18. Constitution of Autonomous Boards.—(1) The Central Government shall, by notification,
constitute the following Autonomous Boards, under the overall supervision of the Commission, to
perform the functions assigned to such Boards under this Act, namely:—
(a) the Board of Ayurveda;
(b) the Board of Unani, Siddha and Sowa-Rigpa;
(c) the Medical Assessment and Rating Board for Indian System of Medicine; and
(d) the Board of Ethics and Registration for Indian System of Medicine.
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(2) Each Board referred to in sub-section (1) shall be an autonomous body which shall carry out its
functions under this Act in accordance with the regulations made by the Commission.
19. Composition of Autonomous Boards.—(1) The composition of the Autonomous Boards shall be
as under, namely:––
(a) the Board of Ayurveda shall consist of a President and four Members from the Ayurveda
discipline of Indian System of Medicine;
(b) the Board of Unani, Siddha and Sowa-Rigpa shall consist of a President and two Members
from each of the Unani, Siddha and Sowa-Rigpa disciplines of Indian System of Medicine;
(c) the Medical Assessment and Rating Board for Indian System of Medicine shall consist of a
President and eight Members:
Provided that the President and six out of eight Members shall be chosen from the Ayurveda, Siddha,
Sowa-Rigpa and Unani disciplines of Indian System of Medicine in such manner that at least one Member
represents each such discipline separately, and the remaining two Members shall be accreditation experts;
(d) the Board of Ethics and Registration for Indian System of Medicine shall consist of a
President and eight Members:
Provided that the President and six out of eight Members shall be chosen from the Ayurveda, Siddha,
Sowa-Rigpa and Unani disciplines of Indian System of Medicine in such manner that at least one Member
represents each such discipline separately, and the remaining two Members shall be chosen from any of
the disciplines of quality assurance, public health, law or patient advocacy.
(2) The President and Members of the Autonomous Boards to be chosen under sub-section (1) shall
be persons of outstanding ability, proven administrative capacity and integrity, possessing postgraduate
degree in respective disciplines from a recognised University and having experience of not less than
fifteen years in respective fields, out of which at least seven years shall be as a leader:
Provided that seven years as leader in the case of the President and Member from Indian System of
Medicine shall be in the area of health, growth and development of education in Indian System of
Medicine.
20. Search Committee for appointment of President and Members.—The Central Government
shall appoint the President and Members of the Autonomous Boards on the basis of the recommendations
made in accordance with the procedure specified in section 5 by the Search Committee constituted
thereunder.
21. Term of office and conditions of service of President and Members.—(1) The President and
Members of each Autonomous Board shall hold the office for a term not exceeding four years and shall
not be eligible for any extension or re-appointment:
Provided that such person shall cease to hold office after attaining the age of seventy years.
(2) The salary and allowances payable to, and other terms and conditions of service of, the President
and Members of an Autonomous Boards shall be such as may be prescribed.
(3) The provisions contained in sub-sections (3), (5), (6), (7) and (8) of section 6 relating to the terms
and conditions of service of, and in section 7 relating to removal from office, the Chairperson and
Members of the Commission shall also be applicable to the President and Members of the Autonomous
Boards.
22. Advisory Committees of experts.—(1) Each Autonomous Board, except the Board of Ethics and
Registration for Indian System of Medicine, shall be assisted by such advisory Committees of experts, as
may be constituted by the Commission, for the efficient discharge of the functions of such Boards under
this Act.
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(2) The Board of Ethics and Registration for Indian System of Medicine shall be assisted by such
ethics committees of experts, as may be constituted by the Commission, for the efficient discharge of the
functions of that Boards under this Act.
23. Staff of Autonomous Boards.—The experts, professionals, officers and other employees
appointed under section 8 shall be made available to the Autonomous Boards in such number and in such
manner, as may be specified by regulations made by the Commission.
24. Meetings, etc., of Autonomous Boards.—(1) Every Autonomous Board shall meet at least once
a month at such time and place as it may appoint.
(2) Subject to such regulations as may be made in this behalf, all decisions of the Autonomous Boards
shall be made by consensus and if consensus is not possible, decision shall be made by majority of votes
of the President and Members.
(3) A person who is aggrieved by any decision of an Autonomous Board may prefer an appeal to the
Commission against such decision within thirty days of the communication of such decision.
25. Delegation of powers.—(1) The Commission may delegate all or any of its administrative and
financial powers to the President of each Autonomous Board to enable such Board to function smoothly
and efficiently.
(2) The President of an Autonomous Board may further delegate any of his powers to a Member or
officer of that Board.
26. Powers and functions of Autonomous Boards.—(1) The Board of Ayurveda, in respect of the
discipline of Ayurveda, and the Board of Unani, Siddha and Sowa-Rigpa, in respect of the disciplines of
Unani, Siddha and Sowa-Rigpa, of the Indian System of Medicine, shall perform the following functions
in respect of their respective disciplines, namely:—
(a) determine the standards of education at the undergraduate, postgraduate and super-speciality
levels and oversee all aspects relating thereto;
(b) develop a competency based dynamic curriculum at all levels in accordance with the
regulations made under this Act, in such manner that it develops appropriate skill, knowledge,
attitude, values and ethics among the postgraduate and superspeciality students and enables them to
provide healthcare, to impart medical education and to conduct medical research;
(c) frame guidelines on setting up of medical institutions for imparting undergraduate,
postgraduate and super-speciality courses in Ayurveda, Unani, Siddha and Sowa-Rigpa, having
regard to the needs of the country, the global norms and the regulations made under this Act;
(d) determine minimum requirements and standards for conducting of courses and examinations
in medical institutions, having regard to the needs of creativity at local levels and the regulations
made under this Act;
(e) determine standards and norms for infrastructure, faculty and quality of education and
research in medical institutions of Indian System of Medicine, in accordance with the regulations
made under this Act;
(f) specify norms for compulsory annual disclosure, electronically or otherwise, by medical
institutions of Indian System of Medicine in respect of their functions that has a bearing on the
interest of various stakeholders including students, faculty, the Commission and the Government;
(g) facilitate development and training of faculty members;
(h) facilitate research programmes;
(i) grant recognition to medical qualifications at all levels.
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(2) The Board of Ayurveda and the Board of Unani, Siddha and Sowa-Rigpa may, in the discharge of
their functions, make such recommendations to, and seek such directions from, the Commission, as it
deems necessary.
27. Powers and functions of Board of Ethics and Registration for Indian System of Medicine.—
(1) The Board of Ethics and Registration for Indian System of Medicine shall perform the following
functions, namely:––
(a) maintain a National Register of all licensed practitioners of Indian System of Medicine in
accordance with the provisions of section 32;
(b) regulate professional conduct and promote medical ethics in accordance with the regulations
made under this Act:
Provided that the Board of Ethics and Registration for Indian System of Medicine shall ensure
compliance with the code of professional and ethical conduct through the State Medical Council, in a
case where such State Medical Council has been conferred power to take disciplinary actions in
respect of professional or ethical misconduct by medical practitioners under respective State Acts;
(c) develop mechanisms to have continuous interaction with State Medical Councils of Indian
System of Medicine to effectively promote and regulate the conduct of medical practitioners of Indian
System of Medicine;
(d) exercise appellate jurisdiction with respect to the actions taken by a State Medical Council
under section 31.
(2) The Board of Ethics and Registration for Indian System of Medicine may, in the discharge of its
functions, make such recommendations to, and seek such directions from, the Commission, as it deems
necessary.
28. Powers and functions of Medical Assessment and Rating Board for Indian System of
Medicine.––(1) The Medical Assessment and Rating Board for Indian System of Medicine shall perform
the following functions, namely:––
(a) determine the procedure for assessment and rating of medical institutions on the basis of their
compliance with the standards laid down by the Board of Ayurveda or, as the case may be, the Board
of Unani, Siddha and Sowa-Rigpa, in accordance with the regulations made under this Act;
(b) grant permission for establishment of a new medical institution or to start any postgraduate
course or to increase number of seats, in accordance with the provisions of section 29;
(c) carry out inspections of medical institutions for assessing and rating such institutions in
accordance with the regulations made under this Act:
Provided that the Medical Assessment and Rating Board for Indian System of Medicine may, if it
deems necessary, hire and authorise any other third party agency or persons for carrying out
inspections of medical institutions for assessing and rating such institutions:
Provided further that where inspection of medical institutions is carried out by such third party
agency or persons authorised by the Medical Assessment and Rating Board for Indian System of
Medicine, it shall be obligatory on such institutions to provide access to such agency or person;
(d) conduct, or where it deems necessary, empanel independent rating agencies to conduct, assess
and rate all medical institutions, within such period of their opening, and every year thereafter, at such
time, and in such manner, as may be specified by regulations;
(e) make available on its website or in public domain, the assessment and ratings of medical
institutions at regular intervals, in accordance with the regulations made under this Act;
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(f) take such measures, including issuing warning, imposition of monetary penalty, reducing
intake or stoppage of admissions and recommending to the Commission for withdrawal of
recognition, against a medical institution for its failure to maintain the minimum essential standards
specified by the Board of Ayurveda or, as the case may be, the Board of Unani, Siddha and SowaRigpa, in accordance with the regulations made under this Act.
(2) The Medical Assessment and Rating Board for Indian System of Medicine may, in the discharge
of its functions, make such recommendations to, and seek such directions from, the Commission, as it
deems necessary.
29. Permission for establishment of new medical institution.––(1) No person shall establish a new
medical institution or start any postgraduate course or increase number of seats without obtaining prior
permission of the Medical Assessment and Rating Board for Indian System of Medicine.
Explanation.–– For the purpose of this sub-section, the term “person” includes any University, trust
or any other body, but does not include the Central Government.
(2) For the purpose of obtaining permission under sub-section (1), a person may submit a scheme to
the Medical Assessment and Rating Board for Indian System of Medicine in such form, containing such
particulars, accompanied by such fee, and in such manner, as may be specified by regulations.
(3) While considering the scheme received under sub-section (2), the Medical Assessment and Rating
Board for Indian System of Medicine shall have regard to the standards of education and research, the
standards and norms for infrastructure and faculty, the guidelines on setting up of medical institutions and
other requirements determined by the Board of Ayurveda or, as the case may be, the Board of Unani,
Siddha and Sowa-Rigpa under section 26, and pass an order either approving or disapproving the scheme
within three months from the date of receipt of such scheme:
Provided that before disapproving such scheme, an opportunity to rectify the defects, if any, shall be
given to the person concerned.
(4) Where a scheme is approved under sub-section (3), such approval shall be the permission under
sub-section (1) to establish a new medical institution.
(5) Where a scheme is disapproved under sub-section (3), or where no order is passed within three
months of submitting a scheme under sub-section (2), the person concerned may prefer an appeal to the
Commission within fifteen days of such disapproval or, as the case may be, after lapse of three months, in
such manner as may be specified by regulations.
(6) Where the Commission has disapproved the scheme or no order has been passed within fifteen
days from the date of preferring appeal under sub-section (5), the person concerned may prefer a second
appeal to the Central Government within seven days of communication of such disapproval or, as the case
may be, lapse of specified period of fifteen days.
(7) The Medical Assessment and Rating Board for Indian System of Medicine may conduct
evaluation and assessment of any University or medical institution at any time, either directly or through
any other expert, having integrity and experience in medical profession, without any prior notice and
assess and evaluate the performance, standards and benchmarks of such University or medical institution.
30. Criteria for approving or disapproving scheme.––While approving or disapproving a scheme
under section 29, the Medical Assessment and Rating Board for Indian System of Medicine, or the
Commission, as the case may be, shall take into consideration the following criteria, namely:—
(a) adequacy of infrastructure and financial resources;
(b) whether adequate academic faculty, non-teaching staff, and other necessary facilities have
been provided to ensure proper functioning of medical institution or would be provided within the
time-limit specified in the scheme;
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(c) whether adequate hospital facilities have been provided or would be provided within the timelimit specified in the scheme;
(d) such other factors as may be prescribed:
Provided that, subject to the previous approval of the Central Government, the criteria may be
relaxed for the medical institutions which are set up in such areas as may be specified by the
regulations.
31. State Medical Council.––(1) The State Government shall, by notification, within three years of
the commencement of this Act, establish a State Medical Council for Indian System of Medicine in that
State if no such Council exists in that State.
(2) Where a State Act confers power upon the State Medical Council to take disciplinary actions in
respect of any professional or ethical misconduct by a registered practitioner of Indian System of
Medicine, the State Medical Council shall act in accordance with the regulations made, and the guidelines
framed, under this Act:
Provided that till such time as a State Medical Council for Indian System of Medicine is established
in a State, the Board of Ethics and Registration for Indian System of Medicine shall receive the
complaints and grievances relating to any professional or ethical misconduct against a registered
practitioner of Indian System of Medicine in that State in accordance with such procedure as may be
specified by regulations:
Provided further that the Board of Ethics and Registration for Indian System of Medicine or, as the
case may be, the State Medical Council shall give an opportunity of hearing to such practitioner before
passing any order or taking any action, including imposition of any monetary penalty, against such
person.
(3) A practitioner of Indian System of Medicine who is aggrieved by the order passed or the action
taken by––
(a) the State Medical Council under sub-section (2) may prefer an appeal to the Board of Ethics
and Registration for Indian System of Medicine and the decision, if any, of the Board of Ethics and
Registration for Indian System of Medicine thereupon shall be binding on such State Medical
Council, unless a second appeal is preferred under sub-section (4);
(b) the Board of Ethics and Registration for Indian System of Medicine under the first proviso to
sub-section (2) may prefer an appeal to the Commission.
(4) A medical practitioner of Indian system of medicine who is aggrieved by the decision of the
Board of Ethics and Registration for Indian System of Medicine, may prefer an appeal to the Commission
within sixty days of communication of such decision.
Explanation.—For the purposes of this Act,—
(a) “State” includes Union territory and the expressions “State Government” and “State Medical
Council for Indian System of Medicine”, in relation to a Union territory, shall respectively mean the
“Central Government” and “Union Territory Medical Council for Indian System of Medicine”;
(b) the expression “professional or ethical misconduct” includes any act of commission or
omission, as may be specified by regulations.
32. National Register and State Register of Indian System of Medicine.––(1) The Board of Ethics
and Registration for Indian System of Medicine shall maintain a National Register containing the name,
address, all recognised qualifications possessed by a licensed medical practitioner of the Indian System of
Medicine and such other particulars as may be specified by regulations.
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(2) The National Register shall be maintained in such form, including in electronic form and in such
manner as may be specified by regulations.
(3) The manner in which any name or qualification may be added to, or removed from, the National
Register and the grounds for removal thereof, shall be such as may be specified by the regulations.
(4) The National Register shall be made available to the public by placing it on the website of the
Board of Ethics and Registration for Indian System of Medicine.
(5) Every State Medical Council shall maintain and regularly update the State Register in the
specified electronic format and supply a physical copy of the same to the Board of Ethics and Registration
for Indian System of Medicine within three months of the commencement of this Act.
(6) The Board of Ethics and Registration for Indian System of Medicine shall ensure electronic
synchronization of the National Register and the State Register in such a manner that any change in one
such register is automatically reflected in the other register.
33. Rights of persons to be enrolled in National Register and their obligations thereto.––(1) Any
person who has a recognised qualification in Indian System of Medicine under this Act and qualifies the
National Exit Test held under section 15 shall be granted a licence to practice Indian System of Medicine
and shall have his name and qualifications enrolled first in the State Register and subsequently in the
National Register maintained under this Act:
Provided that a person who has been registered in the Central Register of Indian System of Medicine
maintained under the Indian Medicine Central Council Act, 1970 (48 of 1970) prior to the coming into
force of this Act and before the National Exit Test becomes operational under sub-section (3) of section
15, shall be deemed to have been registered under this Act and be enrolled in the National Register
maintained under this Act.
(2) No person who has obtained a qualification in Indian System of Medicine from a medical
institution established in any country outside India and is recognised as a medical practitioner of Indian
System of Medicine in that country, shall, after the commencement of this Act and the National Exit Test
for Indian System of Medicine becomes operational under sub-section (3) of section 15, be enrolled in the
National Register for Indian System of Medicine, unless he qualifies the National Exit Test for Indian
System of Medicine.
(3) When a person whose name is entered in the State Register or the National Register, as the case
may be, obtains any title, diploma or qualification for proficiency in sciences or medicine which is a
recognised qualification under section 35 or section 36, as the case may be, he shall be entitled to have
such title, diploma or qualification entered against his name in the State Register or the National Register,
in such manner as may be specified by regulations.
34. Rights of persons to practice.–– (1) No person other than a person who is enrolled in the State
Register or the National Register, as the case may be, shall—
(a) be allowed to practice Indian System of Medicine as a qualified practitioner;
(b) hold office as a physician or surgeon or any other office, by whatever name called, which is
meant to be held by a physician or surgeon, as the case may be;
(c) be entitled to sign or authenticate a medical or fitness certificate or any other certificate
required by any law to be signed or authenticated by a duly qualified medical practitioner;
(d) be entitled to give evidence at any inquest or in any court of law as an expert under section 45
of the Indian Evidence Act, 1872 (1 of 1872) on any matter relating to Indian System of Medicine:
Provided that the Commission shall submit a list of such practitioners to the Central Government
in such manner as may be prescribed:
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Provided further that a foreign citizen who is enrolled in his country as a practitioner of Indian
System of Medicine in accordance with the law regulating the registration of such practitioners in that
country may be permitted temporary registration in India for such period and in such manner as may
be specified by regulations.
(2) Any person who acts in contravention of the provisions of this section shall be punished with
imprisonment for a term which may extend to one year, or with fine which may extend to five lakh
rupees, or with both.
(3) Nothing contained in this section shall affect––
(a) the right of a person enrolled in a State Register as practitioner of Indian System of Medicine
to practice in any State merely on the ground that he does not possess, as on the date of
commencement of this Act, a recognised medical qualification in the Indian System of Medicine;
(b) the privileges, including the right to practice any system of medicine, conferred by or under
any law for the time being in force in a State on the practitioners of Indian System of Medicine
enrolled in the State register of that State;
(c) the right of a person who has been practicing Indian System of Medicine for not less than five
years in a State, to continue to practice in that State in which a State Register of Indian System of
Medicine is not maintained as on the date of commencement of this Act.