By: L.N. Reklai

July 19, 2017 (Koror, Palau) House bill 10-19-1, HD3, SD2 to establish minimum equipment and standards for ambulances in Palau, signed into law RPPL 10-9 on Wednesday, contained a significant rider that amended RPPL 9-57 on Non-Communicable Diseases Fund.


RPPL 9-57 law earmarked 10% of Alcohol  and Tobacco Tax to the National Coordinating Mechanism for Prevention of Non-Communicable Diseases (NCD), to implement measures and guidelines for NCD prevention programs.

The National Coordinating Mechanism, made up of key entities from Ministry of Health,  alcohol and tobacco advocacy groups, and other key stakeholders was tasked to implement NCD prevention programs with funds received from Alcohol and Tobacco Tax.

RPPL 10-9 creates “Non-Communicable Disease Fund” within the National Treasury with the purpose to “support effort of the National Coordinating Mechanism for Non-Communicable Diseases.”

The law then distributes the money as State block grants to each State “based on population and needs” for the purpose of “addressing the risks associated with non-communicable diseases (NCD) in children..”

The States, according to RPPL 10-9 shall implement the funds in accordance to with objectives of Executive Order 379 and report to OEK and the Office of the President no later than February of each year.

National Coordinating Mechanism will assist the States and provide framework for coordination between national, states  and others for use of the Funds.

Justification for this amendment was that it would bring the services to where the people are, to bring health services to the communities. [/restrict]