[OPINION] Pass a National Autism Law now

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Aging parents of children with autism ask the most difficult question: 'What happens when we are gone?' Families are navigating a disjointed system.

In Congress, urgency is a fragile thing. Reform windows open briefly, then disappear under the weight of elections, crises, and competing agendas. The proposed National Autism Care, Support and Inclusion Bill or Senate Bill 1822, sponsored by Senator Risa Hontiveros, already approved by the Senate, sits squarely within that narrow window. It must be acted upon now.

This measure recognizes a reality Filipino families know too well: autism is not a side issue. It cuts across healthcare, education, employment, and social protection. It requires coordination from national agencies down to provincial and local governments. Most importantly, it shifts us away from disconnected programs toward a structured, accountable system that supports individuals from early childhood through adulthood. But to understand why this matters, we must look beyond policy language and into lived experience.

Parents who begin to notice developmental delays in their toddler would need to wait for months for a formal diagnosis. The Philhealth Z-Benefit Package for Children with Developmental Disabilities was intended to help, but regrettably only a handful of hospitals are accredited to offer the service.

There are a little more than 100 developmental pediatricians in the Philippines, servicing over 1 million Filipinos on the autism spectrum. Interventionists, such as speech pathologists and occupational therapists, are also difficult to secure, with many lured by the promise of better pay abroad. By the time a family navigates long waitlists, precious early years have already passed. Early detection, often cited as critical, remains inconsistent and inaccessible even in urban centers. 

The challenges do not end in childhood. A teenager on the autism spectrum may still struggle because accommodations depend on individual teachers rather than institutional policy. A young adult, capable and willing to work, finds doors closed — not due to lack of ability, but because systems are not designed to support neurodiversity. Our justice system — involving police, fiscals, lawyers, and judges — does not have protocols in place to deal with suspects, witnesses, or victims on the autism spectrum.

Aging parents quietly ask the most difficult question: “What happens when we are gone?” Without structured adult services, employment pathways, and community-based support and protections, the future remains uncertain.

These are not exceptional cases. They are common.

This is why the proposed roadmap matters — not just for autism, but as a foundation for a broader disability framework. Autism, by sheer scale and complexity, exposes the gaps most clearly. If we can build a functioning system here, we can create a model that can extend to all persons with disabilities. If we fail, we risk entrenching the fragmentation that has defined the status quo.

As a mother of an adult on the spectrum and a disability advocate, I have seen how families have no choice but to navigate a disjointed system. The bill begins to correct this by mandating inter-agency coordination and localized implementation. These provisions must not only remain, they must be strengthened.

At the same time, careful attention must be given to how the law defines its beneficiaries. The inclusion of the term “self-identification,” while rooted in respect for identity, raises practical concerns. Autism is a clinical condition that requires a formal diagnosis. Access to services, resource allocation, and long-term planning all depend on reliable data and clear criteria. We can uphold dignity without compromising the integrity of systems families depend on.

Equally important is resisting the instinct to equate reform with financial assistance alone. While subsidies can ease immediate burdens, they do not replace the need for functioning systems. Families need accessible diagnostics in community health centers, trained professionals across regions, inclusive schools that work in practice — not just in policy — and employment ecosystems that open real opportunities. Universal, reliable services create lasting dignity. Allowances, by themselves, do not.

This proposed law is not perfect. No policy of consequence ever is. But it offers something the country has long lacked: direction. The National Autism Care Plan Bill, or House Bill 3198, sponsored by Akbayan Representative Percy Cendana is among more than 20 bills on autism pending in the lower house. Congress must act while the opportunity remains — refining where needed, but ultimately passing a version that moves the country towards an Autism-OK Philippines.

Congress must act while the opportunity remains — refining where needed, but ultimately passing a version that moves the country towards an Autism-OK Philippines. – Rappler.com

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