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


Regulations relating to the obtainment of information and the processes of determination and publication of reference Price List

7. Determination of the Reference Price Lists


(1) The Director-General shall, after verification of information as contemplated in regulation 3, prepare a draft reference price list.


(2) In determining an reference price list, the Director-General shall take the following into account:
(a) the advice of a committee contemplated in regulation 5(2)(b);
(b) the need for private health establishments and health agencies to have a return on investment;
(c) the need for health care providers to earn an income;
(d) the need for certainty, sustainability, affordability and stability within the medical schemes environment and among private sector consumers;
(e) the need to improve and maintain efficiency and quality in the delivery of health care services as well as to increase and ensure access to such services for medical scheme beneficiaries;
(f) the need to eliminate perverse incentives, unethical business practices and unprofessional conduct from the health care industry;
(g) relevant information already in possession of the Department submitted in terms of any law;
(h) the need to promote competition within the private health care industry; or
(i) the need to promote and ensure access to membership of medical schemes for employed persons and their dependants.