CHAPTER 2 MEDICAL TECHNOLOGY ACT OF 1969 REPUBLIC ACT NO. 5527 INTRODUCTION Laws - represented by Republic Acts, Presidential Decrees, and Executive Orders - enacted for the benefit of the general public or the different sectors of society Republic Act No. 5527 - embodies the definition of the profession, as well as its registration, functions, responsibilities, coverage, and limitations - existence: since 45 years - since President Ferdinand Marcos signed it Has been amended several times = due to continuous modernization RA 6138 PD 498 Aug 31, 1970 June 28, 1974 PD 1534 June 11, 1978 Secs 16, 21, and 22 Secs 2, 3, 4, 7, 8, 11, 13, 21, and 29 Sections 3, 8, and 13 Medical Technology Act of 2011 - proposed: Senator Edgardo Angara - repealed existing law - goal: aims to improve the status of all medical technologists in the Philippines in terms of salary and competency, bringing Filipino medical technologists onpar with those of the other nations in the world December 4, 2013 - Representative Leopoldo N. Bataoil of the 2nd district of Pangasinan - during the first regular session of the Sixteenth Congress - proposed another amendment under House Bill 3502 KEYWORDS Amendment - A process of revising, modifying, or changing the provisions of a law or bill House Bill 3502 - An amendment of the Medical Technology Act of 2011 Medical Technology Act of 2011 - An act which contains the provisions for the Improvement of the status of all medical technologists in terms of competencies or skills. CONCEPT OF LAW AND THE PROVISIONS OF R.A. 5527 Law - a set of rules or orders imposed on all members of the community - they are recognized, binding, and enforceable on an individual by an organization or a group of individuals who are authorized to implement such - are the regulatory systems of social relations Republic Act or Presidential Decree - one governing rule or order in professional practice - can later be amended for the benefit of those who will be protected by such an amendment. RA 5527 - law that governs the practice of the medical technology profession - Name: An Act Requiring the Registration of Medical Technologists, Defining their Practice and Other Purposes - divided into three parts: preliminary, functional, concluding provisions Important legal concepts in field of professional practice 1. Prevailing laws and source or origin - The law is existing at present, enveloping the practice of professional endeavors 2. Offense and legal responsibility - Laws are enacted and are accompanied by the appropriate offense for violations or infractions - mandatory for the individual concerned to render obedience to existing law - people are duty-bound to assume the responsibilities over any action they take or commit 3. Laws and orders, sanctions, system of laws, and legality of action - concept pertains to the fact that a law is a set of rules or orders - Nobody is above the law. - Laws govern and treat all people fairly and impartially - Any violation of laws may be reprimanded and sanctioned - laws are rules that prescribe directions for conduct in any situation Medical Technology Licensure Examination by various regulatory boards and under the supervision of the Professional Regulation Commission Senate Bill - a piece of proposed legislation that has been issued or was modified by the Congress or the Senate - can become a law after its passage by: 1. the Senate 2. the House of Representatives 3. the approval of the President of the Philippines RA vs PD vs EO vs SB REPUBLIC ACT NO. 5527 Republic Act - a piece of legislation enacted as a policy that may govern the conduct and behavior of an individual or group of persons and uphold the principles of the Constitution - concept: process of making policies for the betterment of the people's status and relations in society - a law that is enacted for a certain group of working professionals like medical technologists - consists of specific policies that should be observed - usually drafted by the Congress and approved by the President of the Philippines - can also be repealed by the Congress Presidential Decree - connotes the judgement of the judge - concept: proclamations of the legal consequence of the facts or actions in connection with the professional practice of medical technology carried out or decided by the court in its finality - P.D. 498 = the Second amendment done to RA 5527 = certain provisions of RA 527 have been amended = products of the court's decision Executive Order - contains the president's directives implementing or interpreting certain constitutional provisions or treaties - the legal language of the President of the Republic of the Philippines who usually issues policies to avoid public or political debate and opposition. - EO 200 = institutionalized the full computerization of the PRELIMINARY PROVISIONS may also be cited as the Philippine Medical Technology Act of1969 Terms Medical Technology - an auxiliary branch of laboratory medicine which deals with the examination by various chemical, microscopic, bacteriologic and other medical laboratory procedures or techniques - which will aid the physician in the diagnosis, study and treatment of disease and in the promotion of health in general. Pathologist - A duly registered physician who is specially trained in methods of laboratory medicine, of the gross and microscopic study and interpretation of tissues, secretions and excretions of the human body and its functions - in order to diagnose disease, follow its course, determine the effectivity of treatment, ascertain cause of death and advance medicine by means of research. Medical Technologist - A person who engages in the work of medical technology under the supervision of a pathologist or licensed physician authorized by the Department of Health in places where there is no pathologist and who having passed a prescribed course (Bachelor of Science in Medical Technology/ Bachelor of Science in Hygiene) of training and examination is registered under the provision of this Act. Medical Technician - A person who, not being a graduate of Bachelor of Science in Medical Technology/Bachelor of Science in Hygiene, - but having passed the corresponding civil service examination, performs the work of medical technology under the supervision of a registered medical technologist and/or qualified pathologist. Accredited Medical Technology Training Laboratory - A clinical laboratory, office, agency, clinic, hospital sanitarium duly approved by the Department of Health or its authorized agency. Recognized School of Medical Technology - Any school, college or university which offers a course in Medical Technology approved by the Department of Education in accordance with the requirements under this Act,upon recommendation of the Council of Medical Technology Education; Council - The Council of Medical Technology Education established under this Act. Board - The Board Of Examiners for Medical Technology established under this Act (Definition of Terms in Section 2, 5527). FUNCTIONAL PROVISIONS Functional Provisions - pertain to: 1. the policies or orders creating a council of medical technology, 2. the minimum required courses, 3. composition, 4. functions, 5. Qualifications 6. removal of the board of examiners, 7. examination coverage, and 8. foreign reciprocity Section 3, RA 5527 Council of Medical Technology Education, Its Composition Council - referred to established a Council of Medical Technology Education Compositions Chairman ViceChairman Members - Secretary of Education or Director of Private Education Director of the Bureau of Research and Laboratories of the Department of Health - Chairman - Two members of the Board of Medical Technology, - Dean Of the Institute Of Hygiene of the University of the Philippines - a representative of the deans or heads of the private schools of medical technology, - and the presidents of the Philippine Association of Medical Technologists and the Philippine Society of Pathologists Section 4, RA 527 Compensation and Traveling Expenses of Council Members 1. The chairman and members of the Council shall be entitled to a twenty-five pesos per diem for every meeting actually attended 2. number of meetings authorized with a per diem shall not exceed two in a month 3. officials receiving regular salaries from the Government shall not receive a per diem 4. the chairman and members of the Council shall be entitled to traveling expenses in connection with their official duties Section 5, RA 5527 Functions of the Council of Medical Technology Education Functions of the Council 1. To recommend the minimum required curriculum for the course of medical technology. Section 6, 5527 Minimum Required Course Medical Technology Course - at least 4 years - including a 12-month satisfactory internship in accredited laboratories - must include the ff subjects Subjects: 2. To determine and prescribe the number of students to be allowed to take up the medical technology course in each school, taking into account the studentinstructor ratio and the availability of facilities for instruction. 3. To approve medical technology schools meeting the requirements and recommend closure of those found to be substandard. 4. To require all medical technology schools to submit an annual report, including the total number of students and instructors, a list of facilities available for instruction, a list of their recent graduates and new admissions, on or before the month of June. 5. To inspect, when necessary, the different medical technology schools in the country in order to determine whether a high standard of education is maintained in said institutions. 6. To certify for admission into an undergraduate internship students who have satisfactorily completed three years of the medical technology course or its equivalent and to collect from said students the amount of five pesos each which money accrue to the operating fund of the Council. 7. To formulate and recommend approval of refresher course for applicants who shall have failed the Board Examination for the third time. 8. To promulgate and prescribe and enforce necessary rules and regulations for the proper implementation of the foregoing Functions 1. 2. 3. 4. 5. 6. 7. 8. 9. English Spanish Social Science General Zoology Botany Mathematics College Physics Qualitative Chemistry Quantitative Chemistry 1. 2. 3. 4. 5. 6. 7. 8. 9. Biochemistry Gross Anatomy Histology Physiology Clinical Parasitology General Pathology Microbiology Biostatistics Clinical Laboratory Methods includes a. Hematology b. Serology c. Blood banking, d. Clinical microscopy, e. Applied microbiology, f. and parasitology, g. histopathologic techniques, h. cytotechnology Council - authorized, subject to the approval of the Secretary of Education to change, remove from or add to the subjects listed above as the needs and demands of progress in the science of medical technology may require Section 13, RA 5527 Accreditation of Schools of Medical Technology and of Training Laboratories Department of Education - shall approve schools of medical technology in accordance with the provisions of this Act. Department of Health or its authorized agency shall, upon recommendation of the Council of Medical Technology Education, - approve laboratories for accreditation as training laboratories for Medical Technology students or postgraduate trainees upon satisfactory evidence that said laboratories possess qualified personnel and are properly equipped to carry out laboratory procedures commonly required in ff fields 1. 2. 3. 4. 5. bacteriology serology parasitology hematology biochemistry Scope of Activities of said laboratory - offers sufficient training in said laboratory procedures Section 14, RA 5527 Inhibition against the Practice of Medical Technology No person shall practice or offer to practice medical technology as defined in this act without having previously obtained a valid certificate of registration from the Board provided that registration shall not be required of the following 1. Duly registered physicians. 2. Medical technologists from other countries called in for consultation or as visiting or exchange professors to colleges or universities: Provided, they are only practicing the said function. 3. Medical technologists in the service of the United States Armed Forces stationed in the Philippines rendering services as such for members of the said forces only Section 15, RA 5527 Examination Except as otherwise specifically allowed under the provisions of this Act, all applicants for registration as medical technologists shall be required to undergo a written examination Given by: Board Time: annually Place: 1. Greater Manila Area, 2. Cebu, and 3. Davao Date: month of August or September on such days and places as the Board may designate. Written notices of such examination - shall be published in at least three newspapers of national circulation - by the Secretary of the Board - at least thirty days prior to the date of examination Section 16, RA 5527 Qualification for Examination Every applicant for examination under this Act, shall, prior to the date thereof, furnish the Board satisfactory proof that he or she: 1. Is in good health and is of good moral character; 2. Has completed a course of at least four years leading to the degree of Bachelor of Science in Medical or Bachelor of Science in Hygiene conferred by a recognized school, college or university in accordance with this Act and all other persons having graduated from other paramedical professions who are actually performing medical technology for the last five years prior to the enactment of this Act provided they meet the minimum requirements mentioned in Section Six exceeding one year undergraduate internship or practical training SEC 17, RA 5527 Scope and Coverage and Examination Clinical Chemistry Microbiology & Parasitology Hematology Blood Banking & Serology Clinical Microscopy (Urinalysis and Other Body) Histopathologic Techniques - not failed in at least 60% of the subjects computed according to their relative weights. 20% 20% 20% 20% 10% 10% Board - prepare the schedule of subjects for examination and submit the same to the Commissioner of Civil Service for publication - at least 4 months before the date of examination. - compute the general average of each examinee according to the abovementioned relative weights of the subjects - may change, add to or remove from the list of Subjects or weights above, as progress in the science of medical technology may require, subject to the prior approval of the Council SEC 18, RA 5527 Scope and Coverage and Examination Board - shall prepare and submit the result thereof to the Commissioner of Civil Service - within 120 days after the date of completion of examination Commissioner of Civil Service - shall submit such result to the President of the Philippines for approval SEC 19, RA 5527 Ratings in the Examination In order to pass the examination General average - at least 75% in the written test - no rating below 50% in any of the major subjects No further examination = failing 3 examinations, unless and until 1. he shall have completed a 12 months' refresher course in an accredited medical technology school 2. or 12-month postgraduate training in an accredited laboratory Graduate of paramedical professions other than Bachelor of Science in Medical Technology/Bachelor of Science in Hygiene - admitted to an examination under the provisions of this Act shall not be given further examinations after his failure to qualify for the third time SEC 20, RA 5527 Oath Taking All successful examinees - required to take a professional oath before the Board or before any person authorized to administer oaths prior to entering upon the practice of medical technology in the Philippines SEC 21, RA 5527 Issuance of Certificate of Registration Every applicant who has satisfactorily passed the required examination shall be issued a certificate of registration as medical technologist No such certificate shall be issued to any successful applicant who has not attained the age of 21 years. All certificates - shall be signed by all the members of the Board and - attested by its Secretary Duly registered medical technologist - shall be required to display his certificate of registration in the place where he works Upon application filed after approval not later than 90 days SEC 23, RA 5527 Refusal to Issue Certificate the Board shall issue a certificate of registration without examination to persons The Board shall refuse to a certificate of registration - to any person convicted by a court of competent jurisdiction of any criminal offense involving moral turpitude, found guilty of immoral or dishonorable conduct, or is of unsound mind, or is suffering from an incurable communicable disease, a. who have graduated with a Bachelor of Science in Hygiene and/or Bachelor of Science in Medical Technology in duly recognized schools of medical technology in the Philippines or foreign countries and who have been in the practice of medical technology for at least three years at the time of the passage of this Act in laboratories in the Philippines or in foreign countries duly accredited by the Bureau of Research and Laboratories, Department of Health b. other persons having graduated from other paramedical professions who are already civil service eligible by authority of the other Boards of profession and who are actually performing medical technology practice for the last five years prior to the enactment of this Act SEC 22, RA 5527 Fees and in such case shall give to the applicant a written statement setting forth the reason for its action, which statement shall be incorporated in the record of the Board SEC 24, RA 5527 Administrative Investigation-Revocation or Suspension of Certificates Administrative investigations - shall be conducted by at least two members of the Board - with one legal officer sitting during the investigation Existing rules of evidence - shall be observed during all administrative proceedings The respondents shall be entitled to The Board shall charge each applicant for examination and registration the sum of fifty pesos and for each certificate of registration issued without prior examination in accordance with the provisions of this Act the sum of twenty five pesos; for issuance of a new certificate to replace certificate lost, destroyed or mutilated, the Board shall charge the sum of ten pesos. All such fees shall be paid to the disbursing officer of the Civil Service Commission who shall pay from the receipts thereof, all authorized expenses of the Board including the compensation of each member 1. be represented by counsel or be heard in person 2. to have a speedy and public hearing 3. to confront and cross-examine witnesses against him or her 4. and to all other rights guaranteed by the Constitution The Board may 1. reprimand an erring medical technologist or 2. revoke or suspend his certificate of registration for the causes mentioned 1. in the next preceding section or 2. for causes enumerated in section twenty-nine (29) of this Act, or 3. for unprofessional conduct, malpractice, incompetency, or serious ignorance or gross negligence in the practice of medical technology. No penalty of revocation shall be imposed - unless there is a unanimous vote of all the three members of the Board The Board may, by majority vote, impose the penalty of reprimand or suspension, the latter, however, not to exceed two years. When the penalty of suspension or revocation is imposed by the Board, - the medical technologist shall be required to surrender his certificate of registration within thirty days after the decision becomes final, under the pain of perpetual disqualification from the practice of medical technology in the Philippines for inexcusable failure to do so. The suspension shall run from the date of such surrender suspension and said certificate shall be re-issued to the medical technologist concerned upon request without prejudice to further actions by the Board for violation of the provisions of this Act or conditions imposed by the Board upon the medical technologist during the period of suspension SEC 27, RA 5527 Foreign Reciprocity No foreigner - shall be admitted to examination, - or be given a certificate of registration - or be entitled to any of the rights and privileges under this Act unless the country or state which he is a subject or a citizen - permits Filipino Medical Technologists to practice within its territorial limits on the same basis as the subjects or citizens of said country or state CONCLUDING PROVISIONS SEC 25, RA 5527 Appeal The revocation or suspension of a certificate made by the Board - shall be subject to appeal to the Civil Service Commissioner - whose decision shall become final thirty days after its promulgation, - unless the respondent within the same period has appealed to the Office of the President of the Philippines SEC 26, RA 5527 Reinstatement, Reissue or Replacement of Certificates The Board may, upon application and for reason deemed proper and sufficient, reissue any revoked registration certificate. The suspension shall be automatically lifted upon the Concluding Provisions - include the roster of 1. 2. 3. 4. medical technologists, penal provisions, separability clause, and repealing clause. Section 28, RA 5527 Roster of Medical Technologists A roster of Medical Technologists shall be prepared annually by the Secretary of the Board, commencing on the year following that in which the Act shall become effective. The roster shall contain 1. the name, 2. address and 3. citizenship of each registered Medical Technologist, 4. date of registration or issuance of certificate, and 5. other data which in the opinion of the Board are pertinent. The roster shall be open to public inspection, and copies thereof shall be mailed 1. to each person included therein, 2. placed on file in the Office of the President, 3. furnished to all Department Heads 4. and all agencies, offices and instrumentalities of the Department of Health 5. and to such other offices, private or governmental, 6. and to the public upon request d. Any duly registered medical technologist who shall refuse or fail, after due warning by the Board, to display his certificate of registration in the place where he works; e. Any person presenting or attempting to use as his own, the certificate of registration of another; f. Any person who shall give any false or fraudulent evidence of any kind to the Board member thereof obtaining a certificate of registration as Medical Technologist; g. Any person who shall impersonate any registrant of a fake or the same name; h. Any person who shall attempt to use a revoked or suspended certificate of registration; Section 29, RA 5527 Penal Provisions i. Any person who shall, in connection with his name, otherwise assume, use or advertise any title or description tending to convey the impression that he is a Medical Technologist without holding a valid certificate of registration; j. Any person who shall violate any provision of this Act; Without prejudice to the provision of the Medical Act of 1959 as amended, pertaining to illegal practice of Medicine, the following shall' be punished 1. by a fine of not less than two thousand pesos nor more than five thousand pesos, 2. or imprisonment for not less than six months nor more than two years, or both at the discretion of the court: a. Any person who shall practice Medical Technology in the Philippines without being registered or exempted from registration in accordance with the provisions of the Act; b. Any medical technologist, even if duly registered, who shall practice medical technology in the Philippines without the necessary supervision of a qualified pathologist or physician authorized by the Department of Health; c. Any medical technologist who shall knowingly make a fraudulent -laboratory report; k. or Any person or corporate body who shall violate the rules and regulations of the Board or orders promulgated by it after having been duly approved and issued by the President of the Philippines upon recommendation of the Commissioner of Civil Service for the purpose of carrying out the provisions of this Act Section 30, RA 5527 Separability Clause If any provision of this Act or the application of such provision to any person or circumstance is declared invalid by a court of competent jurisdiction; the remainder of this Act or of the application of such provision to other persons or circumstances shall not be affected by such declaration Section 31, RA 5527 Repealing Clause All acts, executive orders, rules and regulations, or parts thereof inconsistent with the provisions of this Act are hereby repealed: Provided, however, that nothing in this Act shall be construed as repealing or amending any portion of the 1. Medical Act of 1959 (RA 2382, as amended by RA 4224), 2. the Clinical Laboratory Act of1966 (RA 4688), 3. Blood Banking Law of 1956 (RA 1517) AMENDMENTS In response to issues and concerns on certain provisions of RA 5527, several amendments were made after its implementation. The amendments done to RA 5527 include 1. RA 6138 (August 31, 1970), 2. P.D. 498 (June 28, 1974), and 3. P.D. 1534 (June 11, 1978). Medical Technology Act - truly augmented the salary and compensation commensurate with the competencies and skills of the Filipino medical technologists Finally, during the first regular session of the Sixteenth Congress on December 04, 2013 by virtue of House Bill 3502, amendments on several, sections of RA 5527 were enacted AMENDMENTS AND THEIR PROCESS Amendments - changes to certain provisions of a Republic - based on the premise that changes are made or to be made for the purpose of 1. adapting to what is presently existing in the professional practice and 2. expanding the rights and privileges extended to an individual or a group of persons Amendment process - also involves bringing the proposed amendment to the focus and attention of the Congress, similar to the process of enacting a law derived from the three readings of a bill, The Senate and the House of Representatives review the proposal. The Congress upon a vote of three-fourths of all its members and both Houses must meet in a joint session to discuss the amendment of the provisions RA 5527 and CHED Memorandum Orders Republic Act 5527 - clearly defines what encompasses the practice of medical technology. - also includes provisions on the scope and coverage of the examination including some information on the performance ratings - more so with the composition, qualifications, and functions of the Board of Examiners. - the revocation, reissue, and issuance of Certification of Registration are covered in the Act. CHED Memorandum Orders - emphasize the standard polices in applying for a program permit and recognition, including the requirements for library holdings, faculty, instruction, schedule of budget, goals and objectives, and feasibility study. Activity: Analyze this case and answer the questions. ase Commentary (2) Cara, a 30-year old medical technologist of Hong Kong had worked in the said country for almost six years. In her seventh year in Hong Kong, she decided to take the Philippine Medical Technology Licensure Examination and successfully passed it. 1. What law qualifies a medical technologist who worked abroad to take the board examination? 2. Can she work in the Philippines? 3. What are the re uirements so that she can work as a medical technolo st in the country? RA 5527 and Clinical Laboratory Accreditation and Categories Republic Act 5527 - includes the provisions on the accreditation of the clinical laboratory as a training ground for interns or externs as the case may be. Accreditation of clinical laboratories - used to be the function of the Bureau of Research Laboratory and the Department of Health (DOH). However, because of certain changes in the DOH, the functions of classifying the laboratories are now under the Commission on Higher Education (CHED). First, the CHED implements the rules, regulations, and policies before the program can be offered. The policy covers the internship program. The classes of clinical laboratories are described and discussed in'Chapter 6. Second, the improvement of laboratory diagnostic services benefits both students and patients; hence, the function should be under the CHED. Third, RA 5527 provides guidelines for the BRL, DOH, and CHED. trevisions of 5827 r-~uire th- mon it»-ring :no r ision b the