susceptible to
8 opportunistic infections;
9
10 (b) “Act” refers to Republic Act No. 11166;
11
12 (c) “Anti-retroviral therapy (ART)” refers to the treatment that stops or
13 suppresses viral replication or replications of a retrovirus, like HIV, thereby slowing
14 down the progression of infection; (b from RA)
15
16 (d) “Bullying” refers to any severe or repeated use by one or more persons of
17 a written, verbal or electronic expression, or a physical act or gesture, or any
18 combination thereof, directed at another person that has the effect of actually causing
19 or placing the latter in reasonable fear of physical or emotional harm or damage to
20 one’s property; creating a hostile environment for the other person; infringing on the
21 rights of another person; or materially and substantially disrupting the processes or
22 orderly operation of an institution or organization; (c from RA)
23
24 (e) “Civil Society Organizations (CSOs)” refers to groups of non-governmental
25 and non-commercial individuals or legal entities that are engaged in non-coerced
26 collective action around shared interests, purpose and values; (d from RA)
27
28 (f) “Community-based research” refers to studies undertaken in community
29 settings and which involve community members in the design and implementation of
30 research projects; (e from RA)
31
32 (g) “Comprehensive Health Intervention for Key Populations” refers to evidence-
33 based policies, programs and approaches that aim to reduce transmission of HIV and
34 its harmful consequences on health, social relations and economic conditions; (f from
35 RA)
36
37 (h) “Compulsory HIV testing” refers to HIV testing imposed upon an
38 individual characterized by lack of consent, use of force or intimidation, the use of
39 testing as a prerequisite for employment or other purposes, and other circumstances
40 when informed choice is absent; (g from RA)
1
2 (i) “Culture-sensitive” refers to the conduct of DOH prevention programs being
3 compatible and appropriate to the culture, beliefs, customs and traditions,
4 indigenous systems and practices.
5
6 (j) “Discrimination” refers to unfair or unjust treatment that distinguishes,
7 excludes, restricts, or shows preferences based on any ground such as sex, gender, age,
8 sexual orientation, gender identity and expression, economic status, disability,
9 ethnicity, and HIV status, whether actual or perceived, and all other similar or
10 analogous cases, and which has the purpose or effect of nullifying or impairing the
11 recognition, enjoyment or exercise by all persons similarly situated, or all rights and
12 freedoms; (h from RA)
13
14 (k) “Evolving capacities of the child” refers to the concept enshrined in Article 5
15 of the Convention on the Rights of the Child recognizing the developmental changes
16 and the corresponding progress in cognitive abilities and capacity for self-
17 determination undergone by children as they grow up, thus requiring parents and
18 others charged with the responsibility for the child to provide varying degrees of
19 protection and to allow their participation in opportunities for autonomous decision-
20 making in different contexts and across different areas of decision-making; (I from
21 RA)
22 (l) “Gender expression” refers to the way a person communicates gender
23 identity to others through behavior, clothing, hairstyles, communication or speech
24 pattern, or body characteristics; (j from RA)
25
26 (m) “Gender identity” refers to the personal sense of identity as characterized,
27 among others, by manner of clothing, inclinations, and behavior in relation to
28 masculine or feminine conventions. A person may have a male or female identity with
29 the physiological characteristics of the opposite sex; (k from RA)
30
31 (n) “Gender-responsive” refers to approaches that aim to eliminate gender
32 biases, gender stereotypes, gender inequity, gender-based discrimination and gender-
33 based marginalization;
34
35
36 (o) “Health Maintenance Organization (HMO)” refers to juridical entities legally
37 organized to provide or arrange for the provision of pre-agreed or designated health
38 care services to its enrolled members for a fixed pre-paid fee for a specified period of
39 time; (l from RA)
1
2 (p) “High-risk behavior” refers to a person’s involvement in certain activities
3 that increase the risk of transmitting or acquiring HIV; (m from RA)
4
5 (q) “Human Immunodeficiency Virus (HIV)” refers to the virus, of the type
6 called retrovirus, which infects cells of the human immune system, and destroys or
7 impairs the cells’ function. Infection with HIV results in the progressive deterioration
8 of the immune system, leading to immune deficiency; (n from RA)
9
10 (r) “HIV counseling” refers to the interpersonal and dynamic communication
11 process between a client and a trained counselor, who is bound by a code of ethics
12 and practice, to resolve personal, social, or psychological problems and difficulties,
13 whose objective in counseling, in the context of an HIV diagnosis, is to encourage the
14 client to explore important personal issues, identify ways of coping with anxiety and
15 stress, and plan for the future (keeping healthy, adhering to treatment, and preventing
16 transmission); and in the context of a negative HIV test result, to encourage the client
17 to explore motivations, options, and skills to stay HIV-negative; (o from RA)
18
19 (s) “HIV and AIDS counselor” refers to any individual trained by an
20 institution or organization accredited by the Department of Health (DOH) to provide
21 counseling services on HIV and AIDS with emphasis on behavior modification; (p
22 from RA)
23
24 (t) “HIV and AIDS monitoring” refers to the documentation and analysis of
25 the number of HIV and AIDS infections and the pattern of its spread; (q from RA)
26
27 (u) “HIV and AIDS prevention and control” refers to measures aimed at
28 protecting non-infected persons from contracting HIV and minimizing the impact of
29 the condition of persons living with HIV; (r from RA)
30
31 (v) “HIV-Negative” refers to the absence of HIV or HIV antibodies upon
32 HIV testing; (s from RA)
33
34 (w) “HIV-Positive” refers to the presence of HIV infection as documented by
35 the presence of HIV or HIV antibodies in the sample being tested; (t from RA)
36
37 (x) “HIV Testing” refers to any facility-based, mobile medical procedure, or
38 community-based screening modalities that are conducted to determine the presence
39 or absence of HIV in a person’s body. HIV testing is confidential, voluntary in nature,
1 and must be accompanied by counseling prior to and after the testing, and conducted
2 only with the informed consent of the person; (u from RA)
3
4 (y) “HIV-related Testing” refers to any laboratory testing or procedure done
5 on an individual in relation to a person’s HIV condition; (v from RA)
6
7 (z) “HIV Testing Facility” refers to any DOH-accredited on-site or mobile
8 testing center, hospital, clinic, laboratory, and other facility that has the capacity to
9 conduct voluntary HIV counseling and HIV testing; (w from RA)
10
11 (aa) “HIV Transmission” refers to the transfer of HIV from one infected
12 person to an uninfected individual, through unprotected sexual intercourse, blood
13 transfusion, sharing of contaminated intravenous needles, or which may occur during
14 pregnancy, delivery, and breastfeeding; (x from RA)
15
16 (bb) “Informed Consent” refers to the voluntary agreement of a person to
17 undergo or be subjected to a procedure based on full information, whether such
18 permission is written or conveyed verbally; (y from RA)
19
20 (cc) “Key Affected Populations” or Key Population refer to those groups or persons
21 at higher risk of HIV exposure, or affected populations whose behavior make them
22 more likely to be exposed to HIV or to transmit the virus; (z from RA)
23
24 (dd) “Laboratory” refers to an area or place, including community-based
25 settings, where research studies are being undertaken to develop local evidence for
26 effective HIV response; (aa from RA)
27
28 (ee) “Mature minor doctrine” refers to the legal principle that recognizes the
29 capacity of some minors to consent independently to medical procedures, if they have
30 been assessed by qualified health professionals to understand the nature of procedures
31 and their consequences and to make a decision on their own; (bb from RA)
32
33 (ff) “Medical confidentiality” refers to the core duty of medical practice where
34 the information provided by the patient to health practitioners and his/her health
35 status is kept private and is not divulged to third parties. The patient’s health status
36 can, however, be shared with other medical practitioners involved in the professional
37 care of the patient, who will also be bound by medical confidentiality. Medical
38 confidentiality applies to the attending physician, consulting medical specialist, nurse,
39 medical technologist, and all other health workers or personnel involved in any
1 counseling, testing or professional care of the patient. It also applies to any person
2 who, in any official capacity, has acquired or may have acquired such confidential
3 information; (cc from RA)
4
5 (gg) “Opportunistic infections” refer to illnesses caused by various organisms
6 many of which do not cause diseases in persons with healthy immune system; (dd
7 from RA)
8
9 (hh) “Outpatient HIV and AIDS Treatment (OHAT)” refers to the outpatient
10 treatment package for HIV and AIDS offered by the Philippine Health Insurance
11 Corporation (PhilHealth);
12
13 (ii) “Partner notification” refers to the process by which the “index client”,
14 “source”, or “patient”, who has a sexually transmitted infection (STI), including HIV,
15 is given support in order to notify and advise the partners that have been exposed to
16 infection. Support includes giving the index client a mechanism to encourage the
17 client’s partner to attend counseling, testing and other prevention and treatment
18 services. Confidentiality shall be observed in the entire process; (ee from RA)
19
20 (jj) “Person Living with HIV (PLHIV)” refers to any individual diagnosed to
21 be infected with HIV; (ff from RA)
22
23 (kk) “Persons with Disabilities (PWDs)” refers to those who are suffering from
24 restriction or different abilities, as a result of a mental, physical, or sensory impairment,
25 to perform an activity in the manner or within the range considered normal for a
26 human being as defined in Republic Act No. 7277, as amended by Republic Act No.
27 9442, otherwise known as the “Magna Carta for Disabled Persons”.
28
29 (ll) “Pre-exposure prophylaxis” refers to the use of prescription drugs as a
30 strategy for the prevention of HIV infection by people who do not have HIV and
31 AIDS. It is an optional treatment which may be taken by people who are HIV-negative
32 but who have substantial, higher-than-average risk of contracting an HIV infection;
33 (gg from RA)
34
35 (mm) “Pre-test counseling” refers to the process of providing an individual with
36 information on the biomedical aspects of HIV and AIDS and emotional support to
37 any psychological implications of undergoing HIV testing and the test result itself
38 before the individual is subjected to the test; (hh from RA)
39
1 (nn) “Post-exposure prophylaxis” refers to a preventive medical treatment started
2 immediately after exposure to a pathogen (HIV) in order to prevent infection by the
3 pathogen and the development of the disease; (ii from RA)
4
5 (oo) “Post-test counseling” refers to the process of providing risk-reduction
6 information and emotional support to a person who has submitted to HIV testing at
7 the time the result is released; (jj from RA)
8
9 (pp) “Private sector” refers to groups, associations, private schools and
10 universities, business enterprises owned and operated by private individuals or groups,
11 and other organizations and establishments, including individuals, which are not part
12 of the government and CSOs as defined in this IRR;
13
14 (qq) “Prophylactic” refers to any agent or device used to prevent the
15 transmission of an infection; (kk from RA)
16
17 (rr) “Provider-initiated counseling and testing” refers to a health care provider
18 initiating HIV testing to a person practicing high-risk behavior or vulnerable to HIV
19 after conducting HIV pre-test counseling. A person may elect to decline or defer
20 testing such that consent is conditional; (ll from RA)
21
22 (ss) “Redress” refers to an act of compensation for unfairness, grievance, and
23 reparation; (mm from RA)
24
25 (tt) “Safer sex practices” refers to choices made and behaviors adopted by a
26 person to reduce or minimize the risk of HIV transmission. These may include
27 postponing sexual debut, non-penetrative sex, correct and consistent use of male or
28 female condoms, and reducing the number of sexual partners; (nn from RA)
29
30 (uu) “Sexually Transmitted Infections (STIs)” refers to infections that are spread
31 through the transfer of organisms from one person to another as a result of sexual
32 contact; (oo from RA)
33
34 (vv) “Sexual orientation” refers to the direction of emotional and sexual
35 attraction or conduct towards people of the same sex (homosexual orientation) or
36 towards people of both sexes (bisexual orientation) or towards people of the opposite
37 sex (heterosexual orientation), or to the absence of sexual attraction (asexual
38 orientation); (pp from RA)
1
2 (ww) “Social protection” refers to a set of policies and programs designed to
3 reduce poverty and vulnerability by promoting efficient labor markets, diminishing
4 people’s exposure to risks, and enhancing their capacity to protect themselves against
5 hazards and interruptions on or loss of income; (qq from RA)
6
7 (xx) “Stigma” refers to the dynamic devaluation and dehumanization of an
8 individual in the eyes of others, which may be based on attributes that are arbitrarily
9 defined by others as discreditable or unworthy and which results in discrimination
10 when acted upon; (rr from RA)
11
12 (yy) “Treatment hubs” refers to private and public hospitals or medical
13 establishments accredited by DOH to have the capacity and facility to provide
14 treatment and care services to PLHIV; (ss from RA)
15
16 (zz) “Voluntary HIV testing” refers to HIV testing done on an individual who,
17 after having undergone pre-test counseling, willingly submits to such test; (tt from RA)
18
19 (aaa) “Vulnerable communities” refers to communities and groups suffering from
20 vulnerabilities, such as unequal opportunities, social exclusion, poverty,
21 unemployment, and other similar social, economic, cultural and political conditions,
22 making them more susceptible to HIV infection and to developing AIDS; and (uu
23 from RA)
24
25 (bbb) “Workplace” refers to the office, premise or work site where workers are
26 habitually employed and shall include the office or place where workers, with no fixed
27 or definite work site, regularly report for assignment in the course of their
28 employment. (vv from RA)
29
30 RULE 2
31 THE PHILIPPINE NATIONAL AIDS COUNCIL (article I from RA)
32
33 SEC. 5. Philippine National AIDS Council (PNAC) (section 4 from RA) –
34
35 1. The PNAC shall ensure the implementation of the country’s response to the
36 HIV and AIDS situation.
37
38 2. The PNAC shall be an agency attached to the DOH with a separate budget
39 under the General Appropriations Act (GAA). It shall have its own Secretariat
40 and staffing pattern, and shall be headed by an Executive Director.
1
2 SEC. 6. Functions (section 5 from RA)–
3
4 1. The PNAC shall perform the following functions:
5
6 (a) Develop and regularly review an AIDS Medium Term Plan (AMTP) in
7 collaboration with relevant government agencies, LGUs, CSOs, the
8 PLHIV community, and other stakeholders. The AMTP shall include
9 the following:
10
11 (1) The country’s targets and strategies in addressing the HIV and
12 AIDS situation; (section 8 (a) from RA)
13
14 (2) The prevention, treatment, care and support, and other
15 components of the country’s response; (section 8 (b) from RA)
16
17 (3) The operationalization of the program and identification of the
18 government agencies that shall implement the program, including the
19 designated office within each agency responsible for overseeing, coordinating,
20 facilitating and monitoring the implementation of its HIV and AIDS program
21 from the national level to the local level; and (section 8 (c) from RA)
22
23 (4) The budgetary requirements and a corollary investment plan of
24 each government agency specified in the AMTP, and shall identify the sources
25 of funds for its implementation. (section 8 (d) from RA)
26
27 (b) Ensure the operationalization and implementation of the AMTP;
28
29 (c) Strengthen the collaboration between government agencies and CSOs
30 involved in the implementation of the national HIV and AIDS response, including the
31 delivery of HIV and AIDS related services;
32
33 (d) Develop and ensure the implementation of the guidelines and policies
34 provided in this Act, including other policies that may be necessary to implement the
35 AMTP;
36
37 (e) Monitor the progress of the response to the country’s HIV and AIDS
38 situation and actively seek good practices from all stakeholders;
39
1 (f) Monitor the implementation of the AMTP, which includes the AMTP
2 investment plan, undertake mid-term assessments, and evaluate its impact;
3
4 (g) Mobilize, identify, and secure funding source for the AMTP;
5
6
7 (h) Direct and require its members to integrate monitoring and evaluation in all
8 of the HIV-related programs, policies, and services undertaken within their
9 respective mandates, and to submit an annual report. In relation to this,
10 other government agencies, LGUs, CSOs, the PLHIV community, and
11 other stakeholders are enjoined to submit similar reports to the
12 appropriate PNAC member.
13
15 2. All HIV testing facilities shall provide free pre-test and post-test HIV counseling
16 to individuals who wish to avail HIV testing, which shall likewise be confidential.
17 No HIV testing shall be conducted without informed consent.
18
19 3. The DOH, in coordination with relevant government agencies and CSOs, shall
20 ensure that specific approaches to HIV counseling and testing are adopted based
21 on the nature and extent of HIV and AIDS incidence in the country.
22
23 4. Pre-test counseling and post-test counseling shall be done by the HIV and AIDS
24 counselor, licensed social worker, licensed health service provider, or a DOH-
25 accredited health service provider: Provided, That for the government HIV testing
26 facilities, pre-test and post-test HIV counseling shall be provided for free.
27
28
29 SEC. 37. HIV Testing for Pregnant Women (Section 32 from RA)– A health care
30 provider who offers pre-natal medical care shall offer provider-initiated HIV testing
31 for pregnant women: Provided, that any pregnant woman who refuses to avail of HIV
32 testing shall not be denied pre- or ante-natal services. The DOH shall provide the
33 necessary guidelines for healthcare providers in the conduct of the screening procedure
34 within 60 days from the effectivity of this IRR.
35
36
37
38 RULE 7
39 HEALTH AND SUPPORT SERVICES (Article 5 from RA)
40
1
2 SEC. 38. Treatment of Persons Living with HIV and AIDS – (Section 33 from
3 RA) The DOH shall establish a program to provide free and accessible ART and
4 medication for opportunistic infections to all PLHIV, who are enrolled in the program.
5 It shall likewise designate public and private hospitals to become treatment hubs. A
6 manual of procedures for management of PLHIV shall be developed by the DOH.
7
8 SEC. 39. Access to Medical Services by Indigents (Section 34 from RA)– Indigent
9 persons living with HIV shall not be deprived access to health and nutrition services.
10 The DOH and DSWD shall establish a program that will support better access to ART
11 and medication for opportunistic infections to all indigent PLHIV, which includes
12 financial support for necessary health and nutrition services related to the person’s
13 HIV condition.
14
15 SEC. 40. Economic Empowerment and Support (Section 35 from RA)– PLHIV
16 shall not be deprived of any employment, livelihood, micro-finance, self-help, and
17 cooperative programs by reason of their HIV status. The DSWD, in coordination with
18 DILG, DOLE, and TESDA, shall develop enabling policies and guidelines within 60
19 days from the effectivity of this IRR to ensure economic empowerment and
20 independence designed for PLHIV.
21
22 SEC. 41. Care and Support for Persons Living with HIV (Section 36 from RA)–
23 The DSWD, in coordination with DOH, shall develop care and support programs for
24 PLHIV, which shall include peer-led counseling and support, social protection, welfare
25 assistance, and mechanisms for case management. These programs shall include care
26 and support for the affected children, families, partners, and support groups of
27 PLHIV.
28
29
30 SEC. 42. Care and Support for Overseas Workers Living with HIV (Section 37
31 from RA)– The Overseas Workers Welfare Administration (OWWA), in coordination
32 with DOH, DSWD, DFA, CFO, and the Bureau of Quarantine and International
33 Health Surveillance, shall develop a program to provide a stigma-free comprehensive
34 reintegration, care, and support program, including economic, social, and medical
35 support, for overseas workers living with HIV, regardless of employment status and
36 stage in the migration process.
37
38
39 SEC. 43. Care and Support for Affected Families, Intimate Partners, Significant
40 Others and Children of People Living with HIV (Section 38 from RA)– The
41 DSWD, DOH, and LGUs, in consultation with CSOs and affected families of PLHIV,
42 shall develop care and support programs for affected families, intimate partners,
43 significant others, and children of PLHIV, which shall include the following:
44
1 (a) Education programs that reduce HIV-related stigma, including
2 counseling, to prevent HIV-related discrimination within the family;
3 (b) Educational assistance for children infected with HIV and children
4 orphaned by HIV and AIDS; and
5 (c) HIV treatment and management of opportunistic infections for minors
6 living with HIV, who are not eligible under the Outpatient HIV and AIDS
7 Treatment (OHAT) package of Philippine Health Insurance Corporation
8 (PhilHealth).
9
10 SEC. 44. Care and Support Program in Prisons and Others Closed-Setting
11 Institutions (Section 39 from RA)–
12
13 1. All prisons, rehabilitation centers, and other closed-setting institutions
14 shall have comprehensive STI, HIV and AIDS prevention and control
15 program that includes HIV education and information. HIV counseling
16 and testing, and access to HIV treatment and care services. The CHR in
17 coordination with DOH, DILG, DOJ, and DSWD, shall develop HIV
18 and AIDS comprehensive programs and policies, which include the HIV
19 counseling and testing procedures in prisons, rehabilitation centers, and
20 other closed-setting institutions.
21
22 2. PLHIV in prisons, rehabilitation centers, and other closed-setting
23 institutions shall be provided HIV treatment, which includes ART, care,
24 and support, in accordance with the national guidelines. Efforts should
25 be undertaken to ensure the continuity of care at all stages, from
26 admission to release. The provision on informed consent and
27 confidentiality shall also apply in closed-setting institutions.
28
29 3. In pursuit of the objectives of this IRR and within reasonable conditions,
30 representatives from CHR, DOJ, DOH, and other relevant agencies shall
31 be accorded unimpeded access to PLHIV in prisons, rehabilitation
32 centers, and closed-setting institutions.
33
34
35 SEC. 45. Non-discriminatory HIV and AIDS Services (Section 40 from RA)–
36 The members of the PNAC, in cooperation with CSOs and in collaboration with
37 DOJ and CHR, shall ensure the delivery of non-discriminatory HIV and AIDS
38 services by government and private HIV and AIDS service providers.
39
40 SEC. 46. Protection of HIV Educators, Licensed Social Workers, Health
41 Workers, and Other HIV and AIDS Service Providers from Harassment
42 (Section 41 from RA)– Any person involved in the provision of HIV and AIDS
43 services, including peer educators, shall be protected from suit, arrest or prosecution,
1 and from civil, criminal or administrative liability, on the basis of their delivery of such
2 services in HIV prevention. This protection does not cover acts which are committed
3 in violation of this IRR.
4
5 SEC. 47. Health Insurance and Similar Health Services –(Section 42 from RA)
6 The PhilHealth shall:
7
8 (a) Develop a benefit package for PLHIV that shall include coverage for
9 inpatient and outpatient medical and diagnostic services, including
10 medication and treatment;
11 (b) Develop a benefit package for the unborn, newborn, and minor child
12 of infected mothers;
13 (c) Set a reference price for HIV services in government hospitals;
14 (d) Conduct programs to educate the human resources of companies on
15 the PhilHealth package on HIV and AIDS; and
16 (e) Develop a mechanism for orphans living with HIV to access HIV
17 benefit package.
18 1. The PhilHealth shall enforce confidentiality in the provision of
19 these packages to PLHIV. No PLHIV shall be denied or deprived of private
20 health insurance under a Health Maintenance Organization (HMO) and
21 private life insurance coverage of any life insurance company on the basis of
22 HIV status. Furthermore, no person shall be denied life insurance claims if
23 the cause of death is HIV or AIDS under a valid and subsisting life insurance
24 policy
25
26 2. The Insurance Commission (IC) shall implement this provision
27 and shall develop the necessary policies to ensure compliance within 60 days
28 from the effectivity of this IRR.
29
30
31 SEC. 48. HIV and AIDS Monitoring and Evaluation – (Section 43 from RA)
32 The DOH shall maintain a comprehensive HIV and AIDS monitoring and
33 evaluation programs that shall serve the following purposes:
34
35 (a) Determine and monitor the magnitude and progression of HIV and
36 AIDS in the Philippines to help the national government evaluate the
37 adequacy and efficacy of HIV prevention and treatment programs being
38 employed;
39
1 (b) Receive, collate, process, and evaluate all medical reports related to HIV
2 and AIDS from all hospitals, clinics, laboratories and testing centers,
3 including HIV-related deaths and relevant data from public and private
4 hospitals, various databanks or information systems: Provided, That it
5 shall adopt a coding system that ensures anonymity and confidentiality;
6 and
7
8 (c) Submit to PNAC, through the PNAC Secretariat, an annual report
9 containing the findings of its monitoring and evaluation activities in
10 compliance with this mandate.
11
12 RULE 8 (Article 6 from RA)
13 CONFIDENTIALITY
14
15 SEC. 49. Confidentiality (Section 44 from RA) – The confidentiality and privacy of
16 any individual, who has been tested for HIV, has been exposed to HIV, has HIV
17 infection or HIV-AIDS related illnesses, or was treated for HIV related illnesses. The
18 following acts violate confidentiality and privacy:
19
20 (a) Disclosure of Confidential HIV and AIDS Information –
21 (1) Unless otherwise provided in Section 50 of this IRR, it shall be
22 unlawful to disclose, without written consent, information that a person has
23 HIV and AIDS, has undergone HIV-related test, has HIV infection or HIV-
24 related illnesses, or has been exposed to HIV.
25 (2) The prohibition shall apply to any person, natural or juridical,
26 whose work or function involves the implementation of this IRR or the delivery
27 of HIV-related services, including those who handle or have access to personal
28 data or information in the workplace, and who, pursuant to the receipt of the
29 required written consent from the subject of confidential HIV and AIDS
30 information, have been subsequently granted access to the same confidential
31 information.
32
33 (b) Media Disclosure – It shall be unlawful for any editor, publisher, reporter
34 or columnist in case of printed materials, or any announcer or producer in case
35 of television and radio broadcasting, or any producer or director of films in case
36 of the movie industry, or any other individual or organization in case of social
37 media, to disclose the name, picture, or any information that would reasonably
38 identify persons living with HIV and AIDS or any confidential HIV and AIDS
39 information without the prior written consent of their subjects except when the
1 persons waive said confidentiality through their own acts and omissions under
2 Section 4 (a) of R. A. No. 10175, otherwise known as the “Cybercrime
3 Prevention Act of 2012”, and Section 25 of R. A. No. 10173, otherwise known
4 as the “Data Privacy Act of 2012”.
5
6 SEC. 50. Exceptions (Section 45 from RA)– Confidential HIV and AIDS
7 information may be released by HIV testing facilities without consent in the
8 following instances:
9
10 (a) When complying with reportorial requirements of the national active and
11 passive surveillance system, including reports of death, of the DOH: Provided, that the
12 information related to a person’s identity shall remain confidential;
13 (b) When informing other health workers directly involved in the treatment
14 or care of a PLHIV: Provided, that such workers shall be required to perform the duty
15 of shared medical confidentiality; and
16 (c) When responding to a subpoena duces tecum and subpoena ad testificandum
17 issued by a court or a quasi-judicial body with jurisdiction over a legal proceeding
18 where the main issue is the HIV status of an individual: Provided, that the confidential
19 medical record, after having been verified for accuracy by the head of the office or
20 department, shall remain anonymous and unlinked and shall be properly sealed by its
21 lawful custodian, hand-delivered to the court, and personally opened by the judge:
22 Provided, further, That the judicial or administrative proceedings shall be held in
23 executive session.
24
25
26 SEC. 51. Disclosure of HIV-Related Test Results (Section 46 from RA) –
27
28 1. The result of any test related to HIV shall be disclosed by the trained service
29 provider who conducts pre-test and post-test counseling only to the individual who
30 submitted to the test. If the patient is below the age of fifteen (15) years, an orphan, or
31 suffering from mental incapacity, or patients in comatose state, the result of the test
32 may be disclosed to either of the patient’s parents, next of kin, legal guardian, or to a
33 duly assigned licensed social worker or health worker, whichever is applicable
34 considering the best interest of the said patient: Provided, That when a person below
35 the age of fifteen (15) years, who is not suffering from any mental incapacity, has given
36 voluntary and informed consent to the procedure in accordance with Section 34(1)(b)
37 of this IRR, the result of the test shall be disclosed to the child: Provided, further, That
38 the child should be given age-appropriate counseling and access to necessary health
39 care and sufficient support services.
40 The result of any test related to HIV and AIDS may also be disclosed to a person
41 authorized to receive such results in conjunction with the DOH Monitoring Body as
42 provided in Section 48 of this IRR.
1
2
3
4
5 SEC. 52. Disclosure to Persons with Potential Exposure to HIV –(Section 47
6 from RA)
7
8 1. Any person who, after having been tested is found to be infected with
9 HIV, is strongly encouraged to disclose this health condition to the
10 spouse, sexual partners, and/or any person prior to engaging in
11 penetrative sex or any potential exposure to HIV.
12
13 2. A person living with HIV may seek help from qualified professionals,
14 including medical professionals, health workers, peer educators, or social
15 workers for disclosing this health condition to one’s partner or spouse.
16 Confidentiality shall likewise be observed.
17
18 3. Further, the DOH through the PNAC, shall establish an enabling
19 environment to encourage newly tested HIV-positive individuals to
20 disclose their status to partners.
21
22
23 SEC. 53. Duty of Employers, Heads of Government Offices, Heads of Public
24 and Private Schools or Training Institutions, and Local Chief Executives
25 (Section 48 from RA)
26
27 1. It shall be the duty of private employers, heads of government offices, heads of
28 public and private schools and training institutions and local chief executives, overall
29 private establishments within their territorial jurisdiction to prevent and deter acts of
30 discrimination against PLHIV and to provide procedures for the resolution,
31 settlement, or prosecution of acts of discrimination. Towards this end, the private
32 employer, head of office, or local chief executive shall:
33
34
35 2. Promulgate rules and regulations, prescribing the procedure for the investigation
36 of discrimination cases and the administrative sanctions therefor; and
37
38 (a) Create and ad hoc committee on the investigation of discrimination cases.
39
40 The committee shall conduct meetings to increase the member’s knowledge and
41 understanding of HIV and AIDS, and to prevent incidents of discrimination. It
42 shall also conduct the administrative instigation of alleged cases of
43 discrimination.
44
45
1
2
3
4
5 RULE 9 (Article 7 from RA)
6 DISCRIMINATORY ACTS AND PRACTICES AND CORRESPONDING
7 PENALTIES
8
9 SEC. 54. Discriminatory Acts and Practices (Section 49 from RA)– The following
10 discriminatory acts and practices shall be prohibited:
11
12 (a) Discrimination in the Workplace – Rejection of job application, termination
13 of employment, or other discriminatory policies in hiring, provision of employment
14 and other related benefits, promotion or assignment of an individual solely or partially
15 on the basis of actual, perceived, or suspected HIV status;
16 (b) Discrimination in Learning Institutions – Refusal of admission, segregation,
17 imposition of harsher disciplinary actions, or denial of benefits or services of a student
18 or a prospective student solely or partially on the basis of on actual, perceived, or
19 suspected HIV status;
20 (c) Restriction on Travel and Habitation – Restrictions on travel within the
21 Philippines, refusal of lawful entry into Philippine territory, deportation from the
22 Philippines, or the quarantine or enforced isolation of travelers solely or partially on
23 account of actual, perceived, or suspected HIV status is discriminatory. The same
24 standard of protection shall be accorded to migrants, visitors, and residents, who are
25 not Filipino citizens;
26 (d) Restrictions on Shelter – Restrictions on housing or lodging, whether
27 permanent or temporary, solely or partially on the basis of actual, perceived, or
28 suspected HIV status;
29 (e) Prohibition from Seeking or Holding Public Office – Prohibition on the right to
30 seek an elective or appointive public office solely or partially on the basis of actual,
31 perceived, or suspected HIV status;
32 (f) Exclusion from Credit and Insurance Services – Exclusion from health,
33 accident or life insurance, or credit and loan services, including the extension of such
34 loan or insurance facilities of an individual solely or partially on the basis of actual,
35 perceived, or suspected HIV status: Provided, That the PLHIV has not concealed or
36 misrepresented the fact to the insurance company or loan or credit service provider
37 upon application;
1 (g) Discrimination in Hospitals and Health Institutions – Denial of health services,
2 or being charged with a higher fee, on the basis of actual, perceived or suspected HIV
3 status is discriminatory act and it is prohibited;
4 (h) Denial of Burial Services – Denial of embalming and burial services for a
5 deceased person who had HIV and AIDS or who was known, suspected, or perceived
6 to be HIV-positive;
7 (i) Act of Bullying – Bullying in all forms including name-calling, upon a
8 person based on actual, perceived, of suspected HIV status, including bullying in social
9 media and other online portals; and
10 (j) Other similar or analogous discriminatory acts.
11
12 SEC. 55. Penalties – (Section 50 from RA)
13
14 (a) Any person who commits the prohibited act under paragraph Section 27
15 of this IRR on misinformation on HIV and AIDS shall, upon conviction, suffer the
16 penalty of imprisonment ranging from one (1) year but not more than ten (10) years,
17 a fine of not less than Fifty Thousand pesos (P50,000) but not more than Five
18 Hundred Thousand pesos (P500,000), or both, at the discretion of the Court: Provided,
19 That if the offender is a manufacturer, importer or distributor of any drugs, devices,
20 agents, and other health products, the penalty of at least five (5) years imprisonment
21 but not more than ten (10) years and a fine of at least Five Hundred Thousand pesos
22 (P500,000) but not more than Five Million pesos (P5,000,000) shall be imposed:
23 Provided, further, That drugs, devices, agents, and other health products found in
24 violation of Section 26 of this IRR may be seized and held in custody when the FDA
25 Director-General has reasonable cause to believe facts found by him/her or an
26 authorized officer or employee of the FDA that such health products may cause injury
27 or prejudice to the consuming public;
28 (b) Any person who violates Section 29 (2) of this IRR on police operations
29 vis-á-vis comprehensive health intervention for key populations shall, upon conviction,
30 suffer the penalty of imprisonment of one (1) year to five (5) years and a fine of not
31 less than One Hundred Thousand pesos (P100,000.00) but not more than Five
32 Hundred Thousand pesos (P500,000.00): Provided, That the law enforcement agents
33 found guilty shall be removed from public service;
34 (c) Any person who knowingly or negligently causes another to get infected
35 with HIV in the course of the practice of profession through unsafe and unsanitary
36 practice and procedure, or who compelled any person to undergo HIV testing without
37 his or her consent shall, upon conviction, suffer the penalty of imprisonment of six
38 (6) years to twelve (12) years, without prejudice to the imposition of fines and
39 administrative sanctions, such as suspension or revocation of professional license. The
1 permit or license of the business entity and the accreditation of the HIV testing centers
2 may be cancelled or withdrawn if these establishments fail to maintain safe practices
3 and procedures as may be required by the guidelines formulated in compliance with
4 Section 31, on blood, tissue, or organ donation, and Section 33, on medical
5 management, surgical, and other related procedures of this IRR;
6 (d) Any person who violates Section 46 of this IRR, on the protection of
7 HIV educators, licensed social workers, health workers, and other HIV and AIDS
8 service providers from harassment shall, upon conviction, suffer the penalty of
9 imprisonment of six (6) months to five (5) years and a fine of not less than One
10 Hundred Thousand pesos (P100,000.00) but not more than Five Hundred Thousand
11 pesos (P500,000.00): Provided, That if the person who violates this provision is a law
12 enforcement agent or a public official, administrative sanctions may be imposed in
13 addition to imprisonment and/or fine, at the discretion of the Court;
14 (e) Any person, natural or juridical, who violates the provisions of Section
15 47 of this IRR on health insurance and similar services shall, upon conviction, suffer
16 the penalty of imprisonment of six (6) months to five (5) years and/or a fine of not
17 less than Fifty Thousand pesos (P50,000.00), at the discretion of the Court, and
18 without prejudice to the imposition of administrative sanctions such as fines,
19 suspensions or revocation of business permit, business license or accreditation, and
20 professional license;
21 (f) Any person who violates the provisions of Section 49 of this IRR on
22 Confidentiality shall, upon conviction, suffer the following penalties:
23 (1) Six (6) months to two (2) years of imprisonment for any person
24 who breaches confidentiality and/or a fine of not less than Fifty Thousand
25 pesos (P50,000.00), but not more than One Hundred Fifty Thousand pesos
26 (P150,000.00), at the discretion of the Court;
27 (2) Two (2) years and one (1) day to five (5) years of imprisonment
28 for any person who causes the mass dissemination of the HIV status of a
29 person, including spreading the information online or making statements to the
30 media and/or a fine of not less than One Hundred Fifty Thousand pesos
31 (P150,000.00) but not more than Three Hundred Fifty Thousand pesos
32 (P350,000.00), at the discretion of the Court; and
33 (3) Five (5) years and one (1) day to seven (7) years of imprisonment
34 for any health professional, medical instructor, worker, employer, recruitment
35 agency, insurance company, data encoder, and other custodian of any medical
36 record, file, data, or test result who breaches confidentiality, and/or a fine of
37 not less than Three Hundred Fifty Thousand pesos (P350,000.00) but not more
1 than Five Hundred Thousand pesos (P500,000.00), at the discretion of the
2 Court.
3 These penalties are without prejudice to any administrative sanction or
4 civil suit that may be brought against persons who violate confidentiality under
5 this IRR.
6
7 (g) Any person who shall violate any of the provisions in Section 54 of this
8 IRR on discriminatory acts and practices shall, upon conviction, suffer the penalty of
9 imprisonment of six (6) months to five (5) years and/or a fine of not less than Fifty
10 Thousand pesos (P50,000.00) but not more than Five Hundred Thousand pesos
11 (P500,000.00), at the discretion of the Court, and without prejudice to the imposition
12 of administrative sanctions such as fines, suspension or revocation of business permit,
13 business license or accreditation, and professional license; and
14 (h) Any person who has obtained knowledge of confidential HIV and AIDS
15 information and uses such information to malign or cause damage, injury, or loss to
16 another person shall face liability under Articles 19, 20, 21, and 26 of the New Civil
17 Code of the Philippines and relevant provisions of Republic Act No. 10173, otherwise
18 known as the “Data Privacy Act of 2012”.
19 If the offender is a corporation, association, partnership or any other juridical
20 person, the penalty of imprisonment shall be imposed upon the responsible officers
21 and employees, as the case may be, who participated in, or allowed by their gross
22 negligence, the commission of the crime, and the fine shall be imposed jointly and
23 severally on the juridical person and the responsible officers/employees. Furthermore,
24 the Court may suspend or revoke its license or business permit.
25 If the offender is an alien, he/she shall, in addition to the penalties prescribed
26 herein, be deported without further proceedings after serving penalties herein
27 prescribed.
28 If the offender is a public official or employee, he/she shall, in addition to the
29 penalties herein, suffer perpetual or temporary absolute disqualification from office, as
30 the case may be.
31
32 SEC. 56. Penalties Collected –(Section 51 from RA) The penalties collected
33 pursuant to this section shall be put into a special fund to be administered by the
34 PNAC and shall be used for initial interventions required to address gaps in the
35 national response on the part of government agencies and its partners from civil society
36 and international organizations in accordance with Section 6 (1) (m) of this IRR.
37
38
39
40 RULE 10 (Article 8 from RA)
41
42 FINAL PROVISIONS
43 SEC. 57. Appropriations – (Section 52 from RA)
1
2 1. The amount needed for the initial implementation of this IRR shall be
3 charged against the appropriations for the DOH. Thereafter, such sums as may be
4 necessary for the continued implementation of this IRR shall be included in the annual
5 General Appropriations Act (GAA).
6 2. The DBM, in coordination with the Department of Finance (DOF), DOH,
7 and other relevant government agencies, shall consider the incidence of HIV and
8 AIDS in accordance with the AMTP.
9 3. LGUs shall allocate a separate budget item for HIV and AIDS program
10 in their respective annual appropriations for the LGU action plans mandated and
11 specified in this IRR.
12 4. The funding requirement needed to provide for the health insurance
13 package and other services for PLHIV as stated in Section 47 of this IRR shall be
14 charged against the PhilHealth’s corporate funds
15 5. The funding needed to upgrade or construct government-administered
16 HIV testing and treatment centers shall be funded from the revenues of the sin tax
17 under Republic Act No. 8424, otherwise known as the “National Internal Revenue
18 Code”, as amended by Republic Act No. 10351. And shall be prioritized under the
19 Health Facilities Enhancement Program of the DOH (HFEP).
20 6. The funds to be appropriated for the operations of the PNAC shall be a
21 distinct and separate budget item from the regular appropriation for DOH and shall
22 be administered by the Secretary of Health. In no circumstance shall the
23 appropriations, savings, and other resources of the PNAC be realigned to the programs
24 and projects of DOH or any other government agency, unless such program or project
25 is related to the implementation of the provisions under this IRR.
26
27 SEC. 58. Transitory Provisions (Section 53 from RA)–
28 The personnel designated by the DOH as Secretariat of the PNAC under Section
29 12 of this IRR shall be absorbed as permanent personnel to fill the position of the
30 Secretariat as provided in this Act.
31
32 FOR GA DELIBERATION AND IMMEDIATE ACTION (APRIL 10,
33 2019)
34
35 The PNAC under this present IRR may convene as necessary to make decisions
36 and resolutions even if the appointment of all CSOs for membership in the PNAC has
37 not yet been achieved. The meetings of the PNAC shall be convened with at least
38 ______(number) in attendance, including the Chairperson, or the Vice Chairperson,
39 acting as Chairperson at such meetings. Decisions shall be made and resolutions shall
40 be passed on the vote of the majority of the members in attendance. The PNAC shall
41 endeavor to achieve the immediate qualification and appointment of CSOs for
42 membership in the PNAC.
43
44 SEC. 59. Review and Amendment of the Implementing Rules and
45 Regulations (Section 54 from RA)– This IRR may be amended upon the majority
1 vote of all the members of the PNAC. The PNAC shall review the IRR at least every
2 five (5) years from the date of the adoption of this Resolution.
3
4 SEC. 60. Repealing Clause – (Section 55 from RA) Republic Act No. 8504,
5 otherwise known as the “Philippine AIDS Prevention and Control Act of 1998”, is hereby
6 repealed.
7
8 All decrees, executive orders, proclamations, and administrative regulations or
9 parts thereof, particularly in Act No. 3815, otherwise knowns as the “Revised Penal
10 Code”, as amended, Republic Act No. 8353, otherwise known as the “Anti-Rape Law
11 of 1997”, Executive Order No. 209, otherwise known as the “Family Code of the
12 Philippines”, Republic Act No. 7719, otherwise known as the “National Blood
13 Services Act of 1994”, and Republic Act No. 7170”, otherwise known as the “Organ
14 Donation Act of 1991”, inconsistent with the provisions of this IRR are hereby
15 repealed, amended or modified accordingly.
16
17 SEC. 61. Separability Clause (Section 56 from RA)– If any provision or part of this
18 IRR is declared unconstitutional, the remaining parts or provisions not affected shall
19 remain in full force and effect.
20
21 SEC. 62. Effectivity – (Section 57 from RA) This IRR takes effect fifteen (15) days
22 after its complete publication in the national newspaper of general circulation and the
23 U.P. Law Center.
24
25
26