Orissa High Court Quashes Medical Board Report Excluding NEET-UG Candidate With Thalassemia From Disability Quota

The Orissa High Court has set aside a Medical Board report that excluded a NEET-UG candidate from the disability quota, holding that the Board wrongly focused on functional impairment rather than recognising Thalassemia as a specified disability under the Rights of Persons with Disabilities (RPwD) Act, 2016. A Division Bench of Chief Justice Harish Tandon and Justice Chittaranjan Dash directed the constitution of a fresh Medical Board to assess the petitioner’s disability percentage within four days, given the ongoing counselling process.

Background: A Candidate Denied Her Rightful Quota

The petitioner, Harapriya Das, appeared in NEET-UG 2026 and claimed reservation under the Persons with Disability (PwD) quota, supported by a disability certificate from a competent authority certifying she suffers from “β Thalassemia Trait” with a disability of more than 40%. However, the Chairman of the Odisha Joint Entrance Examination referred her to a Medical Assessment Board, which opined on 22 August 2026 that the condition is “an asymptomatic carrier state, without any significant functional disability” and thus did not meet the criteria for a disability certificate.

The petitioner challenged this assessment before the High Court, which initially permitted her to file a representation. When the appellate authority issued a notice on 25 August 2026 declaring her ineligible for the quota, she approached the Court again.

Medical Board’s Error: Confusing Disability with Locomotor Impairment

The core dispute revolved around the Medical Board’s interpretation of disability. The Board had concluded that because β Thalassemia Trait does not cause functional or locomotor disability, it cannot be considered a disability at all. The Court found this reasoning fundamentally flawed.

The judges examined the definitions under the RPwD Act. Section 2(r) defines a “person with benchmark disability” as one with not less than 40% of a “specified disability,” while Section 2(zc) defines “specified disability” by reference to the Schedule appended to the Act. That Schedule explicitly includes “Thalassemia” as a blood disorder within the category of specified disabilities.

“The moment the Act has categorised several categories of the disability, the authorities cannot bank upon one disability over the other as each disability stands on its own independent footing, and cannot be subsumed into the other,” the Bench observed. The Schedule lists physical disability, intellectual disability, mental behaviour, neurological disability, and blood disorder as separate categories, making it clear that Thalassemia is not to be judged by the standards of locomotor impairment.

Legal Analysis: Statute Overrides Narrow Medical Opinions

The Court emphasised a cardinal principle of statutory interpretation: once a term is defined in an Act, it must be given the same meaning wherever it appears. “The said Act has defined both the ‘person with benchmark disability’ and the ‘specified disability’, and therefore, the word ‘specified disability’ appearing under the definition of a benchmark disability, it should be given the same meaning as defined in the said Act,” the judgment noted.

The judges also referred to the Amendment Notification of 13 May 2019 issued by the Board of Governors in supersession of the Medical Council of India, which lists Thalassemia as a specified disability and prescribes percentage thresholds for eligibility in medical courses. A candidate with 40-80% disability qualifies, while those below 40% or above 80% are excluded. The Court noted that this notification provides a rational framework and was not under challenge.

Key Observations from the Judgment

  • “The opinion expressed by the Medical Assessment Board was focused on the locomotor disability as the Thalassemia does not impact the functional ability of a person, which, in our opinion, cannot be a ground to discard the claim of the petitioner that he comes under the category of the ‘specified disability’.”
  • “The moment the statute has included a particular disease as a disability, the assessment by the Medical Assessment Board should be restricted on the same, and it cannot transgress such boundaries and include the other category of the disability as a benchmark disability.”
  • “The conjoint reading of both the definitions engrafted into the said Act leaves no ambiguity in our mind that a person, who is suffering from a specified disability of not less than 40%, comes within the bracket of the person with the benchmark disability.”

Decision and Directions

The High Court quashed the Medical Assessment Board’s report dated 22 August 2026 and the consequential notice dated 25 August 2026 issued by the Chairman of the Odisha Joint Entrance Examination. It directed the Director of Medical Education & Training to constitute a fresh Medical Board, which must assess the petitioner’s disability percentage strictly in accordance with the RPwD Act and the 2019 notification, without applying any extraneous criteria of functional disability.

The entire exercise must be completed within four days, considering the ongoing counselling. The petitioner was directed to cooperate and not adopt any dilatory practices.

This ruling reaffirms that the RPwD Act’s inclusive framework cannot be undermined by narrow clinical assessments, and that Thalassemia—as a blood disorder—must be recognised as a standalone disability for the purpose of reservation in educational institutions.