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OCHOA
KEY TAKE-AWAY: The Reproductive Health Law is a consolidation and enhancement of existing reproductive
laws. It seeks to enhance the population control program of the government in order to promote public welfare.
However, when coercive measures are found within the law, provisions must be removed or altered in order to
ensure that it does not defy the Constitution by infringing on the rights of the people.
PONENTE: MENDOZA, J.
FACTS
Petition: to declare provisions of Republic Act No. 10354 as unconstitutional
Factual Antecedents
December 21, 2012: Congress enacted RA No. 10354 also known as the Responsible Parenthood and
Reproductive Health Act of 2012 (RH LAW)
The president’s imprimatur and support for the said law lead to a range of petitions against the law
leading to iuris controversy in court. Petitions for certiorari and prohibition were placed by numerous
parties. All in all, 14 petitions and 2 petitions-in-intervention were filed.
March 15, 2013: the RH-IRR or enforcement of the law took place
March 19, 2013: After deliberating the issues and arguments raised, the court issued Status Quo Ante
Order (SQAO) which lead to a 120 day halt on the implementation of the legislation
Due to further arguments and debates from opposing parties, the SQAO was extended until further
orders of the court last July 16, 2013
Statute Involved:
Republic Act 10354, “The Responsible Parenthood and Reproductive Health Act of 2012”
Position of Petitioner:
o Petitioners claim that the provisions of RA 10354 are unconstitutional as they violate the rights to
life, to health, to freedom of expression and speech, to the privacy of families, to academic
freedom, to due process of law, to equal protection, and against involuntary servitude. They also
intrude on the autonomy of local governments and the ARMM, and violate natural law.
Furthermore, they claim that Congress’ delegation of authority to the FDA in determining which
should be included in the EDL is invalid.
Position of Respondent
There is no actual case or controversy and, therefore, the issues are not yet ripe for judicial
determination
Some petitioners lack standing to question the RH Law
The petitions are essentially petitions for declaratory relief over which the Court has no original
jurisdiction.
ISSUES
Procedural
o Whether or not the Court may exercise its power of judicial review
o Whether or not there is an actual case or controversy
o Whether the Court may apply facial challenge
o Whether or not the petitions are praying for declaratory relief
o Whether the petitions violate the One Subject/One Title Rule
Substantive
o Whether or not the RH Law is unconstitutional on the grounds that it violates
Right to Life
Right to Health
Freedom of Religion and the Right to Free Speech
The Family
Freedom of Expression and Academic Freedom
Due Process
Equal Protection
Involuntary Servitude
Autonomy of Local Governments/ARMM
Natural Law
o Whether or not Congress’ delegation of authority to the FDA in determining which should be
included in the EDL is valid
HELD
Procedural
o Whether or not the court may exercise its power of judicial review - YES
While the Court may not pass upon questions of wisdom, justice or expediency of the RH
Law, it may do so where an attendant unconstitutionality or grave abuse of discretion results.
The following requisites for judicial review were met: (a) there mustbe an actual case or
controversy; (b) the petitioners must possess locus standi; ( c) the question of constitutionality
must be raised at the earliest opportunity; and ( d) the issue of constitutionality must be the lis
mota of the case
o Whether or not there is an actual case or controversy – YES
Considering that the RH Law and its implementing rules have already taken effect and that
budgetary measures to carry out the law have already been passed, it is evident that the
subject petitions present a justiciable controversy. As stated earlier, when an action of the
legislative branch is seriously alleged to have infringed the Constitution, it not only becomes a
right, but also a duty of the Judiciary to settle the dispute.
Moreover, the petitioners have shown that the case is so because medical practitioners or
medical providers are in danger of being criminally prosecuted under the RH Law for vague
violations thereof, particularly public health officers who are threatened to be dismissed
from the service with forfeiture of retirement and other benefits.
o Whether the Court may apply facial challenge – YES
The scope of application of facial challenges extends to the regulation of free speech, but also
those involving religious freedom, and other fundamental rights.
Consequently, considering that the foregoing petitions have seriously alleged that the
constitutional human rights to life, speech and religion and other fundamental rights
mentioned above have been violated by the assailed legislation, the Court has authority to take
cognizance of these kindred petitions and to determine if the RH Law can indeed pass
constitutional scrutiny.
o Whether or not Locus Standi applies – YES
Regardless of whether the petitioners are directly injured of affected by the RH Law or not,
the Court leans on the doctrine that "the rule on standing is a matter of procedure, hence, can
be relaxed for non-traditional plaintiffs like ordinary citizens, taxpayers, and legislators when
the public interest so requires, such as when the matter is of transcendental importance, of
overreaching significance to society, or of paramount public interest." The RH Law falls
under transcendental importance as it drastically affects the constitutional provisions on the
right to life and health, the freedom of religion and expression and other constitutional rights.
o Whether or not the petitions are praying for declaratory relief - YES
Most of the petitions are praying for injunctive reliefs, not declaratory reliefs, and so the
Court would just consider them as petitions for prohibition under Rule 65, over which it has
original jurisdiction. Where the case has far-reaching implications and prays for injunctive
reliefs, the Court may consider them as petitions for prohibition under Rule 65.
o Whether the petitions violate the One Subject/One Title Rule – NO
In a textual analysis of the various provisions of the law, both "reproductive health" and
"responsible parenthood" are interrelated and germane to the overriding objective to control
the population growth. Thus, the Court finds no reason to believe that Congress had the
intention to deceive the public regarding the contents of the said law.
Substantive
o Whether or not the RH Law is unconstitutional on the grounds that it violates
Right to Life – NO
Constitution intended that 1.) conception to refer to the time of fertilization and 2.) the
protection of the unborn upon said fertilization
Not all contraceptives are to be banned (only those that kill a fertilized ovum)
Contraceptives that prevent union of sperm and egg are thus permissible
It is the intended by the framers of the 1987 Constitution to prevent the enacting of a law
that legalizes abortion.
RH law prohibits abortion
RH law recognizes that abortion is a crime
RH law prohibits abortifacients
Right to Health - NO
With the provisions of RA 4729 still in place, the status quo on the sale of contraceptives
is maintained and the Court believes that there are adequate measures that ensure that the
public has access to contraceptives that have been determined safe following testing,
evaluation, and approval by the FDA
Freedom of Religion and the Right to Free Speech – NO and YES
RH law does not violate guarantee of religious freedom via the state-sponsored
procurement of contraceptives, which contravene the religious beliefs of the people
including the petitioners. This is because in doing so, the state would be adhering to one
religions, making a de facto state religion which is contrary to religious freedom.
The separation of Church and State shall be inviolable
There limits to the exercise of religious freedom (compelling state interest test)
Benevolent neutrality
RH law does not violate the guarantee of religious freedom by requiring would-be
spouses, as a condition for the issuance of a marriage license, to attend a seminar on
parenthood, family planning, breastfeeding and infant nutrition (sec.7, 23, 24)
However, RH Law violates the guarantee of religious freedom by compelling medical
health practitioners, hospitals, and health care providers, under pain of penalty, to refer
patients to other institutions despite their conscientious objections
The Family - YES
Section 23(a)(2)(i) of the RH Law, which needs only the consent of the spouse
undergoing the provision in order to undergo reproductive procedures intrudes into
martial privacy and autonomy and goes against the constitutional safeguards for the
family as the basic social institution. Not only that, but the exclusion of parental consent
in cases where a minor undergoing a procedure is already a parent or has had a
miscarriage (Section 7 of the RH Law) is also anti-family and violates Article II, Section
12 of the Constitution, which declares that the rearing of children by parents is a natural
right.
Freedom of Expression and Academic Freedom – UNDECIDED
The court decided that making a ruling on Section 14 of the RH Law, which mandates the
State to provide Age-and Development-Appropriate Reproductive Health Education, is
premature. The Department of Education has not yet created a curriculum on age-
appropriate reproductive health education, thus the constitutionality of the specifics in
such a curriculum still cannot be determined. The exclusion of private educational
institutions from the mandatory RH education program under Section 14 is valid. There is
a need to recognize the academic freedom of private educational institutions especially
with respect to religious instruction and to consider their sensitivity towards the teaching
of reproductive health education.
Due Process - NO
The definitions of several terms pinpointed by the petitioners in the RH Law are not
vague.
Private health care institution = private health care service provider.
“service” and “methods” are also broad enough to include giving information and
performing medical procedures, so hospitals run by religious groups can be
exempted.
“incorrect information” connotes a sense of malice and ill motive to mislead the
public.
Equal Protection - NO
It is pursuant to Section 11, Article XIII of the Constitution, which states that the State
shall prioritize the needs of the underprivileged, sick elderly, disabled, women, and
children and that it shall endeavor to provide medical care to paupers.
Involuntary Servitude - NO
The State has the power to regulate the practice of medicine in order to ensure the welfare
of the public. Not only that, but Section 17 only encourages private and non-government
RH service providers to give pro bono service; they do not incur penalties if they refuse.
Conscientious objects are exempt if their religious beliefs do not allow them to provide
the said services.
Autonomy of Local Governments/ARMM – NO
The RH Law does not infringe upon the autonomy of local governments. Under
paragraph (c) of Section 17, unless a local government unit (LGU) is particularly
designated as the implementing agency, it has no power over a program for which
funding has been provided by the national government under the annual General
Appropriations Act, even if the program involves the delivery of basic services within the
jurisdiction of the LGUs. Not only that, but LGUs are merely encouraged and not
compelled to provide RH services. Provision of these services are not mandatory. Lastly,
Article III, Sections 6, 10, and 11 of RA 9054 deor the Organic Act of the ARMM merely
outlines the powers that may be exercised by the regional government and does not
indicate the State’s abdication to create laws in the name of public welfare.
Natural Law – disregarded
Natural law, according to the Court, is not recognized as proper legal basis for making
decisions
o Whether or not Congress’ delegation of authority to the FDA in determining which should be
included in the EDL is valid- YES
Under RA 3720, the FDA, being the primary and sole premiere and only agency that ensures
the safety of food and medicines available to the public, has the power and competency to
evaluate, register and cover health services and methods
Final Ruling
o Petitions partially granted. The RA 10354 is declared constitutional, and Status Quo Ante Order
lifted with respect to provisions of RA 10354 that have been declared as constitutional. However,
the following provisions and their corresponding provisions in the RH-IRR have been declared
unconstitutional:
Section 7 and the corresponding provision in the RH-IRR insofar as they: a) require
private health facilities and non-maternity specialty hospitals and hospitals owned and
operated by a religious group to refer patients, not in an emergency or life-threatening case, as
defined under Republic Act No. 8344, to another health facility which is conveniently
accessible; and b) allow minor-parents or minors who have suffered a miscarriage access to
modem methods of family planning without written consent from their parents or guardian/s;
Section 23(a)(l) and the corresponding provision in the RH-IRR, particularly Section 5 .24
thereof, insofar as they punish any healthcare service provider who fails and or refuses to
disseminate information regarding programs and services on reproductive health regardless of
his or her religious beliefs.
Section 23(a)(2)(i) and the corresponding provision in the RH-IRR insofar as they allow a
married individual, not in an emergency or life-threatening case, as defined under Republic
Act No. 8344, to undergo reproductive health procedures without the consent of the spouse;
Section 23(a)(2)(ii) and the corresponding provision in the RH-IRR insofar as they limit
the requirement of parental consent only to elective surgical procedures.
Section 23(a)(3) and the corresponding provision in the RH-IRR, particularly Section 5.24
thereof, insofar as they punish any healthcare service provider who fails and/or refuses to
refer a patient not in an emergency or life-threatening case, as defined under Republic Act No.
8344, to another health care service provider within the same facility or one which is
conveniently accessible regardless of his or her religious beliefs;
Section 23(b) and the corresponding provision in the RH-IRR, particularly Section 5 .24
thereof, insofar as they punish any public officer who refuses to support reproductive health
programs or shall do any act that hinders the full implementation of a reproductive health
program, regardless of his or her religious beliefs;
Section 17 and the corresponding provision in the RH-IRR regarding the rendering of pro
bona reproductive health service in so far as they affect the conscientious objector in securing
PhilHealth accreditation;
Section 3.0l(a) and Section 3.01 G) of the RH-IRR, which added the qualifier "primarily" in
defining abortifacients and contraceptives, as they are ultra vires and, therefore, null and void
for contravening Section 4(a) of the RH Law and violating Section 12, Article II of the
Constitution.
Dissenting Opinion
Leonen, J.
I. Preliminary Considerations
None of the petitions properly present an “actual case or controversy” which deserves the exercise of
judicial review. The consolidated petitions do not provide the proper venue to decide on fundamental
issues. The law in question is needed social legislation.
An actual case or controversy is “one which involves a conflict of legal rights, an assertion of opposite
legal claims susceptible of judicial resolution; the case must not be moot or academic or based on extra-
legal or other similar considerations not cognizable by a court of justice.”
No locus standi. Petitioners, by no stretch of the imagination, cannot be representative of the interests of
“the entire Filipino nation.” Not all Filipinos are Roman Catholics. Not all Filipinos are from the Visayas.
Certainly not all Filipinos have a common interest that will lead to a common point of view on the
constitutionality of the various provisions of the RH law.
I. Preliminary Considerations
The court is not competent to declare when human life begins. The issue with regards to this must be settled
within the scientific and medical community.
RA No. 10354 protects the ovum upon its fertilization (without actually saying that life begins here). The
issue then, of whether life begins during fertilization or when the ovum plants itself on the uterus wall, is
covered as this protects at both stages.
Although the law does not provide a definition of conception, it has provisions that embody the policy of
the state to protect the travel of the fertilized ovum to the uterus wall. The law states that it will provide
means which do not prevent implantation of a fertilized ovum as determined by the Food and Drug
Administration.
Separate Concurring Opinion
Brion, J.
I. Preliminary Considerations
The petitions are ripe for judicial review. The petitions allege actions by the legislature and by the executive
that lie outside the contemplation of the Constitution. A controversy exists appropriate for this Court's
initial consideration of the presence of grave abuse of discretion: and consequent adjudication if the
legislative and executive actions can be so characterized.