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1996 Supreme(SC) 2181

1997(1) Supreme 546
SUPREME COURT OF INDIA
K. Ramaswamy and G. B. Pattanaik, JJ.
State of Punjab & Ors. -Appellants
versus
Mohinder Singh Chawla etc -Respondents
Civil Appeal No. 16979 of 1996
(Arising out of SLP (C) No. 12472 of 1996)
With
Civil Appeal Nos. 16980-81 of 1996
(Arising out of SLP (C) Nos. 12945 and 18828 of 1996)
Decided on 17-12-1996
Counsel for the Parties :
For the Appearing Parties : D.V. Sehgal, Sr. Advocate, H.S. Munjral, Manoj Swarup, M.K. Dua, Ms. Monika Gusain, P.N. Aggarwal, S. Bagga, A. Sharan, A.P. Singh, Advocates.

Headnote:SERVICE LAW-Medical Bill reimbursement-Respondent had heart ailment-Specialised treatment was not available in the Hospitals maintained by State-With permission of Medical Board, he was treated in AIIMS-Reimbursement for room rent paid to hospital denied as inadmissible for Govt. Policy resolution-Expenses incurred towards room rent for stay in hospital were integral part of expenditure incurred for the treatment-High Court was right in directing reimbursement of room rent also,-In a like case where patient had to take treatment in Escort Heart Institute, an identified private hospital by State Govt. rent paid for room during his stay was part of his expenditure incurred for treatment-Govt. was liable to reimburse the amount. (Paras 4 & 10)

       

ORDER

In. CA No. 16979/96 @ SLP (C) No. 12472 of 96 :

Leave granted.

2. This appeal by special leave arises from the judgment and order of the Division Bench of the Punjab & Haryana High Court, made on August 8, 1996 in CWP No. 15942/95.

3. The respondent had heart ailment which required replacement of two valves in the heart. Since the facility of the treatment was not available in the State Hospitals of Punjab, permission was given by the Director, with the approval of the Medical Board, to get the treatment outside the State. The respondent was sent for and had treatment in the AIIMS at New Delhi. The respondent submitted his medical bill on September 21, 1994 for reimbursement. While granting reimbursement for the actual expenses incurred in the sum of Rs. 1,29,000/-, the appellants rejected his bill for room rent paid to the hospital as inadmissible. The respondent filed writ petition stating that when he had undergone the treatment in the hospital as an inpatient, the payment of the room rent is an integral part of the expenses for treatment and, therefore, he is entitled to the reimbursement of the room rent paid. The Division Bench directed payment of the said amount. Thus, this appeal by special leave.

4. It is contended for the appellants-State that the Government have taken decision, as a policy in the Resolution dated January 25, 1991 made in Letter No. 7/7/85/5HBV/2498, that the reimbursement of expenses on account of diet, stay of attendant and stay of patient in hotel/hospital will not be allowed. Permission given was subject to the above resolution and, therefore, the High Court was not right in directing the Government to bear the expenses for the stay in the hotel/hospital contrary to para (vii) of the Resolution of the Government. We find no force in the contention. It is an admitted position that when specialised treatment was not available in the Hospitals maintained by the State of Punjab. Permission and approval having been given by the Medical Board to the respondent to have the treatment in the approved hospitals and having referred him to the AIIMS for specialised treatment where he was admitted, necessarily, the expenses incurred towards room rent for stay in the hospital as an inpatient are an integral part of the expenses incurred for the said treatment. Take, for instance, a case where an inpatient facility is not available in a specialised hospital and the patient has to stay in a hotel while undergoing the treatment, during the required period, as certified by the doctor, necessarily, the expenses incurred would be integral part of the expenditure incurred towards treatment. It is now settled law that right to health is an integral to right to life. Government has constitutional obligation to provide the health facilities. If the Government servant has suffered an ailment which requires treatment at a specialised approved hospital and on reference whereat the Government servant had undergone such treatment therein, it is but the duty of the State of bear the expenditure incurred by the Government servant. Expenditure, thus, incurred requires to be reimbursed by the State to the employee. The High Court was, therefore, right in giving direction to reimburse the expenses incurred towards room rent by the respondent during his stay in the hospital as an inpatient.

5. The learned counsel then contends that the State would be saddled with needless heavy burden, while other general patients would not be able to get the similar treatment. We appreciate the stand taken that greater allocation requires to be made to the general patients but unfortunately due attention for proper maintenance and treatment in Government Hospitals is not being given and mismanagement is not being prevented. Having had the constitutional obligation to bear the expenses for the Government servant while in service or after retirement from service, as per the policy of the Government, the government is required to fulfill the consti














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