The High Court has maintained a freeze on a Ksh 200 billion Kenya-US health cooperation agreement after an appeal by Busia Senator Okiya Omtatah challenged its constitutional validity.

• The agreement's implementation was halted due to concerns over lack of parliamentary approval, public consultation, fiscal impact assessment, and data protection.
• Kenya Medical Practitioners, Pharmacists and Dentists Union (KMPDU) and others contested the freeze, citing severe healthcare gaps and threats to funding.
• The judge stated that once an appeal is lodged, the court's jurisdiction to review its own decision ceases, preventing further action on the government's challenge to the freeze.