Title
Philippine Health Insurance Corp. vs. Commission on Audit
Case
G.R. No. 222838
Decision Date
Sep 4, 2018
PhilHealth's IME payments to BOD members disallowed by COA for lack of legal basis; SC upheld ruling, requiring refund of unauthorized allowances.

Case Summary (G.R. No. L-36769)

Background of the Expenses

In October 2007, the PhilHealth BOD approved Board Resolution No. 1055, which allowed its members to receive monthly Board Extraordinary and Miscellaneous Expense (BEME) reimbursements of ₱30,000. This resolution aimed to cover necessary expenses incurred during the performance of official duties. It was further amended in December 2007 through Board Resolution No. 1084, allowing unexpended BEME balances to be carried over to succeeding months. Additionally, a resolution dated February 12, 2009, allocated ₱4,320,000.00 from the 2009 Corporate Operating Budget for BOD expenses outside board meetings.

COA's Audit Findings

On May 24, 2011, the COA issued an Audit Observation Memorandum (AOM), highlighting irregularities in the reimbursement of EME, with a total of approximately ₱19.95 million in 2010 charged under IME and Committee Meeting Expenses accounts. The COA noted that reimbursements exceeded the General Appropriations Act (GAA) prescribed limits and were charged against other accounts, violating budgetary controls as stipulated in the GAA and COA Circular No. 2006-01.

Issuance of Notice of Disallowance

Consequently, Notice of Disallowance No. HO 12-004(10) was issued on July 18, 2012, disallowing IME payments for lack of legal basis, which prompted PhilHealth to file an appeal that was ultimately denied by the COA-Corporate Government Sector (CGS). The COA held that Section 18(d) of Republic Act (RA) No. 7875 explicitly stated that per diem was intended as compensation for BOD members, with no authorization for additional allowances.

PhilHealth's Appeal and Arguments

PhilHealth contended that the COA-CGS misinterpreted legal provisions, arguing instead that the term “month” under the COA’s rules should encompass a period of 30 days rather than the strict notation of six months equating to 180 days. However, the Supreme Court noted that the COA correctly calculated the procedural deadlines, ruling that PhilHealth’s appeal was filed after the allowable reglementary period.

Merits of the Appeal

Even if the court were to consider the merits of PhilHealth’s case, the Court found no legal authority permitting the payment of IME to BOD members in light of prevailing statutes. It distinguished between appointive and ex officio members, asserting that only appointive members could receive per diem payments and emphasizing that ex officio members, holding public positions, do not have a right to additional compensation due to existing regulations pertaining to double compensation and prohibitive allowances.

Findings on Ex Officio Members

The Court noted that ex officio members were already compensated through their governmental roles, effectively negating any additional allowances from PhilHealth. Furthermore, PhilHealth’s reference to Department of Budget and Management Circular No. 2007-510 was deemed irrelevant as it only allows reimbursements within GAA provisions.

Legislative Limitations and Constitutional Provision

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