Meghalaya Medical Attendance Rules 1981
No: Health. 136/80 Dated: Dec, 04 1981
GOVERNMENT OF MEGHALAYA
ORDERS BY THE GOVERNOR
Health and Family Welfare Department
NOTIFICATION
No. Health. 136/80:- In exercise of the powers conferred by the proviso to Article 309 of the Constitution, the Governor of Meghalaya is pleased to make the following rules, namely:-
1. Short title and commencement:- (1) These rules may be called the Meghalaya Medical Attendance Rules, 1981
(2) They shall be deemed to have come into force with effect from the 1st day of May, 1981.
2. Extent of Application:- (1) These Rules shall apply to all the State Government servants and State Government pensioners and shall cover the members of the families of Government servants and spouses of Government pensioners –
(2) They shall not apply to persons who are -
(a) Not in whole time employment of Government.
(b) Appointed on contract basis except when the contract provides otherwise.
(c) Paid otherwise than on monthly basis including those paid on price rates basis.
3. Definitions :- In these rules, unless, there is anything repugnant to the subject or context:-
(a) ‘Government’ means the Government of Meghalaya.
(b) ‘Authorised Medical Attendant’ means a Government doctor declared as such by the Director of Health Services from time to time.
(c) ‘Government Hospital’ means and includes all Hospitals, Civil Hospitals, Primary Health Centres, Dispensaries and other Health Institutions maintained by the State Government.
(d) Patient’ means a Government servant or a member of his/her family or a Government pensioner or his/her spouse who requires medical attendance and treatment.
(e) ‘Medical Attendance’ means attendance in a Government Hospital or at the residence of the patient and includes:-
(i) Such pathological, bacteriological, radiological or other methods of examination for the purpose of diagnosis, carried out in a Government hospital or laboratory at the instance of the authorised medical attendant irrespective of whether the patient is hospitalised or not, and
(ii) Such consultation with any other Medical Officer or Specialist in the service of Government as the Medical Attendant certifies to be necessary to such extent and in such manner as the Medical Officer or the Specialist may, in consultation with the authorised Medical Attendant, determine.
(f) ‘Treatment’ means the use of all medical and surgical facilities are available at the Government hospital in which a patient is treated and includes:-
(i) The employment of such pathological, bacteriological, radiological, or any other methods as are considered necessary by the authorised medical attendant;
(ii) Dental treatment where the diagnosis of the physiological or other disability from which a patient is suffering indicates the teeth are the source of disturbance provided it is of a major kind such as treatment of jaw bone disease, wholesale removal of teeth etc.,
(iii) The supply of such medicines, vaccines sera or other therapeutic substances as are ordinarily available in the Government hospital;
(iv) Such accommodation as is ordinarily provided in the Government hospital to which the patient is admitted and is suited to his status;
(v) The services of such nursing staff are ordinarily employed by the Government hospital to which the patient is admitted.
(vi) The medical attendance described in sub-clauses (i) and (ii) of clause (c) but does not include diet or provision, at the request of the patient, of accommodation superior to that described in subclause (iv) :-
Note- Surgical operation needed for the removal of odentones and impacted wisdom tooth also fall under the category of dental treatment of a major kind. Treatment of gum boils come under oral Surgery of the mouth and as such, as admissible under the rule. Treatment for pyorrhea conjuntivities of teeth is, however, not covered.
(g)‘Family’ means the family of a Government servant consisting of:-
(i) Wife or husband, as the case may be.
(ii) Parents ordinarily residing with and wholly dependent on the Government servant, and
(iii) Non-earning sons upto the age of 25 years and unmarried daughters.
Note- (1) Parents include step-parents.
(2) The term ‘sons’ and ‘daughters’ includes children adopted under any law or custom and step-children residing with and wholly dependent on the Government servant.