Saturday 21 September 2019

Goa Clinical Establishments (Registration and Regulation) Bill, 2019

The State Government of Goa on August 16, 2019 has published the Goa Clinical Establishments (Registration and Regulation) Bill, 2019, to provide registration and regulation of clinical establishments in the State of Goa and for that purpose, interalia, seeks to constitute the Goa Council for Clinical Establishments.

The Bill seeks to lay down the conditions for registration of clinical establishments including the minimum standards of facilities and services by the clinical establishments. Further, the Bill repeals the Goa Medical Practitioners Act, 2004.

  • Registration and Standards for Clinical Establishments: The Government shall, by notification, set up an authority to be called the District Registering Authority for each district for registration of clinical establishments.
  • Classification of Clinical Establishments: Clinical establishments of different systems shall be classified into such categories as may be prescribed. Further, different standards may be prescribed for different categories.

Procedure for Registration:


a) For the purposes of provisional certificate of registration of the clinical establishment, an application in along with fee and details shall be made to the authority.

b) If any clinical establishment is in existence at the time of the commencement of this Act, an application for its registration shall be made within three months from the date of the commencement of this Act and a clinical establishment which comes into existence after the commencement of this Act shall apply for its registration before starting its operations.

c) If any clinical establishment is already registered under any existing law requiring registration of such establishment, even then it shall apply for registration.

d) If any clinical establishment is offering services in more than one category then such establishment shall apply for separate registration for each such category.

e) Register of Clinical Establishments: The authority shall, within a period of one year from it’s establishment, compile, publish and maintain in digital format a register of clinical establishments, registered by it and it shall enter the particulars of the certificate so issued in a register to be maintained in such form and manner, as may be prescribed by the Government.

THE GOA CLINICAL ESTABLISHMENTS (REGISTRATION AND REGULATION) BILL, 2019

(Bill No. 22 of 2019) 
A BILL

To provide for the registration and regulation of clinical establishments in the State of Goa and for matters connected therewith or incidental thereto. Be it enacted by the Legislative Assembly of Goa in the Seventieth Year of the Republic of India as follows:—

CHAPTER I Preliminary 

1. Short title and commencement.— (1) This Act may be called the Goa Clinical Establishments (Registration and Regulation) Act, 2019. 
(2) It extends to the whole of the State of Goa. 
(3) It shall come into force on such date as the Government may, by notification in the Official Gazette, appoint. 

2. Definitions.— In this Act, unless the context otherwise requires,— 
(a) “authority” means the District Registering Authority appointed under section 7 of this Act; 
(b) “certificate” means certificate of registration issued under section 27 of this Act ; 
(c) “clinical establishment” means,-
(i) a hospital, maternity home, nursing home, dispensary, clinic, sanatorium or an institution, by whatever name called, that offers services, facilities requiring diagnosis, treatment or care for illness, injury, deformity, abnormality or pregnancy in any recognized system of medicine established and administered or maintained by any person or body of persons, whether incorporated or not; or 
(ii) a place established as an independent entity or part of an establishment referred to in sub-clause (i), in connection with the diagnosis or treatment of diseases where pathological, bacteriological, genetic, radiological, chemical, biological investigations or other diagnostic or investigative services with the aid of laboratory or other medical equipment, are usually carried on, established and administered or maintained by any person or body of persons, whether incorporated or not and shall include a clinical establishment owned, controlled or managed by— 
(a) the Government or a Department of the Government;
(b) a trust, whether public or private; 
(c) a corporation (including a society) registered under a Central, Provincial or State Act, whether or not owned by the Government;
(d) a local authority; and
(e) a single doctor/group of doctors, but does not include the clinical establishments owned, controlled or managed by the Armed Forces. 

Explanation.— For the purpose of this clause, “Armed Forces” means the forces constituted under the Army Act, 1950 (Central Act 46 of 1950), the Air Force Act, 1950 (Central Act 45 of 1950) and the Navy Act, 1957 (Central Act 62 of 1957)
(d) “Council” means the Council constituted under section 3 of this Act; 
(e) “emergency medical condition” means a medical condition manifesting itself by acute symptoms of sufficient severity (including severe pain) of such a nature that the absence of immediate medical attention could reasonably be expected to result in,— 
(i) placing the health of the individual or with respect to a pregnant woman, the health of the woman or her unborn child, in serious jeopardy; or
(ii) serious impairment to bodily functions; or
(iii) serious dysfunction of any organ or part of a body; 
(f) “Government” means the Government of Goa;
(g) “Grievance Redressal Officer” means person appointed by every clinical establishment under the provisions of section 9 of this Act;
(h) “National Council” means the National Council for clinical establishments established under section 3 of the Clinical Establishments (Registration and Regulation) Act, 2010 (Central Act 23 of 2010); 
(i) “National register” means the register maintained by the Central Government under section 39 of the Clinical Establishments (Registration and Regulation) Act, 2010 (Central Act 23 of 2010)

(j) “notification” means a notification published in the Official Gazette; 

(k) “Official Gazette” means the Official Gazette of the Government; 
(l) “prescribed” means prescribed by rules made under this Act; 
(m) “recognized system of medicine” means allopathy, yoga, naturopathy, ayurveda, homoeopathy, siddha and unani system of medicines or any other system of medicine as may be recognized by the Central Government; 
(n) “registration” means registration of the Clinical Establishments under this Act;
(o) “rules” means rules made under this Act; 
(p) “standards” means the conditions that are specified in section 9 for the registration of clinical establishments; 
(q) “State” means the State of Goa;
(r) “state register” means the register maintained by the authority and the Government under sections 34 and 35 respectively of this Act containing the number of clinical establishments registered; 
(s) “to stabilize” (with its grammatical variations and cognate expressions)” means, with respect to an emergency medical condition specified in clause (e), to provide such medical treatment of the condition as may be necessary to assure, within reasonable medical probability; that no material deterioration of the condition is likely to result from or occur during the transfer of the individual from a clinical establishment. 


CHAPTER II Council For Clinical Establishments 


3. Constitution of Council for Clinical Establishments.— 
(1) The Government shall, by notification, constitute a Council to be called the Goa Council for Clinical Establishments. 
(2) The Council shall consist of the following members, namely:— 
(a) Secretary to the Government of Goa in Health Department ___________ Chairman. 
(b) Dean, Goa Medical College________________ Member.
(c) Six Representatives out of which one to be elected by each Executive Committee of,-
(i) Goa Medical Council___ Member.
(ii) Goa Dental Council ____ Member.
(iii) Goa Nursing Council___ Member.
(iv) Goa State Pharmacy Council_______________ Member.
(v) Goa Board of Indian System of Medicine and Homoeopathy (Ayurveda and Homoeopathy) _________ Member.
(vi) Any other Council in recognized System of Medicine_____________ Member.
(d) Three representatives to be elected by Indian Medical Association, Goa branch _ Members.
(e) One representative from paramedical systems but other than from clause (c) to be nominated by the Government ____________ Member
(f) One representative to be elected by Members of Association of Private Nursing Homes in the State of Goa. ___________ Member.
(g) Two representatives to be nominated by the Government____________ Members. 
(h) Director of Health Services, Government of Goa ________________ Member Secretary.

(3) The elected and the nominated members of the Council, shall hold office for three years, but shall be eligible for reelection or re-nomination for one more term of three years only: Provided that the person nominated or elected, as the case may be, shall hold office for so long as he holds the appointment of the office by virtue of which he was nominated or elected, as the case may be, to the Council. (4) The allowances payable to the members of the Council other than ex-officio members shall be such as may be prescribed by the Government. 

4. Disqualification for appointment as member.— A person shall be disqualified for being elected or nominated or for continuing as a member of the Council if he,—
(a) has been convicted and sentenced to imprisonment for an offence which, in the opinion of the Government, involves moral turpitude; or
(b) has been charge-sheeted in any crime where punishment is imprisonment; or
(c) is an undischarged insolvent; or
(d) is of unsound mind, and stands so declared by a competent court; or
(e) has been removed or dismissed from the service of the Government or a corporation owned or controlled by the Government; or
(f) is a whole time Officer or servant of the Council; or
(g) has, in the opinion of the Government, such financial or other interest in the Council as is likely to affect prejudicially the discharge by him of his functions as a member.

5. Functions of the Council.— The Council shall perform the following functions, namely:—
(a) compiling and updating the State Register of clinical establishments;
(b) sending monthly returns for updating the National Register of clinical establishments;
(c) representing the State in the National Council;
(d) hearing of appeals against the Orders of the authority;
(e) publication on annual basis a report on the state of implementation of standards by the clinical establishments;
(f) ensure implementation of minimum standards;
(g) perform any other function determined by the Government from time to time. 6. Power to seek advice or assistance.— The Council may associate with itself any person or body whose assistance or advice it may desire in carrying out any of the provisions of this Act. 

CHAPTER III Registration and Standards for Clinical Establishments

7. Appointment of an authority.— The Government shall, by notification, set up an authority to be called the District Registering Authority for each district for registration of







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