Right to Care Cards Expand Legal Protections for Queer Couples
Queer couples across the Philippines are celebrating a major step forward in their fight for equal rights, as “Right to Care” cards become more widely available and increasingly accepted by local governments. These innovative cards grant LGBTQ+ partners the legal authority to make critical healthcare decisions for each other, a right previously reserved only for legal spouses or next of kin. With the rollout of these cards in cities like Quezon City and San Juan, Filipino queer couples can now face medical emergencies with clarity, empowerment, and dignity, even as national marriage equality remains out of reach.
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Legal recognition at the local level
Unlike traditional legal protections, Right to Care cards act as portable proof of a notarized Special Power of Attorney (SPA), directly authorizing the holder’s partner to accept, refuse, or withdraw consent to treatments, tests, and procedures on their behalf. In Quezon City, where the program was first launched, 468 queer couples have applied for the card since 2023, marking Quezon City as the pioneer city in championing this initiative. The program was launched in partnership with local hospitals and the Gender and Development Council, ensuring proper training and understanding among medical staff.
See the city stats
From paperwork to empowerment
Before the introduction of Right to Care cards, LGBTQ+ couples often struggled to be recognized as decision-makers during emergencies, forcing them to secure separate SPAs, frequently under duress. Now, a streamlined process allows couples to register with their local Gender and Development Council, attend a brief orientation, and sign the SPA before receiving their card (usually within four weeks). The card’s embedded QR code links directly to the notarized legal document, making it easy for hospital staff to verify its authenticity.
Get the application details
Addressing a national gap
While these cards represent a significant victory at the local level, queer advocates acknowledge the limitations. On September 20, 2025, lawmakers renewed their call for a national Right to Care Act, which would mandate all hospitals in the country to accept these cards and extend the right to designate a healthcare agent through PhilHealth forms. Without national legislation, couples are still vulnerable outside progressive cities, and face inconsistent acceptance in private hospitals or regions without such ordinances.
See the latest legislative developments
Know your rights: what this means for you
If you’re a Filipino queer couple, Right to Care cards can help you navigate medical treatment with greater confidence and less anxiety. With your card, you can:
- Present legal proof of authority to make care decisions, even in stressful emergencies.
- Exercise equal footing with married couples when discussing care options with hospital staff.
- Help protect each other’s dignity, privacy, and health outcomes.
But remember: the cards currently work best in participating cities and public hospitals. For expanded protections, keep watch for updates on the Right to Care bill in Congress.
Step-by-step: How to apply for a Right to Care card
Applying is straightforward:
- Register with your local Gender and Development Council, either online or in person.
- Attend an orientation and bring your valid IDs.
- Sign the SPA in front of a legal counsel.
- Wait for notification and pick up your card at the GAD office.
For full details, check out the official guide from Quezon City. How to apply
Share your story and strengthen our rights
Each Right to Care card handed out signals progress in building a more inclusive Philippines. If you’ve received one, share your experience with loved ones, support others in their application process, or get involved in local advocacy efforts. Together, we can call for the passage of national protections and help every Filipino couple love, and care, freely.
