Almost two years after it was passed by Parliament, the Clinical Establishments (Registration and Regulation) Act, 2010, has now been notified by the Union Government.

Notified on February 28, it has come into force in Arunachal Pradesh, Himachal Pradesh, Mizoram, Sikkim and all Union Territories from March 1.

The Act makes it mandatory for all clinical establishments to provide medical care and treatment necessary to stabilise any individual who comes or is brought to the clinical establishment in an emergency medical condition, particularly women who come for deliveries and accident cases. It provides for mandatory registration of all clinical establishments, including diagnostic centres and single-doctor clinics across all recognised systems of medicine both in the public and private sector except those run by the Defence forces. The registering authority can impose fines for non-compliance and if a clinical establishment fails to pay the same, it would be recovered as an arrear of land revenue. It will facilitate policy formulation, resource allocation and determine standards of treatment, in addition to helping create an accurate database of such facilities available in the country. The Act will lay down Standard Treatment Guidelines for common disease conditions, for which a core committee of experts has been formed.

The Union Ministry of Health & Family Welfare framed the draft Rules. The Law Ministry vetted them for notification, while the Model Rules for the States were sent to States. All States were asked by the Ministry to adopt the law by passing a resolution in their Assemblies. Rajasthan and Uttar Pradesh have already adopted the Act.

A National Council for Clinical Establishments, a multi-member body under the chairmanship of the Director-General of Health Services, with representatives of various stakeholder institutions, is being notified shortly while work on the categorisation of clinical establishments and development of minimum standards has been initiated in association with the Quality Council of India and the Indian Medical Association. A committee has also been formed for the development of Standards for Electronic Records Maintenance systems to be adopted in the hospitals.

‘As-is-where-is'

Initially, provisional registration would be granted within 10 days of application on ‘as-is-where-is basis' upon receiving the application filed with supporting documents. Once standards have been notified, permanent registration would be provided to all those conforming to the notified standards.


  • The Clinical Establishment (Registration and Registration) Act was passed two years ago

  • States have been told to adopt the law through a resolution in their Assemblies