Lok Sabha Question No. 416 (UNSTARRED), answered on 2023-02-03
Subject: Ceiling of Charges in Private Nursing Homes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Giridhari Yadav

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

LOK SABHA UNSTARRED QUESTION NO. 416 TO BE ANSWERED ON 03 rd  February, 2023

## CEILING OF CHARGES IN PRIVATE NURSING HOMES

## 416.  SHRI GIRIDHARI YADAV:

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

- (a) whether the absence of ceiling of the maximum charges of ICU, NICU, CCU of private Nursing Homes in the country, causes economic exploitation and if so, the details thereof;
- (b) whether the Government proposes to fix the maximum charges of ICU, NICU, CCU of private Nursing Homes/Hospitals;
- (c) if so, the details thereof; and
- (d) if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (d) State/Union Territory (UT) Government takes appropriate steps to protect patients from instances of economic exploitation by health facilities.  The records in this regard are not maintained centrally.

Government of India has enacted the Clinical Establishments (Registration and Regulation) Act, 2010 (CE Act, 2010) and notified Clinical Establishments (Central Government) Rules, 2012 for  registration  and  regulation  of clinical  establishments  (both Government  and Private) in the country.

Under the Act, for registration and continuation, every clinical establishment is required to fulfill, among other conditions, the following conditions also:

- i. Display the rates charged for each type of service provided and facilities available in the local as well as in English language at a conspicuous place for the benefit of the patients.
- ii. Ensure compliance with Standard Treatment guidelines issued by Central/State Government. Standard  Treatment  Guidelines  for  227 medical  conditions  in  Allopathy,  18 conditions  in Ayurveda and 100 conditions in Siddha, have been issued.
- iii. Charge the rates for each type of procedure and service within the range of rates determined and issued by the Central Government in consultation with the State Government. For this, a standard list of medical procedures and standard template for costing have been finalized and shared with the States/UTs where the Act is applicable.

The Clinical Establishments Act, 2010 has been adopted by 12 States namely Arunachal Pradesh,  Assam,  Bihar,  Haryana,  Himachal  Pradesh,  Jharkhand,  Mizoram,  Rajasthan,  Sikkim, Telangana, Uttar Pradesh, Uttarakhand and all Union Territories except Delhi.

In  the  States/Union  Territories  (UTs)  where  the  said  Act  is  in  force,  the  clinical establishments  are  required  to  meet  the  norms  such  as  minimum  standards  of  facilities  and services, minimum requirement of personnel, maintenance of records and reports and displaying of rates at a conspicuous place etc. The clinical establishments are also required to follow Standard Treatment Guidelines issued by the Central/State Governments and charge rates for each type of procedure and service within the range of rates determined. The National Council for Clinical Establishments have developed a standard list of medical procedures and a standard template for costing  of  medical  procedures  and  shared  the  same  with  the  States  and  Union  Territories  for appropriate action by them. The implementation and enforcement of the said Act is within the purview of the State/UT Governments.

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