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Section 1 declares it the policy of the State to eliminate TEL in gasoline to protect public health against lead poisoning.
Section 1 directs that, in place of TEL, ethanol shall be used as a gasoline additive.
The Decree’s declared intent is to arrest the dangers posed by TEL nationwide and address serious lead pollution consequences in the Philippines (preamble).

Section 2 directs the Philippine National Alcohol Commission (PNAC), under the Ministry of Trade and Industry, to immediately draw up a National Ethanol Program.
Section 2 requires the gradual withdrawal of TEL by blending ethanol with gasoline.
Section 2 sets a blend schedule: 5% blend up to a 20% blend.
Section 2 requires the maximum 20% blend to be attained as soon as practicable but not later than 5 years from date hereof.
Section 2 requires the program to include the establishment of alcohol distilleries in appropriate locations throughout the country.
Section 2 mandates preferential emphasis on sugar central districts to ensure adequate ethanol supply.

Section 3 directs the Ministry of Energy to implement a program, consistent with rules and regulations drawn up by PNAC, to cause oil companies operating in the Philippines to blend ethanol with gasoline.
Section 3 provides that the required blending by oil companies shall lead to the phase-out of lead in gasoline.
Section 5 directs the Ministry of Health to monitor on a regular basis the incidence of lead poisoning in the country.
Section 5 requires the Ministry of Health to recommend or take remedial measures warranted to counteract adverse effects.
Section 6 makes PNAC responsible for implementing the National Ethanol Program and for preparing the implementing rules and regulations.

Section 4 directs the National Pollution Control Commission (NPCC) to coordinate with PNAC in establishing standards for permissible lead content in the emission of all types of motor vehicles.
Section 4 directs the NPCC to enforce such standards.

Section 7 repeals, amends, or modifies all laws, decrees, executive orders, administrative orders, rules and regulations (or parts thereof) that are inconsistent with the Decree’s provisions.