Trade union Solidarity, which has a pending legal case against NHI legislation, is investigating whether Pres Cyril Ramaphosa is in breach of a recent Court Order that Government may not take any further implementation or development steps regarding the NHI Act until the Constitutional Court has delivered a ruling in the pending legal cases regarding the Act. - Daily Investor (13 March 2026)
This follows Ramaphosa announcing various steps the Health Department has taken to prepare for the implementation of NHI. They includeprocedures for the registration of people who are going to use NHI; the accreditation framework; contracting arrangements for healthcare establishments and providers; as well as the implementation of digital systems.
These comments come after a recent High Court ruling, which stated that Government may not take any further implementation or development steps regarding the NHI Act until the Constitutional Court has delivered a ruling in the pending legal cases regarding this Act. The
Following the High Court order, Solidarity sent a formal notice to the President, the Department of Health, the National Treasury and relevant ministers, warning them against any possible disregard of the court order.