SCHEME TO BE FOLLOWED BY
THE CHARITABLE HOSPITAL FOR
EFFECTIVE IMPLEMENTATION OF THE PROVISIONS UNDER SECTIONS
41 AA OF THE BOMBAY PUBLIC TRUST ACT, 1950
SCHEME
1.
The public Charitable Trusts registered under the
provisions of the Bombay Public Trusts Act.1950 (for
short B.P.T. Act) which are running Charitable Hospital,
including nursing home or maternity home, dispensaries
or any other centre for medical relief and whose annual
expenditure exceeds Rs.5 Lacs are “State aided
public trust “within the meaning of clause 4
of section 41 AA
2.
The public Charitable Trust covered by aforesaid clause
i shall be under legal obligation to reserve and earmark
10% of the total number of operational beds for indigent
patients free of cost and reserve and earmark 10%
of the total number of operational beds at concessional
rate to the weaker section patients as per the provisions
of section 41 AA of the B.P.T. Act.
3.
In emergency, the Charitable Hospitals must admit
the patient Immediately and provide to the patient
“Essential Medical Facilities” for all
life saving emergency treatment and procedure still
stabilization. Further transportation to the public
hospital would be arranged by such Charitable Hospital,
if necessary. The Charitable Hospital, shall not ask
for any deposit in case of admission of emergency
patients.
4.
That each public Charitable hospital shall create
separate fund which may be called Indigent Patients’
Fund ( for the sake of brevity, hereinafter referred
to as “IPF” ) and shall credit two per
cent of gross billing of all patients ( other than
indigent and weaker section patients ) without any
deduction.
5.
Donations that may be received by the charitable hospitals
from individuals or other Charitable trusts or from
any other source for providing medical treatment to
the indigent and weaker section patients shall be
credited to IPF Account
6.
The account of IPF shall have to be earmarked under
the head of IPF and same shall be reflected under
the earmarked fund in the annual balance sheet (Schedule
VIII Rules 7(1) of the B.P.T Rules )
7.
The amount credited to the IPF Account shall be remain
at the disposal of the respective Charitable Hospital
and that amount shall be utilized only for providing
medical treatment to the indigent and weaker section
patients as provided herein after.
8. The Charitable Hospitals shall provide following
non billable services free to the indigent patients
as well as weaker section patients-
( a) Bed
( b) RMO Services
( c) Nursing Care
( d ) Food ( if provided by the hospital)
(e ) Linen
( f ) Water
( g) Electricity and
( h ) Routine Diagnostics as required for treatment
of General specialties
( i ) House Keeping Services
9.
In case of indigent patients the Charitable Hospitals
shall provide medical examination and treatment in
its each department totally free of cost.. The indigent
patients bill of billable services shall be prepared
at the rates applicable to the lowest class of the
respective hospital. The medicines, consumables and
implants are to be charged at the purchase price to
the hospital. If Doctors forego their charges, then
the same shall not be
included in the final bill of the indigent patients.
The bill so prepared shall be debited to IPF Account.
The Charitable Hospitals shall not ask for any deposit
in case of admission of indigent patients.
10. In case of weaker section patients, the Charitable
Hospitals shall provide medical examination and treatment
in its each department at concessional rates. The
weaker section patient’s bill of billable services
shall be prepared at the rates applicable to the lowest
class of the respective hospital. The medicines, consumables
and implants are to be charged at the purchase price
to the hospital, however the weaker section patients
shall pay at least 50% of the bills of medicines,
consumables and implants. If Doctors forego their
charges, then the same shall not be included in the
final bill of the weaker section patients. The bill
so prepared after deducting the payment made by the
weaker section patients shall be debited to IPF Account.
11.
The Charitable Hospitals shall physically transfer
2% of the total patients’ Billing ( excluding
the bill of indigent and weaker section patients)
in each month to IPF Account. The amount available
in the IPF Account shall be spent to provide medical
treatment to maximum number of indigent and weaker
section patients. In case of surplus or shortfall
in the IPF Account of the month, the same shall get
adjusted in the subsequent months. In case there is
imbalance in the credit of the IPF Account and the
expenditure incurred in the treatment of indigent
and weaker section patients for more than six months,
such Charitable Hospital may bring this aspect to
the notice of the Monitoring Committee who may issue
appropriate directives to the concerned hospital.
12.
The Charitable Hospitals shall furnish information
to the office of the Charity Commissioner regarding
the amount collected in the IPF Account, treatment
provided to the indigent patients and the weaker section
patients and their profiles prepared by the Medical
Social Worker and the amount spent for the respective
patients along with the information required to be
sent under Rule 25 A of the Bombay Public Trusts Rules,
1951.
13.
The Trustees of the charitable hospitals shall not
provide medical facilities to their relatives, the
employees of the Trust and their dependants in the
category of “ indigent and weaker section patients
“.
14.
The Charitable Hospitals shall admit indigent or weaker
section patients coming to their hospitals from any
source or through Government Hospitals, Municipal
Hospitals, etc., The procedure for admission of patients
shall be as provided in Subsequent clauses.
15.
That the charitable hospitals shall admit indigent
patients to the extent of 10% of their operational
beds/average occupancy for medical examination and
treatment. So also, Charitable Hospitals shall admit
weaker section patients to the extent of 10% of their
operational beds/average occupancy for medical examination
and treatment coming to their hospitals from the sources
referred to in clause 14. The Charitable hospitals
shall verify the economic status of the patients from
their Medical Social Worker on the basis of scrutiny
of any one of the following documents produced by
the concerned patients
( 1) Certificate from Tahashildar, ( 2) Ration
Card/Below Poverty Line Card.
16.
The Members of the Monitoring Committee in Greater
Mumbai Region shall be as follows:
( i ) Joint Charity Commissioner, Maharashtra
State, Mumbai ( Chairman )
( ii ) Joint Director of Health Services ( Medical
), Mumbai ( Member – Secretary ).
(iii ) Secretary/Nominee of Association of Hospitals
in Mumbai ( Member )
( iv ) Health Officer, Municipal Corporation of Greater
Mumbai, Mumbai ( Member ).
The Monitoring Committee at the District Level shall
be as follows:-
( i ) Joint Charity Commissioner ( Regional
Level ) or his
nominee ( Chairman )
( ii ) Civil Surgeon ( Member – Secretary )
( iii ) Health Officer of Zilla Parishad ( Member
)
( iv ) Representative of Charitable Hospitals in Districts
( Member )
17. The Monitoring Committee shall hold its meeting
once in a month and monitor implementation of the
Scheme by each of the Charitable Hospitals. The Monitoring
Committee shall also consider grievances of the patients,
if any, made and submit its report to the Charity
Commissioner.
18. In case of the breach of the Scheme and / or the
terms and conditions of section 41 AA by any Charitable
Hospitals, besides the penal action as is provided
under section 66 of the B.P.T. Act, the Charity Commissioner
shall make report to the State Government recommending
withdrawal of the exemption granted to the concerned
hospitals during the
next preceding year in payment of contribution towards
P.T.A. Fund be recovered from the said hospital. The
Charity Commissioner may also request the Government
to withdraw any other concessions / benefits given
to the said hospital.
19.
The Charitable Hospitals which face individual difficulties
in meeting objectives / obligations under this scheme
shall be at liberty to apply to the Charity Commissioner
with all supporting documents who may consider suitable
modifications, if a case for relief is made out.
20.
The Charity Commissioner shall notify the list of
the Charitable Hospitals in Greater Mumbai Region
on the Notice Board of this office and two newspapers
widely circulated in Greater Mumbai, one in Marathi
and the other in English and the list of Charitable
Hospitals in each District on the Notice Board of
the office of the Joint Charity Commissioner and the
two widely circulated newspapers of the District.
21.
Each of the Charitable Hospitals governed by this
Scheme shall publish the Scheme on its Notice Board
displayed at a conspicuous place of the Hospital.
Information
regarding Indigent Section Patients
Information regarding Weaker Section Patients
Charity
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Charity
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