Vision 2030 is seen as a contributing factor to diversifying the Kingdom of Saudi Arabia’s economy and stimulating numerous changes in its social sectors, including in the health sector. Sustainable Development (SD)2030 is a global consensual agreement among nation states to build a sustainable, desirable and progressively interrelated world. Achieving the Sustainable Development 2030 is seen as a main component of development for health. This article explores the state capacity and the role of Vision2030 and Sustainable Development 2030 in the revitalizing the healthcare system in Saudi Arabia. Systematic review and thematic data analysis technique are used as method of this study. The Saudi government highlighted and emphasized Vision 2030 to improve population health and the world body emphasized that Sustainable Development 2030 will contribute to “healthy lives and promote well-being for all at all ages”. Saudi Arabia’s Vision2030 encourages the state to play a renewed role in development in the light of the UN’s declaration of the ‘right to development’. In pursuing development, the state must have necessary institutional environment in sustaining capacity, resources and interactions among groups for realizing constructive roles and functions in maintaining state affairs. The government needs to develop a sustainable healthcare system by adding to health human resources, building public-private partnership, and efficient use of resources through stewardship, good governance, accountability, and transparency.