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RTI for hospital licence and CEA compliance

Your mother was admitted to a private nursing home for a routine surgery. The bill ran into lakhs. After she came home, the stitches got infected and she had to be readmitted to a different hospital. You begin to wonder: was that nursing home even licensed? Did anyone from the government ever inspect it? Were there past complaints against it? When you ask the reception desk, they show you a framed “registration certificate” you cannot make sense of. This is exactly the situation where a Rs.10 RTI application does more than any complaint letter ever will.

A hospital or nursing home cannot legally run in India without being registered with a government authority. The registration number, the last inspection report, any deficiency notices, and the action taken on patient complaints are all public records. You have a statutory right to ask for them under the Right to Information Act, 2005. This page shows you, step by step, how to ask, whom to ask, and what to do if the answer is refused.

RTI for hospital licence and CEA compliance — RTI Wiki

Direct answer. File the RTI to the Public Information Officer of the District Registering Authority (chaired by the District Collector, with the District Health Officer as convenor) for the district where the hospital sits. If your state has not adopted the Central Act, file it to the State Health Director under the state nursing-home law. Ask for registration status, the last inspection report, deficiency notices, and grievance disposal records.

About this article — Expertise, Experience, Authoritativeness, Trust (E-E-A-T)

Field Detail
Reviewed by Kushal Pathak, RTI Wiki editorial team
Expertise Indian healthcare regulatory law, Clinical Establishments Act, RTI Act procedures for health-sector transparency
Sources Clinical Establishments Act 2010 (indiacode.nic.in); MoHFW CEA portal (clinicalestablishments.gov.in); National Medical Commission (nmc.org.in); NABH (nabh.co); Press Information Bureau (pib.gov.in); Central Information Commission orders
Last verified 10 July 2026
Accuracy note Registration rules and CEA adoption status cross-checked against clinicalestablishments.gov.in on 10 July 2026. State-specific nursing-home laws change frequently — always verify with your State Health Directorate before filing.

The law that governs hospital registration

Two layers of law apply, depending on where you live.

Layer 1 — the Central Act. The Clinical Establishments (Registration and Regulation) Act, 2010 (Act No. 23 of 2010) was enacted on 18 August 2010 and notified effective 1 March 2012. It is the first Central law that makes registration of every clinical establishment — hospitals, nursing homes, clinics, diagnostic labs — compulsory. Under Section 11, no person shall run a clinical establishment unless it is duly registered under the Act. Only Armed Forces establishments are exempt. The full text is available on the India Code (NIC) portal and the MoHFW CEA portal.

Because health is a state subject, the Central Act applies through Article 252(1) of the Constitution only to states that adopted it. 11 states have adopted the Central CEA Act: Sikkim, Mizoram, Arunachal Pradesh, Himachal Pradesh, Uttar Pradesh, Uttarakhand, Rajasthan, Bihar, Jharkhand, Assam and Haryana (Haryana adopted it on 22 March 2018), plus all Union Territories except NCT of Delhi. If your hospital is in any of these, the Central Act is your primary weapon.

Layer 2 — state laws. If your state is not on that list, it almost certainly has its own clinical-establishment or nursing-home law. Examples: Maharashtra has the Bombay Nursing Homes Registration Act, 1949; Delhi has the Delhi Nursing Homes Registration Act, 1953; Karnataka has the KPME Act; Tamil Nadu, West Bengal and Kerala each passed their own Clinical Establishments Acts in 2017-2018. The legal route and the department differ, but the RTI logic is identical: ask the registering authority for the records.

Do not assume the Central Act applies everywhere. The original count of “12 states” is wrong — the verified figure is 11 states. Check the MoHFW CEA States and UTs Rules page to confirm whether your state adopted the Central Act before you cite it.

What types of hospital licences exist in India?

Understanding the type of registration or licence a hospital holds is critical before filing an RTI. Different registration categories carry different obligations, inspection cycles, and renewal periods. The table below covers the main licence and accreditation types you are likely to encounter.

Licence / Registration Type Governing Law or Body Validity What It Covers
Provisional CEA Registration CEA Act 2010, Section 14-15 (District Registering Authority) Up to 12 months Temporary registration granted within 10 days of application, pending full inspection
Permanent CEA Registration CEA Act 2010, Section 24 (State Council) 5 years Full registration after inspection; renewable; mandatory for continuous operation
State Nursing Home Licence State-specific Acts (e.g., Bombay Nursing Homes Act 1949, Delhi Nursing Homes Act 1953, KPME Act 2017) Varies (typically 1-3 years) Licence to operate a nursing home or hospital within the state
NABH Accreditation National Accreditation Board for Hospitals & Healthcare Providers (QCI) 3 years (entry-level: 2 years) Voluntary quality accreditation — not a legal licence but a quality benchmark
Drug Licence (Form 20/21) Drugs and Cosmetics Act 1940 (State Drug Controller) 5 years Licence to store and dispense pharmacy drugs within the hospital
Blood Bank Licence Drugs and Cosmetics Act, Form 28-C 1-2 years (renewable) Authorisation to operate a blood storage or blood bank facility
Radiation Safety Licence Atomic Energy (Radiation Protection) Rules, AERB Typically 5 years Permission to operate X-ray, CT, MRI and radiation-emitting equipment
Organ Transplant Authorisation Transplantation of Human Organs Act 1994 State-specific Authorisation to perform organ retrieval and transplantation procedures
Ayushman Bharat Empanelment National Health Authority (pmjay.gov.in) Renewable annually Empanelment to treat PM-JAY beneficiaries under cashless insurance
CGHS Empanelment CGHS, Ministry of Health & FW Typically 2 years Empanelment to treat Central Government Health Scheme beneficiaries
State Medical College Approval National Medical Commission (nmc.org.in) Ongoing (subject to renewal) Approval for a hospital attached to a medical college to admit MBBS/PG students

Key distinction: licence vs. accreditation. A CEA registration or state nursing-home licence is mandatory — operating without it is illegal. NABH accreditation is voluntary — a hospital may be fully licensed without being NABH-accredited. Always check the mandatory registration first through RTI.

Who holds the records you need

Under Section 10 of the CEA Act, every district has a District Registering Authority. It is chaired by the District Collector (the same officer people call the DM), with the District Health Officer as the convenor and three prescribed members. Section 10(2) empowers the District Health Officer or Chief Medical Officer to grant provisional registration. So the officer who has the registration file is sitting in your own district, not in some distant state capital.

At the state level, the State Health Director (Directorate of Health Services) supervises the scheme, holds the permanent registration register, and receives appeals. For state-law hospitals, the same directorate is usually the registering authority.

NABH (National Accreditation Board for Hospitals and Healthcare Providers) is a voluntary accreditation, not a licence. It is a constituent board of the Quality Council of India, set up in 2005, and is recognised by ISQua. A hospital can be legally registered under the CEA Act without being NABH-accredited. NABH status is still a public record, so you can ask for a copy of the accreditation certificate and its validity to check whether the hospital's “NABH certified” board at the reception is genuine and current.

For hospitals empanelled under government schemes, additional records are held by the scheme authorities:

What registration looks like — the timeline the law fixes

The Act fixes a clean, knowable timeline so you can tell whether the authority did its job:

  1. Provisional registration under Section 14 must be granted within 10 days (Section 15) and is valid until the last day of the 12th month (Section 17).
  2. Permanent registration under Section 24 is valid for 5 years (Section 30) and must be renewed before expiry.
  3. Registration fees are not fixed in the Act — each state prescribes its own fee schedule through Rules under Sections 35 and 54.

If the hospital shows you a provisional certificate older than 12 months, or a permanent certificate past its 5-year validity, it is operating on an expired registration. That single fact, obtained through RTI, is enough for a complaint.

Registration validity check at a glance:

Registration Type Max Initial Validity Renewal Trigger
Provisional (CEA Section 14-17) 12 months Apply for permanent before expiry
Permanent (CEA Section 24, 30) 5 years Renew before 5-year expiry
State nursing-home licence 1-3 years (varies) Renew as per state Rules
NABH (full accreditation) 3 years Re-assessment before expiry
NABH (entry-level) 2 years Upgrade or re-apply

How to check if a hospital is licensed and registered?

Before filing an RTI, it is worth checking what information is available online. Many states and the Central government have digitised parts of the registration database:

If the information you need is not available online, or the online record looks stale or suspicious, that is precisely when you file the RTI application below.

Step-by-step: how to file the RTI

Step 1 — identify the right authority. Find out which district the hospital is physically located in. The District Registering Authority for that district is your first PIO. If your state runs on a state nursing-home Act, file to the State Health Director or the local registering officer named in that Act. When in doubt, address the application to the PIO, Office of the District Collector / District Magistrate, and mark a copy to the State Health Director.

Not sure how RTI filing works? Read our complete guide on how to file RTI in India and the state-wise RTI fees reference to find the correct fee and payment method for your state. The state RTI online portal comparison will tell you whether your state accepts online filings.

Step 2 — gather the hospital's identifiers. Write down the exact registered name of the hospital, its address, and any registration number shown on its certificate or board. An RTI that names the hospital precisely gets answered faster and avoids a “please clarify” reply.

Step 3 — draft the application. Use plain questions, one per point, each asking for a specific document. Avoid vague phrases like “all details”. The template below is ready to use.

Step 4 — pay the fee. The RTI application fee is Rs.10 in most states (payable by Indian Postal Order, court-fee stamp, or cash against receipt; some states have moved to online payment). BPL applicants are exempt. The CEA registration fee is a separate thing entirely and is not what you pay here.

Step 5 — submit and keep proof. Submit by hand against a stamped receiving, or by registered post with the acknowledgement due. Keep the receipt and the postal tracking printout — these are your evidence for the appeal stage.

Step 6 — track the 30-day clock. Under Section 6 of the RTI Act, the PIO must reply within 30 days (48 hours where life or liberty is involved). If you hear nothing, or get a refusal, move to the appeal ladder below.

RTI application template

To: The Public Information Officer,
    Office of the District Collector / District Registering Authority,
    [District, State]

Subject: Application under Section 6 of the RTI Act, 2005 —
        clinical establishment registration and compliance records of
        [hospital name and full address]

Sir/Madam,

I am a citizen of India. Please furnish the following information
relating to the clinical establishment known as [hospital name],
situated at [full address]:

1. Whether the establishment is registered under the Clinical
   Establishments (Registration and Regulation) Act, 2010, or the
   applicable state nursing-home law; if yes, a certified copy of the
   current registration certificate, with registration number, type
   (provisional or permanent), date of grant, and validity period.

2. The date of the last inspection carried out at the establishment
   by the registering authority, and a certified copy of the
   inspection report.

3. All deficiency or non-compliance notices issued to the
   establishment in the last three years, and the compliance reports
   filed in reply.

4. The NABH accreditation status of the establishment, if any,
   including certificate number and validity date.

5. The total number of patient grievances or complaints received
   against the establishment in the last three years, and the action
   taken on each.

The information sought does not attract any exemption under
Section 8 or 9 of the RTI Act, except that individual patient
identifiers may be severed under Section 10. Fee of Rs.10 is paid
herewith by [IPO number / court-fee stamp / cash receipt].

Date: [date]
Place: [place]
Signature: [name and address]

You can also use our AI RTI drafting tool to generate a customised application tailored to your specific situation.

Common mistakes to avoid

What happens if the hospital is operating without a valid licence?

If your RTI reveals that the hospital's registration has expired, was never granted, or has been suspended, you have several enforcement avenues:

Sources

  1. Clinical Establishments (Registration and Regulation) Act, 2010 (Act No. 23 of 2010) — India Code (NIC): https://www.indiacode.nic.in/handle/123456789/2048
  2. CEA Act 2010 full text — PRS India: https://prsindia.org/files/bills_acts/acts_parliament/2010/the-clinical-establishments-(registration-and-regulation)-act,-2010.pdf
  3. CEA Section 10 (District Registering Authority) — Indian Kanoon: https://indiankanoon.org/doc/33533551/
  4. CEA Section 11 (mandatory registration) — Indian Kanoon: http://indiankanoon.org/doc/51540597/
  5. States and UTs Rules and Notifications — MoHFW CEA portal: https://clinicalestablishments.gov.in/En/1077-state-and-uts-rules-and-notification.aspx
  6. MoHFW Clinical Establishments portal (registration search): https://clinicalestablishments.gov.in
  7. National Medical Commission — hospital & medical college approvals: https://nmc.org.in
  8. NABH — Who We Are (voluntary accreditation, QCI board): https://nabh.co/who-we-are/
  9. NABH hospital directory (accreditation search): https://nabh.co/hospital-directory/
  10. Press Information Bureau — health sector enforcement data: https://pib.gov.in
  11. National Health Authority (PM-JAY) — empanelled hospital search: https://pmjay.gov.in
  12. CGHS — empanelled hospital directory: https://cghs.gov.in
  13. Atomic Energy Regulatory Board (radiation safety): https://aerb.gov.in
  14. Central Information Commission: https://cic.gov.in
  15. Anita Singh v. Directorate of Health Services, GNCTD — CIC/SA/A/2015/001894: https://www.istm.gov.in/uploads/rti_menu_docs/1504849634133.%20%20CIC_SA_A_2015_001894_M_181292.pdf

Last reviewed: 10 July 2026.

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