ADVOKS GLOBAL · KENYA
Health Act
86. Health finance
Edition: 2026-07-10 · In force
86. Health finance
(1)The department of health shall ensure progressive financial access to universal health coverage by taking measures that include—(a)developing mechanisms for an integrated national health insurance system including making provisions for social health protection and health technology assessment;(b)establishing in collaboration with the department responsible for finance oversight mechanism to regulate all health insurance providers;(c)developing policies and strategies that ensure realization of universal health coverage;(d)determining, during each financial period and in consultation with individual county authorities, cost sharing mechanisms for services provided by the public health system without significantly impending the access of a particular population groups to the system in the areas concerned;(e)defining in collaboration with the department responsible for finance, public financing of heath care framework, including annual allocations towards reimbursing all healthcare providers responding to disasters and emergencies as contemplated under this Act;(f)ensuring, that all pharmaceutical and non-pharmaceutical products correspond to Kenya Medical Supplies Authority market prices; and(g)defining in collaboration with the department responsible for finance, a standard health package financed through prepayment mechanisms including last expense.(2)The Ministry of health shall, in consultation through the established inter-governmental relations mechanisms—(a)provide a framework for collaboration with the ministries responsible for finance, planning and any other relevant department to secure healthcare for vulnerable groups and indigents;(b)provide a framework for examining means of optimizing usage of private health services as a result of relieving the burden carried by the publicly financed system; and(c)provide a framework for establishing a harmonized common mechanism for coordinating planning and financing and monitoring and evaluation within the health sector.