The Ministry of Health and Population (MoHP) approves health insurance (HI) policy, advancing a health financing agenda, which, since early 2012 has been driven by the Prime Minister’s commitment to developing a national HI scheme. Access to quality health care is a constitutional right in Nepal, but direct payments deter many from using health services. The government sees the development of HI policy as a vital stepping stone in the transition to universal health coverage, and has been supported by P4H members WHO, the World Bank, GIZ and other development partners (DFID/OPM, KOICA, etc.) offering tailored health financing options and solutions.