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Republic Act No.#

9173 -

AN ACT PROVIDING FOR A MORE RESPONSIVE NURSING PROFESSION,

REPEALING FOR THE PURPOSE REPUBLIC ACT NO. 7164, OTHERWISE
KNOWN AS "THE PHILIPPINE NURSING ACT OF 1991" AND FOR OTHER
PURPOSES

Be it enacted by the Senate and the House of Representatives of the Philippines

in Congress assembled:

ARTICLE I

Title

Section 1. Title. - This Act shall be known as the "Philippine Nursing Act of 2002."

ARTICLE II

Declaration of Policy

Section 2. Declaration of Policy. – It is hereby declared the policy of the State to

assume responsibility for the protection and improvement of the nursing
profession by instituting measures that will result in relevant nursing education,
humane working conditions, better career prospects and a dignified existence for
our nurses.

The State hereby guarantees the delivery of quality basic health services through
an adequate nursing personnel system throughout the country.

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mentalener ARTICLE III

* - Organization of the Board of Nursing

Section 3. Creation and Composition of the Board. - There shall be created a

Professional Regulatory Board of Nursing, hereinafter referred to as the Board, to
be composed of a Chairperson and six (6) members. They shall be appointed by
the -president of the Republic of the Philippines from among two (2)
recommendees, per vacancy, of the - Professional Regulation Commission,
hereinafter referred to as the Commission, chosen and ranked from a list of three
(3) nominees, per vacancy, of the-accredited professional organization of nurses
in the Philippines who possess the qualifications prescribed in Section 4 of this
-

Act.

Section 4. Qualifications of the Chairperson and Members of the Board. - The

Chairperson and Members of the Board shall, at the time of their appointment,
possess the following qualifications:
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thewith
(a) Be a natural born citizen and resident of the Philippines;

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in (b) Be a member of good standing of the accredited professional
RN+ MAN organization of nurses;
- -

(c) Be a - registered nurse and holder of a -

master's degree in nursing,
- education or other allied medical profession conferred by a college or
university duly recognized by the Government: Provided, That the majority
of the members of the Board shall be holders of a master's degree in

- nursing: Provided, further, That the Chairperson shall be a holder of a

master's degree in nursing;

0
(d) Have at least ten (10) years of continuous practice of the profession

-
prior to appointment: Provided, however, That the last five (5) years of
which shall be in the Philippines; and

(e) Not have been convicted of any offense involving moral turpitude;
Provided, That the membership to the Board shall represent the three (3)
-

areas of nursing, namely: -

community health nursing. &
nursing education, nursing service and 4.2. T
5. R
6. QF
Section 5. Requirements Upon Qualification as Member of the Board of Nursing. 7. Me
- Any person appointed as Chairperson or Member of the Board shall
immediately resign from any teaching position in any school, college, university 1,2,3,4
O
a.

--
or institution offering Bachelor of Science in Nursing and/or review program for 6. 13,47
the local nursing board examinations or in any office or employment in the -

government or any subdivision, agency or instrumentality thereof, including

government-owned or controlled corporations or their subsidiaries as well as
these employed in the private sector. He/she shall not have any pecuniary
interest in or administrative supervision over any institution offering Bachelor of
Science in Nursing including review classes.

Section 6. Term of Office.. - The Chairperson and Members of the Board shall
hold office for a term of three (3) years and until their successors shall have been
=>
appointed and qualified: Provided, That the Chairperson and members of the
Board may be re-appointed for another term. ⑳
Any vacancy in the Board occurring within the term of a Member shall be filled for
the unexpired portion of the term only. Each Member of the Board shall take the
proper oath of office prior to the performance of his/her duties.

The incumbent Chairperson and Members of the Board shall continue to serve
for the remainder of their term under Republic Act No. 7164 until their
replacements have been appointed by the President and shall have been duly
qualified.
 s
Section 7. Compensation of the Board Members. - The Chairperson and
Members of the Board shall receive compensation and allowances comparable
to the compensation and allowances received by the Chairperson and members
of other professional regulatory boards.

Section 8. Administrative Supervision of the Board, Custodian of its Records,

Secretariat and Support Services. - The Board shall be under the administrative
supervision of the Commission. All records of the Board, including applications
for examinations, administrative and other investigative cases conducted by the
Board shall be under the custody of the Commission. The Commission shall
designate the Secretary of the Board and shall provide the secretariat and other
support services to implement the provisions of this Act.

-
Section 9. Powers and Duties of the Board. - The Board shall supervise and
regulate the practice of the nursing profession and shall have the following
powers, duties and functions:

~
(a) Conduct the licensure examination for nurses;

--
nursing;
-- -
a
(b) Issue, suspend or revoke certificates of registration for the practice of

a(c) Monitor and enforce quality standards of ⑳ nursing practice in the

* Philippines and exercise the powers necessary to ensure the maintenance
of efficient, ethical and technical, moral and professional standards in the
practice of nursing taking into account the health needs of the nation;
e
-
(d) Ensure quality nursing education by examining the prescribed facilities
of universities or colleges of nursing or departments of nursing education
and those seeking permission to open nursing courses to ensure that
standards of nursing education are properly complied with and maintained
at all times. The authority to open and close colleges of nursing and/or
nursing education programs shall be vested on the Commission on Higher
Education upon the written recommendation of the Board;

(e) Conduct hearings and investigations to resolve complaints against

nurse practitioners for unethical and unprofessional conduct and violations
of this Act, or its rules and regulations and in connection therewith, issue
-subpoena ad testificandum and subpoena duces tecum to secure the
appearance of respondents and witnesses and the production of
documents and punish with contempt persons obstructing, impeding
and/or otherwise interfeming with the conduct of such proceedings, upon
application with the court;
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 (f) Promulgate a Code of Ethics in coordination and consultation with the
accredited professional organization of nurses within one (1) year from the
effectivity of this Act;
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(g) Recognize nursing specialty organizations in coordination with the
accredited professional organization; and

- (h) Prescribe, adopt issue and promulgate guidelines, regulations,

measures and decisions as may be necessary for the improvements of the
nursing practice, advancement of the profession and for the proper and
full enforcement of this Act subject to the review and approval by the
Commission.

Section 10. Annual Report. - The Board shall at the close of its calendar year
submit an annual report to the President of the Philippines through the
Commission giving a detailed account of its proceedings and the
accomplishments during the year and making recommendations for the adoption
of measures that will upgrade and improve the conditions affecting the practice of
the nursing profession.

Section 11. Removal or Suspension of Board Members. - The president may

remove or suspend any member of the Board after having been given the
opportunity to defend himself/herself in a proper administrative investigation, on
the following grounds;

(a) Continued neglect of duty or ⑳

- -
incompetence;

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(b) Commission or toleration of irregularities in the licensure examination;
and -
-
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-
(c) Unprofessional immoral or dishonorable conduct.
-

ARTICLE IV

Examination and Registration

Section 12. Licensure Examination. - All applicants for license to practice nursing
shall be required to pass a written examination, which shall be given by the
Board in such places and dates as may be designated by the Commission:
Provided, That it shall be in accordance with Republic Act No. 8981, otherwise
known as the "PRC Modernization Act of 2000."

Section 13. Qualifications for Admission to the Licensure Examination. - In order

to be admitted to the examination for nurses, an applicant must, at the time of
filing his/her application, establish to the satisfaction of the Board that:
 Rett
00 (a) He/she is a citizen of the Philippines, or a citizen or subject of a
country which permits Filipino nurses to practice within its territorial limits
on the same basis as the subject or citizen of such country: Provided, That
the requirements for the registration or licensing of nurses in said country
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are substantially the same as those prescribed in this Act;

⑳ (b)-He/she is of good moral character; and

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③ (c) He/she is a holder of a-
Bachelor's Degree in Nursing from a college or
university that complies with the standards of nursing education duly
recognized by the proper government agency.

Section 14. Scope of Examination. - The scope of the examination for the
&
practice of nursing in the Philippines shall be determined by the Board. The
Board shall take into consideration the objectives of the nursing curriculum, the
broad areas of nursing, and other related disciplines and competencies in
determining the subjects of examinations.

Section 15. Ratings. - In order to pass the examination, an examinee must obtain
a general average of at least seventy-five
- percent (785%) with a rating of not
below sixty percent (60%) in any subject. An examinee who obtains an average
rating of seventy-five percent (75%) or higher but gets a rating below sixty
0
percent (60%) in any subject must take the examination again but only in the

NFagere
subject or subjects where he/she is rated below sixty percent (60%). In order to
-

pass the succeeding examination, an examinee must obtain a rating of at least

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seventy-five percent (75%) in the subject or subjects repeated.

⑳
Section 16. Oath. - All successful candidates in the examination shall be required
to take an oath of profession before the Board or any government official
e
authorized to administer oaths prior to entering upon the nursing practice.

Section 17. Issuance of Certificate of Registration/Professional License and

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Professional Identification Card. - A certificate of registration/professional license
as a nurse shall be issued to an applicant who passes the examination upon
-
payment of the prescribed fees. Every certificate of registration/professional
license shall show the full name of the registrant, the serial number, the signature
e
of the Chairperson of the Commission and of the Members of the Board, and the
official seal of the Commission.

⑳
.⑳
A professional identification card, duly signed by the Chairperson of the
Commission, bearing the date of registration, license number, and the date of
-
> -
issuance and expiration thereof shall likewise be issued to every registrant upon
- -

payment of the required fees.

Section 18. Fees for Examination and Registration. - Applicants for licensure and
for registration shall pay the prescribed fees set by Commission.
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Section 19. Automatic Registration of Nurses. - All nurses whose names appear
⑧
at the roster of nurses shall be automatically or ipso facto registered as nurses
under this Act upon its effectivity. ra- tmin

⑧
Section 20. Registration by Reciprocity. - A certificate of registration/professional
-
license may be issued without examination to nurses registered under the laws of
a-
⑧
foreign state or country: Provided, That the requirements for registration or
licensing of nurses in said country are substantially the same as those prescribed
under this Act: Provided, further, That the laws of such state or country grant the
same privileges to registered nurses of the Philippines on the same basis as the
subjects or citizens of such foreign state or country.

Section 21. Practice Through Special/Temporary Permit. - A special/temporary

permit may be issued by the Board to the following persons subject to the
approval of the Commission and upon payment of the prescribed fees:

I
(a) Licensed nurses from foreign countries/states whose service are either
-

for a fee or free if they are internationally well-known specialists or

-
outstanding experts in any branch or specialty of nursing;

(b) Licensed nurses from foreign countries/states on⑧

d medical mission
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whose services shall be free in a particular hospital, center or clinic; and

v
(c) Licensed nurses from foreign countries/states employed by
-
schools/colleges of nursing as exchange professors in a branch or
specialty of nursing;

Provided, however, That the - special/temporary permit shall be effective only for
the duration of the project, medical mission or employment contract.
-
- -

Section 22. Non-registration and Non-issuance of Certificates of

Registration/Professional License or Special/Temporary Permit. - No person
convicted by final judgment of any criminal offense involving moral turpitude or
any person guilty of immoral or dishonorable conduct or any person declared by
the court to be of unsound mind shall be registered and be issued a certificate of
registration/professional license or a special/temporary permit.

The Board shall furnish the applicant a written statement setting forth the reasons
for its actions, which shall be incorporated in the records of the Board.

Section 23. Revocation and suspension of Certificate of Registration/Professional

License and Cancellation of Special/Temporary Permit. - The Board shall have
the power to revoke or suspend the certificate of registration/professional license
or cancel the special/temporary permit of a nurse upon any of the following
grounds:
 (a) For any of the causes mentioned in the preceding section;

X (b) For unprofessional and unethical conduct; -

-
-

-
(c) For gross incompetence or serious ignorance;

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(d) For malpractice or negligence in the practice of nursing;

Au (e) For the use of fraud, deceit, or false statements in obtaining a

-
certificate of registration/professional license or a temporary/special
permit;

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(f) For violation of this Act, the rules and regulations, Code of Ethics for
nurses and technical standards for nursing practice, policies of the Board
and the Commission, or the conditions and limitations for the issuance of
the temporarily/special permit; or

(g) For practicing his/her profession during his/her suspension from such
practice;
-

Provided, however, That the suspension of the certificate of

registration/professional license shall be for a period not to exceed four (4) years.

Section 24. Re-issuance of Revoked Certificates and Replacement of Lost

Certificates. - The Board may, after the expiration of a maximum of four (4) years
from the date of revocation of a certificate, for reasons of equity and justice and
when the cause for revocation has disappeared or has been cured and
corrected, upon proper application therefor and the payment of the required fees,
issue another copy of the certificate of registration/professional license.

A new certificate of registration/professional license to replace the certificate that

has been lost, destroyed or mutilated may be issued, subject to the rules of the
Board.
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ARTICLE V
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Nursing Education

Section 25.-Nursing Education Program. - The nursing education program shall

provide sound general and professional foundation for the practice of nursing.

The learning experiences shall adhere strictly to specific requirements embodied

in the prescribed curriculum as promulgated by the Commission on Higher
Education's policies and standards of nursing education.
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 Section 26. Requirement for Inactive Nurses Returning to Practice. - Nurses who
have not actively practiced the profession for five (5) consecutive years are
required to undergo one (1) month of didactic training and three (3) months of
practicum. The Board shall accredit hospitals to conduct the said training
program.

#
Section 27. Qualifications of the Faculty. - A member of the faculty in a college of
nursing teaching professional courses must:

(a)
v Be a registered nurse in the Philippines; ⑫
-
-

(b) Have at least one-

~ (1) year of clinical practice in a field of specialization;

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(c) Be a member of good standing in the accredited professional

⑧--
organization of nurses; and

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(d) Be a holder of a master's degree in nursing, education, or other allied
medical and health sciences conferred by a college or university duly
-
recognized by the Government of the Republic of the Philippines.

In addition to the aforementioned qualifications, the dean of a college must

-- ⑳
have a master's degree in nursing. He/she must have at least five (5)
years of experience in nursing.
① Independent -

ARTICLE VI
② -Dependent
Nursing Practice
1
Section 28. Scope of Nursing. - A person shall be deemed to be practicing
nursing within the meaning of this Act when he/she- #
singly or in collaboration with
another, initiates and performs nursing services to individuals, families and

-
communities in any health care setting. It includes, but not limited to, nursing
care during conception, labor, delivery, infancy, childhood, toddler, preschool,
school age, adolescence, adulthood, and old age. As independent practitioners,
nurses are primarily responsible for the promotion of health and prevention of
illness. A members of the health team, nurses shall collaborate with other health
③
-
care providers for the curative, preventive, and rehabilitative aspects of care,
④restoration of health, alleviation of suffering, and when recovery is not possible,
-
o towards a peaceful death. It shall be the duty of the nurse to:
=
(a) Provide nursing care through the utilization of the nursing process.
⑳
Nursing care includes, but not limited to, traditional and innovative

* approaches, therapeutic use of self, executing health care techniques and

procedures, essential primary health care, comfort measures, health
-
teachings, and administration of written prescription for treatment,

⑲
-
-
therapies, oral topical and parenteral medications, internal examination
 -> no
suturing
20 + -special
training

-
during labor in the absence of antenatal bleeding and delivery. In case of
suturing of perineal laceration, special training shall be provided according
to protocol established;

(b) establish linkages with community resources and coordination with the
-

I
health team;

(c) Provide health education to individuals, families and communities;

(d) Teach, guide and supervise students in nursing education programs

including the administration of nursing services in varied settings such as
hospitals and clinics; undertake consultation services; engage in such
activities that require the utilization of knowledge and decision-making
skills of a registered nurse; and

(e) Undertake nursing and health human resource development training

and
- research, which shall include, but -
not limited to, the development of
advance nursing practice;

Provided, That this section shall not apply to nursing students who perform
nursing functions under the direct supervision of a qualified faculty: Provided,
further, That in the practice of nursing in all settings, the nurse is duty-bound to
⑳
observe the Code of Ethics for nurses and uphold the standards of safe nursing
practice. The nurse is required to maintain competence by continual learning
through continuing professional education to be provided by the accredited
professional organization or any recognized professional nursing organization:
Provided, finally, That the program and activity for the continuing professional
education shall be submitted to and approved by the Board.

-
Section 29. Qualification of Nursing Service Administrators. - A person occupying
supervisory or managerial positions requiring knowledge of nursing must: a
deen
⑳
(a) Be a registered nurse in the Philippines;
stervison/gar (b) Have at least two0
Nurse- administration;
(2) years experience in general nursing service
*-

(c) Possess a degree of Bachelors of Science in Nursing, with at least

nine -(9) units in management and administration courses at the graduate
level; and

(d) Be a member of good -

⑳
standing of the accredited professional
organization of nurses;

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Provided, That a person occupying the position of chief nurse or director of
nursing service shall, in addition to the foregoing qualifications, possess:
 &
(1) At least five (5) years of experience in a supervisory or managerial
position in nursing; and

-
(2) A master's degree major in nursing;

Provided, further, That for primary hospitals, the maximum academic

qualifications and experiences for a chief nurse shall be as specified in
subsections (a), (b), and (c) of this section: Provided, furthermore, That for chief
nurses in the public health nursing shall be given priority. Provided, even further,
That for chief nurses in military hospitals, priority shall be given to those who

=
have finished a master's degree in nursing and the completion of the General
Staff Course (GSC): Provided, finally, That those occupying such positions
before the effectivity of this Act shall be given a period of five (5) years within
which to qualify.

ARTICLE VII
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-
Health Human Resources Production, Utilization and Development

Section 30. Studies for Nursing Manpower Needs, Production, Utilization and
Development. - The Board, in coordination with the accredited professional
organization and appropriate government or private agencies shall initiate
undertake and conduct studies on health human resources production, utilization
and development.

Section 31. Comprehensive Nursing Specialty Program. - Within ninety (90) days
from the effectivity of this Act, the Board in coordination with the accredited
professional organization recognized specialty organizations and the Department
of Health is hereby mandated to formulate and develop a comprehensive nursing
specialty program that would upgrade the level of skill and competence of
specialty nurse clinicians in the country, such as but not limited to the areas of
critical care, oncology, renal and such other areas as may be determined by the
Board.

The beneficiaries of this program are obliged to serve in any Philippine hospital
for a period of at least two (2) years and continuous service.

Section 32. Salary. - In order to enhance the general welfare, commitment to

service and professionalism of nurses the minimum base pay of nurses working
in the public health institutions shall not be lower than salary grade 15 prescribes
under Republic Act No. 6758, otherwise known as the "Compensation and
Classification Act of 1989": Provided, That for nurses working in local
government units, adjustments to their salaries shall be in accordance with
Section 10 of the said law.
Section 33. Funding for the Comprehensive Nursing Specialty Program. - The
annual financial requirement needed to train at least ten percent (10%) of the
nursing staff of the participating government hospital shall be chargeable against
the income of the Philippine Charity Sweepstakes Office and the Philippine
Amusement and Gaming Corporation, which shall equally share in the costs and
shall be released to the Department of Health subject to accounting and auditing
procedures: Provided, That the department of Health shall set the criteria for the
availment of this program.

Section 34. Incentives and Benefits. - The Board of Nursing, in coordination with
the Department of Health and other concerned government agencies,
association of hospitals and the accredited professional organization shall
establish an incentive and benefit system in the form of free hospital care for
nurses and their dependents, scholarship grants and other non-cash benefits.
The government and private hospitals are hereby mandated to maintain the
standard nurse-patient ratio set by the Department of Health.

ARTICLE VIII

Penal and Miscellaneous Provisions

Section 35. Prohibitions in the Practice of Nursing. - A fine of not less than Fifty
thousand pesos (P50,000.00) nor more than One hundred thousand pesos
(P100,000.00) or imprisonment of not less than one (1) year nor more than six
(6) years, or both, upon the discretion of the court, shall be imposed upon:

(a) any person practicing nursing in the Philippines within the meaning of
this Act:

*(1) without a certificate of registration/professional license and

-
professional identification card or special temporary permit or
without having been declared exempt from examination in
accordance with the provision of this Act; or

*(2) who uses as his/her own certificate of registration/professional

license and professional identification card or special temporary
permit of another; or

A(3) who uses an invalid certificate of registration/professional

-

license, a suspended or revoked certificate of

registration/professional license, or an expired or cancelled
special/temporary permits; or

(4) who gives any false evidence to the Board in order to obtain a
Acertificate of registration/professional
-
license, a professional
identification card or special permit; or
 (5) who falsely poses or advertises as a registered and licensed
*nurse or uses any other means that tend to convey the impression
that he/she is a registered and licensed nurse; or

who appends E
*(6) B.S.N./R.N. (Bachelor of Science in
Nursing/Registered Nurse) or any similar appendage to his/her
-
name without having been coferred said degree or registration; or

#(7) who, as a registered and licensed nurse, abets or assists the

-
illegal practice of a person who is not lawfully qualified to practice
nursing.

(b) any person or the chief executive officer of a judicial entity who
undertakes in-service educational programs or who conducts review
classes for both local and foreign examination without permit/clearance
from the Board and the Commission; or

(c) any person or employer of nurses who violate the minimum base pay
of nurses and the incentives and benefits that should be accorded them as
specified in Sections 32 and 34; or

(d) any person or the chief executive officer of a juridical entity violating
any provision of this Act and its rules and regulations.

ARTICLE IX

Final Provisions

Section 36. Enforcement of this Act. - It shall be the primary duty of the
Commission and the Board to effectively implement this Act. Any duly law
enforcement agencies and officers of national, provincial, city or municipal
governments shall, upon the call or request of the Commission or the Board,
render assistance in enforcing the provisions of this Act and to prosecute any
persons violating the same.

Section 37. Appropriations. - The Chairperson of the Professional Regulation

Commission shall immediately include in its program and issue such rules and
regulations to implement the provisions of this Act, the funding of which shall be
included in the Annual General Appropriations Act.

Section 38. Rules and Regulations. - Within ninety (90) days after the effectivity
of this Act, the Board and the Commission, in coordination with the accredited
professional organization, the Department of Health, the Department of Budget
and Management and other concerned government agencies, shall formulate
such rules and regulations necessary to carry out the provisions of this Act. The
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implementing rules and regulations shall be published in the Official Gazette or in
any newspaper of general circulation.

Section 39. Reparability Clause. - If any part of this Act is declared

unconstitutional, the remaining parts not affected thereby shall continue to be
valid and operational.

Section 40. Repealing Clause. - Republic Act No. 7164, otherwise known as the
"Philippine Nursing Act of 1991" is hereby repealed. All other laws, decrees,
orders, circulars, issuances, rules and regulations and parts thereof which are
inconsistent with this Act are hereby repealed, amended or modified accordingly.

Section 41. Effectivity. - This act shall take effect fifteen (15) days upon its
publication in the Official Gazette or in any two (2) newspapers of general
circulation in the Philippines.

Approved,

FRANKLIN DRILON JOSE DE VENECIA JR.

President of the Senate Speaker of the House of
Representatives

This Act, which originated in the House of Representative was finally passed by
the House of Representatives and the Senate on October 15, 2002 and October
8, 2003 respectively.

OSCAR G. YABES ROBERTO P. NAZARENO

Secretary of Senate Secretary General
House of Represenatives

Approved: October 21, 2002

GLORIA MACAPAGAL-ARROYO
President of the Philippines