The Government of Bihar on June 08, 2026, issued the Bihar Small and Medium Healthcare Establishment (Establishment and Registration) Regulation 2026.
The regulation establishes a structured framework for governing small and medium healthcare establishments in the state. It provides for the constitution of a State Council and District Registering Authorities to oversee registration, compliance, and implementation of standards. The State Council, headed by senior health officials, is responsible for maintaining the state register, handling appeals, and publishing annual reports, while district-level authorities manage registration and supervision at the local level.
The regulation makes it mandatory for all healthcare establishments to be registered before operating. It prescribes essential conditions such as maintaining minimum standards of infrastructure, staffing, record-keeping, and ensuring the presence of a qualified healthcare practitioner during service hours. Establishments are also classified into categories, with specific standards applicable to each, as determined by the State Government.
A detailed procedure for registration is outlined, including online application, provisional registration, and eventual permanent registration. Provisional registration is valid for one year (extendable up to three years), during which establishments must meet all required standards to obtain permanent registration. Certificates must be displayed prominently, are non-transferable, and require renewal or fresh application in case of changes in ownership, category, or location.
The regulation also defines strict monitoring, inspection, and enforcement mechanisms. Authorities are empowered to inspect establishments, verify compliance, and take action in cases of violations, including cancellation of registration. A formal appeal process is available through the State Council for aggrieved parties, ensuring fairness and transparency in decision-making.
Lastly, the regulation prescribes penalties for non-compliance, including fines, suspension, or closure of establishments operating without registration or violating norms. Additional provisions address offences by companies and government institutions, recovery of fines, and protection of actions taken in good faith. Overall, the framework aims to ensure quality healthcare services, accountability, and regulatory oversight across small and medium healthcare establishments.
[Notification No.-18/ Vividh-18/2025/555 (18) Health]
