Mutula Kilonzo Jr. has urged Parliament to urgently resolve long-standing National Hospital Insurance Fund (NHIF) arrears owed to counties, warning that continued delays could cripple devolved health services.
Appearing before the Senate Committee on Investments and Special Funds chaired by William Kipkemoi Kisang, the Makueni governor said counties were struggling with unpaid claims for services already rendered, accusing the national government of dragging its feet in finding a payment solution.
“Without a solution, health systems at the county level risk collapse,” he said, calling on lawmakers to treat the matter with urgency.
Mutula noted that adequate financing remains critical to delivering on the health agenda, arguing that counties can significantly improve services if funding challenges are addressed.
He also raised concerns over the mandatory 35 percent wage bill cap, saying it undermines service delivery. While constructing hospitals is classified as development expenditure, hiring professional staff to run them is treated as recurrent spending, creating a policy contradiction that hampers effective healthcare provision.
The governor further called for the zero-rating of medical equipment to lower costs and support the country’s Universal Health Coverage (UHC) goals.
During his presentation, Mutula outlined measures Makueni County is implementing to enhance healthcare access, including automation of health processes and rapid registration under the Social Health Authority (SHA).
He said the county had set aside Sh90 million under its Universal Health Coverage programme to register approximately 11,000 indigent residents, with plans to scale up coverage to 200,000 people. The initiative, he added, is aimed at ensuring sustainability in healthcare financing, particularly for vulnerable populations with no alternative access to medical services.
Mutula also highlighted the use of Proximie technology to bridge gaps in specialised medical manpower, enabling remote support and expertise in local facilities.
Members of the committee commended the county for deploying technology in the health sector and for putting in place systems that promote accountability.
