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Uttar Pradesh Gsvernment Medical Sectitn.6 ln pursuance of the provisions of clause (3) .ol Article-348 of the Constitution, the Governor is pleased to order the publication of the following English transiatibn of noiification na-L91.12A16/152515-6-2016-W-5/20A2 dated' JulY LL' 7o,6 Notifica Lion .Miscella nepU.s;
" N0-191/20161t6751s-6-2016-w-s/2002 . Lucknow Dated : 1"1 July,2015 ln exercise of the powers under sub-section (1) of section 54 oi the Ciinical tstablishments (Regi:tration and Hegulation] Ac! 2010 {Aci no-23 of 2010i the Govarnor is pieased to make the followiirg rules:
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Shrrt ttlle aild cannmencement Application DefinitianS The State Council for Clinical Estahlishmenii f " {f } i hese rr:}es may be calleci rl:e lJtt*r Prarles}r Clinical . EstabiislT n:ents (Registlation and Regulalion) Ruies, 2Si 6.
{2}1hey shall come into lbrce with effecr froin tl-re rlate lrf Lheil pr.rblication iu thc Gazetle 2, l'hese l{uies shall be applicable to such categories cl clir:ical establishn'ienls as may be notified lion'r time to rime by S tat.c (iovemmeuf .
3, {1} ln these rulss, u*less ihe co*text otherwise requires- {a}'Act' rneans lhe Clir:rical llstablishments (Itegistraiirn and Regulation),,\ct. ?010 {Aot no 23 of 2{}10);
{b}'Ra1es' means dre Clinicai }is*rblishmenls (Cenlral Goveinircni' ) I{ules 20 1 6;
(cJ "State Corurc;il" rnesrrs ihc Slate Ccuncil of {llinica1 I-Jstablislr merr t; Uttar Pradesh llstabJished unrlcL rule (4).
{2} WoLds and cxpressiixrs used aacl i:ot defined in drese rules ' bui deJined in the Act shall have the meanings respectively assigned to them in the Act.
4.;(1) Willi effecl fi:oin sucir rlatc as the State (iovernlrent may, by not.ifieation appoinL in this behal,l, tl:ere shall be established lirr the puri:oscs of t1're Aci a coirneil to br: callcd the Sralr (lo:"lncil o'l'Clirrical lislablisJrrnents L]ti-a"r Przrdesh.
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a a at I I I I a a a a Iuncti$n$ of the Stat€ Coun.il i"i tt* i'rir.ipal Secreta,rylSecretary, !o Lhe {lcrverntaenl oj:
Uttar Piadesh in Medical and IJealth I)epartmonl wlxl shall bc the (lhairpersor.r. (ex oflficio) iblThe Direcior-Geireral, Mcdical and l-lealth Service, Uttar Irradesh who sha1l bc the Scoretary.{cx ofltcio) {c} Tho Director of cvcl'y wing of Indian Mcdical sysle:ns, who shall be the Meinbcl (ex officia) {d}One reprcsenlative each 1o be.glected by the executive coLnmitlee ofii) State Itledical Council.of India {ii} State Dental Council of lndia (iii! State Nursing Council of lndia iit) State Pharmacy Councii of lndia ie] 'fh:'ce rcpresenlaLivts ro L,c liectrd ]r,v lhc cxecr.ri.ir'e of State Council o1. Indian mcdicitle represenlating tlte Ayurvetia, SiiJrlha a.nd lJnani svsicms r:.1r::edicilc, $) One represenlative to be electcd b,r' ihe State Cor-rtci1 of the k:c1ian h4eriicai Associatiol, {gi Oire represeriative E onr th.e lire of pr,r'amedical sysxears, {h} Tr.vc reprcse:rlalives Jicin State levcl consri:eet grar:ps r:f rep*te,3 non-(ioventnental oi"gmizatit:ns worl<ing in t}:e ficl,.J of her"lth, {3J l'he nominated raertbcr of tire State council, shali hold of.fice {bi'a teinr of lhree yeats, but sha}l be eligible for re- .. lrominalions for maxiinum o1t r:ne morc tcrm oI tl:ree ycdrs.
{+i '1he elected meinbers of the Slate {louncii. shal1 hcld o{Iice lbr tlree years, but shall be eligible ftrr te-election;
Provideri that xhc person lominaied or ciecled, as t1:re oase miry be, siiali'hold office foi so {ong as he hcids the appointitetrt of the r:.fhoc hy riirtuc ol' ivhioh he u'as nominated or elected to the State C*uncil"
5.{1} The State Council sh*ll perform the fcliowing frtnctinns, na mely:._ {a}Corapiling ancl updating thc Slate l{egistcrs o1' cliniL:al es Lablish:ncrrto:
(blSencling rnontlly retrttns ftrr updating lhe National l{egister (inchrding irr the rligital lormat);
2 {c)Representing the Srate in &e National Councii;
(dx-fearing ofappeals against the orders olthe nr:rh.r.ity;
(e)Fublication on annual basis a report rn the state of implementation of stal<lai"<js within States of ]lttar pra.desh:
(f)Moriroi-ing Lhc jn:plcrnenlation oI the lla.visions "r;;;;;ald the iules marie thereundei, ia the Stale;. ' (g)Re cammenrling to thr: Slate Gor.ro*.nr, any modificaiions required to be issued. iir these r;ies in accordanee wiflr chalrges in technology tr saoial condiiions;
(h)Ar:y otl.ier lbnction as rna1, bc outljnecl by the National Councij of Clinjcal Estabiishments and prescribetl by the Central Governmenq {i} I\:1aii:tenance of slandards within SraLes of I jr,rai pradesh.
lzl Ir shail be the responsibiliry of rhe Statc Ccuncil &;
Clinicai Estalilishment to *ompile an,J upilak the State Regisler of clii:ical estabiistrxnents of rlie Sla;e arirl lurtber ro send monthly retums iil cligital Lolmat hr r;p4311* gr" National lt egister.
6. A persoo shail be disqualifiec{ Ibr being appointea as a , member of the State Council if he_
(a)has been ccnvicted anci senrenced for al oiGnce ,,vhich, in the opinion of the State Gover.nment, involves moral turpitude; or (bils an undischarged insoivent; or '{ci ls of unsound mind and stands so declarecj by a competent cou rt; or {dihas been removed or dlsmissed from rhe service of the Central Government or a State Gouernment or a Corpcration owned cr controlled by any such Government '(1f {e} has in the irpinisn of the State Governmen! such financiai or othel" interest in the State council as is likely to affect prejudicialiy the discharge by him of his fr.;nctions as a mem be r.
7, Every rneeting o{ the State Council shall be prqsided over by the chairperson and in the absence of the chairperson the setiior memb€r of the StatE Council shail preside.
'] Oisqualification for appoiniment as m€mber Conduct of Suiiness
8. The meetings of the State Council shall artJinarily be held at the State Capital on su.ch dates as may be fixed hy it. The State Council shall meet evenl three rnonths.
9. Notice of every meeting other than a special meeting shall be dispatched by the Member Secretary to each member of the State Councii not less than one weel< befcre the date of the meeting.
10. (1)One - third of the total. number of members of the State Council shall form a quorum and all actions of the State Council shali be 'decided by : majority of 'the members pi'esent and voting.
{2]The notice and agenda of every such meeting of the State Council shall ordinarily bre gir,,en 7-10 days before the meeting by the l'/lember S€cretary oi the State Couhcil.
i3)The proceedings of the meetings of ihe State Councii shall be preserved in the form of minutes rryhich shali b* authenticated after canfirmation by the signsiure of the Chairperson.
' (4)A copy the minutes of each meeiing cf the Staie Council shall be submitted to the Chairperson by the secretery lvithin 5-7 days of the rneeting and after having been appi.oved by him/her shall be sent to each member of the Council within 15 days of the .meeting. lf no objection to their correctness is received within 1"0 days of their dispatch, any decisions therejn shall be given effect toi Pror,,ided that the Chairperson rray, where in his opinlon it is necessary or expedient tc rlo so. direci that action be taken on thc decision of thc mccting 13{1} A member desiring to resign his seat on lhe State Council shall send his resignation in writing to the Chairperson and every such resignation shall take effect from the date mentioned by him in this behalf or in case no such date is mentisned, {ioili the date of the receipf of his/her letter by the Chairperson after confirmation from the member concerned about his resignation, ?[me and place for meetings of ihe State Council Notice of Meeting Quorum, cali fcr raeeting and mirutes .
Itesignation and filling o{: casual vacancie* tr N flinaure and The llistrict Registerixg Aatirority Functions af the Authority l') ^\.{Z} When a casual vacancy occurs by reason bf death, J resignation or otherwise of a rnember, a report shall be made forthwith by the Cha irperson to the Siate Government which shall take steps to have lhe vacancies filled by nomination or election, as the case may be.
12. The Accounts of the Council shall be audjted arnually by a Chartered Acocuntan! urhc is tc be appointerl from a panel approved by the Comptroller a nd Audltor Generai of lndia- Any expenditure incurred in connection wlth such dudit shall be payable by the Council.
13. The Stare Governmeni shalt. by notiticaiion, uncler section_I0, of the Act and in accoi-dance wiih the rules farmed by centrai Governrnent in thjs behalf set up an auihority to be called the District Registering Autnority fo, each district foi registration of clinical esta hlishrir enis.
1.4" The Authority shall perform the following functions:_ {aJTo gran! refietv, suspend or ca.ncel registratian of any clinical esta bJishmc nt.
(b)To enforce co*.lpJ1a .e of the provisions of the Act and th ese ru ies; .
{cJTo investigaie complaint's of breach of the provisions of this Act or the rules niade xhereunder and take immediate a ctionidlTo prepare and suhmit on quarterly basis report'containing detajls related to numi:er ancl nature of provisirinal *nr.l permanant registraiion certificatc! issucd;
include those cancelled, suspended or rejecied to the State Councils;
(e)To report to the State Council on a quarterly basis on action taken against non-registered crinicar. estabrishments operation lrt violation of the Act;
(flAny other funcrion as may be prescribcd by the Central Government and or the Siate Governrrent from time to time.
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a a t a a a a - t- L L U \- ttta t- - ,-i- L - - e C s I _ C g ) Powers of thc' Authority (section-18/2) Meetings of the arthority Quor*m and minutes l'roceediugs and minutes of m*ctings
15. The authority shall, for the purposes of discharging its functions under the Act, have the same po$/ers as are vested in a civil court under the Code of Civil Procedure, 1908. in respect of the following matters, namely:- {a) Summoning and enforcing the atiendance bf any person and examining him on oath; .
{b} Requiring the discovery and production of any document or other electronic records ai othe. material objectirre producible as evide nce;
{ci Recelving evidence on affidavits;
t{ii &equisiticning of any pub}ic recard;
iel lssuing commissicn for the examination cf wiiness=s or dccumenis;
{ii lieviewing its decisions, dlrectians and orders;
{g} Dismissing an application for default or decid!ng it a./hl r*- .
!,\t,u r LU/ {hi Any aiher matter which may be presc;"ibed..
16 (l) the meetings cI'the Authoriry shall be held a_t leasr orcc j.n a :nou1fi aL a stipulatrd datc and timc.
(2). Bvery meeting of the Autholiiy sha1l be presided over by the Chairperson.
{3), }"iotice of eve{y rneeting o{.her thair a special rrceting shall be issued by the Convener to eacir membc-r not less 1lan one week before the date of the mr:eting.
17. {}ne - thild ol ri:e totai nu$rber ol" nrer::bers af the Autir*rity sirall lorm a q&)rum and ali actir:ns nl.lhu Ar-r*ror ity shall be decitled by a rnqlclriry oI'the lnembers prescnl and voting.
18(1) Tt"re proceedings of thc rneer.irrgs o1' thc District Ilegistering Aut.hority shall be prese-rued in &e flr:nn of ru.:in utes rvhich shall trre anLhenticatecl after conlirmation by 1.he sip;nalurc o.[ the Chairpr:r'sorr.
(2)A copy {re minules of each nrccting ol the Authority shall be subrniited *r tirc Chairpei'son hy the Memher Scclelaly r.vithin 5-7 days of lhe meeting and after having bceii altesled 't by i-rirn shall be senl to each member cf the Cor_incil within I 5 days ol the rneelin-e. if no object-ior": to their col.recmess is rece ivcd wir-hin l0 days olitheir dispatch, any dsci$jons thereill sha1l be given eifect to, prtvided that the Chaiqrerson nay, .wlere in his opi::ion i1 i.s necesstl"y or extr:erlient so to do, tlirect thal actior: be lakcn on the de{:ision lakeir iri the
19. It'a casuai-vacancy occurs in the affice of any orher metnbet, w[-re{r.er by reason of death, resignatioii or inabili.ty ro rlischarge, I'u:rctior:s osring 10 illriesri or any other incapacity, such vacancy shall be nitea i:y the Ilisrricr {bJlecror try.
n:aking a fi'r:sh appcinlmenl and the ;lember. so appr:inted shall hold oflice 1br tire remaining tenx o1' of{ice of the pe: scn in r.{hose place he/she is so appoinled.
2*{X) 1}re applicant shal1 apply ro rhe i)isrljtt Regislrarion Aritharity lcr i:rovisional i"egisl.ratir:n, eilher',ir nerscn, oi by pc.rt *r tl-rrough lvr-:b based o:rline I'aoilily witfi the necessar)/ infoririatiol in a krlmal as pe.f S{} AR Airnexe under sub seolions {1) and (3) o.l'secticn 14 sf the Acr, {2} 1he applicani shall apply 1o thc Aulholiry lirr pcrma:re.nt regisiratiorr, il person, er by posl or thicugh web based online faciLily with the necessary inlo:mation iilled and with eviddnce of having mcl thc rcquilernents ol minimu,n staudards and persorurcl for diflerent rategorics of Clinical Establishments in a folm and fonnat thax s'hall be pr"escribed by the National Council under scclions 2-4 and 25 olrhc Act.
(3) If an ost;Lblishmsirl is offbring sei-vices in more than onc caleg{}ry as tilecified rxde.r these rules flre establishment urili need to apply for.a sepa{ale provisional or permanent registratioir for eaoh catego{y of establishment under sub section (1) ofsecXion 14 and sectior: 30 otthe Aot, l-Iorveyer, if a. laboratory or diagnostic center is a part of an cstablishment.
ploviding outpatieal;/inpaticllt care, no separal.e registration wiiJ be reqr,rirerl .t ,.
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all.esig*atio:r and filling of casua!
vac*vrcies l{egistration af Ciinieal Itrstahlishments Appliration for Registr*tion a a a a \ i I I I t Ackr:owledgexeut *f Applieation Grant of Registration Certificate cf registrati'or Fees to be charged &t
2I. 'lhe Authoriry*, or atlv persoir jlr his 0fl"ice all :lofized in this behali, shail, ack.r:orvledge reoeipl ol'the applicarion lbr registration, in tite acknt>wledgment siip provided as per SGAA Anrexe inrrnediately, if delivered at the olfice of the autllority, ot nol later tha:: re next workifig day if r-eceived by pcst and by ollinc acknorviedgemcna to be generaled ar-rloir:ratically by the sysLcm.
22, (1) The autharity shall nol undeilal<e any enquirl, prior- tr.r the gralrt ol plcvisionai rcgislralion and shall rvithin a pel.iod of tcn days li:orn the datc o1'r'cceipt ol'sucl"r application, grant to {rc appl.ioant a ccrliilcate of plivisional. registration coutaining particulars and inlitnnation as pet- SGR A*ncxe eitirer by post ol electronieali3, under section 'I5. reurd witjr sectior 17 ol'thc Act-
(2) 1vhile grantiug/issuing rcgistlatiol cerlifieate and Ljcense to any medical practitioner fo run Ciinic, Nur.sing l-Iame or I-tospiral rvheti:er it i: governrrent or privale eir a clinical estabiish:rsnt, the conditions provided ia the guideli*es o{l ldc,dical Cr:uncjl of Intlia shall be n:ade part and parcel of the ::egisLtalion C crli fi catr /J .
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23. Ihe Aatharity shaii grai:r &e applirarl a ceitificate oI pei:mafient legistration as per formal develeiped by National Council eitler by post or eleckonically alter satis$ing ilself thal the applicxrt has cotai:lied with all the recluireinenls arid crilcria, incluriing provision ol riinirnum sLanrialds ;ind personnei required 1o run {re c}inical eslahiishment.
In case of permanent registraiion, under seclion 29 ofthe r\ct, i|:r: aurhority shaIl pass an olderr,vithin thirty days:-
(a) aliowilg lire application .{'or pei:nanerl registration; or {b} disa.lior.viag the application:
Provided that the Authority shall recor-d ils justi{rcalions and reasons, if it disaliows an applioatir:n, ibr penranent rcgistration.
2 {1) The variolls fces cirargcd ftlr prorisional arrd permanenl registralion, ronewali late applicalion, duplical.e ceitificate, change olow;rership, n:anagement or nam.o oI'establishmenl is prescribed in SSF Anncxe undcr section l4 read with section 19, -.ub.sectior': {l) of section 20. scction 22; sectusn 24 and sub-$ectfun (2) of scctio:r 35 of thc 4cr. Clitical N Rencw*i o{ Registration ljstablishments ownecl. crntrolled ancl rr:Lriaged fry Lir" ,] Cellral/ State e ovclm:letrr oi' a local aulhority or.a depar.tme*t ) of Covorntneni, sh.ail be exempt lrom palijrenl ol lces for.
regislration. 'l'he fees presr:riberl firr. r.,:u.ioris categories o1l clinicai estal:lislimenrs trray be L.evised by the State Council throtgh a notificatiorr tn be jssuecl by the Srate (iovernm.enl.
ll:e fee shall be paid by a demald drafl diawn /oniile tralsaction in .l'avor ol' thc r\,"rthrrr.it1., concernt rl as speci.fied r"rnder sub section (1) ol scciior: 14 anci. scction 30 olthe,i\ct.
l he lbcs collected b5., Urc Author.ities for registruilon l^ ,n" Clir:ical Xstablishmenrs sl.rail be, deposited by rhe ALrrhodty colcerncci in a Naii*nalized scl.redlled bank account oirene<l in the name of the oflroial designaliixr o1'the Aurhor-ity ccncer ned an<J shall be utilizerl. by the Ar_rthoriry ttrr ahe acrivities connected with th.e in-rpleurenLation of lhe provrsiotrs ol the Acl and the*e rules as approvecl by the ALlhr:rir,v-.
{2} There shall be constiiured a f*nd called State Ciinical ilstablishment Cor:ncil Fiuld rnd alt districr authoriries slra11 crerl.it t* sueh fund t*,o perceni of the lota] a:nount collected by them by way o1'fees aird penaltics. 'l'he Accounls shall be mairilaired a*s pcr the Finalcial corle an,J sl:all trc auclited by a ;
qr.ralifierl Chaitclecl Accourrtar{ cr:par:elle<3 b3; CzlG" ?he annuai Audit ::cpories shall bc submitii:d lo the conlerred Siale Council. Iti the evei:t o:l an3r change of ownership or.
managemenl the estabiishn:.ent shall iniirnale tc the llistrict Registratiau il vr,riting witl-rirr one rnorrth o-f such cha:rge along with tl:e &e piescriberl in fiGl: Ann+xe fi:r jssue of a revised cr:rtilicate cf Plovisional or }lettiranent registrati*i:, as thc case maybc, iflcorporating thc ohatgcs anri on suneadering the cld certiflcate undel snb sectloa {2) cfseotibn 20 and sertion j0 cf the Acr.
(3) }n ihe event nf cart.ificate of registr.atir:n (provisional or Permanent) being .lost or destrolrcd, the ovrner shall appl;, to the Ar-rthority to .i.ssue a duplicate certificale upon payrnent ol the fbe prescribed in S{}li Anncxc r"rnder seclion 19 and section 30 ofthc,Act.
25{I) Ihe cliii jcal csLabl ishirieli shai l apply I'r.rr. renewal oi.
provisionel regisfi'alibn thirty days trefbrc the.expirr o1' rire validity of tire cer't.i{icate oli prrvisional rcgisiration. in case the appiica.tion l'cr rer:eia,al is irol snbiritterl withjn the 9 ?
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i Regi.s**rs t* br:
rnaintu in*d, iurnishing of reiurns ald display of iaformatiou Eegisters €a be ;rrairtaineii Ilisplay of trnfirrration stipulated period, 1ho au'iholilv shall aliow ft:r rc::ewal of legistralion oir paymenl of re lenewal amount as prescribed in $GF Anrexe alid peiralty ol lts. I 00 pel dby 1ill ttre date of application for renewal rtnder sectiotr 22 of the Act.
{2} For. renewal of penranent legisfaiion, the clinical establishment shall apply lhree months bei:re expiry of the regislralion period of five years. 'l he renewal rvill be granted by the Au&orib- within tlr:'ee months of r"eceipt of the application failing which it r.vill he deeined to hal,e been renewed. If the ciinical estai:ljshmcnl doe.s noL apply within one month of expiry of re.e.isLralioi'r period, the registr:*ion will be deemed to have been srispenried.
(3) lJnder sui:-section (4) of ser:ticr: 30 oJ'the Act the clirrical establishnred shall appiy lor renelval of perrranint regislraliair six monlhs belore the expiry cl"il-re validity r:f rhe ceitifl{ate of perfianerlt registral"i*.n. In ca.se *re applicutian lbr renewai is not submitt*d lvithin tht stipulated periad, the aulhadty 'will a11ow 1'or lenewal cf regislration c;r payment cl dre renewal emoul* as prescrib.d in 3G!' Annex+ and pei-ralty cf lis, 100 per day lill {ic datt oi application lor reiiswnl is acecp[eJ.
26. \lxary Aulh*rity shall within a periccl of ti.",,c years {i"orn i'rs establislutrent, cor:rpile, publish and raaintain iB digitai {-brmat Annexe SCO a registel af Clinical. Hstablishments registered by it and it shall enter the parliculars ol the ce*ificate so issued in a register conlaining pailiculars as cleveloperi iry Idarional Council.
27. T,tery ALrthority inciuding any other au{' ority set up for the registralion of olinicai establishments rmde:: the law fbr the time being in lorce shall supply ia digltal furiral Anmrxe SGG to *re Stale Council of Ciinical Establishrneuls a copy oI every entry marle in ilre District register of clinical estabiishments lor a parlicula: oalenelar monlh by the 15tr' day olthe r:alendw month next {blbwing in keeping with provision of sub scction
(2) of section 3 7 of ihe Aot.
28{1} The Authority shall, within a period of lbrty-five days fi"om the dete of grant of provisioral registr"ation, maudatorily cause to be published in lire puhlic domain e i*rer'lhrough two 10 Ed E I 'l i{''' Iocal newspapers oi an)/. othcr' pgblic I'orums anrj on dre ' f , wcbsite, which the Aulhoriry wiii launch, rhe name of rhe i Cliaical establishlrrent, Ad.drcss, {)wnership, Naine s j. person iir: Charge, Systenr of Medicine oflLreij, Typc and Nature oF Seivices ofibrcd ancl details o,[ r]rc l{c<iical S*ll.(;;,;;, I\.Lu,ses, etc") as providcd unricr sub seotioir (2) ot-section i e ol the Ac1.
{2} Thc Statc. council ilay malie changes in tlie nature oflnforwatian ro be provided in the publiJ Dor.rri, tt roug:, uncdficaticn, exccpl in thc casc of thc rnairdatory information to bc provided u'der sub-seclion (2) of sectio,., 16 of trre A.t.(3) 'l he Auilrodry shall, wittrin a periorl of seven days cause Lo be publislied in rhe public dornain eirhcr ,fr."_en ;" i.".1 newspapers or ary olher publir for.uins a*<i oa the website, :,vhich lhe Authority will laur:ch, the name ,f th* Cli;i;;;
Establishir:e nt, Acldi.ess, Ownership, Naine of peisori ix Charge, tiystern of Medieine offbred, .lype anC Nature cf Serv'ices of&red, details of the Mecticat lltaff {Doctors, Nurscs, et*) and the rleiails aad information relaled to Larrilg compiied 1,viti] the minimurn standarcls and persor:nel pr"*rriir* fo, ,t * pafiicular caregory of Clinical Establistrmeiri under seclicn 26 *ftke Act.'l'trer AuthorirS, shall cause to be rlispJayed the aborie infr:nnatian in pr.rblic dor::ai.n Ibr a period ,rt :O aoy, fnr filir:g objccrions beft-rr e granting pennanent regislration in lann*rusGo).
(4) If any persoi: has any objection ro the inhrmation puhlisied regai.ding the ciinical establishrnenr they shail give in writing ths rsasons . a:i.d evidence cf objection or non_ con:piiairce to-the rluthorily. The Authority shal1, rvithin a period of .1.5 days cause to be publisired in r,n. fuUfi, .lo,ruin the .name of lhe e)i*eil Fstablishment lvhose (provisi"r;;;
Pelaanent) regislr'ation has expired as rinrler sectjon.Zl a:rd secticrr 30 o1' the ,ilct.
29.(1) 1fte Clir:ical llstablishmonts shail mainiain medicaj records i:f patients tteatad by it afld health information and slatistics in respr:ct oj nationai pt.ogrammers an<J furnish the same to tirc district aud:oi.ities iri fb,n:r o{. thrce monfhlv repot.ts, llhc mininrum rncriical lecor<js to be maillained a:rrl Information fo be provided by Clinical Establishments I i !
!
a a I ':1 iVlaintesanee of Medieal Reeords nalu:-e- o.{' irrlil':r:alian to be pt-ovided by the Clinical Establishnrenrs will be as per thr loi-mais {et:el<tpeti hy lhe National Cotincii.
i2i Copies ol all rccords a.ncj siai.islics sl.rall bc kcpL rvilh tire cliaical eslablishn-rcnl Gonccrncd for at least 3 years or. in accordance with any other r-elevani Act Ior the time .bcing in f:orce under claLrse (iii) ol sub seci.ion (I) oF secticn l2 ol the Act. All clinical cstabljshmenrs shall be rcsponsible far submission of infomratir:n and sktislics i* lire li:ne ril emergcucy or disaster cr cpidemic siluatir:n.
(3) 'the Statc Goveu:inert rna;i notily ftom iinrc to tine, the lature of inlbrma'Lion that needs to be &lrnished by the Clirrioal Establishngnts incluciing other disease notified ibr &is purpose along with the prescribcd ir:terval. l: additicn to the spccilio plovisiolls cl thc Art all esrablisl:n:er:.ts shall cornply s.Itd tazintaia informatior ar:d statistics in keeping r,vitli other applicahle Acts and rulcs rvliich are in furce in tire courtry.
38(I) lrveiy physiciat shall nrairilain lhe rnediial recoruis pertaining to l':is/hel inrloor palienrs &>r a periorl of I years fram the date 01' commenceinent *l the lreal,illent in a sta*clard profonna laid dow:r by the Medical Carincil cf Inclia anrl appended io these rules as Appendix-I.
(2) If any request is iirade for medical rect:rils ei,rher by dte palients/authorised attendant or: legal autharities involvecl, the salns may be duly acknowledged and docun:enh shsll be issued witliin the period of 72 hours. Ia <;ase, rccords are nct supplied, it shall be punisha.ble and -n:ake olrl a case ..[br rejection ol regislration ol' such Llospital, Medical pracLitianer or Nursing l-lome by itc compotcrX aulhorily.
(3) A regislered medicnl pr-actirioncr shall nraintain a Regislei.
olMedlcal ilenilicates giving full details oj.ceflilicales issued.
'When issuihg a medical certificate he/she shall alwa.vs enter the identifibation marks of the patienl arid keep a copy of the ccrtificate. i'Ie/she shali not omit to r*cord the signature zrndlor thumb i:rhrk, adri::css and al leasl qnc idcntillcation nark of the patient on the ir:ed.ical ceitificates or reporl. 1lhe medic,al ccrtificate shall be preparerl in Appendix-2.
(4) i;jflbrt shall bc:la"dc to coltpllleri;ro rrr:dical r,scorrls 1ix, cluicl< r'et ljcvai. " {5} A supervising cl J.'rcer shalj be clesignaled who wjll ensure that conditions mend(xed heleinabr.n;e a.r-e cornpliecl with by Medical PracLilioners, I lospitals and Nui:sing I [onres whether they ,Ne private cr the Governmenl. 'llre GoveLnmenl I-Iospitais iacluding SGPGI or other post gradriare institutions shall alsc conply with tlie abovc conditions a.r-rd provide a copy of en1i1!- nrcdical r'ecords lo thc paticn{.s or their nr:rnilec withiri tl:e a&rrcsaid. pcriod of 72 hcurs alier Cischarge lrom thc rcspccli ve. hospilals,
(6) An Ilospitals shall alsc mainfnin their reccrd of each anri evcry paticll ox the website slarting fi'om registralion of the patir l to 1h0 datt' oJ'dischargc.
Pover to erfer 31i1) Imy aild search t;f a Clinical Estahlishmest uray be done by dre Authority or an cr ll:fioer or team duly auth.orir-ed b,ri it or" subject to sxch gene{zrl or special order.s as..mav be n:ar1e by ti:e auihorily. Such a dccision rvill be rer;uir-ed to be taken by majcrity of members.
{2}Sric): eiltr-t' and search of ciinioal esiablisiiinenis may ba conr'luoled i.l rurrrirg a Clinical Establislarent withaut regis*ratior: ar rloes not adhsre 10 ths prcscriberi iriinimurn.
sia-ndards oL has reascnabic cause 1* b*1ieve that ths Cii::iral .llstablishr:renr is being used for purposes rthe;: than that it is registered or coniravenes any of the provisions of ihe Act cr Xhe ruies or these rules shalL at all rcasanable drres enter aari inspect any record, register, r.locumerl, equipircnl. and arlicles as dee:ued necossai? under the prcvisicns al'secticn 34 ofthe Act.
{3} the auihority or the olficers or ths tea*r reieucd to ii.1 srlb rule (I) inay at ary time enter and examine all pcrtions cf the preuiises used or pioposed to be useri for the clinical esiablislrmcnt and inspcct thu equipme*l*, luirrilure atril <.:ther accessories and enquire into the prcIessional qualifications of tire technical stafl employed ol to bc eraployecl rurd shall malre any sucil olher eirqiiites ai may. be considered recessaxll to yorify the stalefiients :aade !n the applicaliol firr registr.ation aad graiit of liceirsrl. Ali person,s conriected with the running ol the establishmcn{ shail be br:und lo supply {iil1 antl correcf.
inl'ormation tri the aulihority or tire o.{licers or the learn c.()nduclulg the insl:cct iirn.
\ i4) 'Ihe officcr/team sl:all slrbmit a ropofl as pcr SGIll.
.Anrexe within a weeh olthc inspcction to ttre Authority with a copy to the Statc Councii. If al any time a{tcr any olinical establishmelrl has been registered, the aulhcr:ily is satisfied that,- {a) tire co:rditions of 1he legistralicn ate nol beiLg compliod with; or iblthe person entu'ustcd \,ith the management of the clinical estabiishn:ent has beeu convicted of an offbnce punishable.
under thc Act. il may issuc a irotice Lo Lhe clinical establishmeni to shor,v cause within *ree mr.rnlhs' time as to r.vhy its regisiratioa shoulcl not be cancelled for the reasons to be nterrtioned in the notice.
{5) If after giving a reasonable opporlunity tc the clinical establishmelt, ti.re ar-rthority is satisfied {hat there has beel a breach of eny cf the provisiofls cf ihe Act *:r the rcles mada thereunder, it rnay, by an order, witliout pr*judice tc any *lhe'r action that it may take against such clinical establishmerrt, cancel i1s r*gistraticn.
(6).lir..eqy oyder made unciei serb-section (2) oI se;tion 41 cf rhe Act shall lake el'fect- {a} r,vhere no appeal has been prelerrecl against such order iiamediately *n fhe expiry af &e period prescribed fbr such appeal; and (trlwhere such appeal has been prefered and it has been dismissed from the date ollhe order r:f suc.h dismissal:
Plovided that &e authr-:rity, aftel cancellation cf regieltation for reasons to be lecorded in ra,rillng, rnav restrair:
imraediate ly the clinical establish:T:rent .frorr carryirg its brsiness on if thcrc is imminect dangcr to the i:eaith ard safbty of patieirls.
32. In keeping with the provisions of sub sertioirs (1),(2) and
(3) and section 41 and sub sections (1),(2) ar:d (3) of section 42 af the "Act, whoever carrles ou a clinical establishment withaut registration or whoever r,villfully disobeys any direction, or obslructs the authorily or any oflicer e1:1ealn authorized by it or withholcls any such inibnnation or provirles falsc informatiorL shall L''c l.iable to a monctary pcnaliy.
:,,, P*:ratrtics )4 TD TF TE TE E , Wlzoever carrietl ott a clinicql eslabl ishment , irlrr,, {i regisfi'atiott, shall, tin" .firsL contrqven.tion be li^ble to . ) Appeals nxow.lary pefial1, tp to ten tintes of t,egis h.,ation .fbc. ./bt. secottci contt ibutioh lo a manblntlt ltenalty w/t.ich may extend. tr) twenryt rz.nees of registt,ation {ee an.d for thiyd t rze cofitrarention ta peuahV which may extend la ,fifb/ times oJ" registt"ation jbe and .fbr any .further conlraveution the reE;islralknt yyili be r ej e " teth c'a nc e lcri.
Whocvei- kt:orvingly serves in a clinical . establishmei:l whieh is ffx duly registcre{l under &i$ Acr, shall be liable to a ntonctiu'y pcnalty whicJr iray cxtentJ Lo lwcnry fir,e rt;usa.ld rupess.
'lhc penalty fees collected by the aullror.itics shall be, depositeC by 1he Arithorily cor:cerncd in a Natioiialized bank accsrlnt opered in 1ie na.rae ol &e officia.l designation ol. tlre State Council coneeraed and shall be :-itilized by the Coru:cil ald autholity for the s-ctivities coi:nected rvith the ir:Tplementatian of lhe provisicns of tbe Act as approverl by Lhe Council.
33{1) }t:r keeping v;ith secrior: 36, sr:b secrions.(4) (5} tti) and {7) ofsectio:T 4l a.nrl sub-sections {4) {"5) {6) ar:ii (7} r:Ii sectiorr .
42 any person or clinical esta.blislment, ii aggrieved by rhe ile*ision cf the Autharity rmder secljo::s ?g arld 34 *f th; Act, may file an appeal in tfre format SGA Annexe to &e S1ale Cauncil within &irty days frorrr the date ol r.eceipt of such order along wirh a I'ee of Rs^ s000i-.
(2)'1he appeal againsl a public healrhcare estab.lishment shall be lilcd in fbrm S{iA and shall be sent ro the litate {Jouncil by registcL'ed i:ost o:' itr person.
{3)ilvety appczrl shall bc aecompanied by a {be r,rf rupecs onc thoi.rsand.
{A}A{ter receipt oI'the appeai, dre State CoLmcij shall fix &e tirne and date -l'or hearing and illbrm the same .i.o thc appellant and others concer.oed hy a registered leiter giving at least 15 days tirn: Ii,r' hcaii,rg of tlre .case.
{S)^l'hc appcllanl nlay ropresenl by himsell or authorizerl pclson or a l.e9al pr:act lioner anrJ submil thc releriant rlooumcniluy nlaictial if any iri supll{)r-1" r_r f tlrc appcal.
{6}1'he Statc Counoil shall heiir. ail the conccrnccl, receive the I ,:
relevanl oralldocuraentary evidence subr*iltcd. by them, consider thc appeal and communicate its clecision prcferably wi.thin 90 days lrom rhe ciale of filing the appcal.
(7) If the State Council considers rhat an interim orcler is necessary in the matter, it may pass such orcler, pentling finai disposal of the appeai.
(8) 'lhe Slate Council will have the aruhorily ro stay rhe operation of d:e order oi the authority till.sirch tirae as it d.ecms necessary.
{9}'Ihe decislon of Sute Coulcil shSrll be {inaj an<j binslir:g.
(10) If :io appeal is filed agailsr the decision of &e Axrh*iry in the prescribed period (i,e.) :virhin 30 days fitm the dale of receipt of ihe order, tlie orders ollhe Au{horit1, shall be &::al.
{11} the appeal fees co}lected by the an duth*riLy s}rall be deposiied by the Authrrity conce*re<i ii-r a Nationalized bank acc.,unt rpened in the name o[ the oldcial <lesignaticn of.ihe Sia{:c Councii anri sl:all he utilized b,v the Stnrc Council and authririty for lhe activilics cor*recletl with the inrplemei:tatir:n of,&e provisions of the Act ns appro.,.,ed i:y the S{a1e Council.
By ordex (ARYINI}KUMAR) Principal Secretary, 16