NATIONAL HEALTH INSURANCE AUTHORITY ACT, 2022
Section 13: Establishment of State health insurance or contributory scheme.
(1) Every state of the Federation and the Federal Capital Territory may, for the purpose of providing access to health services to its residents, establish and implement a State health insurance and contributory scheme, to cover all residents of the State and Federal Capital Territory respectively.
(2) The coverage under subsection (1) shall be at the minimum scope of coverage as outlined in the Basic Minimum Package of the National Health Act. [Act No. 8, 2014]
(3) The Authority shall establish a scheme for the coverage of employees of Ministries, Departments, Agencies in the Federal Civil Service and other relevant groups;
(4) For the purpose of the implementation of the scheme under subsection (3), the Authority shall, with the approval of the Council, set out operational guidelines for the scheme.
(5) State health insurance or contributory schemes and the Federal Capital Territory Scheme established under subsection (1) shall comply with the requirements under this Act, to ensure that any Health Maintenance Organisation, Health Care Facility, Mutual Health Association or Third Party Administrator employed in State health insurance schemes or the Federal Capital Territory Health Insurance Scheme are registered by the Authority in accordance with the provisions of this Act.
(6) Every State and the Federal Capital Territory scheme shall establish an Information and Communication Technology (ICT) infrastructure for the management of data and such ICT infrastructure shall be integrated with and provide information in the requisite format to the ICT infrastructure of the Authority. [Act No. 8, 2014]
(7) A State and the Federal Capital Territory shall provide coverage for vulnerable persons under the State health insurance and contributory scheme through the Basic Health Care Provision Fund and other sources and not require the payment of premiums for such coverage by vulnerable persons defined by this Act.
(8) Every State which has established a state health insurance or contributory scheme and which complies with the requirements of this Act shall be eligible to participate in the Basic Health Care Provision Fund as established under the National Health Act and its guidelines.
Cite this section
Section 13, NATIONAL HEALTH INSURANCE AUTHORITY ACT, 2022 (2022).
https://repo.podus.ai/laws/national-health-insurance-authority-act-2022/section/13/