2011 Hospital Revenue Code of the Laoag City General Hospital

September 21, 2011 WHEREAS, City Ordinance No. 2008-062, amended by CO 2010-029, declared the Laoag City General Hospital as an Economic Enterprise pursuant to law; WHEREAS, City Ordinance 2009-038 "created the Hospital Revenue Code of 2009" to provide the legal basis to charge and collect fees and charges for the services availed and pursuant to the mandate of local government units to create their own sources of revenue and to levy taxes, fees and charges; WHEREAS, the same hospital revenue code has been amended by CO 2010-007, CO 2011-001, and CO 2011-014 creating a situation which could result to difficulties or confusion as to which is to be used as an accurate point of reference; WHEREAS, there is a need to address such concern for which the only remedy is to legislate just one final Hospital Revenue Code of 2011; WHEREFORE, upon motion of the Chairman, Committees on Health, Hon. Francis Manolito B. Dacuycuy with the joint sponsorship of the Committee on Ways and Means, and Finance, duly seconded by Hon. Sonia B. Siazon, the Body with members present, RESOLVED as it is hereby Resolved, to ENACT LAOAG CITY ORDINANCE NO. 023-11 AN ORDINANCE ENACTING THE 2011 HOSPITAL REVENUE CODE OF LAOAG CITY GENERAL HOSPITAL Be It Enacted That: CHAPTER I ARTICLE A General Provisions SECTION 1. Short Title. This Ordinance shall be known as the "2011 Hospital Revenue Code of the Laoag City General Hospital." ARTICLE B Definition of Terms SECTION 2. Definitions . When used in this Code: Charges refers to pecuniary liability, as fees against persons, business entities involved in health, provision both in government and in the private sector such as private health care providers, insurance companies, the PhilHealth Insurance, Inc., Social Security System, GSIS, and private business entities. Fee a charge fixed by law or ordinance relevant to the use of hospital facilities. Services the duties, work or functions performed, discharged by hospital employees or officers. Revenue includes fees and charges that a state or a political subdivision collects and receives into the treasury for public purposes. Pay patients a category of patients determined and classified by virtue of their capability to pay hospital fees and charges. Service patient/s a category of patients determined and classified by virtue of their incapability to pay hospital fees and charges. Socialized fees structured charges determined and exacted from hospital clients based on the socioeconomic capability of clients to pay. Rental Fee a determined amount, charged and lawfully exacted by the Local Government of Laoag City for the use of space, property and other non-medical facilities located within the premises of the LCGH and are considered as duly accounted revenues of the hospital and its operation. Health Care Provider a business entity that offers health care benefits/insurance to its clients. Specialist a physician who underwent residency training for a particular field of medicine in a DOH accredited training hospital. CHAPTER 2 ARTICLE A Rule on Visiting Medical Specialists SECTION 3. The City Government of Laoag shall enter into a Memorandum of Agreement with trained medical specialists as visiting consultants of the LCGH 1 and shall only exact their corresponding professional fees to paying clients and shall provide their personal receipts issued at the Billing Section of the hospital. SECTION 4. Service patients shall not be subject to any professional fees both by LCGH and visiting medical specialists. SECTION 5. Termination of Contract . The City Government of Laoag shall have the power to terminate such contract entered in to between the City Government of Laoag and any visiting medical specialist if there are gross violations of the said contract by the visiting medical specialist. CHAPTER 3 ARTICLE A Rule on Health Care Providers SECTION 6. Health Care Providers . The City Government of Laoag shall enter into a Memorandum of Agreement with various health care providers and health insurance providers as accredited partners in the delivery of health care services to health care providers' clients and for purposes of collecting payment from the health care provider's clients fees and charges from the use of the facilities of LCGH and services and if there are gross violations of the said contract by the health care provider. CHAPTER 4 ARTICLE A Schedule of Fees and Charges SECTION 7. Imposition of Hospital Fees and Charges . 2 The following schedule of fees/charges is hereby imposed for services rendered: 7.1 ROOM & BED RATES Daily Rates: Service Ward 500.00 Senior Citizen's Service Ward 300.00 Payward (Ob/Gyne) 800.00 Payward (Regular) 800.00 Nursery 1,000.00 ICU/CCU/NICU 1,500.00 Isolation Room 1,250.00 Private Room (Regular) 1,800.00 Executive Suite 2,500.00 Mayor's Suite 6,000.00 Use of ER Minor OR 500.00/Use Use of Observation Room 500.00/Use Delivery Room 2,000.00/Use Labor Room 1,000.00/Use OPD Treatment Room 200.00/Use PACU (Recovery Room) 250.00/Hour Specialty Clinics 6,000.00/Month * Specialty clinics do not include the use of electricity, water and other utilities. 7.2 LABORATORY FEES Laboratory Services Rate Haematology ABO Rh Typing 100.00 ABO Typing 55.00 Activated Partial Thromboplastine Time (A PTT) 525.00 Bleeding Time 50.00 Clotting Time 65.00 Clot Retraction Time 100.00 CBC 180.00 Differential Count 180.00 Erythrocyte Sedimentation Rate 120.00 Hematocrit Determination 180.00 Hemoglobin Determination 180.00 Peripheral Blood Smear 160.00 Platelet Count 180.00 Prothrombin Time with INR 520.00 RBC Indices 180.00 Reticulocyte Count 175.00 Rh Typing 60.00 White Blood Cell Count 180.00 Clinical Chemistry Albumin 120.00 ALP 150.00 Alpha Amylase 185.00 Arterial Blood Gas (Abg) 900.00 AST/SGOT 170.00 ALT/SGPT 170.00 Bilirubin Direct 170.00 Bilirubin Total 175.00 Calcium 135.00 Chloride 125.00 HDL 230.00 Cholesterol Total 135.00 CK-MB 425.00 Creatinine 125.00 Creatinine Clearance 265.00 Electrolytes (Panel Na K Cl) 350.00 GGT 175.00 Glucose Test: CBG/HGT 110.00 FBS 110.00 Glycated HGB (Hba1C) 900.00 OGCT, (With Baseline FBS 2X) 372.00 OGTT (4x) 650.00 2 Hr. Post Prandial Blood Sugar 110.00 RBS 110.00 Ionized Calcium 200.00 LDH 140.00 Lipase 185.00 Magnesium 225.00 Phosphorous 225.00 Total Protein 120.00 Triglycerides 175.00 Urea Nitrogen (Bun) 120.00 Uric Acid (Bua) 150.00 Potassium 125.00 Sodium 125.00 TPAG-Ratio 350.00 Troponin T Qualitative 880.00 Troponin T Quantitative 2,290.00 Diagnostic Profile: Bone Injury Profile 200.00 Diabetic Profile 1,150.00 Kidney Profile 245.00 Lipid Profile 800.00 Liver Profile 1,300.00 Mi Profile 1,775.00 Pancreatic Profile 350.00 Serology/Immunology Rheumatiod Panel ANA 900.00 ASO Titer 465.00 CRP 360.00 Rheumatoid Factor 465.00 Thyroid Function Tests FT3 500.00 FT4 500.00 TSH 500.00 T3 500.00 T4 500.00 Tumor Markers PSA 800.00 AFP2 1,000.00 CEA 1,000.00 Total beta HCG 1,200.00 CA-19-19 1,300.00 CA 125 1,330.00 C3 400.00 C4 450.00 ACP-TOTAL PROSTATIC 1,500.00 Infectious Disease Markers Anti HBs Screening 450.00 Anti HCV Screening 340.00 Anti HIV 1/2 Screening 285.00 Dengue IgG/IgM 675.00 Dengue NS1 1,400.00 Dengue NS1 Antigen and IgG/IgM 1,525.00 HBeAG Screening 600.00 HBsAG Screening 140.00 RPR 140.00 Salmonella IgG/IgM 650.00 TPHA 375.00 Widal's Test 150.00 Anti HAV IgM 680.00 Anti HAV Total 800.00 Anti HCV EIA 650.00 Anti HIV 1/2 EIA 380.00 Hepatitis Virus Profile 3,600.00 HBsAG EIA 420.00 Clinical Microscopy Urine: Pregnancy Test 125.00 Routine Urinalysis 60.00 24 Hr Hcg Titer 125 X # of Strips Used Urine Flow Citometry 350.00 Urine Ketones 60.00 Urine Microalbumin 190.00 Stool: Routine Stool Exam 75.00 Fecal Occult Blood 115.00 Seminal Fluid Analysis 160.00 Body Fluid Analysis: Physical Examination 75.00 Total Cell Count 285.00 Sugar (Automated) 110.00 Protein (Automated) 250.00 LDH 270.00 Blood Banking Crossmatching: Antibody Testing 1,000.00 Coomb's Test Direct 250.00 Coomb's Test Indirect 250.00 Cryoprecipitate 250.00 Cryosupernate 250.00 Fresh Frozen Plasma 250.00 Packed RBC 250.00 Platelet Concentrate 250.00 Washed RBC 250.00 Whole Blood 250.00 Bacteriology Acid Fast Staining 100.00 Bacterial Heterotrophic Plate Count 650.00 Bacterial Water Analysis 600.00 Fungal Culture 500.00 Gram Stain 100.00 India Ink Preparation 100.00 Koh Preparation 100.00 Malarial Smear 110.00 Others Dual Drug Test MET/THC 225.00 New Born Screening 600.00 Pap Smear 125.00 * Additional 20% for stat procedure. Lead EKG 200.00 (50.00) Stress Test 3,000.00 (250.00) Holter Monitoring 2,500.00 (750.00) Defibrillator 500.00/Use Nebulizer 56.00/Use Mobile Xray Same Rates as X Ray C-Arm Same Rates as X Ray Spirometer 1,000.00 (200.00) Endoscopy/Proctosigmoidoscopy: EGD 2,500.00 (5,000.00) Colonoscopy 2,800.00 (5,000.00) Bronchoscopy 2,500.00 (5,000.00) Cautery Machine 400.00/Use Ventilator 50.00/Hr EEG 2,500.00 (250.00) Peripheral Angiography Procedure 1,850.00 (200.00) Use of Phaco Machine 1,500.00 (250.00) Biometry 800.00 (200.00) Keratometry 1,500.00 (250.00) Optha or Microscope 2,000.00 (250.00) Fetal Monitor-Single 550.00 (20 Minutes) 250.00 (Succ. 20/Min) Fetal Monitor-Twin 550.00 (20 Minutes) 250.00 (Succ 20/Min) Infant Incubator 325.00/Shift Infant Radiant Warmer 180.00/Shift Phototheraphy Led Machine 380.00/Day Infusion Pump 180.00/Day Syringe Pump 180.00/Day CPAP 500.00/Day Rehabilitation Traction Machine 50.00/Use Paraffin Bath 30.00/Use 7.3 EQUIPMENT AND SPECIAL EXAMINATIONS/PROCEDURES * Above items in parenthesis pertain to Specialists Interpretation or Reading Fee. * Rates may not include consumables used in the procedure. 7.4 RADIOLOGY EXAMINATIONS/PROCEDURES Xray Rates: Procedure Rate Reading Fee Thoracic Contents: Heart and Lungs 1 view Adult 185.00 50.00 Heart and Lungs 2 views Adult 332.00 50.00 Heart and Lungs 2 views Pedia 255.00 50.00 Heart and Lungs (portable) Adult 235.00 50.00 Heart and Lungs (APL Port.) 11 yrs. Old and above 375.00 50.00 Heart and Lungs (APL Port.) 1 to 10 yrs. Old 305.00 50.00 Heart and Lungs (AP Port.) 0 to 1 yrs. Old 220.00 100.00 Apicogram/Lordotic 1 view 160.00 150.00 Head: Skull AP/L 250.00 50.00 Mastoids Series 3 views 310.00 50.00 Optic Foramen (R or L) 285.00 50.00 Paranasal Sinuses (3 views) 340.00 50.00 Orbits (2 views) 250.00 50.00 Orbital Series 340.00 50.00 Maxilla/Mandible (AP, both Oblique) 340.00 50.00 Nasal Bone (2 views)/STL 190.00 50.00 Temporomandibular Joint 4 views 470.00 50.00 Zygoma 160.00 50.00 Towne's View/Water's view 160.00 50.00 Facial Bones 160.00 50.00 Vertebral Column: Cervical 2 views 250.00 50.00 Thoracic Vert. 2 views 333.00 50.00 Lumbar Vert. 2 views 333.00 50.00 Lumbo-Sacral vert. 2 views 333.00 50.00 Cervico-Thoracic 333.00 50.00 Scoliosis Series 580.00 100.00 Thoraco-Lumbosacral 665.00 150.00 Neck: Soft Tissues (2 views) 250.00 50.00 Foreign Body 250.00 50.00 Abdomen: FPA/KUB 333.00 50.00 Abdomen (Upright, Supine) 333.00 50.00 Skeletal System: Shoulder Joint (Bilateral) 160.00 50.00 Clavicle Bilateral 280.00 50.00 Scapula AP View 240.00 50.00 Sternum 2 views 250.00 50.00 Humerus 2 views 300.00 50.00 Elbow Joint 2 views 180.00 50.00 Forearm 2 views 190.00 50.00 Wrist (2 views) 180.00 50.00 Hand (2 views) 180.00 50.00 Pelvis AP view 185.00 50.00 Pelvis (Frog Leg) 195.00 50.00 Hip Joint Bilateral 190.00 50.00 Femur 2 views 230.00 50.00 Knee Joint (2 views) 195.00 50.00 Leg (2 views) 220.00 50.00 Ankle Joint (2 views) 190.00 50.00 Oscalsis (2 views) 190.00 50.00 Foot (2 views) 190.00 50.00 Skeletal Survey (2 views) 1,950.00 300.00 Miscellaneous: Fistulography 248.00 100.00 -additional film 165.00 Imperforate Anus 2 views 250.00 50.00 Colonography 180.00 50.00 Billiary System: T-Tube Cholangiography 595.00 200.00 Operative Cholangiography 348.00 200.00 -additional film 215.00 Percutaneous Transhepatic 1,843.00 200.00 ERCP 1,795.00 200.00 Obstetrical Procedures: Hysterogram 645.00 200.00 Urinary System: IVP 1,050.00 200.00 Retrograde Pyelography 590.00 200.00 Hypertensive IVP 1,220.00 200.00 Cystography 650.00 200.00 Urethrography 650.00 200.00 Voiding Cystomethography 650.00 200.00 Cystomethography 650.00 200.00 Digestive Track System: UGIS/SIS 1,615.00 250.00 Barium Enema 1,460.00 250.00 Barium Swallow 915.00 200.00 UGI Series 980.00 200.00 7.5 ULTRASONOGRAPHY RATES Procedure Rate Reading Fee Reno-Pelvic/Prostate 500.00 300.00 Breast (bilateral) 500.00 300.00 Scrotum 500.00 300.00 Inguinal Area 500.00 300.00 Prostate 350.00 250.00 Thyroid 350.00 250.00 Abdomen 500.00 250.00 Abdomino-Pelvic 700.00 300.00 Guided Biopsy/Aspiration 150.00 500.00 Hemithorax 350.00 250.00 Cranial 450.00 250.00 Pelvic 375.00 250.00 BPS 450.00 250.00 TVS 450.00 250.00 4D Ultrasound 2,500.00 1,000.00 Congenital Anomalies Scanning 500.00 1,000.00 Sonohysterogram 1,000.00 2,500.00 Pulse Doppler 1,000.00 500.00 Color Mapping 900.00 300.00 Fetal Echo Plain 800.00 600.00 Fetal Doppler 1,600.00 1,200.00 Plain 2D Echo 800.00 750.00 Doppler Echo 1,600.00 1,750.00 Doppler Echo (TVS) 1,800.00 1,750.00 7.6 DENTAL SERVICES Extraction 300.00 Oral Prophylaxis 350.00 Filling Composite 400.00 Amalgam 300.00 Periapical Xray 200.00 Bleaching (per arch) 4,500.00 Lite cure composite 350.00 7.7 ANESTHESIA MACHINES Anesthesia Machine W/Out Ventilator 200.00 (1ST HR.) 100.00 (SUCC. HR.) Anesthesia Machine W/Ventilator 300.00 (1ST HR.) 200.00 (SUCC. HR.) Use of Cardiac/Patient Monitor W/Pulse Oxymeter 65.00/shift O2 Concentrator 25.00/hr. * Use of oxygen and other gases: Fee for the use of oxygen and other gases shall be computed on the basis of volume actually used multiplied by the acquisition cost/per unit (lb.) plus 5% mark up but not less than P0.37/lb. 7.8 DIALYSIS RATE/NEPHROLOGIST'S FEE Rate Nephrologist's Fees AVF F6-NEW 4,300.00 400.00 AVF F7-NEW 4,400.00 400.00 AVF F8-NEW 4,500.00 400.00 F6-TEMPORARY ACCESS 4,800.00 400.00 F7-TEMPORARY ACCESS 4,900.00 400.00 F8-TEMPORARY ACCESS 5,000.00 400.00 HEMODIALYSIS 4,000.00 400.00 PERITONEAL 2,500.00 400.00 AVF F6-REUSE 2,800.00 400.00 AVF F7-REUSE 2,800.00 400.00 AVF F8-REUSE 2,800.00 400.00 7.9 RATES ON EMERGENCY ROOM SERVICES Services Rate Bone Marrow Puncture 800.00 Casting (Long) 1,200.00 Casting (Short) 800.00 Circumcision 955.00 CVP Line Insertion 1,190.00 Debridement, Infected Wound 880.00 Endotracheal Intubation 550.00 Excision of Cyst/Tumor 1,520.00 Gastric Lavage 415.00 Heplock Insertion 95.00 I.E. 75.00 IM Injection 43.00 Incision and Drainage-Major 500.00 Incision and Drainage-Minor 200.00 Insertion of Foley Catheter 180.00 IV Insertion 100.00 IV Push 15.00 Nebulization 56.00 NGT Insertion 415.00 Ptyregium Excission 730.00 Rectal Examination 32.00 Removal of Sutures 56.00 Sunctioning 100.00 Suturing of Lacerated Wound 865.00 Suturing of Wound-Major 250.00 Suturing of Wound-Minor 100.00 Tenorraphy 786.00 Thoracenthesis 560.00 Tracheostomy (T-Tube) 1,500.00 Wound Dressing-Major 150.00 Wound Dressing-Minor 100.00 * Rates may vary depending on the case of the patient. 7.10 RATES ON REHABILITATION AND PHYSICAL THERAPY TREATMENT Services Rate Out-Patient Special Children PLAY THERAPY 250.00/session WITH PT MODALITY 300.00/session Nuero Cases THERAPEUTIC EXERCISE 250.00/session Therapeutic Exercise w/PT Modality A. 1 area 300.00/session B. 2 areas 350.00/session C. More than 2 areas 400.00/session D. With exercises using special equipment 500.00/session Orthopedic Case (Pain Syndrome) Without PT Ultrasound A. 1 area 250.00/session B. 2 areas 300.00/session C. More than 2 areas 350.00/session With PT Ultrasound A. 1 area 300.00/session B. 2 areas 350.00/session C. More than 2 areas 400.00/session In-Patient Service Ward 200.00/session Semi-Private 300.00/session Private 400.00/session 7.11 OTHER CHARGES * Use of Patient-Owned Appliances: Electric pot, electric fan, cellphone charging, radio cassette, Television, CD/DVD Player, computer, etc. Php50.00/day 7.12 HOSPITAL CHARGES FOR USE OF MEDICAL EQUIPMENT OWNED BY ATTENDING PHYSICIANS i. A memorandum of agreement shall cover the authority of attending physicians using his/her medical equipment in the event that the required machine/equipment is not readily available at the hospital. ii. Prescribed rate is 15% of the corresponding fee for each use shall be retained by the hospital as its share to cover use of electricity and other costs, to be further defined in the MOA. DETACa iii Payment thereof shall be made at the Billing Section where a Personal Official Receipt of the attending physician shall be issued. 7.13 AMBULANCE RATE The use of the city's ambulance/s shall be governed by City Ordinance No. 2011-015, s. 2011 entitled "Ordinance Setting the Fees for the Use of the Ambulances of the Department of Public Safety and Other Allied Services." 7.14 OPERATING ROOM & DELIVERY ROOM FEE Relative Value Unit Classification Or Fee Addt'l. Charges RVU OF 30 & BELOW ORDINARY 1,060.00 1,500.00 RVU OF 31 TO 80 INTENSIVE 1,350.00 1,750.00 RVU OF 81 & ABOVE CATASTROPHIC 3,490.00 2,500.00 Patients shall be charged the above quoted rates. PhilHealth privileges shall apply and deducted to the quoted rates. Excess charges not covered by PhilHealth shall be assumed by the patient. 7.15 SURGEON'S FEE i. The peso equivalent per relative value unit (RVU) of the surgical procedure shall be based on the PhilHealth rate. ii. Two or more surgical procedures done in one sitting or through a single incision performed by one or more physicians shall be compensated on the procedure of the highest value unit. iii. Surgeries performed on different dates shall be charged with their respective value units. 7.16 MISCELLANEOUS FEE/RENTALS The hospital shall provide amenities for accompanying relatives of service patients that include bathroom/toilet facilities. The use of these facilities shall be charged fees upon use by clients but not included in the hospital bill of patients. Public Comfort Room Php5.00/use 7.17 OUT PATIENT/ER REGISTRATION FEE and CONSULTATION FEE OPD Registration Fee: 25.00 ER Registration Fee: 25.00 Consultation Fee: 50.00 ER Fee: 100.00 * OPD/ER registration fee shall be charged to patients only on their initial hospital treatment visit. 7.18 RENTAL RATE FOR COMMERCIAL AREAS/PARKING FEES Basement: 14 per sq.m./day Ground Floor: 12 per sq.m./day 1st Floor: 10 per sq.m./day 2nd Floor: 8 per sq.m./day 3rd Floor: 6 per sq.m./day Parking fee: 10.00 for 1st/hr. (5.00 for each succeeding hour) SECTION 8. Patients who are certified by the concerned DSWD as indigent shall be exempted from payment in part or all fees in this schedule. SECTION 9. Payment in Kind Scheme (PIK) shall be adopted by the Hospital and shall apply to indigent patients who are certified by the DSWD. Indigent patients shall be allowed to pay voluntarily hospital services rendered unto him in kind such as blood products (from relatives/friends/barangaymates) or in the form of personal services (from relatives/friends/barangaymates) whichever is available and shall be received, quantified and reflected by the corresponding hospital offices for proper accounting (laboratory, finance). The hospital shall assume the cost of blood extraction, processing, storage and blood bags. SECTION 10. Damage to Hospital Property/Facilities/Equipments and Vandalism. Patients/clients and/or their relatives and guests who cause damage to hospital property/facilities shall pay a fine of One Thousand Pesos (P1,000) and the corresponding cost for restoring the said property/facility. SECTION 11. Special Discounts . SUBSECTION 11.1. Laoag City Government Officials and employees, their spouses and children under 21 years old, documented OFW's from Laoag City, their spouses and children under 21 years of age, shall be given twenty percent (20%) discount after PhilHealth deductions from the total hospital bill except Pharmacy items. SUBSECTION 11.2. Barangay Officials and Tanods, Barangay Day Care Workers, BHW, BNS, BSPO, Barangay Lupon, SK Officials, Past Barangay Chairmen of Laoag City shall be given twenty percent (20%) discount after PhilHealth deductions from the total hospital bill except Pharmacy items. SUBSECTION 11.3. A twenty percent (20%) discount and E-VAT exemptions for Senior Citizens and War Veterans shall be accorded to them pursuant to the provisions of the Expanded Senior Citizen's Act of 2010.The DSWD shall determine further indigent Senior Citizens for full discount of all hospital bills. SUBSECTION 11.4. Persons with Disabilities (PWD's) shall be given twenty percent (20%) discount after PhilHealth deductions from the total hospital bill except Pharmacy items. SUBSECTION 11.5. Employees of National Government Offices attached to the city government of Laoag ( e.g. , City DepEd, Laoag PNP, Laoag BFP, Laoag BJMP, City COA, City DILG, etc.) shall be given twenty percent (20%) discount after PhilHealth deductions from the total hospital bill except Pharmacy items. SUBSECTION 11.6. All bona fide residents of Laoag City who are not eligible recipients under Sub. 11.1 to Sub. 11.5 shall enjoy a five percent (5%) discount after PhilHealth deductions from the total hospital bill except Pharmacy items. SUBSECTION 11.7. Discounts shall be given to companies, schools, and other organized groups on laboratory and radiology services: Not less than 10 members availing 5% discount More than 10 members to 20 members availing 7% discount More than 20 members availing 10% discount SECTION 12. This ordinance partakes the nature of a tax measure and shall be subject to the mandated requirements of posting, public hearing and after approval, publication in local newspapers. SECTION 13. All ordinances, resolutions, motions, or parts thereof not consistent herewith are hereby repealed, amended or superseded accordingly. SECTION 14. This Ordinance shall take effect immediately upon approval. Carried. APPROVED this 21st day of September 2011, by the members of the Sangguniang Panlungsod present with the following votes: Those in favor: Siazon, Ong Sin, Respicio, Lao, Tamayo, Dacuycuy, Chua, Frez, Farias, Maulit. Nays: None Abstentions: None I HEREBY CERTIFY that the foregoing is a true, correct, and faithful excerpt from the minutes of the 61st Regular Session of the 8th Sangguniang Panlungsod held at the Session Hall on September 21, 2011 . (SGD.) ENRICO A. AURELIO Secretary to the Sanggunian Attested: (SGD.) ATTY. DONALD G. NICOLAS Acting City Vice Mayor/Presiding Officer Approved: October 4, 2011 (SGD.) MICHAEL V. FARIAS City Mayor Footnotes 1. Pursuant to Resolution No. 2011-032, s. 2011 authorizing the execution of such Memorandum of Agreement prescribing adherence to the provisions of the "Guidelines and Policies on Private Practice of Medical Health Professionals at the LCGH" . 2. All rates indicated are in Philippine Peso (PhP).