Lok Sabha Question No. 1970 (UNSTARRED), answered on 2018-12-21
Subject: MRP of Medical Equipment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KRUPAL BALAJI TUMANE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1970 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## MRP OF MEDICAL EQUIP MENT

## 1970. SHRI KRUPAL BALAJI TUMANE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of the super speciality heart institutes in the country, State/UTwise;
- (b) whether Maximum Retail Price (MRP) of the equipments used in heart surgery and bone surgery is printed thereon, if so, the details thereof and if not, the reasons therefor;
- (c)  whether  absence  of  MRP  is  likely  to  lead  to  irregularities  and  if  so,  the  reacti f  the Government thereto;
- (d) the steps being taken by the Government provide equipments required for heart and surgery at an affordable cost; and
- (e) whether the Government has issued any guidelines to the hospitals in this regard and if details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Health is a State subject. The detail s requested are not maintained centrally.
- (b)  &  (c): Under  the  Legal  Metrology  (Packaged  Commodities)  Rules,  2011  certain declarations like name and address of the manufacturer/packer/importer, country of origin of the commodity, net quantity, mon th and year of manufacturing, retail sale price in the form Maximum Retail Price (MRP) Rs…….. (inclusive of all taxes) and consumer care details are mandatory for all pre - packaged commodities including medical devices.
- (d): National Pharmaceuticals P ricing Authority (NPPA) under the Department of Pharmaceuticals,  which  is  mandated  with  the  task  of  dealing  with  pricing  issues  of  m devices, has fixed the ceiling price of cardiac stents to make them affordable.

Further,  Affordable  Medicines and  Reliable  Implants  for  Treatment  (AMRIT)  Deendayal Pharmacies have been opened by M/s HLL Lifecare Ltd., a PSU under the Ministry of Healt and Family Welfare, with an objective to make available drugs and implants at discounted to the patients s uffering from cancer and cardiovascular diseases.

- (e):As stated above, health is a State subject.

However,  the  Clinical  Establishments  (Registration  and  Regulation)  Act,  2010  has  b enacted for registration and regulation of the Clinical Establishments with a view to pr the  Minimum  Standards  of  facilities  and  services  provided  by  them .  Under  the  Clinical Establishments  (Central  Government)  Rules,  2012  notified  under  this  Act,  the  cli establishments (in the States/Union Territories where the said Act is applicable) are -alia required  to  follow  Standard  Treatment  Guidelines  as may  be  issued  by  Central/State Governments, display their rates at a conspicuous place and charge the rates for each procedure and service within the range of rates determined from time to time in consultati the  State  Governments.  The  Nation al  Council  for  Clinical  Establishments  has  approved  a standard list of medical procedures and a standard template for costing of medical pro and the same has been shared with the States/UTs where the Act is applicable for appro action. Further action lies within the purview of the State/UT Governments as the implementation  and  enforcement  of  the  said  Act  is  within  the  remit  of  the  Stat Governments.

Currently, the Act is applicable in 11 States namely Sikkim, Mizoram, Arunachal Prad sh, Himachal  Pradesh,  Uttar  Pradesh,  Bihar,  Jharkhand,  Rajasthan,  Uttarakhand,  Assam  a Haryana and all Union Territories except Delhi. Other States may adopt the Act under clau of Article 252 of the Constitution.

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