Article 81Labor and Agrarian Laws and Social Legislation, p. 81

LABOR LAWS AND SOCIAL LEGISLATION SPECIAL LAWS AND IMPLEMENTING RULES AND REGULATIONS

The Vice Chairperson for the basic sector of the National

Anti-Poverty Commission or a permanent representative;

The Chairperson of the Civil Service Commission (CSC) or

a permanent representative;

A permanent representative of Filipino migrant workers;

A permanent representative of the members in the

informal economy;

A permanent representative of the members in the

formal economy;

A representative of employers;

A representative of health care providers to be endorsed

by their national associations of health care institutions

and medical health professionals;

A permanent representative of the elected local chief

executives to be endorsed by the League of Provinces,

League of Cities and League of Municipalities; and

An

independent

director

to

be

appointed

by

the

Monetary Board.

The Secretary of Health shall be the ex officio Chairperson

while the President and CEO of the Corporation shall be

the Vice Chairperson of the Board.

(b) Appointment and Tenure. — Except for ex officio

members, the other members of the Board shall be

appointed

by

the

President

of

the

Philippines

in

accordance with the provisions of Republic Act No. 10149 ,

otherwise known as the ' GOCC Governance Act of 2011 ':

Provided,

That

sectoral

board

members

shall

be

appointed by the President of the Philippines upon the

recommendation

of

the

Chairperson

and

after

due

consultations with the sectors concerned.

The term of office of the appointive members of the

Board shall be in accordance with Republic Act No. 10149 .

(National Health Insurance Act of 2013, Republic Act No.

10606, [June 19, 2013])

c) Meetings and Quorum . — The Board shall hold regular

meetings at least once a month. Special meetings may

be convened at the call of the Chairperson or by a

majority of the members of the Board. The presence of a

majority of all the members shall constitute a quorum. In

the absence of the Chairperson and Vice Chairperson, a

temporary presiding officer shall be designated by the

majority of the quorum.

d) Allowances and Per Diems — The members of the

Board shall receive a per diem for every meeting actually

attended subject to the pertinent budgetary laws, rules

and

regulations

on

compensation,

honoraria

and

allowances. (Amendment to R.A. No. 7875, Republic Act

No. 9241, [February 10, 2004])

SECTION 19. The President of the Corporation . —

a) Appointment and Tenure — The President of the

Philippines shall appoint the President and CEO of the

Corporation, hereinafter referred to as the President,

upon the recommendation of the Board. The President

shall have a tenure of one (1) year in accordance with the

provisions of Republic Act No. 10149 .

(National Health

Insurance Act of 2013, Republic Act No. 10606, [June 19,

2013])

b) Duties and Functions — The President shall have the

duty of advising the Board and carrying into effect its

policies and decisions. His functions are as follows:

1) to act as the chief executive officer of the Corporation;

and

2) to be responsible for the general conduct of the

operations

and

management

functions

of

the

Corporation and for other duties assigned to him by the

Board.

c) Qualifications — The President must a Filipino citizen

and must possess adequate and appropriate training and

at least five (5) years experience in the field of health care

financing and corporate management.

d) Salary — The President shall receive a salary to be fixed

by the Board, with the approval of the President of the

Philippines, payable from the funds of the Corporation.

e) Prohibition — To avoid conflict of interest, the President

must not be involved in any health care institution as

owner or member of its board.

SECTION 20. Health Finance Policy Research . — Among

the staff departments that will be established by the

Corporation shall be the Health Finance Policy Research

Department, which shall have the following duties and

functions:

a)

development

of

broad conceptual framework for

implementation

of

the

Program through a national

health

finance

master

plan

to

ensure

sustained

investments in health care, and to provide guidance for

additional appropriations from the National Government;

b)

conduct

of

researches

and

studies

toward

the

development of policies necessary to ensure the viability,

adequacy and responsiveness of the Program;

c) review, evaluation, and assessment of the Program's

impact on the access to as well as the quality and cost of

health care in the country;

d) periodic review of fees, charges, compensation rates,

capitation rates, medical standards, health outcomes and

satisfaction of members, benefits, and other matters

pertinent to the operations of the Program;

e) comparison in the delivery, quality, use, and cost of

health care services of the different Offices;

f) submission for consideration of program of quality

assurance, utilization review, and technology assessment;

(g)

submission

of

recommendations

on

policy

and

operational issues that will help the Corporation meet the

objectives of this Act; and

(h) conduct of client-satisfaction surveys and research in

order to assess outcomes of service rendered by health

care providers.

(National Health Insurance Act of 2013, Republic Act No.

10606, [June 19, 2013])

SECTION 21. Actuary of the Corporation . — An Office of

Actuary

shall

be

created

within

the

Corporation to

conduct the necessary actuarial studies and present

recommendations on insurance premium, investments

and other related matters.

ARTICLE V Local Health Insurance Oƍce

SECTION 22. Establishment . — The Corporation shall

establish a Local Health Insurance Office, hereinafter

referred to as the Office, in every province or chartered

city, or wherever it is deemed practicable, to bring its

services closer to members of the Program. However, one

office may serve the needs of more than one province or

city when the merged operations will result in lower

administrative cost and greater cross-subsidy between

rich and poor localities.

Provinces and cities where prospective members are

organized shall receive priority in the establishment of

local health insurance offices.

SECTION 23. Functions . — Each Office shall have the

following powers and functions:

a) to consult and coordinate, as needed, with the local

government

units

within

its

jurisdiction

in

the

implementation of the Program;

b) to recruit and register members of the Program from

all areas within its jurisdiction;

c) to collect and receive premiums and other payment

contributions to the Program;

d) to maintain and update the membership eligibility list

at community levels;

e) to supervise the conduct of means testing which shall

be based on the criteria set by the Corporation and

undertaken by the Barangay Captain in coordination with

© Compiled By RGL

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