IN THE HIGH COURT OF KERALA AT ERNAKULAM
T.R. RAVI, J.
Devi Scans (P) Ltd & Ors. - Petitioners
Versus
State of Kerala, Represented by Its Principal Secretary, Health and Welfare Department & Ors. - Respondents
W.P.(C) Nos.10997 & 11632 of 2021
Decided On : 04-10-2021
Constitution of India, 1950 – Article 32, 162, 246 - Disaster Management Act, 2005 - Section 10(2)(1), 20 ,24 & 65 - Epidemic Diseases Act, 1897 - Section 2 - Kerala Epidemic Diseases Ordinance, 2020 - Section 4 – Essential Commodities Act,1955 - Section 3(2)(c) – Covid 19 – RT-PCR test – Fixation of fee - Seeking to quash order the State has re-fixed the rates of RT-PCR tests chargeable by the private Laboratories in Kerala - National Task Force recommended that the maximum cost for testing a sample should not exceed Rs.4,500/-, which may include Rs.1,500/- as a screening test for suspect cases and an additional Rs.3,000/- for a confirmation test - It was ordered that the private laboratories shall perform RT-PCR tests for detection of Covid-19 at revised rate of Rs.500/- per test - That cost for conducting test based on costs of inputs, for period from December 2020 to January 2021, was between Rs.275/-to Rs.350/-, the price fixed at Rs.500/- is reasonable. It is also stated that the rates arrived at by 4th respondent for doing RT-PCR tests through static and mobile RT-PCR labs is Rs.448.20/-per test – Whether Ext.P10 issued by the Government a legislative process or an executive order - Is price fixation a legislative process and to what extent can the Court interfere - Should the State comply with principles of natural justice while fixing maximum rates at which RT-PCR should be done in private laboratories - Can Ext.P10 be treated as an order issued by the State in exercise of powers vested in it under provisions of the Disaster Management Act 2005, Section 2 of Epidemic Diseases Act, 1897, Section 86 of Travancore-Cochin Public Health Act, 1955, Section 81 of Madras Public Health Act,1939, Section 4 of Kerala Epidemic Diseases Ordinance, 2020 and he executive powers vested in Government under Article 162 of Constitution of India, with relation to Entry 6 of List II of 7th Schedule of the Constitution of India.
Finding of the Court:
None of the statutory provisions relied on by the State authorises them to issue an order controlling the rates at which the private laboratories should carry out the RT-PCR test - RT-PCR test also stands included within the meaning of the word “drugs” going by the test - Ext.P10 cannot also be treated as an order issued by the State in exercise of the powers vested in it under the provisions of the Disaster Management Act 2005, Section 2 of the Epidemic Diseases Act, 1897, Section 86 of the Travancore-Cochin Public Health Act, 1955, Section 81 of the Madras Public Health Act,1939, Section 4 of the Kerala Epidemic Diseases Ordinance, 2020 and the executive powers vested in the Government under Article 162 of the Constitution of India, with relation to Entry 6 of List II of 7th Schedule of the Constitution of India - Whether the ICMR has been statutorily empowered to issue orders fixing the maximum price at which a test necessary for diagnosis is to be conducted apparently for the fact that the situation required immediate action - ICMR in turn decided to relegate the price fixation to the State level with a rider that price will be fixed after discussions - Court intervened and directed the Government to fix the price after discussing with the private laboratories - It is thereafter that the price of Rs. 1,700/-for RT-PCR test was arrived at - State also does not have a case till the issuance of the order fixing the price of Rs. 1,700/-, that they had all the powers to fix the price without any discussion with private laboratories and without hearing them - Ext.P10 is liable to be set aside and State Government should take a fresh decision regarding the rate at which the RT-PCR should be conducted after discussing the issue with the private laboratories - 4th respondent is making bulk purchases and has the benefit of very low prices which will not be available to the private laboratories. The 4th respondent has also stated before the Court that even if they were to procure the materials for supply to the private laboratories as a temporary measure, they will not be able to procure all the materials, that the private laboratories would require - It would not be proper to set aside Ext.P10 and permit the petitioners to continue to charge Rs.1700/- which they were charging earlier with immediate effect.
Result: Writ petitions are disposed of
JUDGMENT :
Petitioners in these writ petitions are Diagnostic Laboratories and Research Centres in Kerala, who were conducting various kinds of Covid-19 tests, including RT-PCR tests. Since the prayers in the writ petitions are similar, they are being heard and disposed of together. The exhibits are referred to as they are marked in W.P. (c)No. 10997/2021. The writ petition has been filed seeking to quash Ext.P7 order dated 08.02.2021 and Ext.P10 order dated 30.04.2021, whereby the State has re-fixed the rates of RT-PCR tests chargeable by the private Laboratories in Kerala and Ext.P11 order dated 01.05.2021 issued by the 1st respondent purporting to be under Section 20 read with Sections 24 & 65 of the Disaster Management Act, 2005 to ensure strict adherence to the prescribed rates for RTPCR tests as revised from time to time by the State. There is also a prayer for the issuance of a writ of mandamus directing the 1st respondent to issue necessary guidelines/directions/orders to defray the expenses and reimburse to the private laboratories, the loss suffered by them, below the rate fixed in Ext.P7 order dated 08.02.2021 and to have the same paid at the end of each month on furnishing accounts to the appropriate authority. The petitioners have also sought for a declaration that the 1st respondent has no authority or jurisdiction to fix the rates for RT-PCR tests with respect to private laboratories, unless and until they are ready to subsidise the difference between the rates fixed by the State Government and the one prescribed by the 4th respondent Indian Council for Medical Research for Covid-19 tests. Even though the petitioners had sought for an interim stay of the operation of the implementation of Exts.P10 and P11 orders, the same was declined by a learned Single Judge in the order dated 07.05.2021. The petitioners had challenged the interim order in W.A.No.746 of 2021. By judgment dated 21.06.2021, the Division Bench dismissed the appeal leaving open the legal and factual contentions raised by the petitioners and the respondents.
PETITIONERS' BRIEF
2. On 11.03.2020, the Government of India in the Ministry of Home Affairs, Disaster Management Division issued Ext.P20 whereby, in exercise of powers conferred under Section 69 of the Disaster Management Act, 2005, the Union Home Secretary who was the Chairman of the National Executive Committee delegated his powers under Clauses (i) & (l) of sub-section (2) of Section 10 of the Disaster Management Act, 2005 to the Secretary, Ministry of Health and Family Welfare, Government of India, to enhance the preparedness and containment of Novel Corona Virus (Covid-19) and other ancillary matters connected thereto. This was followed by Ext.P21 order dated 21.03.2020, whereby guidelines were laid down by the ICMR for Covid-19 tests in private laboratories in India. Ext.P21 says that the National Task Force recommended that the maximum cost for testing a sample should not exceed Rs.4,500/-, which may include Rs.1,500/- as a screening test for suspect cases and an additional Rs.3,000/- for a confirmation test. It also says that ICMR encourages free or subsidised testing in this hour of National Public Health Emergency. A Public Interest Litigation was initiated before the Hon’ble Supreme Court, invoking Article 32 of the Constitution of India seeking a direction to ensure free of cost testing facility for Covid-19 by all the testing labs, whether private or Government. Soon thereafter, the entire nation went into a lockdown owing to the spread of Covid-19. On 08.04.2020, the Hon’ble Supreme Court directed that the tests relating to Covid-19 whether in approved Government laboratories or approved private laboratories shall be free of cost. It was also directed that Covid-19 tests should be carried out in NABL accredited laboratories or the agencies approved by WHO/ICMR. The above order was modified by the Hon'ble Supreme Court in Ext.P4 order dated 13.04.2020. Ext.P4 has been reported as Sha
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