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{
    "id": 1129300,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1129300/?format=api",
    "text_counter": 96,
    "type": "speech",
    "speaker_name": "Sen. (Dr.) Zani",
    "speaker_title": "",
    "speaker": {
        "id": 13119,
        "legal_name": "Agnes Zani",
        "slug": "agnes-zani"
    },
    "content": "there is anything that should happen, it is that this particular system has to be done so well, so that it captures everybody. We have seen a lot of effort in this, for example, the identification through print that quickly identifies within the system and the member gets services. Clause 26 of this amendment Bill is the issue of the private insurance sector. Many times, you have the amount you are entitled to, but when it comes to utilizing, some issues arise. Here, the Fund shall cover the outstanding bill, for example, when the insurer does not complete the bill payment. Mr. Temporary Speaker, Sir, however, it also insists that the private health insurance shall be liable for payment to the limits of the beneficiary as that beneficiary is covered, so that insurance companies cannot reduce the amount that somebody has been covered in private insurance. Many times, you know that you have paid for a certain amount, but when it comes to usage, you realize the insurance is suggesting that they will pay a certain amount. At that time, you do not have the money and that is why you took the insurance in the first place. Sometimes, this is in small print, but it needs to be clear in big print, especially where a certain amount is to be paid. If the cover is Kshs400,000, then that is what should be paid. Mr. Temporary Speaker, Sir, the Mover talked about raising the penalty from Kshs10,000 to Ksh1 million to make it more punitive, so as to ensure that somebody does not try to go against some of the provisions in this amendment Bill. This Bill will take us to a level where we can have a more organized sector, especially on dealing with the private insurance as this is important. It will give hope that once somebody has a cover and has contributed; and when the time that cover is needed and they require services, those services will be given to them. This is important in this country. I support, Mr. Temporary Speaker, Sir."
}