NDPS Accused's Treatment Refusal Leads to Bail Denial: Jammu & Kashmir and Ladakh High Court

In a significant ruling, the High Court of Jammu & Kashmir and Ladakh has held that an accused in a commercial quantity NDPS case cannot manufacture medical grounds for bail by delaying treatment and refusing necessary procedures. Dismissing the medical bail plea of Manzoor Ahmad Hajam, Justice M.A. Chowdhary underscored that the mandatory conditions of Section 37 of the Narcotic Drugs and Psychotropic Substances Act, 1985 must take precedence over an accused's medical condition when the accused manipulates the process.

A Strategy of Delay Unravels

Hajam was arrested on November 13, 2024, after 20 bottles of Codeine Phosphate syrup—a commercial quantity contraband—were recovered from his possession during a naka checking operation at Kathpora near Hajin. Charged under Sections 8/22 NDPS Act, he sought short-term bail on medical grounds, claiming he suffered from a calcific pancreatic lesion described as stage 1 of developing cancer. He argued that he required an FNAC procedure and biopsy that could not be performed while in custody.

The trial court at Bandipora had earlier granted him interim medical bail in February 2025, which was extended periodically for nearly eleven months. However, when the petitioner failed to undergo the prescribed medical tests—repeatedly citing personal reluctance and structural discomfort—the trial court finally rejected further extension in December 2025, observing the absence of any conclusive medical opinion necessitating release.

The Legal Hurdle: Section 37 of the NDPS Act

The respondent Union Territory opposed the petition, arguing that the petitioner had ample opportunity during his eleven-month bail period to complete the diagnostic procedures but instead chose to delay. The government produced a detailed health status report from the Central Jail and SKIMS Hospital, Soura.

The court noted that the petitioner had been escorted to SKIMS on multiple occasions for a scheduled Celiac Plexus Block and ERCP procedure but explicitly refused to undergo ERCP on four separate dates—July 6, July 23, August 10, and August 24, 2026—citing structural discomfort. When he finally underwent a biopsy, the report showed no signs of any malignancy in his pancreas. The health status report concluded that the petitioner was "medically better" and that his treatment could continue efficiently under judicial custody.

Justice Chowdhary observed that the petitioner's conduct revealed a deliberate strategy : "From the medical record produced by the Respondents, it is clear that the Petitioner had been delaying the conducting of the tests, on one pretext or the other, and had, on many occasions, sought deferring of the tests."

Precedents That Bind

The court relied on several Supreme Court decisions to reinforce the mandatory nature of Section 37. In Narcotics Control Bureau v. Kashif (2025), the Apex Court held that " negation of bail is the rule and its grant is an exception " for offences punishable with a minimum ten-year sentence. Similarly, in Union of India v. Vigin K. Varghese (2025), the Supreme Court cautioned that a finding of reasonable grounds for believing the accused is not guilty cannot be a casual observation—it must rest on careful appraisal of material.

The High Court specifically rejected the argument that the rigours of Section 37 are relaxed due to medical conditions, stating: "When the statutory conditions contained therein are pitted against the plea of prolonged incarceration , likely delay in the trial, or the medical condition of the accused, as in the present case, the former must take precedence ."

The Final Verdict

While the court acknowledged that bail on medical grounds can be granted regardless of the statutory bar, it found that the petitioner had squandered the opportunity during his earlier release and that no malignancy existed. The petition was accordingly dismissed.

However, the court directed the jail authorities to ensure continuous medical care: "The Petitioner shall be continuously examined on daily basis by the Jail Doctor and shall be taken for specialized treatment, in case required, without any delay, so that his health is not compromised."

The ruling sends a clear message: an accused cannot exploit medical grounds by delaying treatment and refusing consent. The statutory embargo under Section 37 of the NDPS Act remains a formidable barrier, and the court will scrutinise medical claims for evidence of genuine need rather than manipulation.