Implementing the Enhanced "Pcso Greater Medicare Access" Program

Case Overview and Summary

Summary of Executive Order No. 276

Implementing the Enhanced "PCSO Greater Medicare Access" Program

- Aims to provide all Filipinos access to quality health services through an enhanced Medicare program, as mandated by the 1987 Constitution and Republic Act No. 7875 (National Health Insurance Act of 1995). (Section 1)
- Directs local government units (LGUs) to:
    - Avail themselves of funding assistance for their counterpart subsidy requirements for enrolling their constituent indigent families under the Program. (Section 1a)
    - Sustain membership of indigent families under the Program by allocating funds for their constituent indigent families. (Section 1b)
- Directs Philippine Health Insurance Corporation (PhilHealth) to:
    - Assist in identifying indigent families and target the enrollment of a total of five (5) million indigent families nationwide under the Program. (Section 2a)
    - Issue PhilHealth Identification Cards to duly qualified beneficiaries. (Section 2b)
    - Formulate and issue the Implementing Guidelines of this Order through a joint circular with PCSO. (Section 2c)
    - Perform all other acts necessary for the effective implementation of the Program. (Section 2d)
- Directs Philippine Charity Sweepstakes Office (PCSO) to:
    - Remit to PhilHealth the LGU premium counterpart for duly qualified beneficiaries pursuant to the Implementing Guidelines. (Section 3a)
    - Help facilitate the identification and enrollment of qualified indigent families in coordination with local Social Welfare Officers and/or the Punong Barangay. (Section 3b)
    - Issue appropriate resolutions, memoranda and office orders to formally adopt the Program and perform all other acts necessary for its smooth implementation. (Section 3c)
    - Formulate and issue the Implementing Guidelines of this Order through a joint circular with PhilHealth. (Section 3d)
- Directs Department of Budget and Management (DBM) to:
    - Allocate and facilitate the timely release of funds as payment for the National Government (NG) premium counterpart to PhilHealth for the coverage of duly qualified beneficiaries. (Section 4a)
    - Perform all other acts necessary for the effective implementation of the Program. (Section 4b)
- Directs Department of Interior and Local Government (DILG) to:
    - Instruct its regional, provincial and municipal offices to mobilize their personnel to help in the identification of beneficiaries, in consultation with the Punong Barangays, and provide other support services as necessary. (Section 5a, 5b)
    - Perform all other acts necessary for the effective implementation of the Program. (Section 5c)
- Directs Department of Health (DOH), Department of Agrarian Reform (DAR), and Department of Social Welfare and Development (DSWD) to:
    - Assist in the identification and enrollment of qualified indigent families in the Program. (Section 6a)
    - Instruct their respective regional, provincial and municipal offices to mobilize their personnel to help in the identification of beneficiaries, in consultation with the Punong Barangays, and provide other support services as necessary. (Section 6b)
    - Perform all other acts necessary for the effective implementation of the Program. (Section 6c)