Full Text of The Consolidated Reproductive Health Bill Philippines 15th Congress
Full Text of The Consolidated Reproductive Health Bill Philippines 15th Congress
Full Text of The Consolidated Reproductive Health Bill Philippines 15th Congress
Sec. 1. Title
This Act shall be known as the "The Responsible Parenthood, Reproductive Health and
Population and Development Act of 2011."
The State recognizes and guarantees the exercise of the universal basic human right to
reproductive health by all persons, particularly of parents, couples and women, consistent
with their religious convictions, cultural beliefs and the demands of responsible parenthood.
Toward this end, there shall be no discrimination against any person on grounds such as sex,
age, religion, sexual orientation, disabilities, political affiliation and ethnicity.
Moreover, the State recognizes and guarantees the promotion of gender equality, equity and
women’s empowerment as a health and human rights concern. The advancement and
protection of women’s human rights shall be central to the efforts of the State to address
reproductive health care. As a distinct but inseparable measure to the guarantee of women’s
human rights, the State recognizes and guarantees the promotion of the welfare and rights of
children.
The State likewise guarantees universal access to medically-safe, legal, affordable, effective
and quality reproductive health care services, methods, devices, supplies and relevant
information and education thereon even as it prioritizes the needs of women and children,
among other underprivileged sectors.
The State shall eradicate discriminatory practices, laws and policies that infringe on a
person’s exercise of reproductive health rights.
1. Freedom of choice, which is central to the exercise of right must be fully guaranteed by
the State;
2. Respect for, protection and fulfillment of reproductive health and rights seek to promote
the rights and welfare of couples, adult individuals, women and adolescents;
3. Freedom of choice, which is central to the exercise of right must be fully guaranteed by
the State;
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4. Since human resource is among the principal asset of the country, maternal health, birth
of healthy children and their full human development and responsible parenting must be
ensured through effective reproductive health care;
5. The provision of medically safe, legal, accessible, affordable and effective reproductive
health care services and supplies is essential in the promotion of people’s right to health,
especially of the poor and marginalized;
6. The State shall promote, without bias, all effective natural and modern methods of family
planning that are medically safe and legal;
7. The State shall promote programs that: (1) enable couples, individuals and women to
have the number and spacing of children they desire with due consideration to the health
of women and resources available to them; (2) achieve equitable allocation and utilization
of resources; (3) ensure effective partnership among the national government, local
government units and the private sector in the design, implementation, coordination,
integration, monitoring and evaluation of people-centered programs to enhance quality of
life and environmental protection; (4) conduct studies to analyze demographic trends
towards sustainable human development and (5) conduct scientific studies to determine
safety and efficacy of alternative medicines and methods for reproductive health care
development;
8. The provision of reproductive health information, care and supplies shall be the joint
responsibility of the National Government and Local Government Units;
9. Active participation by non-government, women’s, people’s, civil society organizations and
communities is crucial to ensure that reproductive health and population and development
policies, plans, and programs will address the priority needs of the poor, especially
women;
10.While this Act recognizes that abortion is illegal and punishable by law, the government
shall ensure that all women needing care for post-abortion complications shall be treated
and counseled in a humane, non-judgmental and compassionate manner;
11.There shall be no demographic or population targets and the mitigation of the population
growth rate is incidental to the promotion of reproductive health and sustainable human
development;
12.Gender equality and women empowerment are central elements of reproductive health
and population and development;
13.The limited resources of the country cannot be suffered to be spread so thinly to service
a burgeoning multitude that makes the allocations grossly inadequate and effectively
meaningless;
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14.Development is a multi-faceted process that calls for the coordination and integration of
policies, plans, programs and projects that seek to uplift the quality of life of the people,
more particularly the poor, the needy and the marginalized; and
15.That a comprehensive reproductive health program addresses the needs of people
throughout their life cycle.
For the purposes of this Act, the following terms shall be defined as follows:
“(b) Adolescent Sexuality refers to, among others, the reproductive system, gender
identity, values and beliefs, emotions, relationships and sexual behavior at adolescence;
“(d) Anti-Retroviral Medicines (ARVs) referto medications for the treatment of infection by
retroviruses, primarily HIV;
“(e) Basic Emergency Obstetric Care refers to lifesaving services for maternal
complications being provided by a health facility or professional, which must include the
following six signal functions: administration of parenteral antibiotics; administration of
parenteral oxytocic drugs; administration of parenteral anticonvulsants for pre-eclampsia and
eclampsia; manual removal of placenta; removal of retained products; and assisted vaginal
delivery;
“(f) Comprehensive Emergency Obstetric Care refers to basic emergency obstetric care
including performance of caesarian section and blood transfusion;
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“(g) Employer refers to any natural or juridical person who hires the services of a
worker.The term shall not include any labor organization or any of its officers or agents
except when acting as an employer;
“(h) Family Planning refers to a program which enables couples, individuals and women to
decide freely and responsibly the number and spacing of their children, acquire relevant
information on reproductive health care, services and supplies and have access to a full range
of safe, legal, affordable, effective and modern methods of limiting and spacing pregnancy;
“(i) Gender Equality refers to the absence of discrimination on the basis of a person’s
sex, sexual orientation and gender identity in opportunities, allocation of resources or
benefits and access to services;
“(j) Gender Equity refers to fairness and justice in the distribution of benefits and
responsibilities between women and men, and often requires women-specific projects and
programs to end existing inequalities;
“(k) Healthcare Service Provider refers to (1) health care institution, which is duly
licensed and accredited and devoted primarily to the maintenance and operation of facilities
for health promotion, disease prevention, diagnosis, treatment, and care of individuals
suffering from illness, disease, injury, disability or deformity, or in need of obstetrical or other
medical and nursing care; (2) a health care professional, who is a doctor of medicine, nurse,
or midwife; (3) public health worker engaged in the delivery of health care services; and (4)
barangay health worker who has undergone training programs under any accredited
government and non-government organization and who voluntarily renders primarily health
care services in the community after having been accredited to function as such by the local
health board in accordance with the guidelines promulgated by the Department of Health
(DOH);
“(l) HIV (Human Immunodeficiency Virus) refers to the virus which causes AIDS;
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“(n) Maternal Death Review refers to a qualitative and in-depth study of the causes of
maternal death with the primary purpose of preventing future deaths through changes or
additions to programs, plans and policies;
“(o) Modern Methods of Family Planning refers to safe, effective and legal methods,
whether the natural, or the artificial that are registered with the Food and Drug
Administration (FDA) of the Department of Health (DOH);
“(p) People Living with HIV (PLWH) refers to individuals whose HIV tests indicate that
they are infected with HIV;
“(q) Poor refers to members of households identified as poor through the National
Household Targeting System for poverty reduction by the DSWD or any subsequent system
used by the national government in identifying the poor.
“(r) Population and Development refers to a program that aims to: (1) help couples and
parents achieve their desired family size; (2) improve reproductive health of individuals by
addressing reproductive health problems; (3) contribute to decreased maternal and infant
mortality rates and early child mortality; (4) reduce incidence of teenage pregnancy; and (5)
recognize the linkage between population and sustainable human development;
“(s) Reproductive Health refers to the state of complete physical, mental and social well-
being and not merely the absence of disease or infirmity, in all matters relating to the
reproductive system and to its functions and processes;
“(t) Reproductive Health Care refers to the access to a full range of methods, facilities,
services and supplies that contribute to reproductive health and well-being by preventing and
solving reproductive health-related problems. It also includes sexual health, the purpose of
which is the enhancement of life and personal relations. The elements of reproductive health
care include:
“(2) maternal, infant and child health and nutrition, including breastfeeding;
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“(3) proscription of abortion and management of abortion complications;
“(5) prevention and management of reproductive tract infections (RTIs), HIV and
AIDS and other sexually transmittable infections (STIs);
“(8) treatment of breast and reproductive tract cancers and other gynecological
conditions and disorders;
“(u) Reproductive Health Care Program refers to the systematic and integrated provision
of reproductive health care to all citizens especially the poor, marginalized and those in
vulnerable and crisis situations;
“(v) Reproductive Health Rights refer to the rights of couples, individuals and women to
decide freely and responsibly whether or not to have children; to determine the number,
spacing and timing of their children; to make decisions concerning reproduction free of
discrimination, coercion and violence; to have relevant information; and to attain the highest
condition of sexual and reproductive health;
“(w) Reproductive Health and Sexuality Education refers to a lifelong learning process of
providing and acquiring complete, accurate and relevant information and education on
reproductive health and sexuality through life skills education and other approaches;
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“(x) Reproductive Tract Infection (RTI) refers to sexually transmitted infections, and
other types of infections affecting the reproductive system;
“(y) Responsible Parenthood refers to the will, ability and commitment of parents to
adequately respond to the needs and aspirations of the family and children by responsibly
and freely exercising their reproductive health rights;
“(z) Sexually Transmitted Infections (STIs) refers to any infection that may be acquired
or passed on through sexual contact;
“(aa) Skilled Attendant refers to an accredited health professional, such as midwife, doctor
or nurse, who has been educated and trained in the skills needed to manage normal
(uncomplicated) pregnancies, childbirth and the immediate postnatal period, and in the
identification, management and referral of complications in women and newborns, to exclude
traditional birth attendant or midwife (hilot), whether trained or not;
“(bb) Skilled Birth Attendance refers to childbirth managed by a skilled attendant including
the enabling conditions of necessary equipment and support of a functioning health system,
and the transport and referral facilities for emergency obstetric care; and
“(cc) Sustainable Human Development refers to bringing people, particularly the poor and
vulnerable, to the center of development process, the central purpose of which is the creation
of an enabling environment in which all can enjoy long, healthy and productive lives, and
done in a manner that promotes their rights and protects the life opportunities of future
generations and the natural ecosystem on which all life depends.
The Local Government Units (LGUs) with the assistance of the Department of Health (DOH),
shall employ an adequate number of midwives to achieve a minimum ratio of one (1) fulltime
skilled birth attendant for every one hundred fifty (150) deliveries per year, to be based on
the annual number of actual deliveries or live births for the past two years; Provided, That
people in geographically isolated and depressed areas shall be provided the same level of
access
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Sec. 6. Emergency Obstetric Care
Each province and city, with the assistance of the DOH, shall establish or upgrade hospitals
with adequate and qualified personnel, equipment and supplies to be able to provide
emergency obstetric care. For every 500,000 population, there shall be at least one (1)
hospital with comprehensive emergency obstetric care and four (4) hospitals or other health
facilities with basic emergency obstetric care; Provided, That people in geographically isolated
and depressed areas shall be provided the same level of access.
All accredited health facilities shall provide a full range of modern family planning methods,
except in specialty hospitals which may render such services on optional basis. For poor
patients, such services shall be fully covered by PhilHealth Insurance and/or government
financial assistance on a no balance billing.
After the use of any PhilHealth benefit involving childbirth and all other pregnancy-related
services, if the beneficiary wishes to space or prevent her next pregnancy, PhilHealth shall
pay for the full cost of family planning.
Local government units and the Department of Health shall ensure that a Minimum Initial
Service Package (MISP) for reproductive health, including maternal and neonatal health care
kits and services as defined by the DOH, will be given proper attention in crisis situations
such as disasters and humanitarian crises. MISP shall become part of all responses by
national agencies at the onset of crisis and emergencies.
Temporary facilities such as evacuation centers and refugee camps shall be equipped to
respond to the special needs in the following situations: normal and complicated deliveries,
pregnancy complications, miscarriage and post-abortion complications, spread of HIV/AIDS
and STIs, and sexual and gender-based violence.
All Local Government Units (LGUs), national and local government hospitals, and other public
health units shall conduct annual maternal death review in accordance with the guidelines set
by the DOH.
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Sec. 10. Family Planning Supplies as Essential Medicines
Products and supplies for modern family planning methods shall be part of the National Drug
Formulary and the same shall be included in the regular purchase of essential medicines and
supplies of all national and local hospitals and other government health units.
The DOH shall spearhead the efficient procurement, distribution to Local Government Units
(LGUs) and usage-monitoring of family planning supplies for the whole country. The DOH
shall coordinate with all appropriate LGUs to plan and implement this procurement and
distribution program. The supply and budget allotments shall be based on, among others, the
current levels and projections of the following:
“(a) number of women of reproductive age and couples who want to space or limit
their children;
The LGUs shall ensure that poor families receive preferential access to services, commodities
and programs for family planning. The role of Population Officers at municipal, city and
barangay levels in the family planning effort shall be strengthened. The Barangay Health
Workers and Volunteers shall be capacitated to give priority to family planning work.
Sec. 14. Benefits for Serious and Life-Threatening Reproductive Health Conditions
All serious and life threatening reproductive health conditions such as HIV and AIDS, breast
and reproductive tract cancers, obstetric complications, menopausal and post-menopausal
related conditions shall be given the maximum benefits as provided by PhilHealth programs.
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SEC. 15. Mobile Health Care Service
Each Congressional District shall be provided with at least one Mobile Health Care Service
(MHCS) in the form of a van or other means of transportation appropriate to coastal or
mountainous areas. The MHCS shall deliver health care goods and services to constituents,
more particularly to the poor and needy, and shall be used to disseminate knowledge and
information on reproductive health. The purchase of the MHCS shall be funded from the
Priority Development Assistance Fund (PDAF) of each Congressional District. The operation
and maintenance of the MHCS shall be subject to an agreement entered into between the
district representative and the recipient focal municipality or city. The MHCS shall be operated
by skilled health providers and adequately equipped with a wide range of reproductive health
care materials and information dissemination devices and equipment, the latter including, but
not limited to, a television set for audio-visual presentations. All MHCS shall be operated by a
focal city or municipality within a congressional district.
Age-appropriate reproductive health and sexuality education shall be integrated in all relevant
subjects and shall include, but not limited to, the following topics:
“(b) Knowledge and skills in self protection against discrimination, sexual violence
and abuse, and teen pregnancy;
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“(d) Children’s and women’s rights;
The DepEd, CHED, DSWD, TESDA, and DOH shall provide concerned parents with adequate
and relevant scientific materials on the age-appropriate topics and manner of teaching
reproductive health education to their children.
Each Local Population Officer of every city and municipality shall furnish free instructions and
information on family planning, responsible parenthood, breastfeeding, infant nutrition and
other relevant aspects of this Act to all applicants for marriage license. In the absence of a
local Population Officer, a Family Planning Officer under the Local Health Office shall discharge
the additional duty of the Population Officer.
No marriage license shall be issued by the Local Civil Registrar unless the applicants present
a Certificate of Compliance issued for free by the local Family Planning Office certifying that
they had duly received adequate instructions and information on family planning, responsible
parenthood, breastfeeding and infant nutrition.
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SEC. 19. Capability Building of Barangay Health Workers
Barangay Health Workers and other community-based health workers shall undergo training
on the promotion of reproductive health and shall receive at least 10% increase in honoraria,
upon successful completion of training. The amount necessary for the increase in honoraria
shall be charged against the Maintenance and Other Operating Expenses (MOOE) component
of the Conditional Cash Transfer (CCT) program of the DSWD. In the event the CCT is
phased out, the funding sources shall be charged against the Gender and Development
(GAD) budget or the development fund component of the Internal Revenue Allotment (IRA).
The State shall assist couples, parents and individuals to achieve their desired family size
within the context of responsible parenthood for sustainable development and encourage
them to have two children as the ideal family size. Attaining the ideal family size is neither
mandatory nor compulsory. No punitive action shall be imposed on parents having more than
two children.
The Department of Labor and Employment (DOLE) shall ensure that employers respect the
reproductive rights of workers. Consistent with the intent of Article 134 of the Labor Code,
employers with more than 200 employees shall provide reproductive health services to all
employees in their own respective health facilities. Those with less than 200 workers shall
enter into partnerships with hospitals, health facilities, and/or health professionals in their
areas for the delivery of reproductive health services.
Employers shall furnish in writing the following information to all employees and applicants:
“(a) The medical and health benefits which workers are entitled to, including
maternity and paternity leave benefits and the availability of family planning
services;
“(b) The reproductive health hazards associated with work, including hazards
that may affect their reproductive functions especially pregnant women; and
Employers are obliged to monitor pregnant working employees among their workforce and
ensure that they are provided paid half-day prenatal medical leaves for each month of the
pregnancy period that the pregnant employee is employed in their company or organization.
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These paid pre-natal medical leaves shall be reimbursable from the Social Security System
(SSS) or the Government Service Insurance System (GSIS), as the case may be.
Private and non-government reproductive health care service providers, including but not
limited to gynecologists and obstetricians, are mandated to provide at least 48 hours
annually of reproductive health services ranging from providing information and education, to
rendering medical services free of charge to indigent and low income patients, especially to
pregnant adolescents. These 48 hours annual pro bono services shall be included as
prerequisite in the accreditation under the PhilHealth.
SEC. 23. Sexual And Reproductive Health Programs For Persons With Disabilities
(PWDs)
The cities and municipalities must ensure that barriers to reproductive health services for
persons with disabilities are obliterated by the following:
“(a) providing physical access, and resolving transportation and proximity issues to
clinics, hospitals and places where public health education is provided, contraceptives
are sold or distributed or other places where reproductive health services are provided;
“(b) adapting examination tables and other laboratory procedures to the needs and
conditions of persons with disabilities;
“(d) providing continuing education and inclusion rights of persons with disabilities
among health-care providers; and
“(e) undertaking activities to raise awareness and address misconceptions among the
general public on the stigma and their lack of knowledge on the sexual and reproductive
health needs and rights of persons with disabilities.
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SEC. 24. Right to Reproductive Health Care Information
The government shall guarantee the right of any person to provide or receive non-fraudulent
information about the availability of reproductive health care services, including family
planning, and prenatal care.
The DOH and the Philippine Information Agency (PIA) shall initiate and sustain a heightened
nationwide multi-media campaign to raise the level of public awareness of the protection and
promotion of reproductive health and rights including family planning and population and
development.
Pursuant to the herein declared policy, the DOH and the Local Health Units in cities and
municipalities shall serve as the lead agencies for the implementation of this Act and shall
integrate in their regular operations the following functions:
“(a) Ensure full and efficient implementation of the Reproductive Health Care
Program;
“(b) Ensure people’s access to medically safe, legal, effective, quality and affordable
reproductive health supplies and services;
“(c) Ensure that reproductive health services are delivered with a full range of
supplies, facilities and equipment and that service providers are adequately trained for
such reproductive health care delivery;
“(d) Take active steps to expand the coverage of the National Health Insurance
Program (NHIP), especially among poor and marginalized women, to include the full
range of reproductive health services and supplies as health insurance benefits;
“(e) Strengthen the capacities of health regulatory agencies to ensure safe, legal,
effective, quality, accessible and affordable reproductive health services and
commodities with the concurrent strengthening and enforcement of regulatory
mandates and mechanisms;
“(f) Promulgate a set of minimum reproductive health standards for public health
facilities, which shall be included in the criteria for accreditation. These minimum
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reproductive health standards shall provide for the monitoring of pregnant mothers, and
a minimum package of reproductive health programs that shall be available and
affordable at all levels of the public health system except in specialty hospitals where
such services are provided on optional basis;
“(h) Furnish local government units with appropriate information and resources to
keep them updated on current studies and researches relating to family planning,
responsible parenthood, breastfeeding and infant nutrition; and
“(i) Perform such other functions necessary to attain the purposes of this Act.
The Population Commission, (POPCOM) as an attached agency of DOH, shall serve as the
coordinating body in the implementation of this Act and shall have the following functions:
“(b) Provide the mechanism to ensure active and full participation of the private
sector and the citizenry through their organizations in the planning and implementation
of reproductive health care and population and development programs and projects;
and
Before the end of April of each year, the DOH shall submit an annual report to the President
of the Philippines, the President of the Senate and the Speaker of the House of
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Representatives. The report shall provide a definitive and comprehensive assessment of the
implementation of its programs and those of other Government agencies and
instrumentalities, civil society and the private sector and recommend appropriate priorities
for executive and legislative actions. The report shall be printed and distributed to all national
agencies, the LGUs, civil society and the private sector organizations involved in said
programs.
The annual report shall evaluate the content, implementation and impact of all policies
related to reproductive health and family planning to ensure that such policies promote,
protect and fulfill reproductive health and rights, particularly of parents, couples and women.
There is hereby created a Congressional Oversight Committee composed of five (5) members
from the Senate and five (5) members from the House of Representatives. The members
from the Senate shall be appointed by the Senate President based on proportional
representation of the parties or coalition therein with at least one (1) member representing
the Minority. The members from the House of Representatives shall be appointed by the
Speaker, also based on proportional representation of the parties or coalitions therein with at
least one (1) member representing the Minority.
The Committee shall be headed by the respective Chairs of the Senate Committee on Youth,
Women and Family Relations and the House of Representatives Committee on Population and
Family Relations. The Secretariat of the Congressional Oversight Committee shall come from
the existing Secretariat personnel of the Senate’ and the House of Representatives’
committees concerned
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The Committee shall monitor and ensure the effective implementation of this Act, determine
the inherent weakness and loopholes in the law, recommend the necessary remedial
legislator or administrative measures and perform such other duties and functions as may be
necessary to attain the objectives of this Act.
“(a) Any healthcare service provider, whether public or private, who shall:
“(3) Refuse to extend health care services and information on account of the
person’s marital status, gender, sexual orientation, age, religion, personal
circumstances, or nature of work; Provided, That, the conscientious objection of a
healthcare service provider based on his/her ethical or religious beliefs shall be
respected; however, the conscientious objector shall immediately refer the person
seeking such care and services to another healthcare service provider within the same
facility or one which is conveniently accessible who is willing to provide the requisite
information and services; Provided, further, That the person is not in an emergency
condition or serious case as defined in RA 8344 penalizing the refusal of hospitals and
medical clinics to administer appropriate initial medical treatment and support in
emergency and serious cases.
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“(b) Any public official who, personally or through a subordinate, prohibits or restricts the
delivery of legal and medically-safe reproductive health care services, including family
planning; or forces, coerces or induces any person to use such services.
“(c) Any employer or his representative who shall require an employee or applicant, as a
condition for employment or continued employment, to undergo sterilization or use or not use
any family planning method; neither shall pregnancy be a ground for non-hiring or
termination of employment.
“(d) Any person who shall falsify a certificate of compliance as required in Section 15 of
this Act; and
“(e) Any person who maliciously engages in disinformation about the intent or provisions
of this Act.
Any violation of this Act or commission of the foregoing prohibited acts shall be penalized by
imprisonment ranging from one (1) month to six (6) months or a fine of Ten Thousand (P
10,000.00) to Fifty Thousand Pesos (P 50,000.00) or both such fine and imprisonment at the
discretion of the competent court; Provided That, if the offender is a public official or
employee, he or she shall suffer the accessory penalty of dismissal from the government
service and forfeiture of retirement benefits. If the offender is a juridical person, the penalty
shall be imposed upon the president or any responsible officer. An offender who is an alien
shall, after service of sentence, be deported immediately without further proceedings by the
Bureau of Immigration.
The amounts appropriated in the current annual General Appropriations Act (GAA) for Family
Health and Responsible Parenting under the DOH and POPCOM and other concerned agencies
shall be allocated and utilized for the initial implementation of this Act. Such additional sums
necessary to implement this Act; provide for the upgrading of facilities necessary to meet
Basic Emergency Obstetric Careand Comprehensive Emergency Obstetric Carestandards;
train and deploy skilled health providers; procure family planning supplies and commodities
as provided in Sec. 10; and implement other reproductive health services, shall be included
in the subsequent GAA.
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SEC. 31. Implementing Rules and Regulations
Within sixty (60) days from the effectivity of this Act, the Secretary of the DOH shall
formulate and adopt amendments to the existing rules and regulations to carry out the
objectives of this Act, in consultation with the Secretaries of the DepED, the Department of
Interior and Local Government (DILG), the Department of Labor and Employment (DOLE),
the DSWD, the Director General of the National Economic and Development Authority
(NEDA), and the Commissioner of the CHED, the Philippine Commission on Women (PCW),
and two Non-Governmental Organizations (NGOs) or Peoples’ Organizations (POs) for
women. Full dissemination of the Implementing Rules and Regulations to the public shall be
ensured.
SEC. 32. Separability Clause. - If any part or provision of this Act is held invalid or
unconstitutional, other provisions not affected thereby shall remain in force and effect.
SEC. 33. Repealing Clause. All other laws, decrees, orders, issuances, rules and regulations
which are inconsistent with the provisions of this Act are hereby repealed, amended or
modified accordingly.
SEC. 34. Effectivity. - This Act shall take effect fifteen (15) days after its publication in at
least two (2) newspapers of general circulation.
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