Karnataka Private Medical Establishments Act.

2007

Dr. S. B. N.PRAKASH Former district and sessions judge , Now the professor of Law. National Law school of India University . Bangalore.

Whatthelawstatedin1976.
1.ThereareseveralPrivate Nursing Homes whichare notprovidedwithadequatestaff,necessaryequipment andphysicalfacilitiestorenderpropertreatmentand servicetopatients.Theyalsochargeamountswhich areexorbitant,andnotcommensuratewiththe servicesrenderedbythem.Insomecases,their premisesarenotmaintainedincleanandhygienic conditions.SomeoftheMedicalandParamedicalstaff workingintheseInstitutionsarealsonotproperly qualifiedortrainedintheworkentrustedtothem. Thusthequalityofmedicalserviceaffordedinthese Private Nursing Homes ismuchbelowthestandard required. 2.Itwasconsiderednecessarytohavealegislationto exercisecontroloverthePrivate Nursing Homes in orderthatmaintenanceofstandardsetc.,areensured.

almosttothesameextent. Theobjectsandreasonsforthenewlegislationenvisagesthatthereisa needtobringaboutacomprehensivelegislationinplaceoftheActof1976. ThemainaimofthepresentActistoprovidefor: 1:TheregistrationofPrivateMedicalEstablishment; 2:prerequisiteforregistrationofPrivateMedicalEstablishment; 3.ConstitutionofLocalInspectionCommittee; 4.LayingdownthestandardsforPrivateMedicalEstablishments; 5.requirementtonotifythescheduleofchargespayablefordifferentmedical treatmentandotherservicesintheformofbrochuresorbooklets. 6.prescribingstatutoryobligationstobeperformedbyPrivate Medical Establishment; 7.Maintenanceofclinicalrecords; 8.Tomakeavailabletothepersonsorhisfamilymemberacopyofthegistof observations,treatment,investigation,adviceanddiagnosticopinion pertainingtotheperson.; 9.suspensionorcancellationofregistration, 10.penaltiesforviolationoftheprovisionsoftheActandcancellationofthe Registration.Andotherrelevantmatters.

Didthereappearedtobeanychange.No. hencenewlaw Thelawdidnotbringaboutanyeffectivechange.Thethingsprevailed

THEKARNATAKAPRIVATEMEDICAL ESTABLISHMENTSACT,2007

An Act to provide for the Promotion and Monitoring of Private Medical Establishments in the State of Karnataka .

An Act to provide for matters connected therewith or incidental to Private Medical Establishments in the State of Karnataka .

Constitutional aspect.
Healthisafundamentalrightinviewofexpanded meaninggiventolifeascontemplatedvidearticle21, asinterpretedbythesupremecourtofIndia. HealthfallsinEntry6oflist2ofscheduleVIIofthe constitution.ThesaidentryiswithreferencetoPublic healthandsanitation;hospitalsanddispensaries StateincontrasttoUnionistheconcernedauthority tomakelaw. Unionhasnoauthoritytomakelaw. Incaseifuniontomakelawresolutiontobepassed. Statelawwillhaveapplicationwithintheterritoryof theconcernedstateandnotbeyondtheterritoryof thestate.

What is a private medical establishment

meansa hospitalordispensarywithbedsorwithoutbeds., NursingHome. ClinicalLaboratory, DiagnosticCentre. MaternityHome. BloodBank, RadiologicalCentre, ScanningCentre, PhysiotherapyCentre. Clinic. Polyclinic, ConsultationCentreand such other establishments by whatever name called where Investigation, diagnosis and preventive or curative. or rehabilitative medical treatment facilities are provided to the public and includes Voluntary or Private Establishments

 but does not include Medical Establishments run or maintained or sponsored by (i) the State Government or a Local Authority or
other Statutory body; (ii) the Public Sector undertakings owned or controlled by the State or Central Government; (iii) autonomous institutions owned or controlled by the State or Central Government; (iv) a Co-operative Society registered under the Karnataka Co-:operative Societies Act. 1959 in which more than fifty percent of shares are held by the State or Central Government or both: (v) a Society registered under the Karnataka Societies Registration Act, 1960 and which is owned or controlled by the State or Central Government; (vi) a trust owned or managed by the State or C lG L lA h i

Medicaltreatment"
Means: systematicdiagnosisandtreatment 1.ForpreventionofanydiseaseOR 2.cureofanydisease, OR 3.toimprovetheconditionofhealthofany person throughallopathicorany otherrecognised systemsofmedicine: suchasAyurveda.Unani,Homeopathy,Yoga, NaturopathyandSiddha;andincludes AcupunctureandAcupressuretreatments

RegistrationofPrivateMedical Establishments:
NoPrivateMedicalEstablishmentshallbe 1. EstablishedintheState,or 2. runintheStateor 3. maintainedintheState; except under and in accordance with the terms and conditions of registration granted under this Act On and after the appointed day, : Provided that a Private Medical Establishment : in existence immediately prior to the appointed day shall apply for such registration within ninety days from the appointed day

Pending orders thereon may continue to run or maintain till the disposal of the application

With Whom Registrationtobeobtained.

RegistrationAuthority Who is the registering authority: RegistrationAuthorityin each district consistsof thefollowingmembers,namely: (a)TheDeputyCommissioneroftheDistrict. Chairman (b)DistrictHealthandFamilyWelfareOfficer Member (e)President/Secretary,IndianMedical Member f h d

 Whether any application shallbemade Yes. Isthereanyprescribedform :Yesitisin: FormAasper: Rule6(1)forEXISTING MEDICALESTABLISHMENT. FormBasper: Rule7(1)forNEW MEDICALESTABLISHMENT. FormC: ApplicationForRenewalOF RegistrationOfMEDICALESTABLISHMENT

:UnderwhichRulethefeeshallbepaid: ThefeeshallbepaidasperRule4ofkpmerules2009. :Howmuchisthefee: ThedifferentratesoffeesareprescribedundertheRulein respectofAllopathic,IndianMedicineandDiagnostic centresandTherapyestablishments. InRespectofAllopathicPrivateMedicalEstablishment MedicalclinicsRs.1,000 Consultationcentres(Unispecialty)Rs.1,500 Polyclinic/daycarecentre(Multispecialty)Rs.5,000 Nursinghomesdependinguponthestrengthofbeds.

:Nursing homes with bed strength of :

(i)11to30bedsRs.10,000 (ii)30to50bedsRs.15,000 (iii)51to100bedsRs.25,000 (iv)101to500bedsRs.50,000 (v)501to1000bedsRs.1,00,000 (vi)Above1000bedsRs.2,00,000 Providedthat

(i)

hospitals run by charitable trusts which are not charging any fee from the patients shall be charged registration fee at ten percent of the fees specified above. (ii) other hospitals working on no profit basis shall be charged at fifty percent of the above fees.
:Note:

 InRespectofpracticingIndiansystemof medicine: :Thefeeforregistration: (i)ClinicanddispensaryonlyRs.500/ (ii)Clinicalcentre,MaternityHome,Nursing HomeandHospitalswith: (i)Upto15bedsRs.1,000/ (ii)15to20bedsRs.1,500/ (iii)20bedsandaboveRs.2,000/ -:Note: The fee chargeable for renewal of registration shall be one-half of the registration fee specified above

InthecaseofDiagnosticcentresand Therapyestablishments
(i)ForDiagnosticcentreswithadvancedfacilitieslike CT,MRI,Angioetc.,Rs.10,000/ (ii)Forsuchcentrewithbasicfacilitiesonly Rs.1,000/ (iii)ForTherapyEstablishmentswithbasicLaboratory facilitiesRs.1,000/ (iv)ForTherapyEstablishmentswithimagingand/or otheradvancedLaboratoryfacilitiesRs.5,000

* *** ****** *********

:Are there any conditions for obtaining registration: Yes ; as per Rule 5 of K. P. M. E.Rules 2009 :What are those conditions:

????????? ??????? ????? ??? ?? ?

:Whatarethoseconditions: Premisesshallbelocatedincleansurroundingsinahygienicarea. Adequatelightingandventilationshallbeensuredwithinthe buildingandinthepremises AdequatenumberofToiletRoomsshallbeprovided,separately formaleandfemalepatients. RecordRoomadequateenoughforMaintenanceofMedical recordsaspercodeofMedicalEthicsshallbeprovided. StandardBioMedicalWasteDisposalSystemshallbeprovided appropriatetothevolumeandnatureofWastegenerated. AccessibilitytoattendingDoctorsbyTelephone,faxandemail throughtheEstablishmentshallbeensuredtoeachpatient/their attendants.CMEcompliancemechanismaspertheKarnataka MedicalCouncilActasamendedfromtimetotimeshallbekept up.Qualifiedandexperiencedstaffappropriatetoeachfieldsuch asmedical,diagnostic,therapeutic,observationalandothercare peculiartoeachspecialtyandinappropriatenumbersshallbe appointedproportionaltothenumberofpatientsordinarily treatedinaday. Displayconspicuouslyandinaprominentplaceaplaces.

 (a)ThenameoftheEstablishmentwithnamesofthe owners/managers (b)Registrationcertificateissuedbytherespective StateMedicalCouncil (c)FormofLicenseissuedfromKarnatakaPrivate MedicalEstablishmentsBoard. (d)SystemofMedicinepracticedandservices available (e)Workinghours/timingsofeachUnitofthe Establishment (f)Charges/consultation/diagnosis/treatment/reports/ services/ otherproceduresandroomrent/bedchargesetc.in theformofChartexhibitedataconvenientplaceor placesfor. (g)Printedbrochuresoftheratesandtariffshallbe supplied to the patients or their attendants on

 Generate,maintainanddocumentMedicalRecords ofeachpatientasperrulesinforceandsupplyto the patient or his parent/Guardian/ Legal Representatives/attendantsonrequest. Give proper Discharge Summary to each patient alongwiththeBillofcharges. Ensure that every Doctor employed by it would provideFirstAid,wouldattendMedicoLegalCases promptlyandotherwisefollowtheCodeofMedical Ethics,rigidly. InformtheDoctors/consultantsonrollandseetoit that professional responsibility rests with the Doctor/consultantinchargeofthepatient,and Comply with such other directives issued by the GovernmentortheDistrictRegisteringAuthority.

 Everymedicalestablishmentsshallconformtothe minimumstandardsofaccommodation,equipment andfacilitiesassetoutin, (a)ScheduleAforestablishmentsadministering AllopathicSystem; (b)ScheduleBforestablishmentsadministeringthe IndianSystemofMedicine; (c)ScheduleCforestablishmentsadministering HomeopathicSystemofMedicine:and (d)ScheduleDforDiagnosticCentresandTherapy Establishments

Minimumstandardsof accommodation,equipmentand facilities:

Staffrequirements:
Minimum staff requirements in each category of medical establishments shall be as set out in Schedule E. Notwithstanding anything said in Schedule E. it shall be obligatory for private medical establishments in each category to employ Medical, Diagnostic, Therapeutic, Technical and Office Staff that are specific to its needs, namely, (a)Duty Doctors, Nurses, Nursing Aids and Ayahs in right proportion to the number of patients. (b) Dieticians, Physiotherapists, Radiologists and Pathologists (c) Receptionists and other Patient Service staff. (d) Supporting staff like Electrician Plumber

Appeal and appellate authority.

APrivateMedicalEstablishmentswhoseapplication forregistrationisrejectedundersection7or whoseregistrationhasbeensuspendedor cancelledundersection15or isotherwiseaggrievedbyanyoriginalordermade underthisActexceptanordermadeundersection 24 may prefer an appeal to the Appellate Authority .

 (1)insuchmannerandonpaymentofsuch feesasmaybeprescribed.. (2)Everysuchappealshallbepreferredwithin thirtydaysfromthedateofreceiptofthe orderappealedagainst: (3)TheAppellateAuthoritymay.afterholding anenquirypasssuchorderasitdeemsfitas faraspossiblewithinaperiodofsixtydays fromthedateoffillingoftheappeal

Whenanappealshallbepreferred Appeal shall be preferred under section 17 of the Act Everyappealshallbepreferredwithinthirtydays fromthedateofreceiptoftheorderappealed against: Theappellantshallpayfeesalongwiththeappeal memo. TheAppellateAuthoritymayafterholdingan enquiry pass such order as it deems fit as far as

Whoistheappellateauthority
TheAppellateAuthorityconsistsof: (a)theCommissionerforHealthandFamilyWelfare, KarnatakaChairman (b)theDirectorofHealthServices,Karnataka Member (c)theDirector,IndianSystemofMedicineandHomeopathy Member Note:

The Director of Health Services. Karnataka shall be a member in respect of appeals preferred by a Private Medical Establishment treating patients through allopathic system of medicine and the Director Indian System of Medicine and

Penalties Section 19 of Karnataka private medical establishment act Where any person establishes, runs or maintains Private Medical Establishment without registration granted under section 7 he shall, on conviction, be punished with imprisonment for a term which may extend to three years and with fine which may extend up to ten thousand rupees. Whenapersonisconvictedundersubsection(1),theRegistrationAuthorityshall directimmediateclosureoftheunregisteredPrivateMedicalEstablishment, exceptwherearegistrationiscancelledorsuspendedandanappealfilledagainst suchcancellationorsuspensionispending. Everyordermadeundersubsection(1)shallcontainadirectionthattheinpatientsof suchunregisteredPrivateMedicalEstablishmentshallbetransferredtosuchother PrivateMedicalEstablishmentasmaybespecifiedinthatorderanditshallalso containsuchotherprovisionsastothecareandcustodyofsuch inpatientspending

Penalties WhereanypersonrunsormaintainsaPrivateMedical Establishmentincontraventionoftheconditionsof registrationorcontravenestheprovisionofsection12 or13,orfailstocomplywiththedirectionissuedunder subsection(2)Heshall,onconviction,bepunished withimprisonmentfortermwhichmayextendtosix monthsandwithafinewhichmayextendtotwo thousandrupeesandinthecaseofasecondor subsequentoffencewithimprisonmentforaterm whichmayextendtooneyearandwithafinewhich mayextendtofivethousandrupees. Whereapersoncontravenesanyotherprovisionofthis A t th l d th d h h ll

Offences. Maybeby individuals Maybeby companies.

Miscellaneousprovisions.
Whereagovernmentdoctorisworkingwitha privatemedicalestablishmentthePMEandthe peopleconnectedtherewithshallfurnishthe detailstothecompetentauthority. Thepowertoconductsearchandseizetherecords. Sealingofthepremises. Protectionregardingtheactsdoneingoodfaith. Powertomakerules. Authorityofgovernmenttogivedirections regardingtheimplementationofprovisionsofthe Act.

Thank you.