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{
    "id": 1343735,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1343735/?format=api",
    "text_counter": 1338,
    "type": "speech",
    "speaker_name": "Endebess, UDA",
    "speaker_title": "Hon. (Dr) Robert Pukose",
    "speaker": null,
    "content": "participation and at an affordable cost to the community and the country”; (c) by deleting the definition of the phrase “risk spreading”; (d) in the definition of the word “spouse” by deleting the words “who for the time being is named as such by the contributor for that financial year”; (e) in the definition of the word “tariff” by deleting the words “to deliver the most efficient and cost-effective care to patients”; and (f) by inserting the following new definition in the proper alphabetical sequence— “medical insurance provider” has the meaning assigned to it under the Insurance Act (Cap. 487). This first amendment aligns the clause with Clause 4 of the Bill that establishes the Social Health Authority. The second amendment specifies that primary healthcare services are offered at Levels 1, 2 and 3 as delineated in the First Schedule of the Health Act (No.21 of 2017). In paragraph (c), the Social Health Insurance Fund, being a social fund with one pool, is not supposed to provide enhanced schemes and, as such, there is no need for risk spreading. The fourth amendment aligns the definition of the term ‘spouse’ with the definition in the Marriage Act (No.4 of 2014). Lastly, matters of efficiency and cost effectiveness will be considered during the identification and setting of applicable tariffs."
}