The Act establishes the entire framework: the Council for Medical Schemes, mandatory PMBs, scheme governance, solvency requirements (Regulation 29 requires schemes to hold reserves of at least 25% of annual contributions), and the rules around broker commissions. It's the single most important piece of healthcare legislation in South Africa.
SA example: Regulation 28 caps medical aid broker commission at R125.86 + VAT per member per month (or 3% of contributions, whichever is lower) effective 1 January 2026.