The SHA, which is responsible for overseeing health insurance contributions, uses a means-testing tool to determine how much each household can afford to contribute.
This tool assesses factors such as income, housing, and family size, helping to set the appropriate amount for those without regular salaries.
The review comes after MPs, including Suba North MP Millie Odhiambo, voiced frustrations over the scheme’s shortcomings.
MPs questioned the fairness of the system, especially after only about four million out of the 18 million registered members have been making contributions.
Odhiambo pointed out the imbalance, saying, “Why are 18 million people registered but only about four million are paying members?”
The discrepancy in payments between those who earn salaries and those without a regular income has also raised concerns.
Speaking during the launch of the Strategic Plan 2024-2027 in Embu County on February 1, 2025, Kindiki promised that the government would adjust the means-testing tool to ensure it is more inclusive.
He specifically mentioned low-income earners, such as mama mbogas (vegetable vendors) and boda boda riders, who may be unable to afford the current contributions.
“We will relook at and adjust the means testing tool for Taifa Care to make sure boda boda riders will not be asked to pay what they cannot afford,” he assured the public.
Despite these concerns, Kindiki reiterated that the government would continue with the scheme and improve its operation.
He did not indicate that there would be any changes to the current 2.75 percent deduction from the pay slips of salaried workers.
He emphasized that the aim is to ensure that no Kenyan feels burdened by the deductions.
However, MPs such as Mumias East MP Peter Salasya were more vocal in their criticism.
Salasya called the SHA system a "scam" and raised concerns about the lack of consultation with the public before its introduction.
He claimed the scheme had led to system failures, leaving patients, particularly those suffering from chronic illnesses, in distress.
