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{
    "id": 748345,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/748345/?format=api",
    "text_counter": 167,
    "type": "speech",
    "speaker_name": "Hon. (Dr.) Nyamai",
    "speaker_title": "",
    "speaker": {
        "id": 1979,
        "legal_name": "Rachael Kaki Nyamai",
        "slug": "rachael-kaki-nyamai"
    },
    "content": "The Committee’s recommendation was that the National Assembly rejected this and brought it as a matter to be discussed during the mediation. The justification was that the role of the national Government is to develop standards, policies and guidelines for registration, licensing, certification and gazettement. Additionally, internship is part of training, and capacity building is a national Government function. The Mediation Committee resolved to reinstate Clause 17(i) and (j) as per the National Assembly’s amendment. The justification was that this is in line with the functions of the national Government in developing standards, policies and guidelines for registration, licensing, certification, gazettement and internship. This is because internship is part of training, which is a function of the national Government. The Senate proposed that Clause 18 be deleted and substituted with the following new clause: “18. For the purposes of Clause 15(1)(b), the Cabinet Secretary shall– (a) form directorates to deal with the following matters: medical services, nursing and allied workers, pharmaceutical services, public health and administrative services; and, (b) notwithstanding paragraph (a), form directorates based on policy priority areas in consultation with the DG.” The justification was that this will compel the CS to create directorates that deal with areas within the health sector for better coordination. The Committee rejected the Senate’s amendment. The justification for rejection was that creation of directorates is an administrative function and does not require legislation. The Committee agreed with the Senate Amendment on the creation of directorates by the CS as follows: “For the purpose of Section 15(1)(b), the Cabinet Secretary shall– (a) form directorates to deal with the following matters: medical services, nursing, pharmaceutical services, public health, and administrative services; and, (b) notwithstanding paragraph (a), form other directorates based on policy priority areas in consultation with the Director-General.” I notice a slight error on the Order Paper, on page 434. I, therefore, seek your indulgence to move a further amendment to include the word “other” to appear in paragraph (b). The word is missing and it makes the sentence not to be in order. Therefore, I beg your indulgence. The purpose of including the word “other” is to enable flow of language so that this amendment does not bring confusion. The justification for this amendment is to ensure that the CS is able to create directorates that deal with key areas within the health sector for better coordination without requiring legislation. Deleting the phrase “allied workers” in Clause 18(a)(ii) is meant to remove any ambiguity in the law. Let me proceed to Clause 19 on the county health systems. The Senate Amendment was as follows: “THAT, Clause 19 of the Bill be amended in subclause (4) by deleting paragraph (a) and substituting therefor the following new paragraph— (a) be a health practitioner registered by the respective regulatory body.” The Committee rejected the Senate Amendment to Clause 19(4)(a). The justification was that for effective management of the heath function, the County Director of Health must be a medical practitioner. The Mediation Committee resolved to retain the National Assembly’s The electronic version of the Official Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Hansard Editor."
}