The counties claim that more than Sh30 billion in medical service payments remain unsettled, affecting the delivery of health services at the local level.
During a meeting, county leaders demanded a comprehensive review of hospital service cadres under Shif.
They argue that without urgent adjustments, the program will continue to strain county health budgets and put pressure on frontline health workers.
The governors warned that prolonged delays in payment could force counties to suspend services under the scheme, creating uncertainty for patients who rely on it.
“The delay in clearing Sh30 billion owed to us is crippling our ability to deliver essential health services,” said a governor who spoke on condition of anonymity.
“We need a structured approach to review the hospital cadres and ensure funds are released promptly.”
The Shif program, launched to improve healthcare access across the country, relies heavily on timely payments to counties to support hospital operations, staff salaries, and medical supplies.
Governors argue that the current delays are not only affecting healthcare delivery but also risking the stability of the program itself.
County officials are pushing for greater transparency and accountability in the management of Shif funds.
They have urged the national government to engage in meaningful discussions to resolve the issue quickly.
Failure to do so, they say, could lead to counties withdrawing their participation, which may leave thousands of patients without critical services.
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