The Central Civil Services (Leave) Fourth Amendment Rules, 2013.

[To be published in the Gazette of India, Extraordinary, Part-II, Section 3, Sub.section (i)]

GOVERNMENT OF INDIA

MINISTRY OF PERSONNEL PUBLIC GRIEVANCES AND PENSIONS

(DEPARTMENT OF PERSONNEL AND TRAINING)

NOTIFICATION

New Delhi, the 18 February, 2014       

G.S.R. 96(e)In exercise of the powers conferred by the proviso to article 309 read with clause (5) of article 148 of the Constitution and after consultation with the Comptroller and Auditor General of India in relation to persons serving in the Indian Audit and Accounts Department, the President hereby makes the following rules further to amend the Central Civil Services (Leave) Rules, 1972, namely;-

1 (1) These rules may be called the Central Civil Services (Leave) Fourth Amendment Rules, 2013.

(2) They shall come into force on the date of their publication in the Official Gazette.

2. In the Central Civil Services (Leave) Rules, 1972, in rule 53, in sub-rule (4), -

(a) in Forms 7 and 8, after pars 4, the following para shall respectively, b inserted, namely:-

“NOW FURTHER THE CONDITION OF THE ABOVE WRITTEN OBLIGATION IS THAT the period of my bond mandating putting in service for the period as specified above, after expiry of the study leave availed by me, shall be extended by a comparable period, equivalent to the aggregate periods of leave of any kind availed by me during the currency of the bond period.”

(b) in Forms 9 and 10, after pars 5, the following para shall respectively. be inserted, namely:-

“NOW FURTHER THE CONDITION OF THE ABOVE WRITTEN OBLIGATION IS THAT the period of bond, mandating putting in service by the Obligor for the period as specified above, after expiry of the study leave availed by him or her, shall be extended by a comparable period, equivalent to the aggregate periods of leave of any kind availed by him or her during the currency of the bond period.”

[F. N . 13026/4/2012-Estt-(L)]

Sd/-

(MAMTA KUNDRA)

Joint Secretary to the Government of India

Source:http://ccis.nic.in/WriteReadData/CircularPortal/D2/D02est/13026_4_2012-Estt.L-18022014A.pdf

Private hospitals to stop CGHS cashless scheme from March 7

In a blow to government employees, including those who have retired, the Central Government Health Service has announced withdrawal of cashless medical service in private hospitals empanelled with the CGHS scheme from March 7. Patients will henceforth have to cough up hospital charges and later claim the amount from the government, according to the new rule.

The move will affect 50 lakh serving employees and over 30 lakh pensioners, as well as their family members. At a conservative estimate, the total number of persons affected could well be over two crore.

The move was necessary, said the Association of Healthcare Providers India (or AHPI, the nodal body of private empanelled hospitals) for a number of reasons, the main ones being CGHS owes these hospitals around Rs 200 crore in unpaid services as well as “unreasonably low” CGHS tariffs that haven’t been revised for the last four years. A doctor’s consultation fee, for example, remains Rs 58.

Also, AHPI says CGHS makes “illegal” deductions of 10% on all payments leading to losses for member hospitals. AHPI claims the amount runs up to Rs 180 crore.

In Karnataka, 20 hospitals, all in Bangalore, are empanelled with AHPI. HCG, Apollo hospitals, MS Ramaiah Memorial Hospital and Bangalore Baptist Hospital, among others, will not provide the cashless health scheme from March 7.

“When we were empanelled with the government, it was agreed upon that we will get 10% rebate on treatment charges if the government pays within seven days. But now, this deduction has been made applicable even when the amount is unpaid for years. That’s illegal. This has led to huge losses for member hospitals amounting to over Rs 180 crore over the past three years,” says Dr Alexander Thomas, CEO, Bangalore Baptist hospital, who represents AHPI in Bangalore.

Some hospitals have put up a public notice to this effect, reading, “CGHS tariffs are unreasonably low and not been revised for the last four years, threatening the very existence of the medical service providers.”

Dr Naresh Shetty of AHPI said, “The empanelled hospitals have been providing services under most difficult circumstances. They had to deal with steep hikes in electricity and water tariff, consumables, wages, taxes. We’ve been requesting a revision since June 2013 but there’s been no response.”

Official speak

The dues are just one issue. The bigger issue is that a doctor’s consultation charge of Rs 58 is appalling. The fees for several procedures are abysmally low. We don’t want to let down our beneficiaries but we have no choice. We ask the CGHS to consider the rates of the National Accreditation Board for Hospitals & Healthcare Providers. We’ve suggested that if at all CGHS were to take tender route, let CGHS decide the rates based on lowest bid received from NABH – accredited hospitals. Adopting rates like this would be logical and rational. Treating a patient can’t be made similar to selling onions and potatoes.

Source:http://timesofindia.indiatimes.com/india/Private-hospitals-to-stop-CGHS-cashless-scheme-from-March-7/articleshow/31438842.cms

Procedure for payment and reimbursement of medical expenses under ECHS

No.22A(10)/2010/US(WE)/D(Res)Nol-VIII

Government of India

Ministry of Defence

(Department of Ex-Servicemen Welfare)

New Delhi, the 14th February 2014

To

Managing Director

Central Organisation,

ECHS New Delhi-10

Subject: Procedure for payment and reimbursement of medial expenses under ECHS: Processing of bills by Bill Processing Agency (BPA)

Sir,

1. Further to Gol letter No. 24(8)/03/US(WE)/D(Res) dated 19 Dec

2003 and 22A(10)/10/US(WE)/D(Res) dated 23 Feb 2012 and 05 Nov 2012.

2. I am directed to convey the sanction of the Government to extend the On-Line bill processing by the Bill Processing Agency (BPA) to under mentioned Regional Centres w.e.f. 1st April 2014.

(a) Bangalore.

(b) Chennai.

(c) Coimbatore.

(d) Dehradun.

(e) Jabalpur.

(f) Jammu.

(g) Mumbai.

(h) Nagpur.

(i) Patna.

(j) Allahabad.

(k) Ahmedabad.

(I) Ambala.

(m)Bareilly.

(n) Delhi(II).

(o) Guwahati.

(p) Hisar.

(q) Ranchi.

(r) Visakhapatanam.

3. One dedicated broadband Internet circuit {2Mbps(1:1)} and one standard 2Mbps broadband connection for each of the Regional Centres processing bills on line is sanctioned.

4. Procedure for Bill payment as authorised vide Govt letter 22A(10)110/US(WE)/D(Res) dated 23 Feb 2012 and 05 Nov 2012 will be followed by all Regional Centres and Polyclinic. All other contents of Govt letter mentioned in this para remain unchanged.

5. This issues with the concurrence of Ministry of Defence (Finance) vide their U.O. No.33(07)/2011-FP dated 02-12-2013.

Yours faithfully,

Sd/-

(H.K. Mallick )

Under Secretary to the Govt of India

Source:http://www.desw.gov.in/sites/upload_files/desw/files/pdf/US-WE-14-Feb-2014.pdf