[GERIA] Ethical and Legal Issues Part 1. Laws

What is the US Social Security Act of 1965

Provide medical services to aged and indigent Americans (medicare & medicaid)

What is Medicare?

pays for skilled care in skilled nursing facilities

What is Medicaid?

pays for skilled care for indigent

What is Omnibus Budget Reconciliation Act 1987 (OBRA)

Survey requirements used for reimbursements for Medicaid

What Filipino institution is similar to OBRA?

SSS

What is the Older Americans Act Amendments 1988?

Secure basic rights for all older adults over 60 y/o

What is the Health Insurance Portability & Accountability Act (HIPAA) 1996

Limited protection to individuals and their families to continue health insurance

What was the original function of HIPAA?

Aid in the availing of healthcare

What US law was the Data Privacy Act of 2012 based on?

the Health Insurance Portability & Accountability Act

What is the Family Violence Prevention & Services Act 1992

Mandated a national study which reported 450k older patients were abused/neglected

What is another name for RA 7432

The senior citizens act of 1992

What is RA 7432?

An act to maximize the contribution of Senior Citizens to Nation-building, Grant benefits and Special privileges and for other purposes

What did RA 7432 provide to all elderly people?

• 20% discount (later on 22%)

• Exempts seniors from income tax

• Office of Senior Citizens Affairs (OSCA) established

What does the 1987 Philippine Constitution say on Filipino Family?

Mandates the duty of the family to take care of its older person members

When was RA 7876 implemented?

February 14, 1995

What is RA 7876

Provide adequate social services and an improved quality of life

• priority to health development

• Creation of Senior Citizens Center

What is the other name for RA 7876

Senior Citizens Center Act of the Philippines

What did Presidential Proclamation 470 of 1994 declare?

Elderly Filipino Week (first week of October)

What did the Presidential Proclamation 1048 of 1999 declare?

National observance of International Year of Older Persons

What is EO 266 s.2000?

Adopted and approved the PPA for Older Persons & EO 105 s.2003

What is the other name for RA 9257?

Expanded Senior Citizens Act of 2003

What is the Expanded Senior Citizens Act of 2003?

Expands the coverage of benefits

• Mandatory to grant 20% discount

• Process for organizing OSCA

What is the other name for RA 9994

The Expanded Senior Citizens Act of 2010

What did RA 9994 do?

Expanded the coverage of senior citizens discount

• 32% discount

• Medications

• Fare

• Free vax

• Death benefit (2000php)

• 5% discount on utilities

• Pension (500)

• Mandatory Philhealth

• Social Safety Assistance

What is the other name for RA 6675

Generic’s Law of the Philippines

What is the Generic’s Law of the Philippines

Adequate supply, distribution, use, and acceptance of drugs by their generic names

Examples of drugs under RA 6675

• Paracetamol

• Omeprazole

• Cetirizin

When was PhilHealth created?

1995

Why was PhilHealth implemented?

To implement universal health coverage

What benefits did the elderly receive from PhilHealth?

Mandatory coverage (RA 10645)

Where will an Elderly register for PhilHealth?

OSCA or Local Health Insurance Office

How many copies of the PhilHealth Member Registration must they fill out at OSCA?

two copies

What are the Inpatient benefits for PhilHealth?

• High-risk pneumonia (P32,000)

• Osteoporosis (P7,900)

• Congestive heart failure (P15,700) 

• Myocardial infarction or heart attack (P12,000)

• Stage II Hypertension (P9,000)

What are the Outpatient benefits for PhilHealth?

• Surgeries, Radiotherapy, Hemodialysis, Blood transfusion

• Primary Care (Tamang Serbisyo para sa Kalasugan ng Pamilya)

What are case type Z illnesses?

Diseases perceived to be economically and medically catastrophicWha

What are examples of Case Type Z

• Breast cancer (early stage)

• prostate cancer (low to intermediate risk)

• coronary artery bypass graft surgery (standard risk)

• cervical cancer (early stage)

• colon and rectum cancer

• select orthopedic cases

What policy are elderlies eligible for if they are treated in government hospitals

PhilHealth No Balance Billing Policy

What is the Anti Elderly Abuse Law?

A proposed bill that will prevent elderly abuse

• House bill 7030

• Senate Bill 2795

What are the different Administrative and Community Level Remedies

• DSWD

  • Reporting System and Prevention Program for Elderly Abuse Cases (ReSPPEC)

  • DSWD-run

• PNP Women and Children Protection Desks (WCPD)

• Local Government Units (LGUs)

What is DSWD-ReSPPEC?

Barangay-based referral, rescue, and case-management protocol

What is DSWD-run?

Temporary shelter, psychosocial services, and medico-legal documentation for abused elders

What is PNP Women and Children Protection Desks (WCPD)?

Receive elder abuse complaints and coordinate medico-legal examinations

What are the responsibilities of the LGU under the Anti Elderly Abuse Law?

• First-Contact interventions

• Home visit

• Mediation

What is the procedure when Physical Abuse Occurs?

1. Report and Rescue

2. Medical-Legal Examination

3. Protective Orders

4. Criminal Complaint

5. Civil Action

6. Social-Welfare Casework

What is the other name of RA 11350?

National Commission of Senior Citizens Act of 2019

What is RA 11350?

• Ensures full implementation of pertinent laws

• Adopt measures to assist and appreciate elderly

• Provide beneficial services

• Establish community-based health and rehabilitation

What is RA 11982 of 2024 based on?

RA 10868 “Centenarians Act of 2016“

What is RA 11982?

Monetary benefits to Filipino Octogenarians and Nonagenarians (abroad/local)

Under RA 11982 how much do 100 y/o receive?

PHP 100,000 and congratulatory letter

Under RA 11982 how much do 80, 85, 90, and 95 y/o receive?

PHP 10,000

What are the different types of Senior Citizen Benefits in the Philippines?

• Income tax exemption

• Training fee exemption on socio-economic programs

• Free medical and dental services

• Free flu and pneumococcal vaccinations

• Scholarships and financial assistance for seniors’ education in public and private schools

• Retirement benefits from SSS, GSIS, and Pag-IBIG

• Discounts in special programs for senior citizens

• Express lanes for senior citizens in all government offices and commercial establishments

• Free pass to movies

• Death benefits assistance