Section 3: Functions of the Authority.

The Authority shall -(a) promote, integrate and regulate all health insurance schemes that operate in Nigeria;
(aa) ensure that tariffs agreed with Health Care Facilities are reviewed on a three-yearly basis to the mutual satisfaction of Health Care Facilities, Health Maintenance Organisations, Health Insurance Schemes and the Authority; and
(b) ensure that health insurance is mandatory for every Nigerian and legal resident;
(bb) carry out such other activities as are necessary or expedient for the purpose of achieving the objectives of the Authority under this Act.
(c) enforce the basic minimum package of health services for all Nigerians across all health insurance schemes operating within the country, including Federal, States, and the Federal Capital Territory (FCT) as well as private health insurance schemes;
(d) promote, support and collaborate with States through State health insurance schemes to ensure that Nigerians have access to quality health care that meets national health regulatory standards;
(e) ensure the implementation and utilisation of the Basic Health Care Provision Fund as required under the National Health Act and any guidelines as approved by the Minister under that Act; [Act No. 8, 2014]
(f) grant accreditation and re-accreditation to Health Maintenance Organisations, Mutual Health Associations, Third Party Administrators and Health Care Facilities and monitor their performance;
(g) subject to section 13, approve contributions to be made by members of the various health insurance schemes;
(h) provide or require the establishment of mechanisms for receiving and resolving complaints by members of the schemes and Health Care Facilities, Health Maintenance Organisations, Mutual Health Associations and Third Party Administrators;
(i) make proposals to the Council for the formulation of policies on health insurance;
(j) provide technical and other relevant support to State health insurance schemes;
(k) seek and advocate for funds for the Basic Health Care Provision Fund;
(l) provide and maintain Information and Communication Technology (ICT) infrastructure and capability for the integration of all data on health schemes in Nigeria including the State health insurance schemes;
(m) undertake on its own or in collaboration with other relevant bodies a sustained public education on health insurance;
(n) devise a mechanism for ensuring that the basic health care needs of indigents are adequately provided for;
(o) maintain a register of licensed health insurance schemes and accredited health care facilities;
(p) evaluate any new proposal in relation to extending the coverage of a health insurance scheme to any group of Nigerians;
(q) in conjunction with the States, devise a mechanism for ensuring that the basic health care needs of vulnerable persons are adequately provided for;
(r) accredit insurance companies, insurance brokers and banks desirous of participating in health insurance schemes under the Authority;
(s) regulating all health insurance schemes in Nigeria in accordance with the provisions of this Act;
(t) approve, after consultation with the Health Care Facilities, formats of contracts for health service purchasing proposed by the Health Maintenance Organisations and the Mutual Health Associations for all Health Care Facilities;
(u) approve, after consultation with Health Care Facilities and the bodies representing the Health Care Facilities, capitation and other payments due to Health Care Facilities by the Health Maintenance Organisations and Mutual Health Associations;
(v) undertake research and generate statistics on matters relating to the Authority;
(w) exchange information and data with the National Health Management Information System, financial institutions, Federal Inland Revenue Service, State Internal Revenue Services, National Bureau of Statistics, professional regulatory bodies and other relevant bodies and individuals for research purposes upon their request;
(x) ensure manpower development of the Authority;
(y) develop operational guidelines for the Authority and ensure it is reviewed at least once in five years;
(z) sanction erring parties in accordance with the provisions of the operational guidelines;