The Committee acknowledged the complexity associated with implementing universal health coverage and the need for the Department to ensure that the correct foundations are put in place for the implementation of the NHI. However the Committee was concerned about the under expenditure on the conditional grants and the possible negative implications thereof given that the conditional grants are meant for preparatory work for the NHI. The Department indicated that under spending emanated from some of the conditional grants framework specifications which made it difficult to negotiate concurrent functions with some of the provinces. Subsequently, the Department negotiated with National Treasury for amending the conditional grants framework to allow for the standardization of some of the national imperatives.