Long title

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

Table of contents

SECTION	TITLE
	PREAMBLE
	ARRANGEMENT OF ACT
1.	Definitions
	CHAPTER 1. PURPOSE AND APPLICATION OF ACT
2.	Purpose of Act
3.	Application of Act
	CHAPTER 2.ACCESS TO HEALTH CARE SERVICES
4.	Population coverage
5.	Registration as users
6.	Rights of users
7.	Health care services coverage
8.	Cost coverage
	CHAPTER 3, NATIONAL HEALTH INSURANCE FUND
9.	Establishment of Fund
10.	Functions of Fund
11.	Powers of Fund
	CHAPTER 4. BOARD OF FUND
12.	Establishment of Board
13.	Constitution and composition of Board
14.	Chairperson and Deputy Chairperson
15.	Functions and powers of Board
16.	Conduct and disclosure of interests
17.	Quorum, decisions and procedures
18.	Remuneration and reimbursement
	CHAPTER 5. CHIEF EXECUTIVE OFFICER
19.	Appointment
20.	Responsibilities
21.	Standards Compliance
22.	Staff at executive management level
	CHAPTER 6. COMMITTEES ESTABLISHED BY BOARD
23.	Committees of Board
24.	Technical committees
	CHAPTER 7. ADVISORY COMMITTEES ESTABLISHED BY MINISTER
25.	Benefits Advisory Committee
26.	Health Care Benefits Pricing Committee
27.	Stakeholder Advisory Committee
28.	Conduct and disclosure of interest
29.	Procedures and remuneration
30.	Vacation of office
	CHAPTER 8. GENERAL PROVISIONS APPLICABLE TO OPERATION OF FUND
31.	Role of Minister
32.	Role of Department
33.	Role of medical schemes
34.	National Health Information System
35.	Purchasing of health care services
36.	Role of District Health Management Office
37.	Contracting Unit for Primary Health Care
38.	Health Products Procurement Unit
39.	Accreditation of service providers
40.	Information platform of Fund
41.	Payment of health care service providers
	CHAPTER 9. COMPLAINTS AND APPEALS
42.	Complaints
43.	Lodging of appeals
44.	Appeal Tribunal
45.	Powers of Appeal Tribunal
46.	Secretariat
47.	Procedure and remuneration
	CHAPTER 10. FINANCIAL MATTERS
48.	Sources of funding
49.	Chief source of income
50.	Auditing
51.	Annual reports
	CHAPTER 11. MISCELLANEOUS
52.	Assignment of duties and delegation of powers
53.	Protection of confidential information
54.	Offences and penalties
55.	Regulations
56.	Directives
57.	Transitional arrangements
58.	Repeal or amendment of laws
59.	Short title and commencement
Sch.	SCHEDULE. REPEAL AND AMENDMENT OF LEGISLATION AFFECTED BY ACT (SECTION 58) [s58]

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