Crystal Asige raises concern over SHA coverage for adults with disabilities
By Faith Lagat, February 27, 2026Nominated Senator Crystal Asige has raised concerns over the implementation of the Social Health Authority (SHA) scheme following reports that a 28-year-old person with severe disabilities in Trans Nzoia County was denied continued coverage under a parent’s plan and required to pay independently.
In a statement shared on X on February 27, 2026, Senator Asige linked the case to increasing reports of adults with lifelong disabilities facing similar challenges.
Asige stated that “disability is about ability, not age,” noting that many adults with severe disabilities rely on caregivers for daily living, decision-making and access to healthcare.
She warned that cutting coverage at 18, even for those with lifelong conditions, disregards their circumstances and could infringe on their rights.
Law guarantees free healthcare for persons with disabilities
Asige cited the Persons with Disabilities Act, 2025, which provides that persons with disabilities are entitled to the highest attainable standard of health without discrimination.
The law states that persons with disabilities “shall be entitled to free medical care and treatment in public health institutions.” It also requires public health services to meet their specific needs.
The senator said Ministry of Health policies must reflect these legal provisions and the lived realities of families caring for adults with severe disabilities. She noted that dependency does not automatically end at adulthood for many people with lifelong conditions.
Under existing SHA regulations, dependents such as spouses and children are covered up to specified age limits.
Provisions also allow persons with disabilities who are wholly dependent on a contributor to be included without an age limit, subject to documentation. However, reports indicate inconsistencies in how these rules are being applied.
Call for policy alignment and clarity
The Trans Nzoia case has renewed scrutiny over the rollout of SHA and its alignment with disability rights protections. Since its launch, the scheme has been positioned as part of broader efforts to expand access to healthcare.
Asige called for urgent action to ensure policies and implementation are consistent with the 2025 Act. “Kenya cannot fail its people with disabilities. We must uphold their rights without delays or arbitrary decision-making,” she said.
Her remarks have intensified calls for clearer guidelines, improved coordination between the Ministry of Health and SHA officials, and strengthened oversight to ensure persons with disabilities are not excluded from essential healthcare services.