NHI BILL: PUBLIC PARTICIPATION PROCESS

The thinking behind Parliament’s decision to hold provincial public hearings this year on the National Health Insurance (NHI) Bill has not been clearly communiciated in the mainstream media. A Parliamentary Monitoring Group (PMG) sound recording of the meeting at which National Assembly Health Committee chair Sibongiseni Dhlomo announced what is envisaged confirmed that several stakeholders have already approached the committee for more time to prepare detailed written submissions and, subsequently, to present their views during parliamentary hearings. Given the importance of allowing committee members enough time to study these submissions and others already received, according to Dhlomo it seems likely that parliamentary hearings will only take place next year – possibly also allowing more preparation time for those requiring it.

Meanwhile, members of the general public will air their views during provincial hearings scheduled to begin on 25 October in Mpumalanga . Hearings in the Northern Cape province will follow on 1 November. Although dates for the remaining provinces have yet to be announced, four days have been allocated to each province thus far. According to the PMG recording, Dhlomo believes it is important that committee members have an opportunity to hear first-hand the perspectives, concerns and expectations of ordinary South Africans before considering those of stakeholders with the resources to make more detailed written submissions and travel to Parliament to present them in person.

A presidential health accord signed in July maps out what needs to be accomplished during the next five years if NHI is ever to get off the ground. Among other things, the compact entails ‘engaging the private sector’ on improving healthcare service access, coverage and quality.