Cebu City officials are moving forward with a proposed local law designed to significantly improve early detection and support for children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD). The initiative aims to tackle the high financial burden of diagnosis and reduce associated social stigma.
Key Provisions of the Proposed Ordinance
The measure, known as the Cebu City Autism and ADHD Early Diagnosis and Awareness Ordinance of 2025, was authored by City Councilor Michelle Abella-Cellona. Its core objectives are to establish systematic early identification in schools and barangays, offer subsidized diagnostic services, and run robust public awareness campaigns.
A central component is the training of teachers, guidance counselors, and school health personnel to recognize early signs of autism and ADHD. These trained individuals would then refer children for formal medical evaluation, but only with explicit parental consent. The ordinance would also require annual awareness training for school staff and parent-teacher associations.
Addressing Financial and Systemic Barriers
To directly combat the cost barrier that prevents many families from seeking help, the proposal includes an initial fund of P10 million. This money is earmarked to subsidize diagnostic expenses and build the capacity of public health facilities to handle these cases.
During a public hearing on the matter, medical professionals highlighted the urgency. They noted that initial screenings can cost around P4,000 or more, with prices even higher in Manila. Experts urged the city to ensure its program aligns with existing PhilHealth mental health benefit packages, as many families are unaware of available subsidies or find them difficult to access.
Call for Sustained Support and Education
Advocates and stakeholders emphasized that expanding screening is only the first step. They called for sustained public education to foster inclusive learning environments. A major concern raised was that increased screening must be matched with a sufficient number of specialists to avoid creating long waiting lists, which could defeat the purpose of early intervention.
Councilor Abella-Cellona explained that the ordinance addresses a clear gap in the current system. "Early warning signs are often first observed in schools, but there are no clear referral pathways," she stated. The proposal is anchored on the Magna Carta for Persons with Disabilities and includes strict safeguards for patient medical records under the Data Privacy Act of 2012.
If approved, the city government will be required to coordinate with public hospitals, schools, and barangay health centers for implementation. This may include expanding related services at the Cebu City Medical Center. The move represents a significant local effort to build a more supportive and accessible system for neurodiverse children and their families.
