Schedule

(see clause (s) of section 2 and section 11B) PATIENT'S CHARTER AND ESTABLISHMENT CHARTER I. PATIENT’S CHARTER A. PATIENT’S RIGHTS: (1) Care.- Every Patient shall have,- (i) a right to receive treatment irrespective of the type of primary and associated illnesses, socio-economic status, age, gender, sexual orientation, religion, caste, cultural preferences, linguistic and geographical origins or political affiliations; (ii) right to receive treatment in cases listed at sub-section (i) of section 11 without being asked for advance payment; (iii) right to be heard of his medical problem and concerns; (iv) expectation from the doctor to write the prescription legibly and explain him on the details on dosage, dos and don’ts and generic options for the medicines; (v) to be provided with information and access on whom to contact in case of an emergency; (vi) right to be treated as per the standard protocol prescribed under clause (c) of sub-section (2) of section 9A; (vii) right to know the information regarding the schedule of charges in the manner prescribed under sub-section (1) of section 10 (viii) right to be charged not more than the rates notified under sub- section (1) of section 10; and (ix) right to receive clinical records in accordance with sub-section (3) of section 12. (2) Confidentiality and Dignity.- (a) Every Patient shall have,- (i) right to personal dignity and to receive care without any form of stigma and discrimination; (ii) privacy during examination and treatment; (iii)protection from physical abuse and neglect; (iv) provision for spiritual and cultural preferences; and (v) right to confidentiality about their medical condition. (b) In the event of death of a patient, his family members shall have the right to receive the dead body immediately without being asked for prior payment of the dues in accordance with clause (vi) of section 11. (3) Information.- Every Patient or his authorised family member shall have right to,- (i) information to be provided to him which are meant to be and in a language of the patient’s preference and in a manner that is effortless to understand,- (ii) receive complete information on the medical problem, prescription, treatment and procedure details; (iii) a documented procedure for his informed consent to enable him to make an informed decision about his care to be practiced with utmost diligence and transparency; (iv) be educated on risks, benefits, expected treatment outcomes and possible complications to enable him to make informed decisions and involve him in the care planning and delivery process; (v) request information on the names, dosages and adverse effects of the medication that they are treated with; (vi) request access and receive a copy of his clinical records; (vii) complete information on the expected cost of treatment presented as an itemised structure of the various expenses and charges; (viii) information on hospital rules and regulations; and (ix) information on organ donation. (4) Preferences.- Every Patient shall have right to,- (i) seek a second opinion on his medical condition; and (ii) get his treatment options, so that he can select what works best for him. (5) Right to redress.- Every Patient shall have right to,- (i) justice through an authority dedicated for this purpose by the healthcare provider organization or with Government Grievance Redressal authorities; (ii) a fair and prompt hearing of his concern; and (iii)appeal to a higher authority in the private medical establishment and insist in writing on the outcome of the complaint. B. PATIENTS’ RESPONSIBILITIES.- (1) Honesty in Disclosure.- Every Patient shall be honest with the treating Doctor in disclosing family or medical history. (2) Treatment Compliance.- Every patient shall,- (i) be punctual for appointments; (ii) do the best to comply with the doctor’s treatment plan; (iii) have realistic expectations from the doctor and his treatment; (iv) inform and bring to the doctor’s notice if it has been difficult to understand any part of the treatment or of the existence of challenges in complying with the treatment; and (v) display intent to participate intelligently in medical care by actively involving in the prescribed do-at-home activities. (3) Intent for Health Promotion.- Every patient shall do everything in capacity to maintain healthy habits and routines that contribute to good health and take responsibility for health. (4) Transparency and Honesty.- Every patient shall,- (i) make a sincere effort to understand therapies which include the medicines prescribed and their associated adverse effects and other compliances for effective treatment outcomes; (ii) not ask for surreptitious bills and false certificates, and/or advocate forcefully by unlawful means to provide with one; (iii)in the event of not being happy, shall inform and discuss with doctor; and (iv) report fraud and wrong-doing. (5) Conduct.- Every patient shall,- (i) respect the doctors and medical staff caring and treating; (ii) abide by the Hospital or facility rules; (iii)bear the agreed expenses of the treatment that is explained to in advance and pay bills on time in accordance with section 10; and (iv) not involve in abusing, assaulting or causing harm to the Doctor or staff of Hospital. (any contravention may attract penalty under the Karnataka Prohibition of Violence Against Medicare Service Personnel and Damage to Property in Medicare Service Institutions Act, 2009 (Karnataka Act 01 of 2009)) II. PRIVATE MEDICAL ESTABLISHMENT’S CHARTER:- (1) Transparency and Honesty.-Every Private Medical Establishment shall,- (i) provide a printed schedule of fee for office visits, procedures, testing and surgery and provide itemized bills; and (ii) inform the doctor's qualifications to perform the proposed diagnostic measures or treatments. (2) Patient Friendly.-Every Private Medical Establishment shall,- (i) schedule appointments in such a manner that it may allow patient the necessary time to interact and examine him with minimal waiting times and listen to his problems and concerns without interruptions or distractions; and (ii) encourage patient to bring a friend or relative into the examining room with him. (3) Effective Communication for Patient Education.- Every Doctor shall,- (i) explain the patient prognosis, further diagnostic activity and treatment in simple terms such that it facilitates easy understanding to him; (ii) prescribe an Information, Therapy and discuss with the patient diagnostic treatment and medication options, to enable him to make well-informed of decisions; and (iii) not proceed until the patient is satisfied and convinced that he understands the benefits and risks of each alternative and he has his agreement on a particular course of action. (4) Implementation of the patient charter.- Every Private Medical Establishment shall,- (i) publish the patient charter in Kannada and English; (ii) display the patient charter prominently and at multiple locations in the healthcare provider setting; and (iii) implement the patient charter in its true spirit in everyday medical practice.] RAMESHWAR THAKUR Governor of Karnataka By order and in the name of the President of India, G. K. BOREGOWDA Secretary to Government, Department of Parliamentary Affairs and Legislation. HEALTH AND FAMILY WELFARE DEPARTMENT SECRETARIAT NOTIFICATION No.HFW 94 CGE 2008, Bangalore, Dated:10TH November, 2009 In exercise of the powers conferred by sub-section (2) of Section 1 of the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007), the Government of Karnataka hereby appoints the 10th day of November, 2009 as the date on which all provisions of the said Act shall come into force. By order and in the name of the Governor of Karnataka. [K.S.SAROJAMMA] Under Secretary to Government, Department of Health & Family Welfare NOTIFICATION-II PÀ£ÁðlPÀ ̧ÀPÁðgÀ 1. Inserted by Act 01 of 2018 w.e.f. 04.04.2019 ̧ÀASÉå: DPÀÄPÀ 11 J¥sï¦Dgï 2018 PÀ£ÁðlPÀ ̧ÀPÁðgÀzÀ ̧ÀaªÁ®AiÀÄ, «PÁ ̧À ̧ËzsÀ, ̈ÉAUÀ¼ÀÆgÀÄ, ¢£ÁAPÀ: 04.04.2018. C¢ü ̧ÀÆZÀ£É- PÀ£ÁðlPÀ SÁ ̧ÀV ªÉÊzÀåQÃAiÀÄ ̧ÀA ̧ÉÜUÀ¼À (wzÀÄÝ¥Àr) C¢ü¤AiÀĪÀÄ, 2017 (2018gÀ PÀ£ÁðlPÀ C¢ü¤AiÀĪÀÄ ̧ÀASÉå: 01) gÀ 1£Éà ¥ÀæPÀgÀtzÀ (2) G¥À ¥ÀæPÀgÀtzÀ°è ¥ÀæzÀvÀÛªÁzÀ C¢üPÁgÀªÀ£ÀÄß ZÀ ̄Á¬Ä¹ PÀ£ÁðlPÀ ̧ÀPÁðgÀªÀÅ F ªÀÄÆ®PÀ ̧ÀzÀj C¢ü¤AiÀĪÀĪÀÅ ¢£ÁAPÀ: 04-04-2019jAzÀ eÁjUÉ §gÀvÀPÀÌzÉAzÀÄ UÉÆvÀÄÛ¥Àr¹zÉ. PÀ£ÁðlPÀ gÁdå¥Á®gÀ DeÁÕ£ÀÄ ̧ÁgÀ ªÀÄvÀÄÛ CªÀgÀ ºÉ ̧Àj£À°è, (PÉ. agÀAfë) ̧ÀPÁðgÀzÀ G¥À PÁAiÀÄðzÀ²ð-2 DgÉÆÃUÀå ªÀÄvÀÄÛ PÀÄlÄA§ PÀ ̄Áåt E ̄ÁSÉ KARNATAKA ACT 37 OF 2012 (First published in the Karnataka Gazette Extraordinary on the Third day of September, 2012) THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS (AMENDMENT) ACT, (Received the assent of the Governor on the Thirty First day of August, 2012) An Act further to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007), for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the sixty-third year of the Republic of India, as follows:- 1. Short title and commencement.- (1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2012. (2) It shall come into force at once. Section 3 is Incorporated in the Principal Act. KARNATAKA ACT NO. 01 OF 2018 (First Published in the Karnataka Gazette Extra-ordinary on the 06 th day of January, 2018) THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS (AMENDMENT) ACT, (Received the assent of Governor on the 04 th day of January, 2018) An Act further to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the sixty-eighth year of the Republic of India, as follows:- 1. Short title and commencement.-(1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2017. (2) It shall come into force on such date as the State Government may, by notification, appoint and different dates may be appointed for different provisions of this Act. Substitution of expressions.- For the expressions “Registration Authority” or “Registration Authorities” wherever they occur in the Principal Act, the expressions “Registration and Grievance Redressal Authority” or “Registration and Grievance Redressal Authorities” shall be substituted respectively. Sections 2 ,3,4,6,7,8,9,10,11,12,15,16,19 and insertion of new Sections 9A, 11A, 11B1 19A and 19B are incorporated in the Principal Act. KARNATAKA ACT 33 OF 2020 (First Published in the Karnataka Gazette Extra-ordinary on the 19 th day of October, 2020) The Karnataka Private Medical Establishments (AMENDMENT) ACT, 2020. (Received the assent of the Governor on the 16 th day of October, 2020) An Act to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the seventy first year of the Republic of India, as follows:- 1. Short title and commencement.- (1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2020. (2) It shall come into force with effect from 31 st day of July, 2020. Sections 4 and 16 are incorporated in the Principal Act. 4. Repeal and savings.- (1) The Karnataka Private Medical Establishments (Amendment) Ordinance, 2020 (Karnataka Ordinance 17 of 2020) is hereby repealed. (2) Notwithstanding such repeal, anything done or any action taken under the principal Act, as amended by the said Ordinance, shall be deemed to have been done or taken under principal Act, as amended by this Act. The above translation of Karnataka Khasagi Vaidyakeeya samsthgala (thiddupadi) Adhiniyama, 2020 (Karnataka Act 33 of 2020) shall be authoritative text in the English language under by clause (3) of Article 348 of the Constitution of India. VAJUBHAI VALA GOVERNOR OF KARNATAKA By Order and in the name of the Governor of Karnataka, (K. DWARAKANATH BABU) Secretary to Government Department of Parliamentary Affairs and Legislation KARNATAKA ACT NO.08 OF 2023 (First published in the Karnataka Gazette Extra-ordinary on the 19 th day of January, 2023) THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS (AMENDMENT) ACT, 2022 (Received the assent of the Governor on the 18 th day of January , 2023) An Act further to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the seventy third year of the Republic of India, as follows:- 1. Short title and commencement.- (1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2022. (2) It shall come into force at once. 2. Amendment of section 4.- In the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) (hereinafter referred to as the Principal Act) in section 4, both the provisos shall be omitted. 3. Amendment of section 16.- In section 16 of the Principal Act, both the provisos shall be omitted. The above translation of ಕರ್ನಾಟಕ ಖಾಸಗಿ ವೈದ್ಯ ಕೀಯ ಸಂಸ್ಥೆ ಗಳ (ತಿದ್ದು ಪಡಿ) ಅಧಿನಿಯಮ, 2022 (2023 ರ ಕರ್ನಾಟಕ ಅಧಿನಿಯಮ ಸಂಖ್ಯಯ: 08) be published in the official Gazette under clause (3) of Article 348 of the Constitution of India. THAAWARCHAND GEHLOT GOVERNOR OF KARANATAKA By Order and in the name of the Governor of Karnataka, G.SRIDHAR Secretary to Government Department of Parliamentary Affairs and Legislation KARNATAKA ACT NO.08 OF 2023 (First published in the Karnataka Gazette Extra-ordinary on the 19 th day of January, 2023) THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS (AMENDMENT) ACT, 2022 (Received the assent of the Governor on the 18 th day of January , 2023) An Act further to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the seventy third year of the Republic of India, as follows:- 1. Short title and commencement.- (1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2022. (2) It shall come into force at once. 2. Amendment of section 4.- In the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) (hereinafter referred to as the Principal Act) in section 4, both the provisos shall be omitted. 3. Amendment of section 16.- In section 16 of the Principal Act, both the provisos shall be omitted. The above translation of ಕರ್ನಾಟಕ ಖಾಸಗಿ ವೈದ್ಯ ಕೀಯ ಸಂಸ್ಥೆ ಗಳ (ತಿದ್ದು ಪಡಿ) ಅಧಿನಿಯಮ, 2022 (2023 ರ ಕರ್ನಾಟಕ ಅಧಿನಿಯಮ ಸಂಖ್ಯಯ: 08) be published in the official Gazette under clause (3) of Article 348 of the Constitution of India. THAAWARCHAND GEHLOT GOVERNOR OF KARANATAKA By Order and in the name of the Governor of Karnataka, G. SRIDHAR Secretary to Government Department of Parliamentary Affairs and Legislation KARNATAKA ACT NO. 06 OF 2026 (First published in the Karnataka Gazette Extra-ordinary on the 07 th day of January, 2026) THE KARNATAKA PRIVATE MEDICAL ESTABLISHMENTS (AMENDMENT) ACT, (Received the assent of the Governor on the 06 th day of January, 2026) An Act further to amend the Karnataka Private Medical Establishments Act, 2007. Whereas it is expedient further to amend the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) for the purposes hereinafter appearing; Be it enacted by the Karnataka State Legislature in the seventy sixth year of the Republic of India, as follows:- 1. Short title and commencement.- (1) This Act may be called the Karnataka Private Medical Establishments (Amendment) Act, 2025. (2) It shall be deemed to have come into force with effect from 29 th day of September, 2025. 2. Amendment of section 2.- In the Karnataka Private Medical Establishments Act, 2007 (Karnataka Act 21 of 2007) (hereinafter referred to as the Principal Act), in section 2, in clause (n), after the word “ dispensary” the words “or mental health establishment” shall be inserted. 3. Amendment of section 4.- In the principal Act, in section 4, in the table for item (d) and the entries relating thereto, the following shall be substituted, namely:- “(d) one member from Indian Medical Association and one member representing Association of registered medical establishment or Ayush Medical Practitioners-Members.” 4. Amendment of section 5.- In the Principal Act, in section 5,- (i) for the heading “Application for Registration” the heading “Application for provisional Registration and Renewal of Registration” shall be substituted; and (ii) after the words “Redressal Authority” the words “for a provisional registration and renewal of registration ” shall be inserted. 5. Insertion of new sections 5A, 5B and 5C.- In the Principal Act, after section 5, the following shall be inserted, namely:- “5A. Grant or renewal of provisional registration.- (1) On receipt of applications the registration and grievance redressal authority shall within period of ten days grant to the applicant a provisional registration certificate in such Form, containing such particulars, as may be prescribed without any inquiry. The provisional certificate of registration shall be valid for six months subject to renewal thereafter. (4) An application for renewal of provisional registration may be made to the registration and grievance redressal authority in such form along with such fees as may be prescribed. (5) On receipt of application for renewal of provisional registration the registration and grievance redressal authority, in respect of which standards have been notified or specified by the Government, shall not renew provisional registration beyond, the period of one year from the date of notification of standards or from the date of commencement of the Karnataka Private Medical Establishments (Amendment) Act, 2025 whichever is later. 5B. Publication of list of expired registration of provisionally registered private medical establishments.-The registration and grievance redressal authority shall publish the list of expired Private Medical Establishments which were provisionally registered. 5C. Application for Permanent registration or renewal .-(1) Every Private medical establishment willing to have permanent registration or renewal of registration shall make an application to the registration and grievance redressal Authority along with valid provisional registration, in such Form along with such fees as may be prescribed subject to fulfilment of pre-requisites and standards specified in section 6. (2) All registered Private medical establishments existing on the date of commencement of the Karnataka Private Medical Establishments (Amendment) Act, 2025 shall be deemed to be provisionally registered establishment and their registration shall be valid for a period till the expiry of its validity. (3) Application for renewal of registration shall be made ninety days before the expiry of the validity of the certificate.” 6. Substitution of section 6.- In the Principal Act, for section 6, the following shall be substituted, namely:- “6. Pre-requisites for Permanent Registration or Renewal of Private Medical Establishments.- The Registration and Grievance Redressal Authority shall before granting the permanent registration or renewal consider whether the following pre-requisites for registration of a Private Medical Establishment are satisfied that,- (i) its premises is located in hygienic surroundings and otherwise suitable for the purpose for which it is established or sought to be established; (ii) it is adequately staffed with qualified doctors, qualified and trained para medical personnel; (iii) it has the necessary buildings with adequate space for performing its various functions, equipments and other infrastructure facilities; (iv) it confirms to the standards referred to in section 9; (v) it has valid provisional registration certificate; (vi) it has registered on the e-DAR portal, for furnishing Data and medical reports of patients in the event of a reported Road Accident; and (vii) such other factors as may be prescribed: Provided that, no new Private Clinical Laboratory shall be permitted within a radius of 200 meters from the Government Hospital or from the Hospital promoted or managed by a society or trust or autonomous organization owned or controlled by the State Government or Central Government or Local Bodies with effect from the date of commencement of the Karnataka Private Medical Establishments (Amendment) Act, 2017.” 7. Substitution of section 7.- In the Principal Act, for section 7, the following shall be substituted, namely:- “7. Disposal of applications.- (1) On receipt of an application under section 5-C, the Registration and Grievance Redressal Authority may having regard to the provisions of sections 6 and 9 and after such enquiry as may be necessary, by an Inspection Committee, having satisfied that the Private medical establishment fulfils the conditions required, either grant registration within ninety days subject to the conditions as may be prescribed or reject the application within ninety days from the date of receipt of the application in all respects: Provided that, in case the Private medical establishment ready to under go third party inspection by the Quality Council of India (QCI) for having fulfilled the conditions specified in sections 6 and 9 and brings certificate to that effect the registration and grievance redressal authority shall sanction registration or renewal within ten days from the date of receipt of the application, without any inspection as specified in sub-section (1). Provided further that, in case the Private medical establishment brings accreditation certificate for having fulfilled the conditions specified in sections 6 and 9 from any of the three accreditation agencies viz., National Quality Assurance Standards (NQAS), National Accreditation Board For Hospital and Health Care / National Accreditation Board for Laboratories (NABH/NABL) or Quality and Accreditation Institute (QAI), then the registration and grievance redressal authority shall sanction registration or renewal within ten days from the date of the application, without any inspection as specified in sub-section (1). (2) Every order passed under sub-section (1) shall be communicated to the applicant forthwith. (3) Every registration or renewal granted under sub-section (1) shall be valid for a period of five years and may be renewed once in five years on an application made in such Form, in such manner and on payment of such fees, as may be prescribed. (4) For the purpose of sub-section (1), the Registration and Grievance Redressal Authority may constitute the Inspection Committee consisting of such members as may be prescribed. (5) The Registration and Grievance Redressal Authority shall not reject the application for registration or renewal without giving an opportunity of being heard to the applicant and without recording the reasons for such rejection. (6) The Registration and Grievance Redressal Authority, on its own or based on any written complaint, may cause inspection or direct the Inspection Committee constituted under sub-section (4) of section 7 to inspect, at a reasonable time, any private medical establishment, to satisfy itself that the conditions of registration are being duly observed and complied with. (7) In case the Registration and Grievance Redressal Authority finds that the private medical establishment is not being run in accordance with the conditions of registration, the Authority shall direct the establishment to remedy the same within the reasonable time specified by the State Government.” 8. Amendment of section 19.- In the principal Act, in section 19, in sub- section (1),- (i) for the words and figure “granted under section 7” the words, letter and figures “granted under sections 5A and 7” shall be substituted; and (ii) after sub-section (1) as so amended, the following shall be inserted, namely:- “(1-A) In case a private medical establishment employs or appoints any unqualified medical officer or paramedical staff such private medical establishment shall on conviction be liable for an imprisonment for a term which may extend to three years and with a fine which may extend to one lakh rupees.” 9. Repeal and savings.- (1) The Karnataka Private Medical Establishments (Amendment) Ordinance, 2025 (Karnataka Ordinance 07 of 2025) is hereby repealed. (2) Notwithstanding such repeal anything done or any action taken under principal Act as amended by the said Ordinance shall be deemed to have been done or taken under the principal Act as amended by this Act. The above translation of ಕರ್ನಾಟಕ ಖಾಸಗಿ ವೈದ್ಯ ಕೀಯ ಸಂಸ್ಥೆ ಗಳ (ತಿದ್ದು ಪಡಿ) ಅಧಿನಿಯಮ, 2025 (2026 ರ ಕರ್ನಾಟಕ ಅಧಿನಿಯಮ ಸಂಖ್ಯಯ:06) be published in the official Gazette under clause (3) of Article 348 of the Constitution of India. THAAWARCHAND GEHLOT GOVERNOR OF KARANATAKA By Order and in the name of the Governor of Karnataka, G. SRIDHAR Secretary to Government Department of Parliamentary Affairs and Legislation