## Report on Amendments to Mental Healthcare Policies (2021)
**1. Executive Summary:**
This report analyzes three amendments to existing Mental Healthcare policies in India, all published on August 12, 2021. These amendments relate to: 1) the Mental Healthcare Central Mental Health Authority and Mental Health Review Boards Rules, 2018; 2) the Mental Healthcare State Mental Health Authority Rules, 2018; and 3) the Mental Healthcare Rights of Persons with Mental Illness Rules, 2018. The core purpose of these amendments, as inferred from the text, is to improve governance and service delivery within the mental healthcare system, specifically concerning the removal of non-official members, digitization of mental health establishment records, and reimbursement of treatment costs and access to medical records.
**2. Introduction:**
This report aims to provide a comprehensive overview of amendments to existing Mental Healthcare Rules, published on August 12, 2021, based solely on the provided policy text. The analysis focuses on the objectives, changes introduced, and potential impact of these amendments.
**3. Policy Overview:**
* **Amendment 1:** Amends the Mental Healthcare Central Mental Health Authority and Mental Health Review Boards Rules, 2018.
* **Amendment 2:** Amends the Mental Healthcare State Mental Health Authority Rules, 2018.
* **Amendment 3:** Amends the Mental Healthcare Rights of Persons with Mental Illness Rules, 2018.
**Core Objectives (Inferred):**
* Ensuring the integrity and effective functioning of the Central and State Mental Health Authorities by establishing grounds for the removal of non-official members.
* Promoting transparency and accessibility through the digitization of records related to mental health establishments.
* Strengthening the rights of individuals with mental illness by clarifying and streamlining the process for reimbursement of treatment costs and access to medical records.
**4. Background and Rationale:**
The amendments likely address perceived gaps or inefficiencies within the original Mental Healthcare Rules of 2018. The specific reasons for these amendments, inferred from the text, are:
* **Amendments 1 & 2 (Central and State Authorities):** The addition of removal criteria for non-official members suggests a need to ensure accountability, ethical conduct, and consistent participation within the Central and State Mental Health Authorities. This might be in response to instances of misconduct, inactivity, or conflicts of interest among members.
* **Amendments 1 & 2 (Digitization):** The focus on digitization of services and records, combined with online platforms, reflects a broader push for modernization and improved efficiency in the administration and oversight of mental health establishments.
* **Amendment 3 (Rights of Persons with Mental Illness):** The changes to reimbursement procedures and access to medical records indicate an effort to improve the practicality and enforceability of the rights guaranteed to individuals with mental illness. The amendment likely aims to address delays, inconsistencies, or difficulties in accessing these provisions under the original rules.
**5. Key Provisions / Changes:**
* **Amendments 1 & 2 (Central and State Authorities):**
* **Specific Change:** Inserts a new sub-rule 3 to rule 9 of the Mental Healthcare Central/State Mental Health Authority and Mental Health Review Boards Rules, 2018.
* **New Rule:** The Central/State Government *may* remove a non-official member of the Mental Health Authority if they:
* Are adjudged insolvent.
* Are convicted of an offense involving moral turpitude (as determined by the Central/State Government).
* Become physically or mentally incapable of acting as a member.
* Acquire financial or other interests that may prejudice their function as a member.
* Abuse their position in a way that is prejudicial to the public interest.
* Remain absent for three consecutive meetings without valid reasons or permission.
* **Effect of Change:** Provides the Central/State Government with clear grounds for removing non-official members, potentially leading to more accountable and effective Mental Health Authorities.
* **Amendments 1 & 2 (Digitization):**
* **Specific Change:** Substitutes rule 14 of the Mental Healthcare Central/State Mental Health Authority and Mental Health Review Boards Rules, 2018.
* **New Rule:**
* Requires the Central/State Authority to maintain a digital, category-wise register (Form D) of all registered mental health establishments, in accordance with Section 71 of the Mental Healthcare Act, 2017.
* Requires the Central/State Authority to provide an online platform for digital submission of applications for provisional registration and renewal (Form B), and for digital issuance of certificates of provisional registration and renewal (Form C).
* **Effect of Change:** Promotes digitization of services, improving accessibility and efficiency for mental health establishments seeking registration and renewal.
* **Amendment 3 (Rights of Persons with Mental Illness):**
* **Specific Change:** Substitutes sub-rule 2 of rule 5 and sub-rule 3 of rule 6 of the Mental Healthcare Rights of Persons with Mental Illness Rules, 2018.
* **New Rule (Rule 5, sub-rule 2):** The Chief Medical Officer (CMO) must examine applications for reimbursement of treatment costs. If the claim is admissible, the CMO must issue an order to the Directorate of Health Services within 30 days of receipt of the application, directing them to reimburse the costs. The Directorate of Health Services must ensure reimbursement within 45 days from the date of the CMO's order. The cost of reimbursement is limited to rates specified by the Central Government.
* **New Rule (Rule 6, sub-rule 3):** Basic inpatient medical records must be provided to the applicant (in Form B) within 15 days of the request. If the records are not provided within this time, the applicant can approach the concerned Board for an order to release the information.
* **Effect of Change:** Establishes clear timelines and procedures for reimbursement of treatment costs and access to medical records, strengthening the rights of individuals with mental illness and promoting accountability.
**6. Target Audience and Stakeholders:**
* **Amendments 1 & 2 (Central and State Authorities):** Non-official members of the Central and State Mental Health Authorities, Central and State Governments, and the general public.
* **Amendments 1 & 2 (Digitization):** Mental health establishments seeking provisional registration or renewal, the Central/State Mental Health Authority, and individuals seeking information on registered establishments.
* **Amendment 3 (Rights of Persons with Mental Illness):** Individuals with mental illness, their families, Chief Medical Officers, Directorate of Health Services, and Mental Health Boards.
**7. Implementation Aspects (Inferred):**
* **Responsible Agency/Bodies:** Central and State Governments, Central and State Mental Health Authorities, Chief Medical Officers, Directorates of Health Services, Mental Health Boards.
* **Timelines and Procedures:**
* CMO to issue reimbursement order within 30 days of application.
* Directorate of Health Services to reimburse costs within 45 days of the CMO's order.
* Basic inpatient medical records to be provided within 15 days of request.
* **Digitization:** The Central and State Authorities are responsible for developing and maintaining the digital register and online platforms.
**8. Expected Outcomes / Impact of Changes:**
* **Amendments 1 & 2 (Central and State Authorities):** Increased accountability and effectiveness of the Central and State Mental Health Authorities.
* **Amendments 1 & 2 (Digitization):** Improved accessibility, efficiency, and transparency in the registration and renewal processes for mental health establishments.
* **Amendment 3 (Rights of Persons with Mental Illness):** More timely and reliable reimbursement of treatment costs and access to medical records for individuals with mental illness, strengthening their rights and promoting better care.
**9. Conclusion:**
The amendments to the Mental Healthcare Rules of 2018, as outlined in the provided text, represent a significant step towards improving governance, efficiency, and the protection of rights within the mental healthcare system in India. The focus on accountability, digitization, and clear procedures is likely to have a positive impact on the functioning of Mental Health Authorities, mental health establishments, and, most importantly, individuals with mental illness. These changes underscore the government's commitment to strengthening the mental healthcare framework and ensuring that individuals receive the care and support they need.
Key Entities Referenced
Mental Healthcare Act, 2017: An act of the Indian Parliament concerning mental healthcare.
Mental Healthcare Central Mental Health Authority and Mental Health Review Boards Rules, 2018: Rules pertaining to the Central Mental Health Authority and Mental Health Review Boards.
Mental Healthcare Central Mental Health Authority and Mental Health Review Boards Amendment Rules, 2021: Amendment rules to the Mental Healthcare Central Mental Health Authority and Mental Health Review Boards Rules, 2018.
Central Mental Health Authority: An authority established under the Mental Healthcare Act, 2017.
Mental Health Review Boards: Review boards established under the Mental Healthcare Act, 2017.
Ministry of Health and Family Welfare: The Indian government ministry responsible for health policy.
New Delhi: The capital city of India and location of the notification.
Mental Healthcare State Mental Health Authority Rules, 2018: Rules pertaining to the State Mental Health Authority.
Mental Healthcare State Mental Health Authority Amendment Rules, 2021: Amendment rules to the Mental Healthcare State Mental Health Authority Rules, 2018.
State Mental Health Authority: A state-level authority established under the Mental Healthcare Act, 2017.
Mental Healthcare Rights of Persons with Mental Illness Rules, 2018: Rules pertaining to the rights of persons with mental illness.
Mental Healthcare Rights of Persons with Mental Illness Amendment Rules, 2021: Amendment rules to the Mental Healthcare Rights of Persons with Mental Illness Rules, 2018.
Chief Medical Officer: Designated officer to examine applications for reimbursement of the costs of treatment.
Directorate of Health Services: The State Government's department to reimburse such costs of treatment.
REKHA SHUKLA: Joint Secretary, Ministry of Health and Family Welfare.
रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99
सी.जी.-डी.एल.-अ.-12082021-228936
xxxGIDHxxx
CG-DL-E-12082021-228936
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असाधारण
EXTRAORDINARY
भाग II—खण् ड 3—उप-खण्ड (i)
PART II—Section 3—Sub-section (i)
प्राजधकार स ेप्रकाजित
PUBLISHED BY AUTHORITY
स.ं 457] नई दिल्ली, बहृ स्ट्प जतवार, अगस्ट्त 12, 2021/श्रावण 21, 1943
No. 457] NEW DELHI, THURSDAY, AUGUST 12, 2021/SRAVANA 21, 1943
स्ट्वास्ट््य और पररवार कल्याण मत्रं ालय
अजधसचू ना
नई दिल्ली, 12 अगस्ट् त, 2021
सा.का.जन. 567(अ).—केंद्रीय सरकार मानजसक स्ट्वास्ट््य िेखरेख अजधजनयम, 2017 (2017 का 10), की धारा
121 की उप-धारा (1) और उपधारा (3) द्वारा प्रित्त िजियों का प्रयोग करते हुए, मानजसक स्ट्वास्ट््य िेखरेख (केंद्रीय
मानजसक स्ट्वास्ट््य प्राजधकरण और मानजसक स्ट्वास्ट््य पुनर्विलोकन बोडि) जनयम, 2018 का संिोधन करन े के जलए
जनम्नजलजखत जनयम बनाती ह,ै अर्ाित:्-
1. संजिप्त नाम और प्रारंभ- (1) इन जनयमों का संजिप् त नाम मानजसक स्ट्वास्ट््य िेखरेख (केंद्रीय मानजसक स्ट्वास्ट््य
प्राजधकरण और मानजसक स्ट्वास्ट््य पुनर्विलोकन बोडि) (संिोधन) जनयम, 2021 ह।ै
(2) य ेरािपत्र में इनके प्रकािन की तारीख को प्रवृत्त होंगे।
2. मानजसक स्ट्वास्ट््य िेखरेख (केंद्रीय मानजसक स्ट्वास्ट््य प्राजधकरण और मानजसक स्ट्वास्ट््य पुनर्वलि ोकन बोडि) जनयम,
2018 म,ें जनयम 9 के उप- जनयम (3) को जनम्नानुसार अंत:स्ट्र्ाजपत दकया िाएगा,-
“(3) केंद्रीय सरकार, केंद्रीय मानजसक स्ट्वास्ट््य प्राजधकरण के दकसी गैर- सरकारी सिस्ट्य को पि से हटा सकती ह,ै
यदि, -
(i) उसे दिवाजलया के रूप में न् यायजनण त कर दिया गया ह;ै अर्वा
4475 GI/2021 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
(ii) उसे ऐसे दकसी अपराध के जलए जसद्धिोष ठहराया गया हो, जिसमें केंद्रीय सरकार की राय में, नैजतक
अधमता अंतविजलत ह;ै अर्वा
(iii) वह सिस्ट्य के रूप में कायि करन े में िारीररक अर्वा मानजसक रूप से अिम हो गया ह;ै अर्वा
(iv) उसने ऐसे जवत्तीय अर्वा अन्य जहत अर्िित कर जलए ह ैं जिनसे उसके सिस्ट्य के रूप कायि करन े पर
प्रजतकूल प्रभाव पड़न े की संभावना हो; अर्वा
(v) उसने अपन े पि का इतना िरुु पयोग दकया हो जिससे दक उसका अपने पि पर बना रहना लोकजहत के
प्रजतकूल ह;ै अर्वा
(vi) वह ऐसे कारकों के जसवाय िो उसके जनयंत्रण से परे हों अर्वा अध्यि की अनुमजत के जबना केंद्रीय
मानजसक स्ट्वास्ट््य प्राजधकरण की लगातार तीन बैठकों म ेंअनुपजस्ट्र्त रहा ह।ै ”
3. मानजसक स्ट्वास्ट््य िेखरेख (केंद्रीय मानजसक स्ट्वास्ट््य प्राजधकरण एवं मानजसक स्ट्वास्ट््य पनु र्विलोकन बोड)ि जनयम,
2018 म,ें जनयम 14 को जनम्नानुसार प्रजतस्ट्र्ाजपत दकया िा सकेगा,-
“14. सवे ाओं का जडज़िटीकरण,- (1) मानजसक स्ट्वास्ट््य िेखरेख अजधजनयम, 2017 की धारा 71 के उपबंधों के
अनुसार केंद्रीय प्राजधकरण द्वारा जडज़िटल प्रपत्र म ें समस्ट्त रजिस्ट् रीकृत मानजसक स्ट्वास्ट््य स्ट्र् ापनों का प्ररूप-घ म ें
एक प्रवग-ि वार रजिस्ट्टर रखा िाएगा।
(2) केंद्रीय प्राजधकरण, मानजसक स्ट्वास्ट््य स्ट् र्ापन के जलए अनंजतम रजिस्ट् रीकरण/ अनंजतम रजिस्ट् रीकरण के
नवीकरण (प्ररूप- ख) को अनिु त् त करने हते ु जडजिटल रूप से आवेिन प्रस्ट्तुत करने तर्ा अनंजतम रजिस्ट् रीकरण/
अनंजतम रजिस्ट् रीकरण के नवीकरण प्रमाण पत्र (प्ररूप-ग) को जडजिटल रूप से िारी करने के जलए एक ऑनलाइन
प्लेटफामि भी उपलब्ध कराएगा।”
[फा. सं. वी-15016/115/2020-पीएच-I]
रेखा िुक्ला, संयुि सजचव
रटप्पण:- मानजसक स्ट्वास्ट््य िेखरेख (केंद्रीय मानजसक स्ट्वास्ट््य प्राजधकरण और मानजसक स्ट्वास्ट््य पुनर्विलोकन बोड)ि
जनयम, 2018 तारीख 29 मई, 2018 की अजधसूचना सं. सा.का.जन. 507(अ) के द्वारा तारीख 29 मई, 2018
को भारत के रािपत्र, असाधारण, भाग 2, खडं 3, उप- खंड (i) म ेंप्रकाजित की गई र्ी।
MINISTRY OF HEALTH AND FAMILY WELFARE
NOTIFICATION
New Delhi, the 12th August, 2021
G.S.R 567(E).—In exercise of the powers conferred by sub-sections (1) and (3) of section 121 of the Mental
Healthcare Act, 2017 (10 of 2017), the Central Government hereby makes the following rules to amend the Mental
Healthcare (Central Mental Health Authority and Mental Health Review Boards) Rules, 2018, namely:-
1. Short title and commencement. – (1) These rules may be called the Mental Healthcare (Central Mental Health
Authority and Mental Health Review Boards) (Amendment) Rules, 2021.
(2) They shall come to force on the date of their publication in the Official Gazette.
2. In the Mental Healthcare (Central Mental Health Authority and Mental Health Review Boards) Rules, 2018,
sub-rule (3) of rule 9 may be inserted as under, -
“(3) The Central Government may, remove from office a non-official member of the Central Mental Health
Authority, if he,-[भाग II—खण् ड 3(i)] भारत का रािपत्र : असाधारण 3
(i) Has been adjudged as an insolvent; or
(ii) Has been convicted of an offence which, in the opinion of the Central Government, involves moral
turpitude; or
(iii) Has become physically or mentally incapable of acting as a member; or
(iv) Has acquired such financial or other interest as is likely to affect prejudicially his function as a
member; or
(v) Has so abused his position as to render his continuance in office prejudicial to the public interest; or
(vi) Remains absent for three consecutive meetings of the Central Mental Health Authority except for
reasons beyond his control or without permission of the chairperson.”.
3. In the Mental Healthcare (Central Mental Health Authority and Mental Health Review Boards) Rules, 2018, rule 14
may be substituted as under, -
“14. Digitization of services. – (1) A category-wise register in Form-D of all registered mental health
establishments shall be maintained by the Central Authority in digital format in accordance with the
provisions of section 71 of the Mental Healthcare Act, 2017.
(2) The Central Authority shall also provide an online platform for digital submission of application for grant
of provisional registration/ renewal of provisional registration of a mental health establishment (Form-B) and
for digital issuance of certificate of provisional registration/ renewal of provisional registration (Form-C).”.
[F. No.V-15016/115/2020– PH-I]
REKHA SHUKLA, Jt. Secy.
Note:- The Mental Healthcare (Central Mental Health Authority and Mental Health Review Boards) Rules, 2018
were published in the Gazette of India, Extraordinary, Part II, section 3, sub-section (i), dated the 29th May,
2018 vide notification number G.S.R.507(E), dated the 29th May, 2018.
अजधसचू ना
नई दिल्ली, 12 अगस्ट् त, 2021
सा.का.जन. 568(अ).—केंद्रीय सरकार मानजसक स्ट्वास्ट््य िेखरेख अजधजनयम, 2017 (2017 का 10), की धारा
121 की उप-धारा (1) और उपधारा (3) द्वारा प्रित्त िजियों का प्रयोग करत े हुए, मानजसक स्ट्वास्ट््य िेखरेख (राज्य
मानजसक स्ट्वास्ट््य प्राजधकरण) जनयम, 2018 का संिोधन करन े के जलए जनम्नजलजखत जनयम बनाती ह,ै अर्ाित:्-
1. संजिप्त ा नाम और प्रारंभ- (1) इन जनयमों का संजिप् त नाम मानजसक स्ट्वास्ट््य िेखरेख (राज्य मानजसक स्ट्वास्ट््य
प्राजधकरण) (संिोधन) जनयम, 2021 ह।ै
(2) य ेजनयम रािपत्र म ेंइनके प्रकािन की तारीख को लागू होंगे।
2. मानजसक स्ट्वास्ट््य िेखरेख (राज्य मानजसक स्ट्वास्ट््य प्राजधकरण) जनयम, 2018 म ें जनयम 9 का उप- जनयम (3)
जनम्नानुसार अंत:स्ट्र्ाजपत दकया िा सकेगा,-
“(3) राज्य सरकार, राज्य मानजसक स्ट्वास्ट््य प्राजधकरण के दकसी गैर- सरकारी सिस्ट्य को पि से हटा सकेगी,
यदि, -
(i) उसे दिवाजलया के रूप में न् यायजनर्णित कर दिया गया हो; अर्वा
(ii) उसे ऐसे दकसी अपराध के जलए जसद्ध िोष ठहराया गया हो, जिसमें केंद्रीय, सरकार की राय में, नैजतक
अधमकता अंतविजलत ह;ै अर्वा4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
(iii) वह सिस्ट्य के रूप में कायि करन े में िारीररक अर्वा मानजसक रूप से अिम हो गया ह;ै अर्वा
(iv) उसने ऐसे जवत्तीय अर्वा अन्य जहत अर्िित कर जलए ह ै जिनसे उसके सिस्ट्य के रूप कायि करने पर प्रजतकूल
प्रभाव पड़न े की संभावना ह;ै अर्वा
(v) उसने अपने पि का इतना िरुु पयोग दकया हो जिससे उसका अपने पि पर बना रहना लोकजहत के प्रजतकूल
ह;ै अर्वा
(vi) वह ऐसे कारकों के जसवाय िो उसके जनयंत्रण स े परे हों अर्वा अध्यि की अनुमजत के जबना राज्य मानजसक
स्ट्वास्ट््य प्राजधकरण की लगातार तीन बैठकों में अनुपजस्ट्र्त रहा हो।”
3. मानजसक स्ट्वास्ट््य िेखरेख (राज्य मानजसक स्ट्वास्ट््य प्राजधकरण) जनयम, 2018 म,ें जनयम 14 को जनम्नानुसार
प्रजतस्ट्र्ाजपत दकया िा सकेगा,-
“14. सवे ाओं का जडज़िटीकरण,- (1) मानजसक स्ट्वास्ट््य िेखरेख अजधजनयम, 2017 की धारा 71 के उपबंधों के
अनुसार, राज्य प्राजधकरण द्वारा जडज़िटल प्रपत्र म ें समस्ट्त रजिस्ट् रकृत मानजसक स्ट्वास्ट््य स्ट् र्ापनों का प्ररूप-घ म ें
एक प्रवग-ि वार रजिस्ट्टर रखा िाएगा।
(2) राज्य प्राजधकरण मानजसक स्ट्वास्ट््य स्ट् र्ापन के जलए अनंजतम रजिस्ट् रीकरण/ अनंजतम रजिस्ट् रीकरण के
नवीकरण (प्ररूप- ख) को अनुित्त करने के जलए जडजिटल रूप स े आवेिन प्रस्ट्तुत करने तर्ा अनंजतम
रजिस्ट् रीकरण/अनंजतम रजिस्ट् रीकरण के नवीकरण प्रमाण पत्र (प्ररूप-ग) को जडजिटल रूप से िारी करने के जलए
एक ऑनलाइन प्लेटफामि भी उपलब्ध कराएगा।”
[फा. सं. वी-15016/115/2020-पीएच-I]
रेखा िुक्ला, संयुि सजचव
रटप्पण:- मानजसक स्ट्वास्ट््य िखे रेख (राज्य मानजसक स्ट्वास्ट््य प्राजधकरण) जनयम, 2018 तारीख 29 मई, 2018 की
अजधसूचना स.ं सा.का.जन. 508 (अ) द्वारा तारीख 29 मई, 2018 को भारत के रािपत्र, असाधारण, भाग 2,
खंड 3, उप- खंड (i) में प्रकाजित की गई र्ी।
NOTIFICATION
New Delhi, the 12th August, 2021
G.S.R. 568(E).—In exercise of the powers conferred by sub-sections (1) and (3) of section 121 of the Mental
Healthcare Act, 2017 (10 of 2017), the Central Government hereby makes the following rules to amend the Mental
Healthcare (State Mental Health Authority) Rules, 2018, namely:-
1. Short title and commencement. – (1) These rules may be called the Mental Healthcare (State Mental Health
Authority) (Amendment) Rules, 2021.
(2) They shall come to force on the date of their publication in the Official Gazette.
2. In the Mental Healthcare (State Mental Health Authority) Rules, 2018, sub-rule (3) of rule 9 may be inserted as
under, -
“(3). The State Government may, remove from office a non-official member of the State Mental Health
Authority, if he,-
(i) Has been adjudged as an insolvent; or
(ii) Has been convicted of an offence which, in the opinion of the Central Government, involves moral
turpitude; or
(iii) Has become physically or mentally incapable of acting as a member; or[भाग II—खण् ड 3(i)] भारत का रािपत्र : असाधारण 5
(iv) Has acquired such financial or other interest as is likely to affect prejudicially his function as a
member; or
(v) Has so abused his position as to render his continuance in office prejudicial to the public interest; or
(vi) Remains absent for three consecutive meetings of the State Mental Health Authority except for
reasons beyond his control or without permission of the chairperson.”
3. In the Mental Healthcare (State Mental Health Authority) Rules, 2018, rule 14 may be substituted as under, -
“14. Digitization of services. – (1) A category-wise register in Form-D of all registered mental health
establishments shall be maintained by the State Authority in digital format in accordance with the provisions
of section 71 of the Mental Healthcare Act, 2017.
(2) The State Authority shall also provide an online platform for digital submission of application for grant of
provisional registration/ renewal of provisional registration of a mental health establishment (Form-B) and
for digital issuance of certificate of provisional registration/ renewal of provisional registration (Form-C).”.
[F. No.V-15016/115/2020– PH-I]
REKHA SHUKLA, Jt. Secy.
Note:- The Mental Healthcare (State Mental Health Authority) Rules, 2018 were published in the Gazette of India,
Extraordinary, Part II, section 3, sub-section (i), dated the 29th May, 2018 vide notification number
G.S.R.508(E), dated the 29th May, 2018.
अजधसचू ना
नई दिल्ली, 12 अगस्ट् त, 2021
सा.का.जन. 569(अ).—मानजसक स्ट्वास्ट््य िेखरेख अजधजनयम, 2017 (2017 का 10) की धारा 121 की
उप-धारा (1) और उप-धारा (3) द्वारा प्रित्त िजियों का प्रयोग करके केंद्रीय सरकार मानजसक स्ट्वास्ट््य िेखरेख (मानजसक
रुग् णता से ्रसस्ट् त ् यजियों के अजधकार) जनयम, 2018 का संिोधन करने के जलए जनम्नजलजखत जनयम बनाती ह,ै अर्ाित:् -
1. सजं िप्त नाम और प्रारंभ - (1) इन जनयमों का संजिप् त नाम मानजसक स्ट्वास्ट््य िेखरेख (मानजसक रुग्ण ता से ्रसस्ट्त
् यजियों के अजधकार) (संिोधन) जनयम, 2021 ह।ै
(2) ये रािपत्र में उनके प्रकािन की तारीख को प्रवृत् त होंगे।
2. मानजसक स्ट्वास्ट््य िेखरेख (मानजसक रुग् णता से ्रसस्ट् त ् यजियों के अजधकार) जनयम, 2018 म,ें जनयम 5 के उप-जनयम
(2) को जनम्नवत ् रूप से प्रजतस्ट्र्ाजपत दकया िा सकेगा,-
"(2) मुख्य जचदकत्सा अजधकारी, उप जनयम (1) म ें जनर्िष्टि व्यजि से उपचार के खच ि की प्रजतपूर्त ि सबं ंधी आवेिन के
प्राप्त होन े पर, आवेिन की िाचं करेगा और िहा ं कहीं प्रजतपर्ू ति का िावा स्ट्वीकायि पाया िाता ह ै वहां मुख्य
जचदकत्सा अजधकारी आवेिन की प्राजप्त के तीस दिन के भीतर उपचार की ऐसे खचि की प्रजतपर्ू ति के जलए उस
राज्य सरकार के स्ट्वास्ट््य सेवा जनिेिालय के भारसाधक अजधकारी को एक आिेि िारी करेगा। स्ट्वास्ट््य सेवा
जनिेिालय का भारसाधक अजधकारी आिेि के िारी होन े की तारीख से पैंतालीस दिन के भीतर ऐसे खच ि की
प्रजतपूर्ति को सुजनजित करेगा।
परन् त ु प्रजतपूर्त िके खच िको समय- समय पर केंद्रीय सरकार द्वारा जवजनर्िष्टि िरों तक सीजमत रखा िाएगा।“
3. मानजसक स्ट्वास्ट््य िेखरेख (मानजसक रुग् णता स े ्रसस्ट् त ् यजियों के अजधकार) जनयम, 2018 म,ें जनयम 6 के उप-जनयम
(3) को जनम्नवत ् रूप से प्रजतस्ट्र्ाजपत दकया िाएगा,-6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART II—SEC. 3(i)]
"(3) उप-जनयम (2) के अधीन अनरु ोध की प्राजप्त की तारीख से पद्रं ह दिनों के भीतर आवेिक को भत रोगी का
मूल जचदकत्सा अजभलेख प्रारूप-ख प्रिान दकया िाएगा। यदि आवेिक को भत रोगी का मूल जचदकत्सा
अजभलेख जनधािररत समय- सीमा के भीतर उपलब्ध नही कराया िाता ह ै तो आवेिक इस प्रकार की सूचना
िारी करन े के आिेि के जलए सबं ंजधत बोडि से संपकि कर सकता ह।ै “
[फा. सं. वी-15016/115/2020-पीएच-I]
रेखा िुक्ला, संयुि सजचव
रटप्पण: मानजसक स्ट्वास्ट््य िेखरेख (मानजसक रुग्ण ता स े ्रसस्ट् त ् यजियों के अजधकार) जनयम, 2018 को तारीख 29 मई
2018 की अजधसूचना संख्या सा.का.जन. 509 (अ) के द्वारा तारीख 29 मई 2018 के भारत के रािपत्र,
असाधारण, भाग 2, खंड 3, उप-खंड (i) में प्रकाजित दकया गया र्ा।
NOTIFICATION
New Delhi, the 12th August, 2021
G.S.R. 569(E).—In exercise of the powers conferred by sub-sections (1) and (3) of section 121 of the Mental
Healthcare Act, 2017 (10 of 2017), the Central Government hereby makes the following rules to amend the Mental
Healthcare (Rights of Persons with Mental Illness) Rules, 2018, namely:-
1. Short title and commencement. – (1) These rules may be called the Mental Healthcare (Rights of Persons with
Mental Illness) (Amendment) Rules, 2021.
(2) They shall come to force on the date of their publication in the Official Gazette.
2. In the Mental Healthcare (Rights of Persons with Mental Illness) Rules, 2018, sub-rule (2) of rule 5 shall be
substituted as under, -
“(2). The Chief Medical Officer, on receipt of the application for reimbursement of the costs of treatment from
the person referred to in sub-rule (1), shall examine the application, and wherever the claim of reimbursement
is found admissible, the Chief Medical Officer shall within thirty days of receipt of the application, issue an
order to the officer in-charge of the Directorate of Health Services of that State Government for reimbursement
of such costs of treatment. The officer in-charge of the Directorate of Health Services shall ensure
reimbursement of such costs within forty five days from the date of issue of order.
Provided that the cost of reimbursement shall be limited to the rates specified by the Central Government from
time to time.”.
3. In the Mental Healthcare (Rights of Persons with Mental Illness) Rules, 2018, sub-rule (3) of rule 6 shall be
substituted as under, -
“(3). Within fifteen days from the date of receipt of the request under sub-rule (2), basic inpatient medical
records shall be provided to the applicant in Form-B. If the basic inpatient medical records are not provided to
the applicant in the prescribed time limit, the applicant may approach the concerned Board for an order to
release such information.”.
[F. No. V-15016/115/2020– PH-I]
REKHA SHUKLA, Jt. Secy.
Note:- The Mental Healthcare (Rights of Persons with Mental Illness) Rules, 2018 were published in the Gazette of
India, Extraordinary, Part II, section 3, sub-section (i), dated the 29th May, 2018 vide notification number
G.S.R.509(E), dated the 29th May, 2018.
Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064
and Published by the Controller of Publications, Delhi-110054.