NHI Regulations 2025

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Minister of Health Dr Aaron Motsoaledi (pictured) has published proposed regulations that provide for appointing members to the board of the National Health Insurance Fund.
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comments individually delivered, so far (closes 6 June 2025)

Health Minister Aaron Motsoaledi has gazetted regulations for public comment that seek to establish the governance structure of the National Health Insurance (NHI) Act.

As per the regulations, the Department of Health will need to attract the widest pool of candidates with skill sets and diverse backgrounds for the NHI board.

The nominations will come from diverse stakeholders, such as health professional associations, representative trade unions and employer organisations, and civil society organisations.
Parliament will consider all individual comments before a decision is made.

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    NHI another step closer to reality

    BusinessTECH The highly contested NHI was signed into law by President Cyril Ramaphosa last year and seeks to create a universal healthcare fund, with the state acting as the primary healthcare buyer for South Africans.

    However, the Act has received major criticism, with questions raised about the limited roles of medical aid schemes in the country and the poor performance of other government-owned entities.

    The Director General of the Department of Health will create a nomination committee. The Minister will send the nomination committee’s recommendations to the cabinet for approval.

    Once the board is established, it must recruit a suitable candidate for the NHI’s CEO position. The CEO will also need the approval of the minister and cabinet.

    The CEO will be appointed for a term not exceeding five years, renewable only once by the board in consultation with the Minister.