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…
Tag: Regulation
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Oral Phenylephrine Phase-Out Puts OTC Brands Under Review
South Africa’s medicines regulator is under mounting pressure from pharmaceutical manufacturers. This comes after it signalled it may phase out oral phenylephrine in over-the-counter (OTC) cold and flu medicines. The South African Health Products Regulatory Authority (SAHPRA) says the concern is simple: the ingredient may not work as a nasal decongestant when taken by mouth. Phenylephrine still appears in long-standing…
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National Health Insurance: Minister Meets Medical Association
Health Minister Aaron Motsoaledi has begun fresh engagement with one of his fiercest critics on the National Health Insurance (NHI). He met with the South African Medical Association (Sama) recently to discuss what he called “things we have in common”, despite Sama being among the organisations challenging the National Health Insurance Act in court. The NHI aims to establish a…
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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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NHI Implementation on Hold After Presidential Undertaking
President Cyril Ramaphosa has formally undertaken not to bring any part of South Africa’s National Health Insurance (NHI) Act into operation until the Constitutional Court has ruled on two challenges focused on public participation. The undertaking was conveyed in a letter dated 20 February from the Office of the State Attorney. It states the president “undertakes not to promulgate any…
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US Childhood Vaccine Schedule Under Legal Challenge
Major US medical organisations are asking a federal judge in Boston to urgently block new federal guidance that reduces the number of vaccines routinely recommended for children. The debate centres on whether changes to the US Childhood Vaccine Schedule by the administration could impact public health. In addition, the case is shaping up as a pivotal test of how far…
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FDA Unpredictable: Moderna Challenges the Agency
Moderna has launched a rare public attack on the US Food and Drug Administration, warning that an “unpredictable” regulator could weaken America’s lead in drug innovation. During the call, company leaders specifically argued that the FDA’s unpredictable decision-making undermines industry momentum. The comments came during the company’s Friday analyst call. This was just days after the FDA declined to accept…
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Sizwe Hosmed Curator Replacement Ordered By High Court
The medical schemes regulator has won its bid to replace Sizwe Hosmed’s curator. This successful Sizwe Hosmed curator replacement, according to the Council for Medical Schemes (CMS), will not disrupt the scheme. It also stressed that Sizwe Hosmed remains fully operational. A High Court order handed down on Wednesday in Pretoria confirmed Ian Fleming as curator with immediate effect. He…
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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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Sizwe Hosmed Curatorship Exposes R522m in Duplicate Claims
South Africa’s medical scheme regulator has escalated its fight to keep Sizwe Hosmed under curatorship. An affidavit filed in the High Court in Pretoria alleges serious governance and payment failures at the troubled scheme. The allegations include potential duplicate claims exceeding R522m, stale claims worth R81m, procurement concerns, and alleged misuse of a corporate credit card. The affidavit was filed…
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Bonitas Tender Dispute: Court Action and Tender Controversy
South Africa’s second-largest open medical scheme, Bonitas, is opposing an urgent court application by Medscheme to block the appointment of two new service providers. The Bonitas Tender Dispute centres on Bonitas’ decision to end a 44-year administration relationship with Medscheme. Medscheme has served as its administrator since 1982. Bonitas, which covers more than 730,000 people, has appointed Momentum to take…
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Dis-Chem MyHealth Partnership Defends Retail-Led Cover
Dis-Chem has defended its health insurance partnership with Centriq and Kaelo after a ruling by the Council for Medical Schemes (CMS). The pharmacy retailer says the decision clarifies the process. It argues it is not a warning shot against retail-led healthcare models. The CMS found that changes to the branding and presentation of Centriq’s MyHealth insurance products under the Dis-Chem…