# NHI and MSA

- Link: https://dearsouthafrica.co.za/nhi/
- Published: 2018-06-25T18:50:51+02:00
- Author: dearSA

# The Department of Health invites you to submit written comments on the proposed National Health Insurance Bill (NHI) and the Medical Schemes Amendment Bill.

### You are invited to object or support the Bills by providing comment below. Should you be unsure, read the live comments, a summary or official documents below the form.   _Closing date is midnight 21 September 2018._

## **20757 **active citizens had a say

**Add your comment now.**

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## LIVE COMMENT FEED

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## LINKS

 * [10 points you should know about the medical aid changes](https://dearsouthafrica.co.za/2018/06/27/10-medical-aid-changes-you-need-to-know-about/)
 * [Daily Maverick article](https://www.dailymaverick.co.za/article/2018-08-22-will-nhi-and-medical-schemes-amendment-bills-offer-appropriate-response-to-healthcare-crisis/)
 * fin24 –[Everyone will be covered by NHI by 2025 – Ramaphosa](https://www.fin24.com/Economy/everyone-will-be-covered-by-nhi-by-2025-ramaphosa-20180824)

## SUMMARY

**The National Heath Insurance (NHI) Bill aims to;**

 * provide mandatory prepayment health care services in the Republic in pursuance
   of section 27 of the Constitution;
 * establish a National Health Insurance Fund and to set out its powers, functions
   and governance structures; to provide a framework for the active purchasing of
   health care services by the Fund on behalf of users;
 * create mechanisms for the equitable, effective and efficient utilisation of the
   resources of the Fund to meet the health needs of users;
 * preclude or limit undesirable, unethical and unlawful practices in relation to
   the Fund and its users;
 * provide for matters connected herewith.

**The Medical Schemes Amendment Bill aims to;**

 * amend the Medical Schemes Act, 1998; so as to exclude the application of the 
   Consumer Protection Act, 2008, in relation to matters governed by the Medical
   Schemes Act;
 * extend the functions of the Council;
 * insert a new section 8A in terms of which the Council may require information
   from medical schemes concerning the services rendered by the health care providers
   to beneficiaries;
 * insert a new Chapter 3A providing for the creation of a Central Beneficiary Register
   and the management of that register by the Registrar and to establish risk measurement
   methodology;
 * redetermine the provisions relating to the admission of beneficiaries to a medical
   scheme and the cancellation of membership;
 * insert a new Chapter 5B, in relation to the various requirements applicable in
   determining the contributions payable to a medical scheme by its members;
 * provide for a Health Care Providers Register to be kept and maintained by the
   Registrar;
 * repeal certain sections;
 * re- determine the provision dealing with the establishment of the Appeal Board;
 * introduce an enhanced system of governance of medical schemes under the new chapter
   11A;
 * empower the Council to determine broker fees from time to time and define the
   circumstances in which a medical scheme may receive payment of broker fees due
   by its members to a broker;
 * declare the carrying on of the business of a medical scheme by a person not registered
   as a medical scheme to be a separate offence,
 * prescribe the criminal penalties that may be imposed on persons convicted of 
   that offence;
 * provide for matters connected therewith.

## DOWNLOAD DOCUMENTS

Download the [Medical Schemes Amendment Bill](http://pmg-assets.s3-website-eu-west-1.amazonaws.com/medical_schemes_amendment_bill_draft.pdf)

Download the [National Health Insurance Bill (NHI)](http://pmg-assets.s3-website-eu-west-1.amazonaws.com/nhi_bill_draft.pdf)

![DearSA - National Health Insurance](https://cdn.dearsouthafrica.co.za/wp-content/
uploads/2018/06/20191412/National-Health-Insurance.jpg "National Health Insurance")

_Important to note; this is not a petition but is the first step in an essential
Participative Democracy process protected under the SA Constitution. Your__ comment
is immediately sent as a **unique email** to the designated government representative
and must, by law, be individually acknowledged and considered. Had this been a petition,
all comments would be seen as a single submission._

_By using this service you ensure an accurate record is held by civil society (on
our encrypted database) so government cannot fudge facts or figures. This process
forms a solid foundation for a legal case should the necessity arise._

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