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Spotlight on Draft NHI Bill

November 19, 2018

National Treasury

National treasury has declared that the Draft National Health Insurance Bill will soon be tabled in cabinet for approval.

The bill was published for comment in June 2018.

The NHI White Paper was published in June 2017.

It sets out government’s proposals to put a universal health coverage system in place.

The draft bill aims to:

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

According to treasury, the draft bill has been revised based on input received during the consultation phase.

“Officials from the Presidency, the Department of Health, National Treasury and other government departments have been working together on the revised draft National Health Insurance (NHI) Bill.”

Treasury emphasized that the “NHI must be adequately funded and successfully implemented while reducing the risks involved in the implementation of such a large and complex programme”.

Reference was made to a recent treasury letter on the NHI. Treasury declared that many of the issues raised in the letter had been “substantively addressed”.

Meanwhile, the Independent Regulatory Board for Auditors (IRBA) has announced, in Government Gazette 42037, that the revised Code of Professional Conduct for Registered Auditors is now available.

Some amendments focus on revised and restructured code, revisions pertaining to the offering and accepting of inducements, improving the structure of the code phase 1 and phase 2 and proposed revisions pertaining to safeguards in the code phase 1 and 2.

In Gazette 42037, the Financial Sector Conduct Authority has published proposed amendments to the Listing Requirements of ZAR X for comment.

Objections to the proposed amendments are invited within 14 days of the date of publication.

In a separate matter, the South African Revenue Service has, in Gazette 42036, published amendments to Schedules 2, 3 and 4 of the Customs and Excise Act:

• Notice 1231 – amendment of Schedule 2 on flat-rolled steel – safeguard duty up to 10 August 2019.
• Notice 1232 – amendment of Schedule 2 on flat-rolled steel – safeguard duty in effect from 11 August 2019 until 10 August 2020.
• Notice 1233 – amendment of Schedule 4 on flat-rolled steel – full duty rebate.
• Notice 1234 – amendment of Schedule 3 – full duty rebate on caustic soda.