EN BANC
G.R. No. 222710, July 24, 2018
PHILIPPINE HEALTH INSURANCE CORPORATION, Petitioner, v. COMMISSION ON AUDIT, CHAIRPERSON MICHAEL G. AGUINALDO, DIRECTOR JOSEPH B. ANACAY AND SUPERVISING AUDITOR ELENA L. AGUSTIN, Respondents.
D E C I S I O N
TIJAM, J.:
Before Us is a special civil action for certiorari1 with prayer for Temporary Restraining Order (TRO) and Writ of Preliminary Injunction (WPI) under Rule 64, in relation to Rule 65 of the Rules of Court, filed by the petitioner, Philippine Health Insurance Corporation (PhilHealth), which seeks to annul and set aside the Decision No. 2015-0942 dated April 1, 2015 and Resolution3 dated November 9, 2015 of the respondent Commission on Audit (COA). The said Decision and Resolution affirmed the Notice of Disallowance (ND) No. H.O. 12-005 (11)4 dated July 23, 2012 on the payment of longevity pay to its officers and employees for the period of January to September 2011 in the amount of PhP5,575,294.70 under Republic Act (RA) No. 7305 or otherwise known as The Magna Carta of Public Health Workers.
Section 23. Longevity Pay. - A monthly longevity pay equivalent to five percent (5%) of the monthly basic pay shall be paid to a health worker for every five (5) years of continuous, efficient and meritorious services rendered as certified by the chief of office concerned, commencing with the service after the approval of this Act.6 (Emphasis ours)Pursuant to RA No. 7305, which mandates the payment of longevity pay to public health workers, former Department of Health (DOH) Secretary Alberto G. Romualdez, Jr. issued a Certification dated February 20, 2000, declaring PhilHealth officers and employees as public health workers.7
WHEREFORE, premises considered, the instant Appeal is DENIED. Accordingly, ND No. H.O. 12-005 (11) dated July 23, 2012 is hereby affirmed.17PhilHealth received the above decision on March 25, 2014. PhilHealth filed a motion for extension of time of thirty (30) days, from March 30, 2014 to April 30, 2014, to file the petition for review.18 Thereafter, on April 30, 2014, PhilHealth filed its petition for review before the COA Commission Proper (CP).19
WHEREFORE, premises considered, the instant petition for review is hereby DISMISSED for having been filed out of time. Accordingly, Commission on Audit Corporate Government Sector-6 Decision No. 2014-002 dated March 13, 2014, affirming Notice of Disallowance No. H.O. 12-005 (11) dated July 23, 2012, on the payment of longevity pay under the Magna Carta for Public Health Workers to the officers and employees of Philippine Health Insurance Corporation for the period January to September 2011 in the total amount of P5,575,294.70, is final and executory.23PhilHealth's motion for reconsideration24 was likewise denied in the November 9, 2015 Resolution25. It ruled that PhilHealth failed to show any valid reason to justify the delayed filing, and affirmed the ND No. H.O. 12-005 (11) dated July 23, 2012.
COA gravely abused its discretion amounting to lack or excess of jurisdiction in failing to consider Philhealth's appeal and dismissing outright the same for being filed out of time despite the following arguments offered by Philhealth:Substantially the issues for Our resolution are as follows:
A. THE TERM "MONTH" IN THE SIX-MONTH REGLEMENTARY PERIOD TO FILE AN APPEAL, PURSUANT TO THE 2009 REVISED RULES OF PROCEDURE OF COA, SHOULD BE UNDERSTOOD TO MEAN THE 30-DAY MONTH.
B. PHILHEALTH PERSONNEL ARE "PUBLIC HEALTH WORKERS" WITHIN THE CONTEMPLATION OF SECTION 3 OF RA 7305 AS WELL AS SECTION 1 OF RULE III OF ITS RIRR.
C. PHILHEALTH PERSONNEL ARE NOT ENGAGED MERELY IN "PAYING" FOR THE UTILIZATION OF HEALTH SERVICES BY COVERED BENEFICIARIES, BUT ARE ENGAGED IN HEALTH AND HEALTH-RELATED WORK, AS CLEARLY SPELLED OUT IN THE PROVISIONS OF RA 7875, AS AMENDED.
D. PURSUANT TO HIS AUTHORITY UNDER RA 7305, FORMER HEALTH SECRETARY ALBERTO G. ROMUALDEZ, JR., CERTIFIED THAT PHILHEALTH OFFICIALS AND EMPLOYEES ARE PERFORMING HEALTH AND HEALTH-RELATED FUNCTIONS, AND, AS SUCH, ARE COVERED BY THE PROVISIONS OF THIS LAW.
E. UNTIL SET ASIDE BY THE COURT, THE RIRR OF RA 7305 IS ENTITLED TO THE PRESUMPTION OF LEGALITY. THIS IS A NECESSARY CONSEQUENCE OF THE WELL-ESTABLISHED PRACTICE OF ACCORDING THE FORCE AND EFFECT OF A LAW TO RULES AND REGULATIONS ISSUED BY THE AGENCY TASKED TO ENFORCE OR IMPLEMENT A LAW.
F. SECTION 1 (B) OF RULE III OF THE RIRR OF RA 7305 HAS NOT BEEN PREVIOUSLY INTERPRETED BY THE COURT, AND, THUS, THE UNIFORM CONSTRUCTION PLACED THEREON BY THE DOH MUST BE ACCORDED WEIGHT AND CONSIDERATION.
G. THE PHILHEALTH BOARD UNANIMOUSLY CONFIRMED THE GRANT OF PUBLIC HEALTH WORKERS' BENEFITS, INCLUDING THE LONGEVITY PAY, TO PHILHEALTH OFFICIALS AND EMPLOYEES, UNDER ITS RESOLUTION 1584, S. 2012 OF 31 JANUARY 2012.
H. ARTICLE IV, SECTION 16 (N) OF RA 7875, AS AMENDED, EXPLICITLY BESTOWED PHILHEALTH WITH "FISCAL AUTONOMY" TO FIX THE COMPENSATION OF ITS PERSONNEL.
I. THE FISCAL AUTHORITY OF PHILHEALTH UNDER ARTICLE IV, SECTION 16 (N) OF RA 7875, AS AMENDED, HAD BEEN CONFIRMED TWICE BY FORMER PRESIDENT GLORIA M. ARROYO.
J. THE GRANT OF THE SUBJECT LONGEVITY PAY TO PHILHEALTH PERSONNEL MAY BE CONSIDERED A MINISTERIAL DUTY OR FUNCTION OF THE PHILHEALTH BOARD.
K. RA 7875, AS AMENDED, AND RA 7305 PREVAIL OVER RA 10147, THE FIRST TWO LAWS BEING SPECIAL LAWS, WHILE THE LATTER IS A GENERAL LAW.
J. PHILHEALTH OFFICIALS AND EMPLOYEES RECEIVED THE SUBJECT LONGEVITY PAY IN GOOD FAITH AND, THEREFORE, EVEN IF THE DISALLOWANCE IS SUSTAINED, THEY CANNOT BE REQUIRED TO REFUND THE DISALLOWED AMOUNT.26
A petition under Rule 64 may prosper only after a finding that the administrative agency committed grave abuse of discretion amounting to lack or excess of jurisdiction. Not all errors of the Commission on Audit is reviewable by this court. Thus, a Rule 65 petition is a unique and special rule because it commands limited review of the question raised. As an extraordinary remedy, its purpose is simply to keep the public respondent within the bounds of its jurisdiction or to relieve the petitioner from the public respondent's arbitrary acts. In this review, the Court is confined solely to questions of jurisdiction whenever a tribunal, board or officer exercising judicial or quasi-judicial function acts without jurisdiction or in excess of jurisdiction, or with grave abuse of discretion amounting to lack or excess of jurisdiction.This Court has consistently held that findings of administrative agencies are generally accorded not only respect but also finality, unless found to have been tainted with grave abuse of discretion. The same was aptly discussed in the case of Maritime29 citing City of General Santos v. Commission on Audit30, to wit:
The limitation of the Court's power of review over COA rulings merely complements its nature as an independent constitutional body that is tasked to safeguard the proper use of the government and, ultimately, the people's property by vesting it with power to (i) determine whether the government entities comply with the law and the rules in disbursing public funds; and (ii) disallow legal disbursements of these funds.28 (Emphasis supplied)
It is the general policy of the Court to sustain the decisions of administrative authorities, especially one which is constitutionally-created not only on the basis of the doctrine of separation of powers but also for their presumed expertise in the laws that they are entrusted to enforce. Findings of administrative agencies are accorded not only respect but also finality when the decision and order are not tainted with unfairness or arbitrariness that would amount to grave abuse of discretion. It is only when the COA has acted without or in excess of jurisdiction, or with grave abuse of discretion amounting to lack or excess of jurisdiction, that this Court entertains a petition questioning its rulings. There is grave abuse of discretion when there is an evasion of a positive duty or a virtual refusal to perform a duty enjoined by law or to act in contemplation of law as when the judgment rendered is not based on law and evidence but on caprice, whim and despotism.PhilHealth failed to point out the specific acts of COA which may constitute grave abuse of discretion in disallowing the grants of longevity pay.
Under Section 3 of R.A. No. 7305, the term "health workers" means:Significantly, the classes of persons considered as public health workers under RA No. 7305 and the IRR are those persons required to render primarily health or health-related services, viz:41All persons who are engaged in health and health related work, and all persons employed in all hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics and other health-related establishments owned and operated by the Government or its political subdivisions with original charters and shall include medical, allied health professionals, administrative and support personnel employed regardless of their employment status.The Implementing Rules further define "public health workers," or persons engaged in health and health-related work, as follows:1. Public Health Workers (PHWs) - Persons engaged in health and health-related works. These cover employees in any of the following:Also covered are medical and allied health professionals, as well as administrative and support personnel, regardless of their employment status.40 (Emphasis supplied; citations ommitted)a. Any government entity whose primary function according to its legal mandate is the delivery of health services and the operation of hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics or other institutional forms which similarly perform health delivery functions, like clinical laboratories, treatment and rehabilitation centers, x-ray facilities and other similar activities involving the rendering of health services to the public; and
b. Offices attached to agencies whose primary function according to their legal mandates involves provision, financing or regulation of health services.
(1) employees of government agencies primarily engaged in the delivery of health services;In this regard, the Implementing Rules defines a "health-related establishment" as a health service facility or unit which performs health service delivery functions within an agency whose legal mandate is not primarily the delivery of health services.42 Health-related establishments include clinics and medical departments of government corporations, medical corps and hospitals of the Armed Forces of the Philippines (AFP), and the specific health service section, division or bureau of a government agency not primarily engaged in health services.43
(2) employees of government agencies primarily engaged in the operation of hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics or other similar institutions;
(3) employees of government agencies primarily engaged in the operation of clinical laboratories, treatment and rehabilitation centers, x-ray facilities and other similar facilities;
(4) employees in offices attached to government agencies principally involved in financing or regulation of health services;
(5) medical professionals, allied health professionals, administrative and support personnel in the aforementioned agencies or offices; and
(6) employees rendering health or health-related work in offices attached to an agency which is not principally engaged in health or health-related services.
Employees in the sixth category are deemed employees of "health-related establishments," that is, facilities or units engaged in the delivery of health services, although the agencies to which such facilities or units are attached are not primarily involved in health or health-related services. Under the Implementing Rules, such health-related establishments include clinics or medical departments of government corporations, medical corps and hospitals of the Armed Forces of the Philippines, and the specific health service section, division, bureau or unit of a government agency. (Citations ommitted)
SEC. 5. Estabishment and Purpose - There is hereby created the National Health insurance Program which shall provide health insurance coverage and ensure affordable, acceptable, available and accessible health care services for all citizens of the Philippines, in accordance with the policies and specific provisions of this Act. This social insurance program shall serve as the means for the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. It shall initially consist of Programs I and II or Medicare and be expanded progressively to constitute one universal health insurance program for the entire population. The Program shall include a sustainable system of funds constitution, collection, management and disbursement for financing the availment of a basic minimum package and other supplementary packages of health insurance benefits by a progressively expanding proportion of the population. The Program shall be limited to paying for the utilization of health services by covered beneficiaries or to purchasing health services in behalf of such beneficiaries. It shall be prohibited from providing health care directly, from buying and dispensing drugs and pharmaceuticals, from employing physicians and other professionals for the purpose of directly rendering care, and from owning or investing in health care facilities. (Emphasis Ours)Stated otherwise, PhilHealth is prohibited from providing health care directly, from buying and dispensing drugs and pharmaceuticals, from employing physicians and other professionals for the purpose of directly rendering care, and from owning or investing in health care facilities.46
SEC. 16. Powers and Functions - The Corporation shall have the following powers and functions:
a) To administer the National Health Insurance Program;PhilHealth personnel perform functions which pertain to the effective administration of the National Health Insurance Program or facilitating the availablity of funds of health services to its covered employees, and, among others involve the: determination of requirements and issue guidelines in relation to insurance program; inspection of health care institutions; inspection of medical, financial, and other records relevant to the claims, accreditation, premium contribution of employees covered by the program; and, to keep records of the operations of the Corporation and investments of the National Health Insurance Fund. These functions are not similar to those of persons rendering health or health-related services, or those employees working in health-related establishments, as discussed above. Undoubtedly, the PhilHealth personnel cannot be considered public health workers under RA No. 7305.48
b) To formulate and promulgate policies for the sound administration of the Program;
c) To supervise the provision of health benefits and to set standards, rules, and regulations necessary to ensure quality of care, appropriate utilization of services, fund viability, member satisfaction, and overall accomplishment of Program objectives;
d) To formulate and implement guidelines on contributions and benefits; portability of benefits, cost containment and quality assurance; and health care provider arrangements, payment, methods, and referral systems;
e) To establish branch offices as mandated in Article V of this Act;
f) To receive and manage grants, donations, and other forms of assistance;
g) To sue and be sued in court;
h) To acquire property, real and personal, which may be necessary or expedient for the attainment of the purposes of this Act;
i) To collect, deposit, invest, administer, and disburse the National Health Insurance Fund in accordance with the provisions of this Act;
j) To negotiate and enter into contracts with health care institutions, professionals, and other persons, juridical or natural, regarding the pricing, payment mechanisms, design and implementation of administrative and operating systems and procedures, financing, and delivery of health services in behalf of its members;
k) To authorize Local Health Insurance Offices to negotiate and enter into contracts in the name and on behalf of the Corporation with any accredited government or private sector health provider organization, including but not limited to health maintenance organizations, cooperatives and medical foundations, for the provision of at least the minimum package of personal health services prescribed by the Corporation;
l) To determine requirements and issue guidelines for the accreditation of health care providers for the Program in accordance with this Act;
m) To visit, enter and inspect facilities of health care providers and employers during office hours, unless there is reason to believe that inspection has to be done beyond office hours, and where applicable, secure copies of their medical, financial, and other records and data pertinent to the claims, accreditation, premium contribution, and that of their patients or employees, who are members of the Program;
n) To organize its office, fix the compensation of and appoint personnel as may be deemed necessary and upon the recommendation of the president of the Corporation;
o) To submit to the President of the Philippines and to both Houses of Congress its Annual Report which shall contain the status of the National Health Insurance Fund, its total disbursements, reserves, average costing to beneficiaries, any request for additional appropriation, and other data pertinent to the implementation of the Program and publish a synopsis of such report in two (2) newspapers of general circulation;
p) To keep records of the operations of the Corporation and investments of the National Health Insurance Fund;
q) To establish and maintain an electronic database of all its members and ensure its security to facilitate efficient and effective services;
(r) To invest in the acceleration of the Corporation's information technology systems;
(s) To conduct an information campaign on the principles of the NHIP to the public and to accredited health care providers. This campaign must include the current benefit packages provided by the Corporation, the mechanisms to avail of the current benefit packages, the list of accredited and disaccredited health care providers, arid the list of offices/branches where members can pay or check the status of paid health premiums;
(t) To conduct post-audit on the quality of services rendered by health care providers;
(u) To establish an office, or where it is not feasible, designate a focal person in every Philippine Consular Office in all countries where there are Filipino citizens. The office or the focal person shall, among others, process, review and pay the claims of the overseas Filipino workers (OFWs);
(v) Notwithstanding the provisions of any law to the contrary, to impose interest and/or surcharges of not exceeding three percent (3%) per month, as may be fixed by the Corporation, in case of any delay in the remittance of contributions which are due within the prescribed period by an employer, whether public or private. Notwithstanding the provisions of any law to the contrary, the Corporation may also compromise, waive or release, in whole or in part, such interest or surcharges imposed upon employers regardless of the amount involved under such valid terms and conditions it may prescribe;
(w) To endeavor to support the use of technology in the delivery of health care services especially in farflung areas such as, but not limited to, telemedicine, electronic health record, and the establishment of a comprehensive health database;
(x) To monitor compliance by the regulatory agencies with the requirements of this Act and to carry out necessary actions to enforce compliance;
(y) To mandate the national agencies and LGUs to require proof of PhilHealth membership before doing business with a private individual or group;
(z) To accredit independent pharmacies and retail drug outlets; and (aa) To perform such other acts as it may deem appropriate for the attainment of the objectives of the Corporation and for the proper enforcement of the provisions of this Act.47
Under the principle of ejusdem generis, where a statute describes things of a particular class or kind accompanied by words of a generic character, the generic word will usually be limited to things of a similar nature with those particularly enumerated, unless there be something in the context of the state which would repel such inference.Furthermore, the certification issued by the DOH Secretary Alberto G. Romualdez, which declared PhilHealth officers and employees as public health workers is not authoritative.
Applying the principle of ejusdem generis, the inescapable conclusion is that a mere incidental or slight connection between the employee's work and the delivery of health or health-related services is not sufficient to make a government employee a public health worker within the meaning of R.A. 7305. The employee must be principally engaged in the delivery of health or health-related services to be deemed a public health worker.56
There is likewise no merit in the KMGs contention that the COA gravely abused its discretion in disallowing the grant of hazard pay to the SIG personnel because it is the DOH which is mandated by law to make the determination as to who are entitled to the benefits under RA No. 7305.The COA, on the other hand, is vested by the Constitution with the power and duty to examine, audit and settle all accounts pertaining to the revenue and receipts of, and expenditures or uses of funds or property owned or held in trust by, or pertaining to government owned and controlled corporations with original charters such as the GSIS, on a post-audit basis.It is mandated to determine whether government entities comply with laws and regulations in disbursing government funds, and to disallow illegal or irregular disbursements of government funds.
The DOH is the unit of the executive branch of government tasked to administer all laws, rules and regulations in the field of health. In addition, it is the DOH which is specifically tasked under Section 35 of RA No. 7305 to consult the appropriate government agencies and professional and health workers organizations or unions, and thereafter, to formulate and prepare the implementing rules and regulations of RA No. 7305.
Although it is the DOH which principally determines who are specifically entitled to benefits under RA No. 7305, its authority to make such determination must be in accordance with the definition of terms and standards set in the law and its Implementing Rules. Moreover, there is nothing in the law which precludes review of the DOHs determinations by other government agencies such as the DBM and the COA in the performance of their respective functions. In fact, in accordance with Section 35 of RA 7305, the Secretary of Health collaborated with other government agencies and health workers organizations in drafting the Implementing Rules which lay down, among others, the guidelines and procedure for the grant of hazard pay to public health workers. Also, mindful of the objectives of RA No. 7305, the DBM had earlier requested for a moratorium on the DOHs approval of requests made by agencies for certifications that their personnel are covered by RA No. 7305 due to serious lapses in the issuance of such certifications. (Emphasis supplied)
The DBM is mandated by law to assist the Chief Executive in the preparation, execution and control of the national budget. (Emphasis supplied) It was therefore merely performing its duty to enforce and control the use of government funds when it evaluated the grant of hazard pay to the SIG personnel and discovered that such grant was not justified under RA No. 7305. (Emphasis ours)
The COA as a constitutional office is endowed with enough latitude to determine, prevent and disallow irregular, unnecessary, excessive, extravagant, or unconscionable expenditures of government funds. It has the power to ascertain whether public funds were utilized for the purpose for which they had been intended. The 1987 Constitution has expressly made COA the guardian of public funds, vesting it with broad powers over all accounts pertaining to government revenue and expenditures and the uses of public funds and property, including the exclusive authority to define the scope of its audit and examination, establish the techniques and methods for such review, and promulgate accounting and auditing rules and regulations.60Refund of the amounts received
In common usage, the term "good faith" is ordinarily used to describe that state of mind denoting "honesty of intention, and freedom from knowledge of circumstances which ought to put the holder upon inquiry; an honest intention to abstain from taking any unconscientious advantage of another, even through technicalities of law, together with absence of all information, notice, or benefit or belief of facts which render transaction unconscientious."63 (Emphasis supplied)The Court however, finds that the COA failed to show bad faith on the part of the approving officers in disbursing the disallowed longevity pay. Further, the PhilHealth officers and other employees were presumed to have acted in good faith when they allowed and/or received the longevity pay, in the honest belief that there was legal basis for such grant. The PhilHealth personnel in turn accepted the longevity pay benefits believing that they were entitled to such benefit.
No other procedural law principle is indeed more settled than that once a judgment becomes final, it is no longer subject to change, revision, amendment or reversal, except only for correction of clerical errors, or the making of nunc pro tunc entries which cause no prejudice to any party, or where the judgment itself is void. The underlying reason for the rule is two-fold: (1) to avoid delay in the administration of justice and thus make orderly the discharge of judicial business, and (2) to put judicial controversies to an end, at the risk of occasional errors, inasmuch as controversies cannot be allowed to drag on indefinitely and the rights and obligations of every litigant must not hang in suspense for an indefinite period of time. As the Court declared in Yau v. Silverio,WHEREFORE, the instant petltwn is DISMISSED. The Commission on Audit Decision No. 2015-094 dated April 1, 2015 and Resolution dated November 9, 2015, which affirmed the Notice of Disallowance No. H.O. 12-005 (11) dated July 23, 2012, on the payment of longevity pay under the Magna Carta for Public Health Workers to the officers and employees of Philippine Health Insurance Corporation for the period January to September 2011 in the total amount of PhP5,575,294.70, are hereby AFFIRMED in toto.Litigation must end and terminate sometime and somewhere, and it is essential to an effective and efficient administration of justice that, once a judgment has become final, the winning party be, not through a mere subterfuge, deprived of the fruits of the verdict. Courts must therefore guard against any scheme calculated to bring about that result. Constituted as they are to put an end to controversies, courts should frown upon any attempt to prolong them.Indeed, just as a losing party has the right to file an appeal within the prescribed period, the winning party also has the correlative right to enjoy the finality of the resolution of his case by the execution and satisfaction of the judgment. Any attempt to thwart this rigid rule and deny the prevailing litigant his right to savor the fruit of his victory must immediately be struck down. Thus, in Heirs of Wenceslao Samper v. Reciproco-Noble, we had occasion to emphasize the significance of this rule, to wit:It is an important fundamental principle in our Judicial system that every litigation must come to an end x x x Access to the courts is guaranteed. But there must be a limit thereto. Once a litigant's rights have been adjudicated in a valid final judgment of a competent court, he should not be granted an unbridled license to come back for another try. The prevailing party should not be harassed by subsequent suits. For, if endless litigations were to be encouraged, then unscrupulous litigants will multiply in number to the detriment of the administration ofjustice.65
| Very truly yours, |
(SGD) | |
EDGAR O. ARICHETA | |
Clerk of Court |
Endnotes:
1Rollo, pp. 3-45.
2 Id. at 55-58.
3 Id. at 129.
4 Id. at 131-132.
5 RA No. 7305, SEC. 2. Declaration of the Policy and Objective. Rollo, p. 6.
6 Id. at 36.
7 Id. at 7.
8 Signed by Amado D. Valdez, Government Corporate Counsel. Id. at 239-242.
9 SEC. 3. Definition. - For purposes of this Act, "health workers" shall mean all persons who are engaged in health and health-related work, and all persons employed in all hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics and other health-related establishments owned and operated by the Government or its political subdivisions with original charters and shall include medical, allied health professional, administrative and support personnel employed regardless of their employment status.
10 Id. at 241-242.
11 Id. at 7.
12 Id.
13 Id. at 7-8.
14 Id. at 8.
15 Id. at 131-132.
16 Id. at 115-120.
17 Id. at 120.
18 Id. at 121-123.
19 Id. at 9.
20 Id. at 55-58.
21 Section 48. Appeal from decision of auditors. Any person aggrieved by the decision of an auditor of any government agency in the settlement of an account or claim may within six months from receipt of a copy of the decision appeal in writing to the Commission.
22 Section 3. Period of Appeal. - The appeal shall be taken within the time remaining of the six (6) months period under Section 4, Rule V, taking into account the suspension of the running thereof under Section 5 of the same Rule in case of appeals from the Director's decision, or under Sections 9 and 10 of Rule VI in case of decision of the ASB.
23 Id. at 57-58.
24 Id. at 60-113.
25 Id. at 129.
26 Id. at 9-11.
27 750 Phil. 288 (2015).
28 Id. at 307-308.
29Maritime v. COA, supra at 308.
30 733 Phil. 687 (2014).
31 P.D. 1445 OF THE STATE AUDIT CODE OF THE PHILIPPINES:
Section 48. Appeal from decision of auditors. Any person aggrieved by the decision of an auditor of any government agency in the settlement of an account or claim may within six months from receipt of a copy of the decision appeal in writing to the Commission.
32 RULE V - Proceedings before the Director
x x x x
Section 4. When Appeal Taken - An Appeal must be filed within six (6) months after receipt of the decision appealed from.
33 Section 5. Interruption of Time to Appeal. - The receipt by the Director of the Appeal Memorandum shall stop the running of the period to appeal which shall resume to run upon receipt by the appellant of the Director's decision.
34 RULE VII - Petition for Review to the Commission Proper
x x x x
Section 3. Period of Appeal. - The appeal shall be taken within the time remaining of the six (6) months period under Section 4, Rule V, taking into account the suspension of the running thereof under Section 5 of the same Rule in case of appeals from the Director's decision, or under Sections 9 and 10 of Rule VI in case of decision of the ASB.
35 RULES OF COURT, Rule 64; Maritime v. COA, supra note 27, id. at 307.
36Rollo, pp. 121-123.
37 THE STATE AUDIT CODE OF THE PHILIPPINES:
Chapter 3 - Decisions of the Commission.
x x x x
Section 51. Finality of decisions of the Commission or any auditor. A decision of the Commission or of any auditor upon any matter within its or his jurisdiction, if not appealed as herein provided, shall be final and executory.
38Reyna, et al., v. Commission On Audit, 657 Phil. 209, 221 (2011).
39 480 Phil. 861 (2004).
40Kapisanan Ng Mga Manggagawa Sa GSIS (KMG), v. COA, supra note 39, id. at 874.
41 Supra, id. at 877-878.
42Kapisanan Ng Mga Manggagawa Sa GSIS (KMG) v. COA, supra note 39, id. at 876.
43 Id.
44 Id.
45 Id.
46 Section 5, Article III of RA No. 7875.
47 As amended by Section 10, REPUBLIC ACT No. 10606, OTHERWISE KNOWN AS THE "NATIONAL HEALTH INSURANCE ACT OF 2013".
48Kapisanan Ng Mga Manggagawa Sa GSIS (KMG), v. COA Audit, supra note 39.
49 Article 1, Section 3 (b) of RA No. 7875.
50 It is the policy of the State to establish, develop, promote and perfect a sound and viable tax-exempt social security system suitable to the needs of the people throughout the Philippines which shall promote social justice and provide meaningful protection to members and their beneficiaries against the hazards of disability, sickness, maternity, old age, death and other contingencies resulting in loss of income or financial burden. Toward this end, the State shall endeavor to extend social security protection to workers and their beneficiaries. (See Section 2, RA 8282).
51 The GSIS, as the administrator of the funds for the pension and retirement funds of government employees. See Republic Act No. 8291 (the Revised GSIS Act of 1997).
52 SECTION 1. The Philippine Charity Sweepstakes Office. - The Philippine Charity Sweepstakes Office, hereinafter designated the Office, shall be the principal government agency for raising and providing for funds for health programs, medical assistance and services, and charities of national character, and as such shall have the general powers conferred in section thirteen of Act Numbered One thousand four hundred fifty nine, as amended, and shall have the authority: x x x x (See REPUBLIC ACT NO. 1169 - "AN ACT PROVIDING FOR CHARITY SWEEPSTAKES, HORSE RACES, AND LOTTERIES"
53Kapisanan Ng Mga Manggagawa Sa GSIS (KMG), v. COA, supra note 39, id. at 876.
54 Supra note 39.
55 Id.
56Kapisanan Ng Mga Manggagawa Sa GSIS (KMG) v. COA, supra at 875.
57 Id.
58 Id. at 883-885.
59 G.R. No. 195105, November 21, 2017. Citing Sanchez, et al. v. Commission on Audit, 575 Phil. 428, 444-445 (2008).
60Yap v. Commission on Audit, 633 Phil. 174, 189 (2010)
61Maritime v. COA, supra note 27.
62 690 Phil. 104 (2012).
63 Id. at 115.
64 612 Phil. 462 (2009).
65 Id. at 471-472.
LEONEN, J.:
(a) [T]o promote and improve the social and economic well-being of the health workers, their living and working conditions and terms of employment; (b) to develop their skills and capabilities in order that they will be more responsive and better equipped to deliver health projects and programs; and (c) to encourage those with proper qualifications and excellent abilities to join and remain in government service.6In furtherance of these purposes, Section 20 of the same law provides that public health workers shall, in addition to their basic salary, receive hazard, subsistence, laundry, and remote assignment allowances, as well as longevity pay.7
[A]ll persons who are engaged in health and health-related work, and all persons employed in all hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics and other health-related establishments owned and operated by the government or its political subdivisions with original charters and shall include medical, allied health professional, administrative and support personnel employed regardless of their employment status. (Emphasis supplied)The Secretary of Health, pursuant to the authority given under Section 358 of Republic Act No. 7305 and after proper consultation with other government agencies, issued the Implementing Rules and Regulations and the equivalent specific directives pertaining to the execution of the law.9
1. Public Health Workers (PWH) - Persons engaged in health and health-related works. These cover employees in any of the following:From the foregoing definitions, a public health worker engaged in health and health-related work not only encompasses one who actually and directly delivers health services through hospitals and other similar institutions10 but also includes those involved on aspects of provision, financing, and regulation11 with which PhilHealth personnel are certainly engaged.
- Any government entity whose primary function according to its legal mandate is the delivery of health services and the operation of hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics or other institutional forms which similarly perform health delivery functions, like clinical laboratories, treatment and rehabilitation centers, x-ray facilities and other similar activities involving the rendering of health services to the public; and
- Offices attached to agencies whose primary function according to their legal mandates involves provision, financing or regulation of health services.
Also covered are medical and allied health professionals, as well as administrative and support personnel, regardless of their employment status.
2. Health-Related Establishment - health service facility or unit which performs health service delivery functions within an agency whose legal mandate is not primarily the delivery of health services. This applies to, among others, clinics or medical departments of government corporations, medical corps and hospitals of the AFP, and specific health service section, division, bureau or any type of organizational subdivision of a government agency. In no case shall the law apply to the whole agency when the primary function of the agency is not the delivery of health services. (Emphasis supplied)
Apart from being engaged in health and health-related work as provided for under Section 3 of Republic Act No. 7305, PhilHealth personnel are similarly employees of an office attached to another government agency. Article IV, Section 14 of Republic Act No. 7875, as amended, provides:
a) To administer the National Health Insurance Program; b) To formulate and promulgate policies for the sound administration of the Program; c) To supervise the provision of health benefits and to set standards, rules, and regulations necessary to ensure quality of care, appropriate utilization of services, fund viability, member satisfaction, and overall accomplishment of Program objectives; d) To formulate and implement guidelines on contributions and benefits; portability of benefits, cost containment and quality assurance; and health care provider arrangements, payment methods, and referral systems; .... j) To negotiate and enter into contracts with health care institutions, professionals, and other persons, juridical or natural, regarding the pricing, payment mechanisms, design and implementation of administrative and operating systems and procedures, financing, and delivery of health services in behalf of its members; .... l) To determine requirements and issue guidelines for the accreditation of health care providers for the Program in accordance with this Act; m) To visit, enter and inspect facilities of health care providers and employers during office hours ... s) To conduct an information campaign on the principles of the [National Health Insurance Program] to the public and to accredited health care providers.... t) To conduct post-audit on the quality of services rendered by health care providers; .... w) To endeavor to support the use of technology in the delivery of health care services especially in farflung areas such as, but not limited to, telemedicine, electronic health record, and the establishment of a comprehensive health database; x) To monitor compliance by the regulatory agencies with the requirements of this Act and to carry out necessary actions to enforce compliance; .... z) To accredit independent pharmacies and retail drug outlets[.] (Emphasis supplied)
Section 14. Creation and Nature of the Corporation. - There is hereby created a Philippine Health Insurance Corporation, which shall have the status of a tax-exempt government corporation attached to the Department of Health for Policy coordination and guidance. (Emphasis supplied)Among the principal functions of the Department of Health are the provision, financing, and regulation of health services.16 The Department of Health is mainly responsible "for the formulation, planning, implementation, and coordination of policies and programs in the field of health."17 Pursuant to its mandate, its primary task involves the "promotion, protection, preservation or restoration of the health of the people through the provision and delivery of health services and through the regulation and encouragement of providers of health goods and services."18 Thus:
Section 3. Powers and Functions. - The Department shall:Republic Act No. 7305 and its Revised Implementing Rules clearly define who public health workers are. Accordingly, PhilHealth personnel fall within the definition provided for under Section 3 of Republic Act No. 7305 as they are engaged in both health and health-related work. Particularly, they are employees of an office attached to the Department of Health, which has an explicit mandate to be involved in both the provision and regulation of health services. To limit the characterization of public health workers as only to those who are actually involved in the delivery of health services, through hospitals and health-related establishments, as what the ponencia did, disregards the law and its purpose.
.... (2) Provide for health programs, services, facilities and other requirements as may be needed, subject to availability of funds and administrative rules and regulations; (3) Coordinate or collaborate with, and assist local communities, agencies and interested groups including international organizations in activities related to health; (4) Administer all laws, rules and regulations in the field of health, including quarantine laws and food and drug safety laws; (5) Collect, analyze and disseminate statistical and other relevant information on the country's health situation, and require the reporting of such information from appropriate sources; (6) Propagate health information and educate the population on important health, medical and environmental matters which have health implications; .... (8) Regulate the operation of and issue licenses and permits to government and private hospitals, clinics and dispensaries, laboratories, blood banks, drugstores and such other establishments which by the nature of their functions are required to be regulated by the Department; (9) Issue orders and regulations concerning the implementation of established health policies;...19 (Emphasis supplied)
Endnotes:
1Ponencia, p. 9.
2 Id. at 1.
3 Id. at 11.
4 Id. at 11-12.
5 Id. at 14.
6 Rep. Act No. 7305, sec. 2.
7See Rep. Act No. 7305, secs. 20 and 23 provide:
Section 20. Additional Compensation. - Notwithstanding Section 12 of Republic Act No. 6758, public health workers shall receive the following allowances: hazard allowance, subsistence allowance, longevity pay, laundry allowance and remote assignment allowance.
Section 23. Longevity Pay. - A monthly longevity pay equivalent to five percent (5%) of the monthly basic pay shall be paid to a health worker for every five (5) years of continuous, efficient and meritorious services rendered as certified by the chief of office concerned, commencing with the service after the approval of this Act.
8 Rep. Act No. 7305, sec. 35 provides:
Section 35. Rules and Regulations. - The Secretary of Health after consultation with appropriate agencies of the government as well as professional and health workers' organizations or unions, shall formulate and prepare the necessary rules and regulations to implement the provisions of this Act. Rules and regulations issued pursuant to this Section shall take effect thirty (30) days after publication in a newspaper of general circulation.
9 REVISED IMPLEMENTING RULES AND REGULATIONS ON THE MAGNA CARTA OF PUBLIC HEALTH WORKERS (1999).
10See REVISED IMPLEMENTING RULES OF REP. ACT NO. 7305, Rule III, 1 (a).
11See REVISED IMPLEMENTING RULES OF REP. ACT NO. 7305, Rule III, 1 (b).
12 Rep. Act No. 7875 was amended by Rep. Act No. 9241 (2004) and Rep. Act No. 10606 (2013).
13See Rep. Act No. 7875, art. III, sec. 5, as amended.
14See Rep. Act No. 7875, sec. 16, as amended.
15See PhilHealth History, available at <https://www.philhealth.gov.ph/about_us/history.html>. (Last accessed on February 13, 2018)
16See Rule III, 1(b) of the Revised Implementing Rules of Republic Act No. 7305.
17See ADM. CODE, Title IX, chap. I, sec. 2.
18See ADM. CODE, Title IX, chap. I, sec. 2.
19See ADM. CODE, Title IX, chap. I, sec. 3.
20Ponencia, p. 2, Certification dated February 20, 2000.
21 Id. OGCC Opinion. Series of2001 dated April 26, 2001.
22Veloso v. Commission on Audit, 672 Phil. 419 (2011) [Per J. Peralta, En Banc].
23 Id. at 431.
24See Asturias Sugar Central, Inc. v. Commissioner of Customs, 140 Phil. 20 (1969) [Per J. Castro, En Banc].
25Pest Management Association of the Philippines v. Fertilizer and Pesticide Authority, 545 Phil. 258, 265 (2007) [Per J. Austria-Martinez, En Banc].
26 Id.
27See Re: Entitlement to Hazard Pay of SC Medical and Dental Clinic Personnel, 592 Phil. 389, 398 (2008) [Per J. Tinga, En Banc].
28See Kapisanan ng mga Manggagawa sa GSIS v. COA, 480 Phil. 861 (2004) [Per J. Tinga, En Banc].
29Rollo, pp. 55-58. The Decision was signed by Commissioners Heidi L. Mendoza and Jose A. Fabia and attested by Director IV Nilda B. Plaras.
30 Id. at 129.
31See Ponencia p. 20, see rollo, pp. 55-58 and 129.
CAGUIOA, J.:
PhilHealthBoth Article 13 of the Civil Code and Section 31, Chapter VIII, Book I of the Administrative Code of 1987 deal with the same subject matter - the computation of legal periods.18
PhilHealth's receipt of the ND of the Auditor JULY 30, 2012Date of Filing of Appeal Memorandum with CGS Cluster 6 Director
JANUARY 25, 2013
PhilHealth asserts that it had until January 30, 2013 to file the Appeal Memorandum. Thus, upon filing on January 25, 2013, it claims it still had 5 days remaining of the six (6) months period. Date of PhilHealth's Receipt of CGS Decision dated March 13, 2014 MARCH 25, 2014
Appeal from the decision of the Director shall be taken within the time remaining of the six (6) months period. Date of PhilHealth's filing of Motion for Extension of Time to File Petition for Review MARCH 31, 2014
On its belief that it still had 5 days left, PhilHealth counted March 30, 2014 as the last day to file its motion for extension. Since March 30 was a Sunday, the motion was filed on the next working day, March 31, 2014, which was a Monday. Date of Filing of Petition for Review with the COA Commission Proper APRIL 30, 2014
PhilHealth claims that since it was able to file the motion for extension within the deadline, it had until April 30, 2014 to file the Petition for Review. Thus, its Petition for Review was filed on time.
COA
PhilHealth's receipt of the ND of the Auditor JULY 30, 2012 Date of Filing of Appeal Memorandum with CGS Cluster 6 Director JANUARY 25, 2013
The COA, on the other hand, claims that PhilHealth had until January 26, 2013 to file the Appeal Memorandum as this is the 180th day from July 30, 2012. And since this was filed on January 25, 2013, PhilHealth had only one day remaining from the six (6) months period. Date of PhilHealth's Receipt of CGS Decision dated March 13, 2014 MARCH 25, 2014
Appeal from the decision of the Director shall be taken within the time remaining of the six (6) months period. Date of PhilHealth's filing of Motion for Extension of Time to File Petition for Review MARCH 31, 2014
The COA asserts that the motion for extension or Petition for Review should have been filed on March 26, 2014. Hence, the filing on March 31, 2014 was already late and beyond the allowed period. Date of Filing of Petition for Review with the COA Commission Proper APRIL 30, 2014
Thus, it is the COA's position that the Petition for Review was filed out of time.
ART. 13. When the laws speak of years, months, days or nights, it shall be understood that years are of three hundred sixty-five days each; months, of thirty days; days, of twenty-four hours; and nights from sunset to sunrise.Section 31, Chapter VIII, Book I of the Administrative Code of 1987, in turn, states:
If months are designated by their name, they shall be computed by the number of days which they respectively have.
In computing a period, the first day shall be excluded, and the last day included. (Emphasis supplied)
SECTION 31. Legal Periods. - "Year" shall be understood to be twelve calendar months; "month" of thirty days, unless it refers to a specific calendar month in which case it shall be computed according to the number of days the specific month contains; "day" to a day of twenty-four hours; and "night" from sunset to sunrise. (Emphasis supplied)In Commissioner of Internal Revenue v. Primetown Property Group, Inc.,19 the Court found that there exists a manifest incompatibility in the manner of computing legal periods under the Civil Code and the Administrative Code of 1987, specifically as regards the computation of a year, thus, Section 31, Chapter VIII, Book I of the Administrative Code of 1987, being the more recent law, governs the computation of legal periods. Lex posteriori derogat priori.
x x x "health workers" shall mean all persons who are engaged in health and health-related work, and all persons employed in all hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics and other health-related establishments owned and operated by the Government or its political subdivisions with original charters and shall include medical, allied health professional, administrative and support personnel employed regardless of their employment status. (Emphasis supplied)Rule III of the Implementing Rules and Regulations (IRR) of RA 7305 further define public health workers as follows:
PhilHealth's mandate includes not only providing health insurance coverage, but also ensuring affordable, acceptable, available and accessible health care services for all citizens of the Philippines.23 Moreover, the enumerated powers and functions of PhilHealth include the accreditation of health care providers, inspection of health care institutions, setting of standards and rules to ensure quality of health care and appropriate utilization of health services, contracting with health provider organizations for the provision of personal health services, enrollment of members and dependents, establishment of an efficient premium payment collection mechanism, registration of all government and private employers, administration of health benefit package and improvement of the system for its availment, performance monitoring of health care providers and supervision of health benefits, among others.24
- Public Health Workers (PWH) - Persons engaged in health and health-related works. These cover employees in any of the following:
- Any government entity whose primary function according to its legal mandate is the delivery of health services and the operation of hospitals, sanitaria, health infirmaries, health centers, rural health units, barangay health stations, clinics or other institutional forms which similarly perform health delivery functions, like clinical laboratories, treatment and rehabilitation centers, x-ray facilities and other similar activities involving the rendering of health services to the public; and
- Offices attached to agencies whose primary function according to their legal mandates involves provision, financing or regulation of health services.
Also covered are medical and allied health professionals, as well as administrative and support personnel, regardless of their employment status. (Emphasis supplied)
SEC. 14. Creation and Nature of the Corporation - There is hereby created a Philippine Health Insurance Corporation, which shall have the status of a tax-exempt government corporation attached to the Department of Health for policy coordination and guidance.With the foregoing, the more reasonable interpretation is that PhilHealth personnel are engaged in health and health-related work and that they specifically fall under the definition provided in Rule III, 1(b) of the IRR of RA 7305 which pertains to those offices attached to agencies whose primary function according to their legal mandates involves provision, financing or regulation of health services.
In a similar manner, the Court finds that the PHIC's grant of the WESA was aptly sanctioned not only by Section 1227 of the [Salary Standardization Law] but also by statutory authority. PHIC Board Resolution No. 385, S. 2001 states that the WESA of P4,000.00 each shall be paid to public health workers under the Magna Carta of PHWs in lieu of the subsistence and laundry allowances. Respondent COA contested the same not so much on the propriety of the subsistence and laundry allowances in the form of the WESA, but that the Secretary of Health prescribed the rates thereof not in accordance with the Magna Carta of PHWs. x x x28On the issue of whether PhilHealth officers and employees were in good faith when they allowed and/or received the longevity pay, I rule in the affirmative. PhilHealth's BOD Resolution 1584, s. 2012 dated January 31, 2012 confirming the grant of public health workers' benefits, including the longevity pay to PhilHealth officers and employees, was issued on the basis of the Certification and OGCC Opinion 064. Further, the receipt of the benefit by the officers and employees was upon the honest belief that there was legal basis to such and thus, they are entitled to it.
Endnotes:
1Rollo, p. 7.
2 Id.
3 Id.
4 Id. at 7-8.
5 Id. at 8.
6 Id.
7 Id.
8 Id.
9 Id.
10 See id. at 8-9.
11 Id. at 9.
12 Id.
13 Id.
14 Id.
15 Id. at 4.
16 Rule V, Secs. 1, 2 and 4 provide:Section 1. Who May Appeal. - An aggrieved party may appeal from the decision of the Auditor to the Director who has jurisdiction over the agency under audit.17 Rule VII, Secs. 1, 2 and 3 provide:
Section 2. How Appeal Taken. - The appeal to the Director shall be taken by filing an Appeal Memorandum with the Director, copy furnished the Auditor. Proof of service of a copy to the Auditor shall be attached to the Appeal Memorandum. Proof of payment of the filing fee prescribed under these Rules shall likewise be attached to the Appeal Memorandum.
x x x x
Section 4. When Appeal Taken. - An Appeal must be filed within six (6) months after receipt of the decision appealed from.Section 1. Who May Appeal and Where to Appeal. - The party aggrieved by a decision of the Director or the ASB may appeal to the Commission Proper.18Commissioner of Internal Revenue v. Primetown Property Group, Inc., 558 Phil. 182, 190 (2007).
Section 2. How Appeal Taken. - Appeal shall be taken by filing a Petition For Review in five (5) legible copies, with the Commission Secretariat, a copy of which shall be served on the Director or the ASB who rendered the decision. Proof of service thereof shall be attached to the petition together with the proof of payment of the filing fee prescribed under these Rules.
Section 3. Period of Appeal. - The appeal shall be taken within the time remaining of the six (6) months period under Section 4, Rule V, taking into account the suspension of the running thereof under Section 5 of the same Rule in case of appeals from the Director's decision, or under Sections 9 and 10 of Rule VI in case of decision of the ASB.
19 Id. at 190-191.
20 G.R. No. 211225, January 10,2017 (Unsigned Resolution).
21Osmeña v. Commission on Audit, 665 Phil. 116, 124 (2011).
22 Id. at 125.
23 Art. III, Sec. 5, RA 7875 (NATIONAL HEALTH INSURANCE ACT OF 1995), as amended by RA 10606 (NATIONAL HEALTH INSURANCE ACT OF 2013).
24 See Art. IV, Sec. 16, RA 7875, as amended by RA 10606.
25 G.R. No. 213453, November 29, 2016, 811 SCRA 238.
26 Id. at 273.
27 RA 6758, Sec. 12 provides:SEC. 12. Consolidation of Allowances and Compensation. - All allowances, except for representation and transportation allowances; clothing and laundry allowances; subsistence allowance of marine officers and crew on board government vessels and hospital personnel; hazard pay; allowances of foreign service personnel stationed abroad; and such other additional compensation not otherwise specified herein as may be determined by the DBM, shall be deemed included in the standardized salary rates herein prescribed. Such other additional compensation, whether in cash or in kind, being received by incumbents only as of July 1, 1989 not integrated into the standardized salary rates shall continue to be authorized.28Philippine Health Insurance Corporation v. Commission on Audit, supra note 25, at 272-273.