NYIKAL WAMBURA JAMES

Hon. Temporary Chairlady, I oppose the proposed amendment of reducing the threshold to a quarter of the membership. I am more agreeable with the prevailing threshold of one-third. Again, a requirement of two-thirds would be so high that it would be almost impossible to initiate the process. One-third is more...

Hon. Temporary Chairlady, I agree, but I am calling for a midway. If we go with this and just say yes or no, then what we will be dealing with will be a quarter and two-thirds. Now, the original law was actually one-third. For initiation, one-third is proper. What Hon....

It is important for posterity. I mean, if we spend a day just doing this, it is still important. If everything goes as it is, what is going to happen is the initiation process threshold will drop to one-quarter. The Temporary Chairlady (Hon. Martha Wangari) : Yes. Instead of two-thirds....

Thank you, Hon. Temporary Speaker. Well, it is almost obvious, but let us leave it at that. This is a very important amendment Bill. The position of county executive committee members (CECs) has left many people wondering whether they function or not. It is an important office, and it is...

Thank you, Hon. Temporary Speaker, for giving me this opportunity. This is actually an amendment that we should have had a long time ago. I will focus on one major aspect of it. Attempted suicide is often associated with mental illness, particularly conditions such as bipolar disorder during a depressive...

Hon. Temporary Chairlady, I oppose the proposed amendment of reducing the threshold to a quarter of the membership. I am more agreeable with the prevailing threshold of one-third. Again, a requirement of two-thirds would be so high that it would be almost impossible to initiate the process. One-third is more...

Hon. Temporary Chairlady, I agree, but I am calling for a midway. If we go with this and just say yes or no, then what we will be dealing with will be a quarter and two-thirds. Now, the original law was actually one-third. For initiation, one-third is proper. What Hon....

It is important for posterity. I mean, if we spend a day just doing this, it is still important. If everything goes as it is, what is going to happen is the initiation process threshold will drop to one-quarter. The Temporary Chairlady (Hon. Martha Wangari) : Yes. Instead of two-thirds....

Thank you, Hon. Temporary Speaker. Well, it is almost obvious, but let us leave it at that. This is a very important amendment Bill. The position of county executive committee members (CECs) has left many people wondering whether they function or not. It is an important office, and it is...

Thank you, Hon. Temporary Speaker, for giving me this opportunity. This is actually an amendment that we should have had a long time ago. I will focus on one major aspect of it. Attempted suicide is often associated with mental illness, particularly conditions such as bipolar disorder during a depressive...

Actually, Hon. Maungu is my neighbour and the problem of motorbike riders being attacked at night is actually the same. The pattern is the same. Even in my constituency, when some were traced, we found there is a link with Luanda. At least the bodaboda riders say there is a...

Hon. Temporary Chairman, do you know what is happening here? Both sides are saying the same thing. The first thing is that the immediate livelihood of the fishermen must be protected. The next one is the long term. Let me tell you. I am two kilometres from the lake and...

Hon. Chairman, there is provision. What we are talking about here is the amount and we are putting percentages. But really, if you look at it, we are actually going in a lot more detail. There are always regulations that will come. So, the percentages and where you apply the...

Hon. Temporary Chairman, I compare this Bill to the one we considered with Hon. Millie on Assisted Reproductive Technology, where

Thank you. We will bring a report within the first week after recess.

Thank you, Hon. Temporary Speaker. Relatively extensive work will be involved in this. However, we can give a report within two weeks after the recess.

Thank you, Hon. Temporary Speaker. I rise to support this Sovereign Wealth Fund Bill. I have waited here this long because I believe this is an extremely important Bill. A country, just like a household, needs to save and look into the future. A country, again, like a household, needs...

Hon. Temporary Speaker, I beg to lay the following Paper on the Table: Report of the Departmental Committee on Health on its consideration of Public Petition No. 1 of 2026 by Mr James Kago regarding management of Haemophilia and other bleeding disorders among patients and children in the country.

Hon. Temporary Speaker, I beg to give notice of following Motion: THAT, this House adopts the Report of the Departmental Committee on Health on its consideration of Public Petition No. 01 of 2026 regarding management of Haemophilia and other bleeding disorders among patients and children in the country, laid on...

Thank you, Hon. Temporary Speaker, for giving me this opportunity to contribute. I rise to support the Supplementary Budget Estimates II. As we have noted, the time was short. However, our Committee looked through it and agreed that the sector was not affected in any way. We noted with concern...

Hon. Speaker, bhang as a drug is a cannabinoid. It is a substance. Its effect on the brain is known. We are not discussing something that has not been tested in science. It has effect on the brain. That is what it does, when it is used. The issues we...

Hon. Speaker, that is exactly what I am saying. It changes how you perceive things and how you see things. Like I have said, if you are in a 10-storey building, it will look near. That is the perception. It is near and you will jump. Like you have said,...

The Statement requested is of a very serious nature. It is of a grave nature. Yes, it is of a grave nature. First is the fact that the procedure was performed in a chemist. Secondly, apparently, somebody known to be mentally unwell did it. We will strive to get as...

Thank you, Hon. Deputy Speaker, for giving me this opportunity. I rise to support this Bill. I think it is of great importance to our society. Justice, peace, and harmony are what keep human society running, and they distinguish us from animals. They depend on judicial, police, public prosecution, and...

The Ministry of Health has two State departments: State Department of Medical Services and the State Department of Public Health and Professional Standards. At times, funds are allocated to one department or the other. When we speak about public health and professional standards, we are largely referring to regulatory authorities....

Thank you, Hon. Temporary Chairman. As I support this initiative, one of the programmes under it is intergovernmental relations, an area 4th June 2026 NATIONAL ASSEMBLY DEBATES 89 where, as a country, we continue to experience many challenges. It serves as the link between national government and the county governments....

Thank you, Hon. Temporary Speaker. He has, in fact, asked about two viruses. One is the Hantavirus and the other is the Ebola virus. With regard to the Ebola virus, as Members are aware, the Cabinet Secretary will be in the House this afternoon to respond to the very issues...

Thank you, Hon. Temporary Speaker for this opportunity. As I rise to support this Budget, I will only make comments on three areas that I think are important. Money has been allocated to them but we may have to do a little more. I will start with the area of...

Thank you, Hon. Temporary Speaker. He has, in fact, asked about two viruses. One is the Hantavirus and the other is the Ebola virus. With regard to the Ebola virus, as Members are aware, the Cabinet Secretary will be in the House this afternoon to respond to the very issues...

Thank you, Hon. Temporary Speaker for this opportunity. As I rise to support this Budget, I will only make comments on three areas that I think are important. Money has been allocated to them but we may have to do a little more. I will start with the area of...

Thank you, Hon. Speaker. Who will be admitted to this facility, and what will be the criteria for admission? Secondly, will individuals who are already sick be transferred to this facility? Thirdly, will people other than Americans be admitted to these institutions? Conversely, will Americans be admitted to the other...

Hon. Speaker, I said… Hon. Speaker: Dr Nyikal, I heard you clearly. Take your seat. Hon. Caroli Omondi just wanted an entry to make an inflammatory statement. You never said that. Hon. Jaldesa. (Hon. Caroli Omondi consulted loudly) 3rd June 2026 NATIONAL ASSEMBLY DEBATES 15 Order, Hon. Caroli Omondi! Hon....

Hon. Speaker, will people who are already sick be transferred to this unit from wherever they are? I asked that question because science and international practice stipulate that infected persons in a pandemic or epidemic should be treated wherever they are. You do not move sick people to a place...

Thank you, Hon. Speaker. I hope it is on a separate issue. We have dealt with the Ebola issue. Wait for it tomorrow. Hon. Speaker, I would like to only add a little on Ebola. As we have indicated at the Committee level, while the matter will be addressed in...

Thank you Hon. Speaker for giving me this opportunity to make a Personal Statement on the death of my father, Mzee Liu Nyikal Okaka, 2nd June 2026 NATIONAL ASSEMBLY DEBATES 15 who died on 11th April 2026 at the grand old age estimated to be 104 years. He was buried...

Thank you, Hon. Speaker. I rise to reply to the debate on the Motion for Adoption of the Report on Public Petition No.21 of 2025, regarding access to health care of cancer patients in the country. I wish to sincerely thank all the Members who contributed to the Motion and...

THAT, Clause 18 of the Bill be amended in—

THAT, Clause 23 of the Bill be amended in paragraph (b) by inserting the words “for their employees” immediately after the word “training”. Previously, this addressed the training needs of the health facilities employees. However, it was not clear who was being trained. If we insert the words, “training of...

THAT, Clause 27 of the Bill be amended by deleting paragraph (j) . We are deleting paragraph (j) which outlined what the Authority does. If inspection was done, subsequently, we would remove it from other regulatory authorities. However, the other regulatory authorities would still need to inspect, but for purposes...

The explanation is that this Authority deals with management of facilities. We still have other regulatory authorities that deal with issues of internship and training. If we have this in both facilities, there would be a conflict. If it is removed here, it resorts to the regulatory authorities that deal...

Hon. Chairlady, it is about facilities. When you look at (d) , you will see enforced compliance with quality of health care and inspect their facilities for compliance with the quality of health standards. Let me try to explain further what we are doing here. We are creating this Authority...

THAT, Clause 29 of the Bill be amended in subclause (1) by—

I actually agree with the comment by Hon. Makali. If we are looking at the formatting, we could say: “Nominated by the regulatory authority and appointed by the Cabinet Secretary.” I have no problem with that. We can move it as a further amendment as well, that reads: “ (ha)...

THAT, Clause 30 of the Bill be amended in—

To answer Hon. Oundo, the requirement does not necessarily amount to 15 years of experience. It could be 10 years. Within those 10 years, a person may have acquired the professional experience and the five years required to the management level. Therefore, while the total experience could be as much...

THAT, Clause 35 of the Bill be amended in subclause (2) by deleting the words “a healthcare related field” appearing in paragraph (b) and substituting therefor the words “healthcare sciences”. Basically, we are addressing the use of the term, “Health-related field,” which is rather broad. We need to be more...

THAT, Clause 37 of the Bill be amended by deleting subclause (3) and substituting therefor the following new subclause (3) —

Yes, Hon. Chairlady. We discussed the issue of transmitting the decisions and resolutions of the Board quite a bit. Basically, the Corporation Secretary takes minutes of the meetings. Therefore, as much as the CEO is also in the meetings, the actual minutes and resolutions of the meetings are written down...

THAT, Clause 57 of the Bill be amended in subclause (2) by inserting the following new paragraph immediately after paragraph (a) - “ (aa) appoint quality assessors to conduct the accreditation of health facilities”. Paragraph (a) gives the Authority the mandate to ensure that the accredited health facilities comply with...

Hon. Chairlady, Hon. Oundo has raised an important issue, but the work that the assessors do is so varied such that legislation would be too detailed. Those provisions should come with regulations of appointing quality assessors. We shall leave it to the Board to determine their qualifications, integrity and mandate...

Yes. (Question, that the words to be inserted be inserted, put and agreed to) (Clause 57 as amended agreed to) (Clauses 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69 and 70 agreed to) (Clauses 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81 and...

THAT, Clause 83 of the Bill be amended —

Okay. We propose to amend it as it is in the Order Paper. It suffices.

THAT, Clause 84 of the Bill be amended in —

I can add to that. That is actually the essence of this Bill as a whole. That the people dealing with the personnel are also dealing with the facilities so that there is a grey area. This Bill is saying that there are professional bodies that regulate professionals. But those...

I beg to move: THAT, Clause 99 of the Bill be amended by inserting the following new subclause immediately after subclause (3) —

Well, the amendment has taken that into consideration. It is a reasonable thing. However, our experience in the SHA from NHIF transition has indicated that is more of a problem. These are not many. I think they will look at those issues when transiting them. The Bill has looked at...

I beg to move: THAT, the Second Schedule be amended —

I second. (Question proposed) 2nd June 2026 NATIONAL ASSEMBLY DEBATES 38 THE QUALITY HEALTHCARE AND PATIENT SAFETY BILL

Thank you, Hon. Temporary Speaker. This is an important Bill because in the care of people and the care of patients, there are two components. There are the personnel or the professionals who look after the patients. Then there are the facilities in which they work and the equipment with...

Thank you, Hon. Speaker. I hope it is on a separate issue. We have dealt with the Ebola issue. Wait for it tomorrow. Hon. Speaker, I would like to only add a little on Ebola. As we have indicated at the Committee level, while the matter will be addressed in...

Thank you Hon. Speaker for giving me this opportunity to make a Personal Statement on the death of my father, Mzee Liu Nyikal Okaka, 2nd June 2026 NATIONAL ASSEMBLY DEBATES 15 who died on 11th April 2026 at the grand old age estimated to be 104 years. He was buried...

Thank you, Hon. Speaker. I rise to reply to the debate on the Motion for Adoption of the Report on Public Petition No.21 of 2025, regarding access to health care of cancer patients in the country. I wish to sincerely thank all the Members who contributed to the Motion and...

THAT, Clause 18 of the Bill be amended in—

THAT, Clause 23 of the Bill be amended in paragraph (b) by inserting the words “for their employees” immediately after the word “training”. Previously, this addressed the training needs of the health facilities employees. However, it was not clear who was being trained. If we insert the words, “training of...

THAT, Clause 27 of the Bill be amended by deleting paragraph (j) . We are deleting paragraph (j) which outlined what the Authority does. If inspection was done, subsequently, we would remove it from other regulatory authorities. However, the other regulatory authorities would still need to inspect, but for purposes...

The explanation is that this Authority deals with management of facilities. We still have other regulatory authorities that deal with issues of internship and training. If we have this in both facilities, there would be a conflict. If it is removed here, it resorts to the regulatory authorities that deal...

Hon. Chairlady, it is about facilities. When you look at (d) , you will see enforced compliance with quality of health care and inspect their facilities for compliance with the quality of health standards. Let me try to explain further what we are doing here. We are creating this Authority...

THAT, Clause 29 of the Bill be amended in subclause (1) by—

I actually agree with the comment by Hon. Makali. If we are looking at the formatting, we could say: “Nominated by the regulatory authority and appointed by the Cabinet Secretary.” I have no problem with that. We can move it as a further amendment as well, that reads: “ (ha)...

THAT, Clause 30 of the Bill be amended in—

To answer Hon. Oundo, the requirement does not necessarily amount to 15 years of experience. It could be 10 years. Within those 10 years, a person may have acquired the professional experience and the five years required to the management level. Therefore, while the total experience could be as much...

THAT, Clause 35 of the Bill be amended in subclause (2) by deleting the words “a healthcare related field” appearing in paragraph (b) and substituting therefor the words “healthcare sciences”. Basically, we are addressing the use of the term, “Health-related field,” which is rather broad. We need to be more...

THAT, Clause 37 of the Bill be amended by deleting subclause (3) and substituting therefor the following new subclause (3) —

Yes, Hon. Chairlady. We discussed the issue of transmitting the decisions and resolutions of the Board quite a bit. Basically, the Corporation Secretary takes minutes of the meetings. Therefore, as much as the CEO is also in the meetings, the actual minutes and resolutions of the meetings are written down...

THAT, Clause 57 of the Bill be amended in subclause (2) by inserting the following new paragraph immediately after paragraph (a) - “ (aa) appoint quality assessors to conduct the accreditation of health facilities”. Paragraph (a) gives the Authority the mandate to ensure that the accredited health facilities comply with...

Hon. Chairlady, Hon. Oundo has raised an important issue, but the work that the assessors do is so varied such that legislation would be too detailed. Those provisions should come with regulations of appointing quality assessors. We shall leave it to the Board to determine their qualifications, integrity and mandate...

Yes. (Question, that the words to be inserted be inserted, put and agreed to) (Clause 57 as amended agreed to) (Clauses 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69 and 70 agreed to) (Clauses 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81 and...

THAT, Clause 83 of the Bill be amended —

Okay. We propose to amend it as it is in the Order Paper. It suffices.

THAT, Clause 84 of the Bill be amended in —

I can add to that. That is actually the essence of this Bill as a whole. That the people dealing with the personnel are also dealing with the facilities so that there is a grey area. This Bill is saying that there are professional bodies that regulate professionals. But those...

I beg to move: THAT, Clause 99 of the Bill be amended by inserting the following new subclause immediately after subclause (3) —

Well, the amendment has taken that into consideration. It is a reasonable thing. However, our experience in the SHA from NHIF transition has indicated that is more of a problem. These are not many. I think they will look at those issues when transiting them. The Bill has looked at...

I beg to move: THAT, the Second Schedule be amended —

I second. (Question proposed) 2nd June 2026 NATIONAL ASSEMBLY DEBATES 38 THE QUALITY HEALTHCARE AND PATIENT SAFETY BILL

Thank you, Hon. Temporary Speaker. This is an important Bill because in the care of people and the care of patients, there are two components. There are the personnel or the professionals who look after the patients. Then there are the facilities in which they work and the equipment with...