Mp Njeri Maina moves bill to end mandatory prepayments for emergencies

Kirinyaga Woman Representative Njeri Maina has moved the Health (Amendment) Bill in the National Assembly to guarantee emergency treatment without upfront payments. The proposal seeks to strengthen patient protections and impose penalties on facilities detaining deceased bodies over unpaid bills.

On February 11, 2026, Kirinyaga Woman Representative Njeri Maina moved the Health (Amendment) Bill for its second reading in the National Assembly, aiming to amend the Health Act. The bill guarantees access to emergency treatment before the payment of prescribed medical fees, obligating hospitals to provide urgent care without requesting upfront payments.

"The right to emergency treatment must be protected by this House. This expands the scope of emergency care to cover treatment at the scene, during transport and through to the hospital," Njeri said.

The changes address persistent challenges faced by patients and relatives unable to clear medical bills before admission and during treatment. According to the lawmaker, the legislation strengthens patient rights while promoting dignity and fairness in the country's healthcare system.

To enforce compliance, the bill introduces penalties, including a Ksh3 million fine for any public healthcare facility demanding prepayment before administering emergency treatment. It also makes it an offence for public healthcare facilities and providers in charge to detain bodies of deceased people as a means of demanding outstanding medical bills.

While speaking before the National Assembly, Njeri cited a notice by Kenyatta National Hospital (KNH) indicating that 262 unclaimed bodies were held at the facility over the past year, with an additional 124 reported in June 2025 alone.

"Hospitals and mortuaries continue to detain the bodies of Kenyans who have passed on and come from financially incapacitated families to ensure they drain them emotionally to pay the bill," the lawmaker reiterated.

According to Njeri, in one instance, a woman’s body was detained at Mathare Hospital for more than two months over a Ksh3.3 million bill, which her two college-aged sons could not afford to pay. Under the proposal, any public healthcare officer who approves or enables the detention of a body due to unpaid medical bills would face a fine of up to Ksh2 million.

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Nigerian officials and doctors shaking hands in a meeting room, symbolizing the government's pledge to release health workers' arrears amid a strike.
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Nigeria's government pledges quick release of health workers' arrears

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The Federal Government of Nigeria has committed to releasing N11.995 billion within 72 hours to settle outstanding arrears for doctors and other health workers amid a nationwide strike. This follows a high-level meeting with the Nigerian Association of Resident Doctors (NARD), which began an indefinite strike on Saturday over unpaid salaries and welfare issues. The pledge includes payments for accoutrement allowances and builds on recent disbursements totaling over N40 billion.

Mombasa Governor Abdulswamad Nassir has ordered the release of more than 100 women detained in the maternity ward of Coast General Teaching Hospital along with their babies due to inability to pay medical bills. These women were not registered under the SHA health insurance, with bills totaling around Sh100,000. The directive addresses hospital challenges including resource shortages and dangerous overcrowding.

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수십 개 보건 단체의 논란이 된 빈곤 및 재정적으로 무능한 환자 의료 지원(MAIFIP) 프로그램 단계적 폐지 요구에 이어, 상원 위원회는 이를 보편적 의료보험(UHC) 시스템의 영구적 일부로 만드는 법안을 승인했다. 비판자들은 이를 의원들의 '보건 돈키'라고 비난했다. 4개 제안을 통합한 상원 법안 1593호는 위원회 차원에서 승인되었으며 본회의 토론을 기다리고 있다.

보건부는 상원에서 10억 페소 배정에 이어 선별된 지방정부 병원으로 제로 밸런스 청구 프로그램을 확대할 계획이다. 보건장관 테드 허보사 장관이 이 이니셔티브를 발표했으며, 이 프로그램은 7월 이후 100만 명 이상의 환자에게 혜택을 주었다. 피아 카예타노 상원의원은 프로그램을 전국적으로 확대하기 위해 필헬스에 대한 완전한 자금 지원의 필요성을 강조했다.

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선별 지방정부 병원으로 제로 밸런스 청구를 확대할 계획에 이어, 보건부는 추가 MAIFIP 자금을 지방 단위로 직접 재배정해 정치인들의 보증 서한을 우회하고 2026년 예산 논의 속에서 시행을 가속화할 것을 주장한다.

The Ministry of Finance has begun processing pension payments for about 7,000 retirees, including teachers, following months of delays due to a dispute with the Kenya Revenue Authority (KRA). This step is expected to bring relief after their suffering without income. The ministry explains that payments will follow the previous tax rules to avoid further delays.

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A hospital director from Kakamega County has been charged with defrauding the Social Health Authority (SHA) of Ksh2.5 million through fake medical claims. Investigations reveal he manipulated health documents to obtain the funds. The case highlights the intensifying crackdown on fraud in Kenya's healthcare sector.

 

 

 

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