ABSTRACT Coal burning has been the most common and easiest source of electricity generation in the Philippines over the century. There is a need of proper medical and psychological attention as it integrates unusual health threats to humankind, especially the nearby residents This study determined the health effects of coal plant among nearby residents in Batangas. Specifically, it determined the awareness of residents in the effects of coal plant. It identified the effects relative to health status; and finally, reviewed the existing policy and enhance/propose revision based on the results. This study used mixed method that combines the qualitative and quantitative approaches. The health hazards and poor air quality caused by the coal plant affects some of the residents around it. Proximity to the source of pollution and smouldering combustion typical of coal mine fires increase the risk of community exposure to high concentrations of known toxins such as aerosolised particles, and products of incomplete combustion. Long-term exposure with the said chemicals could lead to certain diseases. Most of the residents near coal plant are moderately aware that they suffer from different illnesses, but it does not mean that it is totally due to exposure to coal plant. Residents near coal plant can affect their health status physically and psychologically, whereas other residents do not claim that it is due to coal plant. There are parts of the policy which are not strictly implemented. Review and enhancement of the existing policies should be made because there are some laws that were not properly and effectively implemented based on the interview with the residents living near coal plant.