Business Day

NHI submission­s to get attention early in 2020

DA opposed to any plans to outsource assessment of inputs that stood at more than 100,000 as at October 23

- Tamar Kahn Science & Health Writer kahnt@businessli­ve.co.za

Parliament’s portfolio committee on health will consider how to manage the vast volume of written submission­s it received in response to the National Health Insurance (NHI) bill in February, its chair, Sibongisen­i Dhlomo, said on Monday. At issue is whether MPs scrutinise each of the hundreds of thousands of submission­s themselves or outsource some of the work to a third party.

Parliament’s portfolio committee on health will only consider how to manage the vast volume of written submission­s it has received in response to the national health insurance (NHI) bill in February, says committee chair Sibongisen­i Dhlomo.

At issue is whether MPs scrutinise each of the hundreds of thousands of submission­s themselves or outsource some of the work to a third party.

Parliament’s rules are silent on the issue, according to University of Cape Town constituti­onal law expert Pierre de Vos, and it has recently faced controvers­y over outsourcin­g the submission­s received in response to its review of land expropriat­ion without compensati­on.

Dhlomo said he did not know how many written submission­s on the NHI bill had been received by the November 29 deadline, but parliament indicated on October 23 it had already received more than 100,000 written submission­s. The bill is the first piece of enabling legislatio­n for the government’s plans for implementi­ng universal health coverage, which aims to ensure eligible patients have access to health services that are free at the point of care.

The bill is being processed by the National Assembly and was released by parliament for comment on August 8.

In a parallel process, parliament’s portfolio committee on health is holding public hearings in the provinces and has already toured Mpumalanga, Northern Cape, Limpopo and KwaZuluNat­al, and on Sunday wrapped up in the Eastern Cape.

Dhlomo said the committee plans to complete its public hearings in the remaining four provinces early in 2020, finishing up in the Western Cape.

It would consider the written submission­s in parliament’s first session in 2020, which will begin after President Cyril Ramaphosa delivers his stateof-the-nation address, scheduled for February 13.

“We will be seeking guidance from parliament about the process to follow,” he said.

DA health spokespers­on Siviwe Gwarube said it is important that the committee agrees on terms of reference for handling the written inputs, as well as the process for managing oral submission­s. The DA is opposed to outsourcin­g the job entirely, and wants the committee to be involved in scrutinisi­ng the written submission­s.

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 ?? Christians/Sunday Times /Shelley ?? NHI under constructi­on: Workers help to construct a new hospital in De Aar, which forms part of the NHI’s initiative­s.
Christians/Sunday Times /Shelley NHI under constructi­on: Workers help to construct a new hospital in De Aar, which forms part of the NHI’s initiative­s.

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