Allahabad High Court Rules Medical Board Cannot Re-Quantify Disability for MBBS PwBD Quota

The Allahabad High Court has delivered a significant ruling clarifying the limited role of Medical Assessment Boards in the admission process for MBBS courses under the Persons with Benchmark Disabilities (PwBD) category. A Division Bench of Justice Shekhar B. Saraf and Justice Abdhesh Kumar Chaudhary held that such boards cannot re-determine the percentage of disability already certified under the Rights of Persons with Disabilities (RPwD) Act, 2016. The court quashed the “ineligible for PwD reservation” findings of the boards in three separate writ petitions, observing that the boards had exceeded their jurisdiction by encroaching upon the exclusive domain of the statutory certifying authority.

Repeated Litigation Sparks Judicial Concern

The court began its judgment with a strong observation about the recurring nature of such disputes. “It is a deeply regrettable state of affairs that, notwithstanding the statutory primacy and binding nature of the Disability Certificate issued by the Competent Authority under Section 57 of the Rights of Persons with Disabilities (RPwD) Act, 2016, this Court remains continuously inundated with repetitive writ petitions during each successive academic session,” the bench noted.

The three petitioners—Shubham Mishra, Saurabh Rana, and Gulfam Ahmad—each held valid disability certificates from their respective Chief Medical Officers (CMOs), quantifying their disabilities at 45%, 50%, and 40% respectively. These certificates covered conditions ranging from Bell's Palsy and profound hearing loss to blindness. All three had secured qualifying ranks in NEET (UG) 2026 under the PwBD category.

The Core Conflict: Statutory Certificate vs. Board Assessment

Before participating in counselling, every PwBD candidate must obtain an Eligibility Certificate from a Medical Assessment Board constituted under National Medical Commission (NMC) guidelines. The board is tasked with assessing whether the candidate is functionally competent to pursue the MBBS course with reasonable accommodations.

In Shubham Mishra’s case, the board found him “capable of successfully completing the MBBS Course” but unilaterally reduced his certified disability from 45% to 20% and declared him “ineligible for PwD reservation.” The Appellate Medical PwD Assessment Board affirmed this conclusion. Similar outcomes befell the other petitioners.

The petitioners argued that the NMC guidelines were meant only for functional competency assessment and that re-quantifying disability was beyond the board’s mandate. The respondents countered that the prescribed format included a column for recording disability percentage, and that Clause 12.4 of the guidelines governed PwBD eligibility.

Court’s Legal Analysis: Functional Assessment Cannot Replace Statutory Determination

The High Court examined the statutory scheme of the RPwD Act, noting that Section 57 designates the certifying authority—in this case, the CMO—to issue disability certificates. Section 56 empowers the government to notify guidelines for assessing disability extent. “Once such a certificate is issued and remains unrevoked, unchallenged and subsisting, the percentage of disability recorded therein constitutes the statutory determination of that fact, binding on all authorities, unless set aside by a forum competent to do so in accordance with law,” the court held.

The court distinguished between the board’s role and the certifying authority’s role: “The domain of the Board is circumscribed to the effect as to whether, notwithstanding the disability already certified and quantified under the Act of 2016, the candidate possesses the functional capacity, with or without reasonable accommodation and assistive technology, to pursue and complete the MBBS course. This is an assessment of capability to study medicine, not a re-assessment of the fact or extent of disability.”

Supreme Court Precedents Affirmed

The bench relied on a consistent line of Supreme Court judgments, including Omkar Ramchandra Gond v. Union of India (2024), Om Rathod v. The Director General of Health Services (2024), and Anmol v. Union of India (2025). These cases established that a quantified disability cannot by itself disqualify a candidate; the board must conduct an individualized functional assessment and cannot apply mechanical percentage-based bars.

The court also cited the coordinate Division Bench decision in Somya Pal v. Union of India (August 2026), which had already held that the medical board cannot override the disability certificate.

Clause 12.3(b) Undermines Board’s Action

The court expressed surprise at the board’s approach, noting that Clause 12.3(b) of the NMC guidelines expressly states: “No candidate shall be declared ineligible solely on the basis of the percentage of benchmark disability recorded in the UDID Card or disability certificate.” The board, by reducing the percentage and then declaring the candidate ineligible, had acted contrary to its own governing framework.

“Further, we are rather surprised that when clause 12.3(b) of the guidelines in specific terms declare that ‘No candidate shall be declared ineligible solely on the basis of the percentage of benchmark disability recorded in the UDID Card or disability certificate’, how the Assessment Board invent some deleterious tactics to declare a candidate ineligible by reducing the percentage of disability in its eligibility certificate,” the court observed.

Final Directions and Implications

The High Court quashed the conclusions of “ineligible for PwD reservation” in the eligibility certificates and appellate opinions, while leaving the finding of functional competency undisturbed. It directed that the petitioners be treated as eligible candidates under the PwBD reserved category for NEET (UG) 2026 counselling, based on their original disability certificates and UDID cards.

The court also clarified that its judgment does not dilute the requirement of a functional competency assessment; it only bars re-quantification of disability. The NMC was given liberty to issue clarificatory instructions to all Medical Assessment Boards to ensure compliance with the law.

This ruling reinforces the primacy of the RPwD Act’s certification mechanism and prevents administrative bodies from undermining statutory rights through unauthorized re-assessment. It provides clarity for future admission cycles and aims to reduce the repetitive litigation that has burdened the courts.

(Abdhesh Kumar Chaudhary, J., authored the judgment, with Shekhar B. Saraf, J., concurring.)