Pretoria: President Cyril Ramaphosa has agreed to delay the proclamation of any sections of the National Health Insurance Act (NHI) following litigation brought against the President and the Minister of Health.
According to South African Government News Agency, the decision was taken after consultations between President Ramaphosa and Health Minister, Dr. Aaron Motsoaledi, in light of legal challenges currently before the Constitutional Court of South Africa. The litigation initiated by various parties against the President and the Minister of Health has led to this delay, pending the Constitutional Court’s judgments in challenges scheduled for 5 – 7 May 2026.
The matters to be heard in court concern the public participation process that preceded Parliament’s adoption of the NHI Bill. The statement confirmed that the undertaking to delay proclamation will remain in place until the Constitutional Court has delivered its judgments, with an agreement expected to be made an order of court on 24 February 2026.
The Presidency underscored that the delay will not impact the broader timetable for implementing the NHI. The Department of Health has indicated that preparatory work, including efforts to strengthen and improve health services, is ongoing before any sections of the Act are enacted.
The government reaffirmed its commitment to the National Health Insurance policy, highlighting its intention to continue adhering to legal requirements and respecting the judicial process to ensure implementation without undue delay.
Meanwhile, the Department of Health will maintain its constitutional responsibility to enhance the health system and improve the quality of care for all South Africans.