Reps bill would let regulators shut hospitals that refuse emergency patients

A bill that would allow regulators to suspend or revoke the licences of hospitals that refuse or delay emergency treatment has passed its second reading in the House of Representatives.
What the bill says
The bill, sponsored by House spokesman Akin Rotimi and debated on Wednesday, 4 November 2026, seeks to amend the National Health Act 2014 by setting mandatory timelines for emergency care. Under the proposal, facilities would have to begin assessing a patient within 15 minutes of arrival and provide basic stabilisation within 30 minutes. Where a life-threatening condition is identified, staff would have to start lifesaving treatment immediately, and hospitals with a free bed would have to assign it to an emergency patient.
Why it is needed
Section 20 of the existing Act already bans health workers and facilities from refusing emergency treatment, with a fine of ₦100,000, up to six months in prison, or both. However, some hospitals have continued to turn emergency patients away or demand payment before treatment. Rotimi said delays, administrative hurdles, upfront payment demands and poor referrals were still causing avoidable complications and deaths, and that the amendment would make clear who is responsible and how quickly they must act.
Background
There have been many reports in Nigeria of accident and gunshot victims, pregnant women and others dying after being refused care because they could not pay a deposit or provide a police report. The government has previously said hospitals must treat gunshot victims without waiting for police clearance.
What happens next
The bill will now go to committee for further work before returning to the House for third reading.
- Hospitals would have to begin triage within 15 minutes.
- Basic stabilisation would be required within 30 minutes.
- Facilities that refuse care could lose their licences.
