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IRR of B.P. Blg. 702 (March 20, 1990)
Implements
B.P. Blg. 702
(NAR) VOL. 1 NO.4 / OCTOBER - DECEMBER 1990
[ DOH ADMINISTRATIVE ORDER NO. 89, March
20, 1990 ]
IMPLEMENTING RULES AND REGULATIONS OF BATAS
PAMBANSA BLG. 702: AN ACT PROHIBITING THE DEMAND
OF DEPOSITS OR ADVANCE PAYMENTS FOR THE
CONFINEMENT AND TREATMENT OF PATIENTS IN
HOSPITALS AND MEDICAL CLINICS UNDER CERTAIN
CASES
Pursuant to the provisions of BP No. 702 authorizing the Ministry of Health (now
the Department of Health) to promulgate the necessary rules and regulations to carry
out the provisions of the said Act, the following are hereby issued:
1. Section 1 of said act provides: "It shall be unlawful for any
director, manager or any other officer of a hospital or medical clinic to
demand any deposit or any other form of advance payment for
confinement or treatment in such hospital or medical clinic in emergency
or serious cases."
2. For the purpose of implementing the above, the following
definitions are provided:
2.1 Hospital — shall refer to a place devoted primarily to the
maintenance and operation of facilities for the diagnosis,
treatment and care of individuals suffering from illness,
disease, injury or deformity, or in need of obstetrical or other
medical and nursing care. The term hospital shall also be
construed as any institution, building or place where there are
installed beds, or cribs or bassinets for twenty-four hour use
or longer by patients in the treatment of diseas, diseased
conditions, injuries, deformities, or abnormal physical and
mental states, maternity cases and all institutions such as
those for convalescence, sanitorial care, infirmaries, nurseries,
dispensaries and such other names by which they may be
designated (R.A. 4226).
2.2 Medical Clinic — shall refer to a health facility where
evaluation and treatment is given to patients.
2.3 Director, manager or officer — any employee of the
hospital or medical clinic acting in behalf of such hospital or
clinic in pursuit of written or verbal instructions to implement
a standards procedure or policy.2.4 Demand for deposit or any form of advance payment
— any request, requirement or demand which stipulates
actual payment in cash or kind prior to the commencement of
or the proper completion of medical diagnosis and treatment.
2.5. Emergency — shall refer to a condition or state of the
patient of sudden onset where there is immediate danger and
which delay in initial and appropriate treatment may cause
loss of life.
2.6 Serious Case — refers to a condition of a patient
characterized by gravity or danger which when left
unattended may cause loss of life.
2.7 Confinement — shall refer to a state or process of being
kept in a hospital for diagnosis, treatment or observation.
2.8 Treatment — a regimen of medical or surgical actions
whose objectives are to prevent loss of life or damage to
human organs and to restore normal and stable bodily
functions.
3. In order to demonstrate compliance with the Act’s provisions, all
hospitals and medical clinics are instructed to institute the following
measures.
3.1 A copy of the law and this implementing regulation
should be displayed prominently at hospital emergency
rooms, hospital admission counters and medical clinic
premises.
3.2 Hospital and clinic managers shall instruct their
personnel to provide prompt and immediate medical attention
on emergency and serious cases without any prior
requirements for payment or deposit.
3.3 Hospital and clinic managers shall establish billing and
collection procedures for treatment or confinement of
emergency and serious cases which shall not commence until
the essential appropriate treatment of such cases has been
completed. "Essential appropriate treatment" refer to the
basic regimen of medical and surgical actions necessary to
stabilize an emergency or serious case that are within the
capability of the hospital or clinic.
3.4 It is clarified that the law and this administrative order
covers only the provision of medical or surgical goods and
services, and do not cover the provision of non-medical
amenities (such as types of accommodation, meals for patient
companions, etc.) which have nothing to do with the
treatment of the emergency or serious case. The provisions ofand payment for these non-medical amenities shall be subject
to appropriate institutional business practice.
4. Alleged violations of the Act and this order may be reported to the
Bureau of Licensing and Regulations, Office for Standards and
Regulations, Department of Health, Sta. Cruz, Manila, or at the nearest
Provincial Health Office or Regional Health Office.
5. Investigation shall be conducted by the Bureau of Licensing and
Regulations and the finding shall be referred to the appropriate fiscal for
criminal prosecution. Persons convicted of violation shall be punished in
accordance with the Act.
6. At the instance of the Bureau of Licensing and Regulations,
administrative proceeding may also be pursued against erring clinics or
hospitals that could lead to either suspension or revocation of appropriate
licenses.
These Rules and Regulations shall take effect fifteen (15) days after publication in
the Official Gazette or in a newspaper of general circulation.
Adopted: 20 March 1990
(SGD.) ALFREDO R.A. BENGZON, M.D.
Secretary
Source: Supreme Court E-Library
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