I & P Scheme

Any public charitable trust registered under the provisions of the Bombay Public Trusts Act, 1950 (B.P.T. Act) and operating a charitable hospital, including nursing homes, dispensaries, or other centers for medical relief, with annual expenditure exceeding ₹5 lakh, shall be considered a “State aided public trust” under clause 4 of section 41AA.
Such charitable trusts, as covered under point 1, are legally obliged to reserve and earmark 10% of their total operational beds for indigent patients and provide them free medical treatment. Additionally, 10% of total operational beds must be reserved for patients from the weaker sections at concessional rates, as per section 41AA of the B.P.T. Act.
In the case of emergencies, charitable hospitals must admit patients and provide all essential, life-saving emergency treatment and procedures until the patient is stabilized. If required, the hospital must arrange transportation to a public hospital. Charitable hospitals shall not demand any deposit for admitting emergency patients.
Every public charitable hospital shall create a separate fund called the Indigent Patients’ Fund (IPF). The hospital must credit 2% of the gross billing of all patients (excluding indigent and weaker section patients) to this fund without any deductions.
Any donations received by charitable hospitals from individuals, other charitable trusts, or any other source, specifically for providing medical treatment to indigent and weaker section patients, must be credited to the IPF account.
The IPF account must be shown separately under the head “IPF” and reflected as an earmarked fund in the hospital’s annual balance sheet, in accordance with Schedule VIII, Rule 7(1) of the B.P.T. Rules.
The amount credited to the IPF account shall remain at the disposal of the respective charitable hospital and shall be used exclusively for providing medical treatment to indigent and weaker section patients, as specified herein.
Charitable hospitals shall provide the following non-billable services free of charge to indigent and weaker section patients:
- Resident Medical Officer (RMO) services
- Nursing care
- Food (if provided by the hospital)
- Linen
- Water
- Electricity
- Routine diagnostic services necessary for general specialties
- Housekeeping services
In the case of indigent patients, the charitable hospitals shall provide medical examination and treatment in its departments totally free of cost. The indigent patient’s bill of billable services shall be prepared at the rates applicable to the lowest class of the respective hospital. Medicines, consumables, and implants are to be charged at the purchase price to the hospital. If doctors forgo their charges, then the same shall not be included in the final bill of the indigent patients. The bill so prepared shall be debited to the IPF account. The charitable hospitals shall not ask for any deposit in the case of admission of indigent patients.
In the case of weaker section patients, the charitable hospitals shall provide medical examination and treatment in each department at concessional rates. The weaker section patient’s bill of billable services shall be prepared at the rates applicable to the lowest class of accommodation of the respective hospital. The medicines, consumables, and implants are to be charged at the purchase price to the hospital; however, the weaker section patients shall pay at least 50% of the bills of medicines, consumables, and implants. If the doctor forgoes his charges, then the same shall not be included in the final bill of the weaker section patients. The bill so prepared after deducting the payment made by the weaker section patients shall be debited to the IPF account.
The charitable hospitals shall physically transfer 2% of the total patients’ billing (excluding the bill of indigent and weaker section patients) each month to the IPF account. The amount available in the IPF account shall be spent to provide medical treatment to the maximum number of indigent and weaker section patients. In case of surplus or shortfall in the IPF account for the month, the same shall be adjusted in subsequent months. If there is an imbalance in the credit of the IPF account and the expenditure incurred in the treatment of indigent and weaker section patients for more than six months, such charitable hospital may bring this aspect to the notice of the Monitoring Committee, which may issue appropriate directives to the concerned hospital.
The charitable hospitals shall furnish information to the office of the Charity Commissioner regarding the amount collected in the IPF account, treatment provided to indigent and weaker section patients, and their profiles prepared by the Medical Social Worker, along with the amount spent for respective patients and the information required under Rule 23A of the Bombay Public Trusts Rules, 1951.
The trustees of the charitable hospitals shall not provide treatment to their relatives, employees of the trust, and their dependants under the category of “indigent and weaker section patients.”
The charitable hospitals shall admit indigent or weaker section patients coming to their hospitals from any source, including Government Hospitals, Municipal Hospitals, etc. The procedure for admission of patients shall be as provided in subsequent clauses.
The charitable hospitals shall admit indigent patients to the extent of 10% of their operational beds/average occupancy for medical examination and treatment. Likewise, the charitable hospitals shall admit weaker section patients to the extent of 10% of their operational beds/average occupancy for medical examination/treatment coming to their hospitals from sources referred to in clause 14. The charitable hospitals shall verify the economic status of the patients through their Medical Social Worker on the basis of scrutiny of any one of the following documents produced by the concerned patients:
- Certificate from Tahsildar
- Ration card / Below Poverty Line card
The Monitoring Committee members shall include representatives from the concerned districts.
The Monitoring Committee shall hold its meeting once a month and monitor implementation of the scheme by each charitable hospital. The Monitoring Committee shall also consider grievances of the patients, if any, and submit its report to the Charity Commissioner.
In case of breach of the Scheme and/or the terms and conditions of section 41AA by any charitable hospital, besides the penal action provided under section 66 of the B.P.T. Act, the Charity Commissioner shall report to the State Government recommending withdrawal of the exemption granted to the concerned hospital during the preceding year in payment of contribution towards the P.T.A. Fund, and the amount of contribution towards the P.T.A. Fund shall be recovered from the said hospital. The Charity Commissioner may also request the Government to withdraw any other concessions or benefits given to the said hospital.
Charitable hospitals which face individual difficulties in meeting the objectives or obligations under this Scheme shall be at liberty to apply to the Charity Commissioner with all supporting documents, who may consider suitable modifications if a case for relief is made out.
The Charity Commissioner shall notify the list of charitable hospitals in the Greater Mumbai Region on the notice board of his office and in two newspapers widely circulated in Greater Mumbai, one in Marathi and the other in English, and the list of charitable hospitals in each district on the notice board of the office of the Joint Charity Commissioner and in two widely circulated newspapers of the district.
Each charitable hospital governed by this Scheme shall publish the Scheme on its notice board displayed at a conspicuous place in the hospital.

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