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National Health Act, 2003 (Act No. 61 of 2003)


Regulations relating to the obtainance of information and processes of determination and publication of reference price lists

3. Information that may be submitted


(1) The information referred to in regulation 2 may include, but not limited to—
(a) overhead costs;
(b) activity times for procedures;
(c) equipment;
(d) labour costs;
(e) item price component;
(f) cost of medicines, scheduled substances and medical devices;
(g) cost of maintenance of premises;
(h) cost of consumables used in delivery of health services;
(i) security costs;
(j) cost of foodstuffs for patients;
(k) cost of services or products used to ensure patient safety;
(l) cost of public liability insurance;
(m) details of persons or institutions providing services to or at the establishment;
(n) scales of fees payable by medical schemes to the health establishment;
(o) bed occupancy;
(p) non-confidential information on patients;
(q) non-confidential information on the health establishment;
(r) in respect of medical schemes, income and expenditure; and
(s) billing guidelines and rules, where these exist.


(2) The information referred to in subregulation (1) that relates to health care providers may be submitted by any person, a professional association representing a discipline concerned or a statutory body established to regulate the relevant profession. In instances where sub-disciplines are represented by an umbrella professional association, such association may make the submissions.


(3) The information must—
(a) include a standard nomenclature to identify the services being priced;
(b) be in accordance with an agreed methodology to determine the reference price associated with a particular service;
(c) indicate cost parameters that are different in respect of different provider groups;
(d) be comprehensive and provide for item codes and item type;
(e) be consistent and systematic;
(f) provide for a descriptor, the relative value unit and the benefit factor;
(g) provide for representative samples of actual prices and how the sample sizes used have been calculated.