Health groups push PhilHealth funding boost, MAIFIP phaseout amid DOH rejection

Following the Department of Health's rejection of shifting MAIFIP funds to PhilHealth, 68 health professional groups led by the Healthcare Professionals Alliance Against COVID-19 urged President Marcos and Congress to sufficiently fund the Philippine Health Insurance Corp. and phase out the DOH's Medical Assistance for Indigent and Financially Incapacitated Patients program.

In a statement issued yesterday amid ongoing 2026 budget debates—where Health Secretary Teodoro Herbosa rejected redirecting MAIFIP's P51 billion allocation to PhilHealth over payment delays—the country's medical societies called for bolstering PhilHealth funding while gradually reducing reliance on MAIFIP. "The government should move beyond promises of greater health benefits and ensure adequate funding to fulfill these commitments," the groups stated.

The bicameral conference committee on House Bill 4058 approved P69.78 billion for PhilHealth premiums for the poor (up P16.52 billion), but this falls short of Universal Health Care Act requirements to fully subsidize premiums for 24.5 million indirect contributors, necessitating at least P147 billion total for PhilHealth.

While acknowledging MAIFIP's expansion to 1.2 million Filipinos, the groups stressed it should not undermine insurance for the 24.5 million indigent. They criticized MAIFIP for shifting from a rights-based system to one dependent on individual discretion, eroding UHC safeguards on cost-effectiveness, affordability, and equity.

Signatories include the Philippine Medical Association, Philippine College of Physicians, Philippine College of Surgeons, Philippine Association of Medical Technologists, Philippine Society of Medical Oncology, Private Hospitals Association of the Philippines, and others.

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Philippine lawmakers at bicameral conference approving P63.8 billion AICS funding increase in 2026 budget.
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Bicam approves higher AICS funding in 2026 budget

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The bicameral conference committee has approved an increase in funding for the Assistance to Individuals in Crisis Situations (AICS) program to P63.8 billion for 2026, despite concerns over potential political misuse. Lawmakers also addressed last-minute requests from government agencies and approved budgets for over 20 agencies. Malacañang insists on passing a new budget to avoid reenacting the previous one.

Following its push to redirect MAIFIP funds to LGUs, the Department of Health rejected proposals to shift them to PhilHealth over payment delays, with Secretary Ted Herbosa dismissing pork barrel claims as funds go directly to hospitals—amid the program's P51 billion 2026 budget hike.

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Following recent calls from dozens of health groups to phase out the controversial Medical Assistance to Indigent and Financially Incapacitated Patients (MAIFIP) program, Senate committees have endorsed a bill to make it a permanent part of the Universal Health Care (UHC) system—despite critics labeling it lawmakers' 'health pork.' Senate Bill No. 1593, consolidating four proposals, was approved at the committee level and awaits plenary debate.

The Philippine Health Insurance Corporation (PhilHealth) has announced a waiver of interest on missed premium payments by employers from July 2013 to December 2024, following an order from President Ferdinand Marcos Jr. The waiver features a graduated rate based on the payment timeline, with settlements starting from January 24 to December 31, 2026.

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Executive Secretary Ralph Recto and former PhilHealth CEO Emmanuel Ledesma Jr. face complaints of technical malversation, graft, plunder, and grave misconduct filed with the Ombudsman over the transfer of P60 billion in 'excess' PhilHealth funds to the national treasury in 2024.

The Supreme Court did not rule the entire 2024 General Appropriations Act (GAA) unconstitutional or declare impeachment grounds against President Ferdinand Marcos Jr. Instead, it struck down a special provision on PhilHealth funds and upheld Marcos' certification of urgency. However, in his separate opinion, Justice Marvic Leonen argued that Marcos committed grave abuse of discretion.

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The Kenya Medical Practitioners, Pharmacists and Dentists' Union has rejected a government proposal to impose time-based limits on insurance claims pre-authorization. The union argues that the healthcare system's challenges make such restrictions impractical. This comes amid efforts to curb doctors' private practices during official hours.

 

 

 

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