The Council of Governors (CoG) has heavily criticized the Ministry of Health (MoH) for alleged micromanagement of healthcare under the Social Health Authority (SHA), claiming this has led to Ksh. 32 billion in delayed payments and crippled services in public hospitals.

• Delayed claims payments by the SHA have pushed public hospitals into a Ksh. 32 billion debt.
• CoG Chairman Ahmed Abdullahi accused Health Cabinet Secretary Aden Duale of micromanaging the devolved healthcare function.
• Governors expressed frustration over the MoH's unilateral decisions, including the closure and downgrading of hospitals without consultation.