In Partial Fulfillment of Requirements Health Care: Philippine Setting Preventive Medicine III

1. RA 7432 - An Act to Maximize the Contribution of Senior Citizens toNation Building, Grant Benefits and Special Privileges In Partial Fulfillment of Requirements Health Care: Philippine Setting Preventive Medicine III Department of Preventive, Family & Community Medicine Faculty of Medicine and Surgery University of Santo Tomas • Group Leader: Jhudielle Medenilla • Secretary: Gracielle Mendoza • Members: Kristianne Medina, Sakura Medina, Carmelou Mejino, Ivy Melgerjo, Alvin Mendoza, Dianna Mendoza, Donn Mendoza, Ace Mindanao, Maria Miranda, Miguel Molina, Jerry Monzon, Arriane Morales, Merwen Musni, • Anna Pauline Nallas, Ayne Naval • Alejandro V. Pineda, Jr., MD & Rafael P. Bantayan, Jr, MD

2. EPIDEMIOLOGICAL DATA: • Life Expectancy at Birth • Males: 64 years old • Females: 70 years old • Both Sexes: 67 years old Source: Philippine Health Statistics Update 2005 Last Update: July 1, 2009

3. Table A. Population Distribution of Senior Citizens by Region: Philippines, 2000 Source: NSO, 2000 Census of Population & Housing

4. Senior citizens numbered to 4.6 million • The total number of senior citizens (60 years old and over) based on the 2000 Census of Population and Housing was 4.6 million, accounting for 5.97 percent of the 2000 Philippine population • The largest percentage of senior citizens was found in Southern Tagalog(Region IV) with a 14.2 percent contribution to the total while the lowest percentage was registered in the Autonomous Region in Muslim Mindanao (ARMM) with 1.68 percent.

5. Sex ratio was recorded at 85 males for every 100 females • Of the 4.6 million senior citizens, about 54.11 percent (2.5 million) were females while the rest were males (85:100)

6. More than half of senior citizens were household heads • Headship rate among males and females was highest at ages 60 to 64 years (39.41 percent for male-headed households and 29.69 percent for females)

7. Relevant Provisions of RA 7432

8. SECTION 1. Declaration of Policies and Objectives Duty of the family to take care of its elderly members Duty of State • to design programs of social security • social justice in all phases of national development • health development

9. Policies of RA 7432 • To motivate and encourage the senior citizens to contribute to nation building • To encourage their families and communities they live with to reaffirm the valued Filipino tradition of caring for the senior citizens

10. Aims of RA 7432 • Establish mechanism whereby the contribution of the senior citizens are maximized • Adopt measures whereby our senior citizens are assisted and appreciated by the community as a whole • Establish a program beneficial to the senior citizens, their families and the rest of the community that they serve

11. SECTION 2. Definition of Terms Senior citizen • Any resident of the Philippines at least sixty (60) years old • retirees from both government offices and private enterprises • Income of not more than Sixty thousand pesos (P60,000.00) per annum (subject to review by NEDA every 3 years) Head of the family • any person so defined in the National Internal Revenue Code.

12. SECTION 3. Contribution to the Community • Shall consist of but not limited to any of the following: • Tutorial and/or consultancy services • Actual teaching and demonstration of hobbies and income generating skills • Lectures on specialized fields like agriculture, health, environmental protection and the like • The transfer of new skills acquired by virtue of their training (Section 4) • Undertaking other appropriate services as determined by the Office for Senior Citizens Affairs • school traffic guide, tourist aid, pre-school assistant, etc

13. SECTION 4. Privileges for the Senior Citizens • The grant of twenty percent (20%) discount from all establishments • transportation services • hotels and similar lodging establishment • Restaurants • recreation centers • purchase of medicines anywhere in the country

14. A minimum of twenty percent (20%) discount on: • admission fees charged by theaters • other similar places of culture, leisure, and amusements • Exemption from the payment of individual income taxes • Exemption from training fees for socioeconomic programs undertaken by the OSCA

15. Free medical and dental services in government establishment anywhere in the country • (Subject to guidelines issued by DOH, GSIS, and SSS) • To the extent practicable and feasible, the continuance of the same benefits and privileges given by the GSIS, SSS and PAG-IBIG, as the case may be, as are enjoyed by those in actual service

16. SECTION 5. Government Assistance • The senior citizen shall be treated as dependents, individual taxpayers caring for them, be they relatives or not shall be accorded the privileges granted by the Code insofar as having dependents are concerned

17. Individuals or non-governmental institutions establishing homes, residential communities or retirement villages solely for the senior citizens shall be accorded the following: • Realty tax holiday for the first five (5) years starting from the first year of operations • Priority in the building and/or maintenance of provincial or municipal roads leading to the aforesaid home, residential community or retirement village.

18. SECTION 6. Retirement Benefits • retirement benefits from both the Government and the private sectors shall be upgraded to be at par with the current scale enjoyed by those in actual service

19. SECTION 7. The Office for Senior Citizens Affairs (OSCA) • established in the Office of the Mayor • headed by a Councilor • designated by the Sangguniang Bayan • assisted by the Community Development Officer in coordination with DSWD

20. Functions of his office: • To plan, implement and monitor yearly work programs in pursuance of the objectives of this Act • To draw up a list of available and required services which can be provided by the senior citizens • To maintain and regularly update on a quarterly basis the list of senior citizens and to issue nationally uniform individual identification cards which shall be valid anywhere in the country • To serve as a general information and liaison center to serve the needs of the senior citizens

21. SECTION 8. Municipal Responsibility • to ensure that the provisions of this Act are implemented to its fullest

22. SECTION 9. Penalties • Violation of any provision of this Act for which no penalty is specifically provided under any other law • punished by: • imprisonment not exceeding one (1) month • fine not exceeding One thousand pesos (P1,000.00) • both

23. SECTION 10. Implementing Rules and Regulations • Secretary of Social Welfare and Development • Department of Finance • Department of Tourism • Department of Health • Department of Transportation and Communications • Department of Interior and Local Government

24. SECTION 12. Repealing Clause • All provisions of laws, orders, and decrees, including rules and regulations inconsistent herewith are hereby repealed and/or modified accordingly

25. SECTION 11. Appropriation • local government units concerned • The National Government shall appropriate such amount as may be necessary to carry out the objectives of this Act

26. SECTION 13. Separability Clause • If any part or provision of this Act shall be held to be unconstitutional or invalid, other provisions hereof which are not affected thereby shall continue to be in full force and effect

27. SECTION 14. Effectivity • This Act shall take effect fifteen (15) days following its publication in one (1) national newspaper of general circulation

28. Emphasis on Healthcare • Under Section 4 (a) and (e) • The grant of twenty percent (20%)discount from all establishments... and purchase of medicines anywhere in the country • Free medical and dental services in government establishment anywhere in the country

29. Purchases of Medicine Benefits • A senior citizen is entitled to a minimum of twenty per cent (20%) discount in the purchase of medicine for his personal use and according to his personal need

30. In the purchase of medicine, a senior citizen or his doctor or the latter’s duly authorized representative should always present: • the national identification card duly certified by the OSCA • doctor’s prescription in case of prescription drugs. • If over-the-counter, the number of drugs purchased shall be commensurate to the elderly person’s needs. • discount privileges shall be limited and exclusive for the benefit of the senior citizen

31. Medical/Dental Benefits • The DOH directed • “free” - free of charge on medical/dental services where capability and facility for such services are available • The term “medical services” shall refer to • services pertaining to the medical care/attendance • treatment given to senior citizens (health examinations, medical/surgical procedures within the competence and capability of DOH establishments/hospitals/units and • routine/special laboratory examinations and ancillary procedures as required

32. Dental Services • Services pertaining to dental care/attendance and remedy given to senior citizens. • oral examination • permanent and temporary fillings • extractions • gum treatment

33. Professional Services • Services rendered or extended by medical, dental and nursing professionals • also includes services rendered by: • Surgeons • EENT practitioners • Gynecologists • Urologists • Neurologists • Psychiatrists • Psychologists • other allied specialists

34. Counseling Services • Advices given by health professional • Psychologists • Psychiatrists • Nutritionists • Nurses • other allied health professionals in support to specific treatment of illnesses

35. Health services that may be availed of for free in any government establishments • Medical and dental services • Out-Patient consultations • Available medicines in all public health programs • Available diagnostic and therapeutic procedures • Use of operating rooms, special units and central supply items • Accommodations in the charity ward • Professional and counseling services

36. Stipulations imposed to avail of the aforementioned services • A senior citizen may obtain the benefits from any government establishment. • present the national ID card issued by the OSCA to the medical and social services or Medical Social Worker designated who shall determine the validity of the ID card • Non-presentation of the national ID card shall be sufficient reason for denial of free hospital benefits.

37. In case of emergency, the medical benefits shall be accordingly provided by the receiving hospital even if the ID is not available. However, the national ID card should be presented within a reasonable time. • Non-presentation of the national ID card shall be sufficient ground for charging the service already given and denial of further availment of the benefits

38. Admission to a private room/pay ward or be transferred from a free room to a pay room, the amount equivalent to the rate of a free room should be discounted from that of the pay room/ward • Referral or transfer to another government establishment, the receiving hospital shall provide the full benefits under this rule • In case of transfer/referral between the DOH hospitals, procedures shall be based on the DOH Network Guidelines

39. Responsibilities of Government Establishments • Provide all available medical and dental services • Establish a system by which all senior citizens in dire need of health serve shall be given priority and utmost consideration • Establish and maintain a recording/reporting system which data may be used as inputs for program/project planning and evaluation • Strengthen their competence and capability to evaluate and manage geriatric cases through continuing education

40. Responsibilities of Senior Citizens entitled to Health Benefits and Privileges • Adhere to rules and regulations • Recognize that the government establishments have limitations and constraints • not demand for services that are not available • Secure on their own payable services that are not covered by their health benefits • Safeguard the integrity of their identification card

41. Benefits Extended to Senior Citizen retirees of the GSIS • Life Insurance • maturity benefit – retiree will receive the total face value of the policy, less any indebtedness thereon. • policy loan – loanable amount will not exceed 90% of the cash value of his insurance at the time of application • death benefit – when the retiree dies while life insurance membership is in force prior to maturity date, the designated beneficiaries double indemnity

42. Retirement • basic monthly pension for life • Upon death of a pensioner who retired under PD 1146 or RA 660 the primary beneficiaries shall receive a basic survivorship pension (50% of BMP plus dependent’s pension) • Funeral Benefit – payable upon death of the retirees, pensioner or gratuitant, the latter must have retired with at least 20 years of service to be entitled to the benefit

43. Medicare • Employees who retired from the service before age 60 may opt to continue their membership within 6 months from date of retirement by contributing both personal and government shares of their Medicare premiums until their 60th birthday • government employee who retires under RA 1616, PD 1146 or PD 1184 at age 60 or above or under RA 660 (regardless of age) are covered without paying contributions pursuant to PD No. 408. • legal dependents are also extended Medicare benefits

44. Legal Dependents: • The legal spouse who is not a Medicare member. • The unmarried and unemployed children (Legitimate, acknowledged, legally adopted, step children below 21) • Children 21 years old or above with disability acquired before the age of 21

45. Benefits under the Medicare Act • Allowance for room and board • Allowance for drugs and medicines • Allowance for x-ray/laboratory examinations/others • Surgeon’s fee • Medical Practitioner’s fee • Anesthesiologist’sfee • Operating room fee • Allowance for sterilization procedures

46. Types of Non-Compensable Treatments • Cosmetic surgery or treatment • Optometric services • Psychiatric services • Services which are purely diagnostic • Employees Compensation (PD 626) • Only employment-connected injury or sickness resulting in disability or death is compensable

47. Type of Disability Benefits • Temporary Total Disability (TTD) • Permanent Partial Disability (PPD) • Permanent Total Disability (PTD)

48. Other related laws

49. Republic Act No. 9257 AN ACT GRANTING ADDITIONAL BENEFITS AND PRIVILEGES TO SENIOR CITIZENS AMENDING FOR THE PURPOSE R.A. 7432, OTHERWISE KNOWN AS “AN ACT TO MAXIMIZE THE CONTRIBUTION OF SENIOR CITIZES TO NATION BUILDING, GRANT BENEFITS AND SPECIAL PRIVILEGES AND FOR OTHER PURPOSES”

50. Section 1 This Act shall be known as the “ Expanded Senior Citizens Act of 2003” Section 2 Republic Act No. 7432 is hereby amended to read as follows: