Bombay High Court Grants Medical Bail to Obese ED Accused Citing Qualitative Difference in Treatment

The Bombay High Court on August 24 granted medical bail to Ushik Mahesh Gala, an accused in a Rs 137 crore money laundering case investigated by the Enforcement Directorate (ED), holding that there is a `qualitative difference in the treatment received as an undertrial prisoner especially in jail barracks and jail hospital and as a citizen under no restraint.' Justice Milind N. Jadhav found that Gala’s morbid obesity, which led to three surgeries within four years, brought him squarely within the exception carved out by the proviso to Section 45(1) of the Prevention of Money Laundering Act (PMLA), 2002.

Case Background: Three Surgeries in Four Years

Gala was arrested by the ED in November 2025 in connection with ECIR/MBZO-I/14/2024, arising from a predicate offence registered by the Economic Offences Wing (EOW). He had previously been arrested by the EOW in February 2022 and enlarged on bail. His medical history included a bariatric surgery (sleeve gastrectomy) in November 2022, a gall bladder removal on February 7, 2026, and an abdominal hernia repair on July 10, 2026. After the hernia surgery, his treating doctor, Dr. Rahul Borude of Bariatrics by Borude, advised complete bed rest until November 2026 for post-operative rehabilitation.

Gala had been granted interim medical bail in December 2025 for the gall bladder surgery, with extensions, but his request for six months of rehabilitation bail was rejected by the Special Court in April 2026, leading him to approach the High Court.

Arguments: Twin Conditions vs. Medical Necessity

Appearing for Gala, Senior Advocate Vikram Nankani and Advocate Rishi Bhuta argued that the applicant’s progressively worsening health—including severe abdominal cramps, hernia, and risks of port-site infection due to obesity—placed him under the proviso to Section 45(1) PMLA, which exempts a `sick or infirm' person from the stringent twin conditions for bail. They relied on precedents including Pranjil Batra v. Directorate of Enforcement , where the Punjab and Haryana High Court held that obesity itself is a disease and a root cause of other ailments.

Opposing the plea, ED Advocate Pavan Patil contended that Gala’s conditions were not life-threatening and could be managed at the jail hospital or government facilities. He argued that post-operative dyspepsia and sarcopenia are standard recovery features and do not amount to acute illness requiring bail. According to the ED, the twin conditions under Section 45(1)—prima facie guilt and no likelihood of tampering—remained unsatisfied.

Legal Analysis: Proviso to Section 45(1) PMLA and Precedents

Justice Jadhav examined medical reports from J.J. Group of Hospitals, Breach Candy Hospital, and Dr. Borude. A report dated February 18, 2026, warned that Gala’s compromised immune system put him at risk of fatal infection, while a July 16, 2026 report recommended close clinical observation at home.

Rejecting the ED's submission, the court noted that obesity is not a mere disease or life condition but an underlying cause for further medical complications.' Drawing from *Devki Nandan Garg v. Directorate of Enforcement* (Delhi High Court), the judge held that once an accused falls within the term sick or infirm' in the proviso, the twin conditions need not be fulfilled. The court also cited Naresh Goyal v. Directorate of Enforcement (Bombay High Court) for the proposition that medical bail continues even if the accused later recovers.

Key Observations from the Court

“There is a qualitative difference in the treatment received as an undertrial prisoner especially in jail barracks and jail hospital and as a citizen under no restraint.”

“Perusal of the material on record bring home the conclusion that sickness, infirmity and health conditions of Applicant are severe and hence directing Applicant to return to custody or even the prison hospital upon his discharge, is incompatible with his health conditions.”

“Obesity is not a mere disease or life condition but an underlying cause for further medical complications which can affect overall health and lifestyle.”

The court also took judicial notice of `jail conditions and the enormity of congestion in jails' as factors weighing against sending Gala back to custody.

Decision and Conditions

Justice Jadhav allowed the bail application on medical grounds, directing Gala’s release upon furnishing a personal bond of Rs 2,00,000 with one or more sureties. The order imposes several conditions:

  • Gala and any co-accused named by him must attend investigation on the first and third Monday of every month for three months, with Gala joining later as required.
  • The investigating officer may visit Gala’s home with two days’ notice to monitor rehabilitation.
  • Gala must not leave the country, tamper with evidence, or communicate with co-accused.
  • He must surrender his passport and report any change of address or mobile number.

The court further directed Gala to present himself at J.J. Hospital every six months for a check-up, with the dean’s committee to report on his health to the prosecution. The prosecution is at liberty to seek cancellation of bail if conditions are breached or based on the hospital report.

Justice Jadhav concluded by noting that the order is `primarily considered on medical grounds' and is subject to revocation if Gala or other accused fail to cooperate with the investigation.