Centre Asks States to Display Healthcare Service Rates
The Union Health Secretary wrote to all states and UTs on 12 October 2026 to ensure clinical establishments display their service rates under the 2010 Act.

Why in News
As announced on 12 October 2026, Union Health Secretary Punya Salila Srivastava wrote to the Chief Secretaries of all states and union territories asking them to ensure that clinical establishments prominently display the rates charged for their services and facilities.
The Union Ministry of Health and Family Welfare has asked all States and Union Territories to make sure that clinical establishments put up the rates they charge for their services and facilities where patients can actually see them. Union Health Secretary Punya Salila Srivastava wrote to the Chief Secretaries of every State and Union Territory, as announced on 12 October 2026, asking them to review how far the existing rules are being followed and to take steps so that charge information is clearly visible and easy to reach.
The legal basis
The letter rests on the Clinical Establishments (Registration and Regulation) Act, 2010, and the Clinical Establishments (Central Government) Rules, 2012. Under the Rules, in States and Union Territories where the Act applies, a clinical establishment must display the rate charged for each type of service it provides and each facility it offers, at a conspicuous place, in the local language as well as in English, for patients and those accompanying them. Where the Act does not apply, establishments are governed by the State or Union Territory's own framework, and several of these also carry provisions on displaying rates.
Why it matters for patients
- Patients and their families can work out the likely cost of treatment before it begins.
- They can make an informed choice and plan medical spending.
- Avoidable confusion and disputes over bills are reduced.
- Trust and confidence in the health system are strengthened.
Who enforces it
The letter recognises that health is a State subject and that putting the rules into effect, and enforcing them, rests with the respective States and Union Territories. The Health Secretary has therefore asked the Chief Secretaries to secure compliance through the authorities concerned, to issue advisories to those authorities and to clinical establishments, and to ensure rates go up at conspicuous, clearly visible and easily accessible places in line with the applicable regulations.
Medical tourism in view
The letter puts particular weight on pricing transparency for patients from abroad. States and Union Territories have been asked to encourage the prominent display, wherever it applies, of the package rates offered to foreign patients who come to India on Medical or Ayush Visas. The ministry expects this to help international patients choose with full information, to cut down grievances about pricing and billing, and to strengthen India's standing as a trusted destination for medical and Ayush care. The Health Secretary has sought the personal attention of the Chief Secretaries on the matter, framing the move as part of the wider effort to make health care delivery transparent, accountable and centred on the patient.
Important Facts
| Directive by | Union Ministry of Health and Family Welfare |
|---|---|
| Letter from | Union Health Secretary Punya Salila Srivastava |
| Sent to | Chief Secretaries of all States and Union Territories |
| Governing Act | Clinical Establishments (Registration and Regulation) Act, 2010 |
| Governing Rules | Clinical Establishments (Central Government) Rules, 2012 |
| Display requirement | Rates for each service and facility, at a conspicuous place, in the local language and English |
| Enforcement | With States and UTs, as health is a State subject |
| International patients | Package rates for those on Medical or Ayush Visas to be displayed |
| Announced on | 12 October 2026 |
Exam Point of View
Remember the Act (Clinical Establishments (Registration and Regulation) Act, 2010) and the Rules (Clinical Establishments (Central Government) Rules, 2012), the requirement to display rates at a conspicuous place in the local language and English, the Union Health Secretary's name, the fact that health is a State subject, and the extension to package rates for Medical and Ayush Visa patients.
Practice Questions
The directive on displaying healthcare service rates is based on which Act?
- A.Clinical Establishments (Registration and Regulation) Act, 2010
- B.National Medical Commission Act, 2019
- C.Consumer Protection Act, 2019
- D.Drugs and Cosmetics Act, 1940
Show answer
Explanation
The correct answer is the Clinical Establishments (Registration and Regulation) Act, 2010, read with the Clinical Establishments (Central Government) Rules, 2012. Together they form the regulatory framework for clinical establishments, and the Rules require that the rate charged for each type of service and each facility be displayed at a conspicuous place, in the local language as well as in English. Option B governs medical education and the registration of practitioners, not the display of hospital charges. Option C deals with consumer rights and redressal in general and is not the instrument the Health Secretary's letter relies on. Option D regulates the manufacture, sale and quality of drugs and cosmetics. Only the 2010 Act, with its Rules, carries the display obligation that the Centre has asked states to enforce.
In which languages must clinical establishments display their service rates under the Rules?
- A.English only
- B.Hindi and English only
- C.The local language as well as English
- D.Any one language of the Eighth Schedule
Show answer
Explanation
The correct answer is the local language as well as English. The Rules require a clinical establishment to put up its rates at a conspicuous place in both, so that patients and the people accompanying them can read the charges without having to ask. Option A would leave out those who do not read English, which defeats the purpose of the provision. Option B is wrong because the requirement is for the local language, which need not be Hindi and will differ from state to state. Option D is not the test laid down: the Rules do not leave the choice of a single language to the establishment. The purpose behind the bilingual requirement is to let patients estimate the likely cost of treatment, plan their spending and avoid disputes over billing.
Whose package rates have states been urged to display prominently, besides those of ordinary patients?
- A.Patients covered by government insurance schemes
- B.Foreign patients arriving on Medical and Ayush Visas
- C.Patients referred from district hospitals
- D.Patients admitted to intensive care
Show answer
Explanation
The correct answer is foreign patients arriving on Medical and Ayush Visas. The Union Health Secretary's letter asks states and union territories to encourage the prominent display, wherever applicable, of the package rates offered to international patients travelling to India on these visas. The reasoning is that clear pricing lets such patients choose with full information, reduces grievances about pricing and billing, and strengthens India's position as a trusted destination for medical and Ayush care. Options A, C and D describe categories of patients who would of course benefit from transparent rates in general, but none of them is the group singled out in the letter for package rate display. The broader direction remains that every clinical establishment should show its rates where patients can easily see them.
Frequently Asked Questions
Which law requires clinical establishments to display their rates?
The Clinical Establishments (Registration and Regulation) Act, 2010, read with the Clinical Establishments (Central Government) Rules, 2012, which require rates for each service and facility to be shown at a conspicuous place.
In which languages must the rates be displayed?
In the local language as well as in English, so that patients and those accompanying them can read them.
Who is responsible for enforcing the requirement?
The States and Union Territories, since health is a State subject. The Union Health Secretary has asked Chief Secretaries to secure compliance through the authorities concerned.
What has been asked for international patients?
States and UTs have been urged to encourage prominent display of package rates offered to foreign patients travelling to India on Medical or Ayush Visas.
Sources
- https://www.pib.gov.in/PressReleasePage.aspx?PRID=2322150 (opens in a new tab) — Press Information Bureau
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