The National Assembly is considering legislation that could end compulsory membership of the Parmed Medical Aid Scheme for MPs, judges and other public office-bearers. ActionSA MP Dr Kgosi Letlape introduced the private member’s bill. It proposes amending the Parliamentary and Provincial Medical Aid Scheme Act of 1975. Under the amendment, eligible officials would be allowed to remain with Parmed, move…
Tag: Parliament
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NHI Act Court Challenge: Fairness of Public Hearings
South Africa’s National Health Insurance (NHI) legislation faced renewed scrutiny in the Constitutional Court yesterday, with arguments centred on whether Parliament’s public participation process met constitutional standards. Western Cape Premier Alan Winde brought the case, claiming the National Council of Provinces (NCOP) rushed key hearings in Gauteng and the Western Cape, making “meaningful engagement” impossible. The challenge lands at a…
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NHI Funding: Court Hears Claims Of Blind NHI Approval
The National Health Insurance (NHI) programme faced renewed legal pressure yesterday. Constitutional Court justices questioned whether the public had enough information to participate meaningfully in the law-making process. At the centre of the dispute is NHI Funding Transparency. Debate continues over whether Parliament should have provided clearer cost and funding details before passing the bill. The NHI Act aims to…
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Parliament’s NHI Process: ConCourt Tests Public Input On NHI
South Africa’s highest court will this week scrutinise Parliament’s NHI Process in two challenges that could reshape the National Health Insurance (NHI) rollout. The Constitutional Court has set aside three days, from 5 to 7 May 2026, to hear applications brought by the Board of Healthcare Funders (BHF) and the Western Cape government. The cases do not yet test the…
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NHI ConCourt Challenge: What’s At Stake For The Health System
South Africa’s National Health Insurance Act is one of the most ambitious legislative reforms since democracy’s advent. Its goal, universal health coverage, is widely supported. But ambition alone does not make legislation constitutional, and the upcoming NHI ConCourt Challenge will test this. The Board of Healthcare Funders (BHF) will appear before the Constitutional Court from 5 to 7 May. Its…
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Section 59 Investigation: CMS Promises Binding Fraud Code
South Africa’s medical schemes regulator says it will implement the recommendations of the Section 59 Investigation into alleged discrimination against black healthcare providers. The commitment was made during parliamentary scrutiny of stalled reforms linked to both the Section 59 process and the Health Market Inquiry (HMI). The Council for Medical Schemes (CMS) launched the investigation after complaints from black providers…
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Parmed Membership: MPs Push To End Compulsory Cover
The debate over political perks has shifted to medical aid. ActionSA MP Kgosi Letlape is lobbying to end compulsory membership of the Parmed medical scheme for MPs and other office-bearers. He argues that elected officials should be able to choose their own scheme. They should also be allowed to opt out entirely. Parmed is a restricted medical scheme. It is…
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NHI Public Participation Challenge Reshapes Legislative Focus
\n\nGetty Images for Unsplash\n\n\n\nThe shift matters because it could determine the fate of several parallel cases. The court has signalled that if the public participation challenge succeeds, arguments about the President’s decision to sign may become irrelevant. In practical terms, this means the court may delay the most politically charged question – whether Ramaphosa acted rationally when signing the NHI…
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HIV ARV Tender Crisis Triggers Parliamentary Scrutiny
Health Minister Aaron Motsoaledi faces urgent questions in Parliament after two companies holding major government contracts to supply HIV medicines entered business rescue. The concern is immediate and practical. Any disruption to antiretroviral (ARV) supply can lead to missed doses. That raises the risk of treatment failure and drug resistance. South Africa carries the world’s biggest HIV burden. An estimated…
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NHI Court Challenges: Litigants Reject Settlement Call
Negotiations are unlikely to resolve the NHI Act court challenges in the near future. Most organisations taking the National Health Insurance (NHI) Act to court have poured cold water on Finance Minister Enoch Godongwana’s suggestion that litigants should meet the government and “craft a settlement”. At the heart of the dispute is trust. Several groups argue that the government should…
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New NHI Taxes Timeline Suggests Delay Until 2033
The government may not need to introduce new taxes to finance the National Health Insurance (NHI) scheme for another decade. This is according to a presentation by the Department of Health to Parliament. The department’s deputy director-general for NHI, Nicholas Crisp, sketched a 15-year phased funding model. This suggests that new tax levies would only commence around 2033/34. New NHI…