The Social Health Authority (SHA) has suspended 45 health facilities. The suspension took effect immediately.
CEO Dr. Mercy Mwangangi announced the move in a gazette notice on August 26, 2025. She said the facilities will not receive benefits under the Social Health Insurance Act during the suspension.
The decision followed a forensic audit and digital monitoring checks. The review exposed fraud in hospital claims. Some facilities filed false bills. Others inflated records or converted outpatient visits into inpatient claims.
The suspended facilities are in at least 17 counties. Mandera has nine. Homa Bay has five. Kisii, Nairobi, Garissa, and Turkana also appear on the list.
This action follows an earlier suspension of 40 facilities. A total of 85 facilities are now barred from SHA funds.
Health Cabinet Secretary Aden Duale warned of prosecution. He said the ministry will recover stolen funds. He also promised to deregister professionals linked to fraud.
SHA urged the public to report malpractice. It gave a toll-free line, 147, for direct reporting.
The authority dismissed claims of hiding data. Officials confirmed that payment records and the facility registry remain online.
SHA promised strict monitoring and regular audits. Officials said the move protects Kenyans from exploitation. They added it will ensure value for money under the new insurance scheme.
Also read: Funding Gaps Threaten Smooth Learning as Schools Reopen
