Supreme Court Orders High-Level Meeting to Enforce Free EWS Healthcare Mandate in Delhi Private Hospitals

In a decisive move to uphold the right to healthcare for Delhi's poorest, the Supreme Court of India has ordered a high-level inter-departmental meeting to frame a robust Standard Operating Procedure (SOP) for the implementation of free medical treatment for Economically Weaker Section (EWS) patients in private hospitals built on concessional government land.

The bench, comprising Justice Prashant Kumar Mishra and Justice N.V. Anjaria , expressed concern over the persistent non-compliance of its 2018 judgment, which mandated that private hospitals provide 10% inpatient department (IPD) and 25% outpatient department (OPD) treatment free of cost to EWS beneficiaries.

The Context: A Legacy of Non-Compliance

The ongoing litigation, Union of India versus Moolchand Khairati Ram Trust , stems from a long-standing dispute regarding the obligations of private hospitals that received government-subsidized land. Despite clear directives, the Court’s audit revealed systemic failures. Out of 51 hospitals issued contempt notices for failing to provide the promised services, only four—Amar Jyoti Hospital, Bhagwati Hospital, Venu Eye Institute, and Jivodaya Hospital—were found to be fully compliant.

Furthermore, the Court noted with dissatisfaction that six major institutions—Max Super Speciality, Primus Super Speciality, Venkateshwar, Vimhans, and Moolchand Hospital—have yet to even file the required compliance affidavits.

Judicial Oversight and Mapping

In its efforts to ensure transparency, the Court had previously appointed Senior Advocate Sanjay Jain and Advocate Ninad Laud as amici curiae . The amici produced a comprehensive report, which included geo-spatial mapping of the 51 hospitals against the location of authorized Delhi slums and colonies. This visual data underscores the disconnect between the healthcare facilities and the communities they are legally bound to serve.

A Coordinated Institutional Response

Recognizing that individual enforcement has been sluggish, the Court observed that "coordinated institutional action is necessary" to achieve compliance. Consequently, the bench has directed a high-level meeting at the Delhi Secretariat, scheduled for May 23, 2026 . This meeting will involve a wide array of stakeholders, including:

  • The amici curiae and the GNCTD's Nursing Home/EWS In-charge, Dr. Kusum Arora.
  • Medical superintendents of the noticee hospitals.
  • Representatives from the Ministry of Health, the Delhi Development Authority (DDA), and land-owning agencies.

"Having seen the report prepared by the amici and the status of the compliance... we are of the view that there should be joint meeting(s) of the following officers/ officials... so that a guideline and/or SOP for implementation/compliance of this Court’s order can be prepared," the Court’s order reads.

Key Observations

Reflecting the serious nature of the compliance failure, the Court’s observations highlighted the need for structural change:

"Consequent to our orders dated 24.02.2026 and 22.04.2026 , compliance affidavits have been filed by all, except six hospitals."

"The Amici Curiae have prepared Geo representations of the 51 noticee hospitals on the base map of Delhi with adjoining jhuggi jhopdi bastis recorded with the Delhi Urban Shelter Improvement Board and Delhi Development Board authorized colonies."

"The meeting shall continue till an effective SOP/ guideline is prepared."

The Path Forward

The judicial directive moves beyond mere observation; it insists on an actionable SOP. By bringing together the Delhi government, central health ministries, and the defaulting private hospitals under one roof, the Supreme Court aims to dismantle the bureaucratic bottlenecks that have historically hindered EWS patients from accessing life-saving care. The matter is posted for further hearing on July 29, 2026, where the effectiveness of this new SOP will be the primary subject of judicial scrutiny.