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Act Meant to Regulate Clinics, Hospitals Still in Infancy

The Clinical Establishments (Registration and Regulation) Act, which was introduced to regulate clinics and hospitals, is still in infancy in the state. The Act was adopted by the state assembly in 2013. Rajasthan is one of the 11 states, which has adopted Clinical Establishment Act in the country. The Center had enacted the Act for providing registration and regulation of all clinical organizations in the country with a view to prescribe the minimum standards of facilities and services provided to the patients by them. Committees for registration at different levels were formed more than five years ago. State government on June 5, 2013 had issued notification for constituting Rajasthan State Council for Clinical Establishments. On the same day, the state government issued order for constituting district registering authority for each district headed by district collector.

Clearing its stand on Clinical Establishment Act, health department has issued order mentioning that they have started registration of clinics and hospitals under Clinical Establishment Act. But, the registration will be temporary. However, it has blamed the Center for not implementing ‘minimum standard’ yet, which is why, the health department has asked all chief medical health officers to register clinical establishments temporarily. In the Act, there is a provision of search of clinical establishments to find out if anyone is carrying on a clinical establishment without registration or does not adhere to the prescribed minimum standards or has reasonable cause to believe that the clinical establishment is being used for purposes other than it is registered or contravenes any of the provisions of the Act and rules. The hospitals are supposed to abide by minimum standards in terms of infrastructure, services, staff, equipment and lighting arrangements.

“Clinical Establishment Act has already been implemented in the state. But, Center has not implemented minimum standard, which is why, temporary registration will be done for one year. The process will continue till the center finalizes and implement minimum standard,” says order issued by director (health) Dr VK Mathur. Under the Act, the clinical establishments have to specify the charges of procedures and treatment provided by them to the patients. In the past, doctors’ association in state had protested Clinical Implementation Act as they claimed that it would promote inspector raj in the state. – TOI