Fire NOC stalls licences
Karnataka Private Medical
Indian Medical Association
Private hospitals across Karnataka are facing delays in obtaining new licenses and renewing existing ones due to the state government's mandatory requirement for a fire safety No Objection Certificate (). As per theEstablishments (KPME) Act, it is now compulsory for all private healthcare institutions to implement fire safety measures and obtain clearance from the Fire and Emergency Services Department to secure or renew their licenses.Earlier, only hospitals taller than 21 metres needed a fire safety NOC. However, the new directive extends this requirement to smaller hospitals and clinics as well. Without this clearance, licenses cannot be issued or renewed, causing a slowdown in hospital registrations and potentially affecting the delivery of essential healthcare services.Dr A Suriraju, Secretary of the(IMA), voiced concern, stating that around 3,000 small and medium-sized hospitals are already experiencing delays, a number that could rise to 15,000 in the coming months if the issue is not addressed.The IMA has called on the government to issue clear, standardised guidelines for the NOC process.
Hashtags

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


News18
21 minutes ago
- News18
Real Life 'Munna Bhai MBBS'? Fake Assam Doctor Who Performed 50 C-Sections Arrested
Last Updated: Pulok Malakar, posing as a doctor for over a decade, was arrested in Silchar, for performing over 50 surgeries without valid qualifications A man posing as a doctor for over a decade has been arrested in Silchar, Assam, for allegedly performing more than 50 caesarean and gynaecological surgeries without any valid medical qualification. The accused, Pulok Malakar, had been working at two private hospitals in Silchar and was widely known as a gynaecologist. His arrest followed a tip-off, after which police raided Shibsundari Nari Shiksha Seva Ashram Hospital in Silchar while he was in the operation theatre performing a C-section, NDTV reported. 'We got information about him and started an investigation. After verification of all the documents, we found that all his certificates are fake. He was a fake medical practitioner and was running the business for many years," said senior police officer Numal Mahatta. Malakar, a resident of Sribhumi in Assam, was produced before a local court on Monday and sent to five-day police custody. His arrest is part of a larger crackdown in Assam on fake doctors. In January 2025, the state government led by Chief Minister Himanta Biswa Sarma formed the Anti-Quackery and Vigilance Cell — a dedicated unit working with the police to identify unqualified individuals posing as medical professionals. Since its formation, the cell has filed 13 FIRs and arrested 10 fake doctors across the state. One suspect remains on the run, and two cases are under investigation. Most of the individuals caught have been targeting lower and middle-income patients in both rural and urban areas. Last month, four fake doctors were arrested — two in Nagaon and two in Jorhat — after FIRs were filed by state anti-quackery officer Dr Abhijit Neog. All four are now in judicial custody and have been booked under various charges, including cheating, criminal breach of trust, and offences under the National Medical Commission (NMC) Act, 2019. view comments Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.


News18
3 hours ago
- News18
Why Haryana's Public Health System Is Crumbling With Pending Dues From Ayushman Bharat
Haryana's public healthcare system is collapsing under the weight of over-promising, financial mismanagement, and a lack of strategy In an attempt to manage shrinking healthcare funds, the Haryana government in June dropped several high-demand treatment packages—including cataract, hysterectomy, laparoscopic cholecystectomy, gastroenteritis, and Chronic Obstructive Pulmonary Disease (COPD)—from both the Ayushman Bharat and Chirayu Yojana health insurance schemes for private hospitals. While that decision is still rippling across hospitals and patients alike, another storm is brewing: over 650 private hospitals are preparing to halt Ayushman Bharat services starting August 7, citing unpaid dues of over Rs 500 crore. But this isn't just a payment delay issue. Haryana's public healthcare system is collapsing under the weight of over-promising, financial mismanagement, and a lack of strategy. How Did We Get Here? Haryana's health insurance net has grown rapidly in recent years. Under the Centre's Ayushman Bharat–Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the state covered about 70–80 lakh beneficiaries. But in a bid to widen the safety net, the state launched Chirayu Yojana, expanding total coverage to a staggering 1.8 crore people—over 70 per cent of the state's 2.5 crore population. This expansion was not backed by a scalable financial roadmap. 'In trying to serve too many, the government is now unable to serve anyone properly," said Dr Ajay Mahajan, former president of the Indian Medical Association (IMA), Haryana. 'They over-promised but didn't have the budget to sustain it." Mahajan was IMA Haryana's president when the dialogues with the state government started for expanding the funding. 'In 2023–24, the total budget for these health schemes was Rs 1,300 crore, which increased to Rs 1,800 crore in 2024–25. During multiple meetings with the chief minister and his office, private hospital representatives were assured that the allocation would rise to Rs 2,000–2,500 crore. Instead, it was slashed to Rs 700 crore—causing a severe funding crisis." 'That entire amount of Rs 175 crore, from the first quarterly release, officials confirm, has already been used to clear old unpaid dues from previous years, leaving this year's reimbursements pending. Rs 175 crore has been used to clear old dues. There is no money left to clear the latest dues." Why Top-Selling Packages Were Removed In a notice titled 'Regarding Reservation of Medical & Surgical Packages for Government Hospitals", issued on 23 June 2025, seen by News18, the Ayushman Bharat Haryana announced that five high-demand procedures would now be reserved exclusively for public (government) hospitals. They labelled the move as part of efforts 'to streamline package utilization under Ayushman Bharat HHPA and to avoid over-utilization by private empanelled hospitals." The five procedures—Phacoemulsification with foldable hydrophobic acrylic IOL, Abdominal Hysterectomy, Acute Exacerbation of COPD, Acute Gastroenteritis with Severe Dehydration, and Laparoscopic Cholecystectomy (Without CBD Exploration)—are in addition to 114 packages already reserved for government facilities. The notice further directed officials to 'update the TMS portal accordingly, so that booking of these packages is restricted to Government Hospitals only," adding that the step will 'enhance service delivery at public health institutions and ensure judicious use of scheme funds." However, IMA Haryana and other private hospitals believe that the move is to cut budget under the scheme as these packages, especially cataract surgery, had very high demand. 'The more the packages sold in private hospitals, higher the bills for reimbursement become pending," Mahajan said. About 700 private hospitals in Haryana are empanelled under the scheme—many of them mid-sized nursing homes and speciality centres that serve 90 per cent of Ayushman patients. The public sector, though nearly equal in number of hospitals, attracts only 10 per cent of patients. 'Most tertiary care and super-speciality beds—about 80–85 per cent—are with private hospitals," said Dr Girdhar Gyani, director general of the Association of Healthcare Providers India (AHPI). 'These hospitals cannot survive long payment delays. The government's intent may be genuine, but without a strategy and cash flow, the system is breaking down." Hospitals say they are facing operational stress, rising costs, and zero liquidity. Payments have been delayed by up to five months in some cases. Arbitrary deductions and administrative apathy have only added to the strain. 'The only solution is to charge 1 per cent interest as a penalty for the amount due. This penalty was part of the original Ayushman Bharat scheme when launched in 2018. However, states have removed that clause due to their own convenience." Quiet Cuts, Loud Consequences To deal with the mounting costs, the government has begun cutting down packages. Mahajan confirmed to News18 that several high-volume, commonly claimed procedures were quietly removed from the Ayushman and Chirayu lists months ago. These include cataract surgeries, hysterectomies, gallbladder removals, and even procedures related to gastrointestinal and COPD conditions. 'Cataract was the top-selling procedure, and they have removed that as well." 'These five were core treatments, especially for the poor," he said. 'Removing them doesn't just balance the books—it leaves lakhs of people with no option but to pay out of pocket or skip care altogether." The cost of running both schemes simultaneously, Mahajan said, has created an unsustainable financial burden, with the state now facing the consequences of overpromising. Last-Ditch Talks, With Conditions top videos View all Talks between the government and hospital associations are ongoing. A meeting scheduled on Monday was postponed, but fresh dates have been proposed. Hospital leaders say they're still open to negotiation. 'We were planning to meet the state government officials today, but the meeting was cancelled," Gyani said, adding, 'If we get a firm assurance and timelines, we might give them a week's extension. But if the funds are not released soon, we will have no choice but to stop services. We simply don't have the money to treat patients under Ayushman." About the Author Himani Chandna Himani Chandna, Associate Editor at CNN News18, specialises in healthcare and pharmaceuticals. With firsthand insights into India's COVID-19 battle, she brings a seasoned perspective. She is particularly More Get breaking news, in-depth analysis, and expert perspectives on everything from politics to crime and society. Stay informed with the latest India news only on News18. Download the News18 App to stay updated! tags : Ayushman Bharat cataract gall bladder haryana news18 specials view comments Location : New Delhi, India, India First Published: August 05, 2025, 12:20 IST News india Why Haryana's Public Health System Is Crumbling With Pending Dues From Ayushman Bharat Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.


News18
3 hours ago
- News18
Kerala's Beloved 'Two Rupee Doctor' Passes Away After A Lifetime Of Healing
Dr Rairu died in the early hours of Sunday at the age of 80, leaving behind a legacy of compassionate and selfless medical care that healed countless patients. Nearly six decades ago, Dr A Gopalan Nambiar, a respected doctor in Kannur, northern Kerala, advised his son Rairu at the beginning of his medical career, 'If it's about making money, do some other job." This piece of advice profoundly influenced the life of the young doctor. Consequently, Dr AK Rairu Gopal began his practice by charging just Rs 2 as a consultation fee, a rate he maintained for over half a century, earning him the nickname 'Two Rupee Doctor." Dr Rairu died in the early hours of Sunday at the age of 80, leaving behind a legacy of compassionate and selfless medical care that healed countless patients, especially the deprived and underprivileged. Chief Minister Pinarayi Vijayan, who referred to Dr Rairu as 'the people's doctor," expressed condolences, noting that his dedication to service was a great relief to the poor. Dr Rairu completed his MBBS from Kozhikode Medical College and initially worked at a hospital in Kannur before opening his own clinic in Talap, where he served the community for 35 years. He later moved to a house near Thana Manikkakavu Temple. Locals noted that bus services added a stop at Dr Rairu's clinic near the police ground in Kannur town to facilitate patients. Dr Rairu used to examine patients from 4 am to 4 pm. Recognising the time constraints faced by workers, he began seeing patients as early as 3 am, sometimes attending to over 300 people in a day. On most days, he would see more than 200 patients. According to his own account, nearly 18 lakh patients, ranging from children to the elderly, sought his care over his career. He primarily prescribed low-cost, effective medicines and often provided them free of charge to those in financial need. Patients came from outside the district due to his nominal fee of Rs. 2, which he later increased to Rs. 10. Dr Rairu's daily routine was marked by discipline and simplicity. He woke up at 2:15 am, first tending to his cows, cleaning the shed, and collecting milk. After prayer and distributing milk, he would begin consultations. His journey into voluntary service began after witnessing the dire condition of a patient during a house visit. His wife, Dr Shakuntala, supported him in managing the crowd and distributing medicines. Together with his brothers, Dr Venugopal and Dr Rajagopal, he continued the family tradition of non-profit medical service. Dr Rairu is also survived by his son Bala Gopal and daughter Vidhya Bharath. He was honoured with the Indian Medical Association (IMA) award for the best family doctor in Kerala. Beyond his profession, Dr Rairu was a passionate animal lover who kept several pets. His body was cremated at Payyambalam, Kannur, on Sunday afternoon. view comments First Published: August 05, 2025, 12:17 IST Disclaimer: Comments reflect users' views, not News18's. Please keep discussions respectful and constructive. Abusive, defamatory, or illegal comments will be removed. News18 may disable any comment at its discretion. By posting, you agree to our Terms of Use and Privacy Policy.