ABHAY S. OKA, AUGUSTINE GEORGE MASIH
S. Rajaseekaran – Appellant
Versus
Union Of India – Respondent
The judgment addresses cashless treatment for victims of motor vehicle accidents, emphasizing the "golden hour" scheme under the Motor Vehicles Act, 1988. (!) (!)
Section 162(1) requires insurance companies carrying on general insurance business in India to provide treatment for road accident victims, including during the golden hour, notwithstanding other laws. (!)
Section 162(2) imposes a statutory obligation on the Central Government to frame a scheme for cashless treatment of accident victims during the golden hour, which may include provisions for creating a fund. (!)
"Golden hour" is defined as the one-hour period following a traumatic injury during which prompt medical care has the highest likelihood of preventing death. (!)
Treatment during the golden hour is crucial for survival in motor accidents, as delays can lead to loss of life; every human life is precious and must be protected. (!) (!)
Hospitals often delay treatment waiting for police arrival or due to concerns over payment of high charges, denying victims timely care. (!)
Section 164-B mandates the Central Government to constitute the Motor Vehicle Accident Fund, credited from notified payments, grants, prior fund balances, and other sources, to provide compulsory insurance cover to road users. (!) (!) (!)
The Fund is to be utilized for treatment of road accident victims under the Section 162 scheme, hit-and-run compensation, and other prescribed purposes, with maximum liability amounts prescribed by the Central Government. (!) (!) (!)
Payments from the Fund for treatment are deductible from insurance claims paid to victims. (!)
The Fund is managed by an authority with insurance expertise, capability to handle funds, and other criteria, with accounts audited by the Comptroller and Auditor-General of India and laid before Parliament. (!) (!) (!)
Central Motor Vehicles (Motor Vehicle Accident Fund) Rules, 2022 (Rules 11 and 12) provide for Fund utilization and disbursement for cashless treatment, but require the Section 162(2) scheme to be effective. (!)
A draft concept note exists, but concerns include limits like Rs.1,50,000 maximum payment and seven-day treatment cap; the scheme must prioritize saving lives through immediate golden hour treatment. (!)
The scheme under Section 162(2), supported by Section 164-B and Rules, upholds the right to life under Article 21 of the Constitution and is a statutory mandate overdue since 1st April 2022. (!)
Central Government directed to frame and notify the scheme by 14th March 2025 (no extensions), place it on record with implementation affidavit by 21st March 2025; matter listed on 24th March 2025. (!) (!)
For hit-and-run claims, GIC to process based on seven specified documents (FIR, post-mortem/injury report, death certificate, bank details, claimant/victim ID proofs, cashless treatment receipts); clear deficiencies with claimants. (!) (!)
GIC's portal for document upload is in progress; to be completed urgently by 14th March 2025, with features to notify States of deficiencies for faster claims; compliance report required. (!)
Petition listed for 24th March 2025 for further directions on compliance. (!) (!)
ORDER :
(Abhay S. Oka, J.)
1. By this order, we are dealing with the issue of cashless treatment for the victims of motor vehicle accidents. Section 162 of the Motor Vehicles Act, 1988 (for short, ‘the MV Act’) was brought into force from 1st April 2022. Section 162 reads thus:
(1) Notwithstanding anything contained in the General Insurance Companies (Nationalisation) Act, 1972 (57 of 1972) or any other law for the time being in force or any instrument having the force of law, the insurance companies for the time being carrying on general insurance business in India shall provide in accordance with the provisions of this Act and the schemes made under this Act for treatment of road accident victims, including during the golden hour.
(2) The Central Government shall make a scheme for the cashless treatment of victims of the accident during the golden hour and such scheme may contain provisions for creation of a fund for such treatment.”
(emphasis added)
To understand the object of the scheme for the golden hour, it is necessary to consider the definition of the golden hour in Section 2 (12-A), which reads thus:
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