Healthcare — SHIF / NHIF
The transition from NHIF to SHIF: who pays, who is covered, what is still broken.
Afya — SHIF / NHIF — Mpito kutoka NHIF hadi SHIF: nani analipa, nani anafunikwa, na bado kuna nini.
- The Social Health Insurance Fund (SHIF) replaces the National Hospital Insurance Fund (NHIF) under the Social Health Insurance Act, 2023. — Social Health Insurance Act, 2023
- SHIF contributions are 2.75% of gross monthly salary (no cap), versus NHIF's banded model that capped at KES 1,700/month. — Ministry of Health
- The transition has been contested in court; the Health Committees in both Houses have held public sittings on roll-out delays. — Hansard
The story so far
Kenya's health-insurance regime is being rebuilt. The Social Health Insurance Fund (SHIF) — created by the Social Health Insurance Act 2023 — replaces the National Hospital Insurance Fund (NHIF) that has served Kenyans since 1966.
The transition affects who pays, who is covered, and which facilities accept the insurance card. Roll-out has been bumpy: court challenges, registration delays, and disputes over which services SHIF covers compared with the NHIF scheme it replaces.
Parliament's role is two-fold: oversight of the Ministry of Health's implementation, and amendments to the SHIF Act and its regulations. This page tracks both — the Hansard contributions, committee sittings, and any further Bills that change the scheme.
What Parliament is doing about it
Where it's debated
Activity over time
Recent certified contributions
- 4 Jun 2026 Hon. Deputy Speaker, I beg to report that the Committee of Supply has considered the Budget Estimates for the Financial Year 2026/2027 and approved the same without amendments. OCHIENG DAVID OUMA National Assembly
- 3 Jun 2026 Thank you, Hon. Deputy Speaker, for giving me the opportunity to contribute to the Motion. I now know it pays to log in early and to be patient. There is... MUTUSE ECKOMAS MWENGI National Assembly
- 3 Jun 2026 Thank you, Hon. Temporary Speaker, for giving me this opportunity to make my humble contribution towards these Budget Estimates. From the beginning, I wish to convey my gratitude to the... Orero Peter Ochieng National Assembly
- 3 Jun 2026 Mr. Speaker, Sir, thank you for your indulgence to allow us to skim through some of the reports that the Committee has presented to the Floor of the House. In... Sifuna Edwin Watenya Senate
- 30 Apr 2026 to, at least, honour his memory by doing what is right. An amount of Kshs450 billion was supposed to be given in the past financial year. In this financial year,... Catherine Muyeka Mumma Senate
- 23 Apr 2026 Further, the National Health Insurance Fund (NHIF) had outstanding bills in some facilities before SHA was operationalised. Outstanding bills interfered with cancer treatment at affected facilities nationwide. That worsened the... SANEY IBRAHIM ADBI National Assembly
- 23 Apr 2026 Thank you, Hon. Temporary Speaker. Let me take this opportunity to welcome students from the Catholic University of Eastern Africa (CUEA) to the National Assembly of the Republic of Kenya.... OUNDO, WILBERFORCE OJIAMBO National Assembly
- 15 Apr 2026 Thank you for allowing us to debate the Bill. The Quality Healthcare and Patient Safety Bill brought to the House proposes a new body called the Quality Health Care and... Ahmed Shakeel Ahmed Shabbir National Assembly
- 2 Apr 2026 Sen. Mumma, as part of the leadership of this House, I need to remind you that this House has already written to the CoG on how this matter can be... Sifuna Edwin Watenya Senate
- 1 Apr 2026 Thank you, Hon. Temporary Speaker. Reassure Hon. Atandi that he should not get goosebumps when he sees me standing. I am just doing my work as per Article 95 of... OUNDO, WILBERFORCE OJIAMBO National Assembly
- 1 Apr 2026 On a point of order, Hon. Temporary Speaker. Hon. Temporary Speaker, I do not want to cut the Chair short because I believe he is speaking from knowledge. If we... ICHUNG’WAH ANTONY KIMANI National Assembly
What Parliament has produced on Healthcare — SHIF / NHIF
Questions 3
- Could the Cabinet Secretary- (i) Provide a detailed report on the current total capitation of the Social Health Insurance Fund (SHIF) from monies from the exchequer, contributions
- Could the Cabinet Secretary— (i) explain why Kenyans are required to register for the Social Health Insurance Fund despite formerly contributing to the National Health Insurance Fu
- Could the Cabinet Secretary – (i) clarify whether the National Health Insurance Fund (NHIF) has ceased remitting funds to private hospitals for provision of free maternity services
Statements 11
- Registration for Universal Health Coverage rollout by Social Health Authority
- the Contributions Policy Framework currently being implemented by the Social Health Authority (SHA) , particularly with respect to the requirement for upfront annual contributions
- the delay by the defunct National Hospital Insurance Fund (NHIF) scheme and its successor, the Social Health Authority (SHA) , to settle claims under the National Youth Service (NY
- the Contributions Policy Framework currently being implemented by the Social Health Authority (SHA) , particularly with respect to the requirement for upfront annual contributions
- Delay in provision of emergency treatment under the Social Health Insurance Fund (SHIF)/Social Health Authority (SHA)
- the unlawful detention of new mothers in public hospitals across Kenya due to unaffordable medical bills
Committee reports 14
- Report Of The Departmental Committee Of Health On Public Petition No. 021 Of 2025 Regarding Access To Healthcare By Cancer Patie
- Report On The County Oversight And Networking Engagements In Kilifi County-1
- Report On The Social Health Insurance Bill, Na Bill No. 58 Of 2023
- Report Of The Departmental On Health On The Report Of The Xxiv Figo World Congress Of Gynaecology And Obstetrics In Paris Conven
- Report On County Governments Additional Allocations (sen Billno. 1 Of 2025)
- Report On The Assessment Of Utilization Of Funds By Social Health Authority And Challenges Faced By Medical Facilities
Senate bills 1
Most active voices on this issue
Members of the current Parliament ranked by their certified contributions on this issue. Select a count to read the actual speeches.
Speeches are matched to topics automatically, by keyword and language model — the match is not individually reviewed.