Clinical Establishment Act Amendment 2024
Updated: January 10, 2025

Clinical Establishment Act Amendment 2024

Updated registration requirements and quality standards for private healthcare facilities across Indian states

Major Amendment Highlights

Significant changes affecting healthcare facility registration and operational requirements

Simplified Registration Process

Streamlined online registration portal with reduced documentation requirements and faster approval timelines.

Processing Time: 30-45 days

Enhanced Infrastructure Standards

Updated minimum infrastructure requirements including fire safety, infection control, and accessibility standards.

Compliance Mandatory

Qualified Personnel Requirements

Revised staffing norms with mandatory qualifications and continuous medical education requirements.

CME Credits Required

Quality Assurance Framework

Mandatory quality indicators monitoring and patient safety protocols implementation.

Monthly Reporting Required

Fee Structure Revision

Updated registration and renewal fees based on facility type, bed capacity, and service offerings.

Effective April 2025

Renewal Process Changes

Extended validity period from 3 to 5 years with annual compliance self-assessment requirements.

5-Year Validity

State-wise Implementation Status

Current adoption status of the amended Clinical Establishment Act across Indian states

Fully Implemented

• Maharashtra
• Karnataka
• Tamil Nadu
• Gujarat
• Rajasthan
• Haryana

In Progress

• Uttar Pradesh
• West Bengal
• Madhya Pradesh
• Odisha
• Punjab
• Kerala

Pending Implementation

• Bihar
• Jharkhand
• Assam
• Himachal Pradesh
• Uttarakhand
• Goa

Updated Registration Requirements

Comprehensive checklist for new registrations and renewals under the amended act

Documentation Requirements

Facility License Application

Online application form with digital signatures and facility details

Infrastructure Compliance Certificate

Building plan approval, fire safety, and accessibility compliance

Personnel Qualification Documents

Medical council registration, qualification certificates, and experience proof

Quality Assurance Plan

Patient safety protocols, infection control measures, and quality indicators

Compliance Standards

Minimum Infrastructure Standards

Updated space requirements, equipment specifications, and utility standards

Staffing Norms

Mandatory doctor-patient ratios, nursing staff requirements, and support staff

Emergency Preparedness

Emergency response protocols, equipment, and staff training requirements

Performance Monitoring

Monthly quality indicators reporting and annual compliance audits

Revised Fee Structure

Updated registration and renewal fees effective from April 2025

Facility TypeBed CapacityRegistration FeeRenewal FeeValidity
Clinic/Nursing HomeUp to 10 beds₹15,000₹10,0005 years
Small Hospital11-30 beds₹35,000₹25,0005 years
Medium Hospital31-100 beds₹75,000₹50,0005 years
Large Hospital101-300 beds₹1,50,000₹1,00,0005 years
Super Specialty Hospital300+ beds₹3,00,000₹2,00,0005 years

Need Clinical Establishment Registration Support?

Our regulatory experts can help you navigate the amended requirements and ensure smooth registration