In a move that is seen to help a lot of poor Filipinos, Bagong Henerasyon (BH) Party-list Rep. Bernadette Herrera will soon file a House bill that would institutionalize the use of guarantee letters by indigent patients in private hospitals.
The House deputy minority leader made this revelation recently during her interpellation on the proposed budget of the Department of Health (DOH) for 2023.
Former DOH Secretary Francisco Duque III, upon Herrera’s prodding, had issued a memorandum order allowing indigent patients to present guarantee letters to private hospitals that have existing memorandum of agreement (MOA) with the DOH and the Department of Social Welfare and Development (DSWD).
A guarantee letter is an assurance of payment offered by DOH, Department of Social Welfare and Development (DSWD) and other concerned government agencies and institutions including Congress, on behalf of a patient, for the portion of the hospital bill.
Herrera said an administrative order is not enough, and that she would push for the passage of a law institutionalizing government medical assistance in private hospitals.
During the budget hearing, DOH Undersecretary Charade Mercado-Grande said the agency was proposing a special provision in the proposed 2023 national budget to “somehow ease the burden” in coming up with MOAs with private hospitals.
“Certainly, I’m interested in that special provision because I’m also crafting a bill to institutionalize that para hindi na tayo isa-isang nagmo-MOA pa (so that we would no longer need individual MOAs).”
Herrera noted that legislators, particularly those in the National Capital Region (NCR), are having a hard time entering into MOAs with private hospitals because of their experience with the Philippine Health Insurance Corp. or PhilHealth.
“Nagkakaproblema po kami rito sa NCR na mag-MOA with private hospitals kasi maraming utang ang PhilHealth. So, ayaw nila mag-MOA for fear na hindi sila mababayaran (Because of PhilHealth's unpaid subsidies to many hospitals, we're having having problems here in NCR in entering into MOAs with private hospitals. They're afraid of not getting paid),” she pointed out.
The former deputy speaker had earlier said the Covid-19 experience has made it more imperative for government to expand its medical assistance program to include indigent patients confined in private hospitals not by their own choosing.
“Nitong pandemic nakita natin na napupuno ang public hospitals, walang choice ‘yong ating constituents (We saw how public hospitals got filled up during the pandemic, leaving our constituents with no choice) but to go to the private hospitals,” Herrera said.
Herrera said there has to be a strong partnership between the government and private hospitals to help not only indigent patients but also private hospitals by paying them on time.
“The government must also pay on time dahil kawawa rin ang mga pribadong ospital (because otherwise it will place the private hospitals in a bind). So, it has to be legislated,” she stressed.