Kenya's Cabinet Secretary for Health, Aden Duale, has suspended 40 health facilities for alleged fraud within the Social Health Authority (SHA) system. The irregularities include submitting claims for more expensive procedures than those performed and falsifying digital records. Among the suspended facilities are St. Johns Hospital in Nairobi, Nissi Medical Centre in Kisumu, and Toric Nursing Home in Homa Bay. In addition to the suspensions, licenses of twelve doctors have been revoked, and their names forwarded to the Directorate of Criminal Investigations (DCI). The suspended facilities will not receive any benefits from SHA and will be surcharged for the money lost. Meanwhile, the SHA has been criticized by the Senate for failing to settle 8.14 billion Kenyan shillings in unpaid insurance benefit claims to families of public servants who died or were injured on duty. This unpaid debt has led private hospitals to cut off civil servants from services under SHA, requiring cash payments instead. The Kenya Hospital Association has also accused Nairobi Hospital of governance failures amid a disputed 51 million shilling debt, with the hospital challenging insolvency proceedings in court. Additionally, Nairobi County Governor Johnson Sakaja's administration faces criticism for delayed payment of health workers' salaries for two consecutive months and failure to remit statutory deductions, including SHA contributions, since May. Some lawmakers from the United Democratic Alliance (UDA) have criticized CS Duale's punitive SHA payment policies. In Homa Bay, 46% of residents have registered for SHA, according to Governor Gladys Wanga, who supports annual SHA payments as a sustainable model.