THE ALL INDIA SERVICES (MEDICAL ATTENDANCE) RULES, 1954

2. Definitions. -

In these rules, unless the context otherwise requires -

3(a) “authorised medical attendant” means the principal medical officer appointed by the Government to attend to its officers in the station or district 4(where the member of the Service falls ill) and includes a medical officer who, in rank, is equal or immediately junior to such principal medical officer 5and who is attached to any hospital or dispensary in the station where such principal medical officer is posted:

Provided that if there is no principal medical officer appointed by the Government for the station at which or the district in which the member of the Service falls ill, the principal medical officer shall be the officer appointed by the Government of the State in which the station or district is situated;

(b) “Contributory Health Service Scheme” means any approved scheme of free medical attendance and treatment of servants of the Government and the members of their family in return for such monthly contribution by every Servant of the Government as may, from time to time, be determined by the Government.

6(c) “family” means-

7(i) Husband or wife as the case may be, of the member of the Service; and

(ii) The parents, sisters, widowed sisters, widowed daughters, minor brothers, children and step-children wholly dependent upon the member of the Service and are normally residing with such member including dependent brothers, dependent divorces/separated daughters and step-mother.

8Explanation I - For the purposes of 9’clause 2(a)’, the members of the family shall be regarded as “wholly dependent” upon the member of the Service if they ordinarily reside with the said member and their total monthly income does not exceed Rs.1500/-.

10Explanation II - Omitted.

11Explanation III - In the case of the member of the Service, whose personal law recognises adoption as a mode of filiation and who has been adopted, the adoptive parents, and not the real parents, shall be treated as parents.

(d) “Government” means in the case of a member of the Service serving in connection with the affairs of the Union, the Central Government, and in the case of a member of the Service serving in connection with the affairs of a State, the Government of that State:

Provided that a member of the Service serving in connection with the affairs of a State falls ill in some other State the Government of that other State shall be deemed to be the Government for the purpose of clause (a);

(e) “Government hospital” includes a military hospital, any railway hospital notified in this behalf by the Central Government, a hospital maintained by a local authority and any other hospital with which arrangements have been made by the Government for the treatment of its officers;

(f) “medical attendance” means attendance in a Government hospital or at the residence of a member of the Service or at the consulting room maintained by the authorised medical attendant by arrangement with him and includes;

(i) such pathological, bacteriological, radiological or other methods of examination for the purposes of diagnosis as are available in any Government hospital or laboratory 12[ ] and are considered necessary by the authorised medical attendant, and

(ii) such consultation with any other medical officer or specialist in the service of (the Central Government or any State Government) as the authorised medical attendant certifies to be necessary to such extent and in such manner as the medical officer or the specialist may, in consultation with the authorised medical attendant, determine;

(g) ”member of the Service” means a member of an All-India Services as defined in section 2 of the All India Services Act, 1951, (61 of 1951);

(h) “nurse” means a qualified nurse holding a certificate or a diploma recognised by the Chief Administrative Medical Officer of the State or a registered nurse in a State in which there is statutory provision for the registration of nurses;

(i) “patient” means a member of the Service who requires medical attendance and treatment;

13(j) “State” means the State in which a member of the Service falls ill;

(k) “treatment” means the use of all Medical and surgical facilities available at the Government hospital in which a patient is treated, and includes-

(i) the employment of such pathological, bacteriological, radiological or any other methods as are considered necessary by the authorised medical attendant;

14(ii) dental treatment including extraction of teeth, scaling and gum treatment, filling of teeth (other than cost of denture) and root canal treatment”

14Explanation (deleted)

15(iii) the supply of such medicines, vaccines, sera or other therapeutic substances as are ordinarily available in Government hospitals in the State but excluding:-

(a) such preparations which are not medicines but are primarily used as food, tonic, toilet or disinfectant, and

(b) such expensive drugs, tonics, laxatives and other elegant and proprietary preparations (for which drugs of equal therapeutic value are available) as may be 16notified by the Central Government.

(iv) the supply of such medicines, vaccines, sera or other therapeutic substances not ordinarily so available as the authorised medical attendant may certify in writing to be essential for the recovery or for the prevention of serious deterioration in the condition of the patient;

(v) such accommodation as is ordinarily provided in the hospital to which the patient is admitted and is suited to his status;

(vi) the services of such nurses as are ordinarily employed by the hospital to which the patient is admitted;

(vii) such special nursing as the authorised medical attendant may certify in writing to be essential for the recovery or for the prevention of serious deterioration in the condition of the patient having regard to the nature of the disease; and

(viii) the medical attendance described in sub-clause (ii) of clause (f); but does not include diet, or provision at the request of the patient of accommodation superior to that described in sub-clause (v).

3. Amended/added vide MHA Notification No. 6/4/1959-AIS(III), dated 19.08.1959 (GSR No. 983 dated 29.08.1959)

4. Substituted for the words “to which the member of the service is posted’ vide MHA Notification No. 6/3/58-AIS(III), dated 21.03.1958(GSR No.192, dated 29.03.1958)

5. Substituted vide MHA Notification No. 7/18/64-AIS(III), dated 24.05.1967 (GSR No. 824 dt.03.06.1967)

6. Amended vide MHA Notification No. 7/13/60-AIS(III), dated 03.10.1961 (GSR No. 1245, dated 14.10.1961)

7. Substituted vide DOPT Notification No.11023/2/97-AIS-III dated 30.09.2003 (GSR No.364 dated 12.10.2003)

8. added vide MHA Notification No.22/12/62-AIS-III dated 03.01.1968 (GSR No.290 dt.17.02.1968)

9. Substituted vide DOPT Notification No.11023/2/97-AIS-III dated 20.12.2004 (GSR No.7 dated 08.01.2005)

10. Omitted vide DOPT Notification No.11023/2/97-AIS-III dated 30.09.2003 (GSR No.364 dated 12.10.2003

11. Inserted vide DOPT Notification No.8/4/71-AIS(III) dated 18.03.1972 (GSR No.706 dated 01.08.1981)

12. [] The words ‘in the State’ omitted and () substituted by MHA Notification No. 13/15/57-AIS(III) dated 15.03.1960 (GSR No. 322 dated 19.07.1968)

13. Substituted vide Notification No. 8/22/66-AIS(III) dated 19.10.1966.

14. Substituted vide Notification No. 11023/19/77-AIS(III) dated 18.07.1981 (GSR No. 706 dated 01.08.1981)

15. Substituted vide DPAR Notification No.4/11/73-AIS(III) dated 18.07.1981 (GSR No. 776, dated 27.02.1974)

16. Circulated to State Govts. vide letter No. 4/11/73-AIS(III) dated 06.08.1974 and 26.9.74 and notified vide Not. No. 4/11/73-AIS(III) dated 27.09.1975 (GSR No.2501 dated 11.10.1975).

Government of India Decisions »
1. Authorised Medical Attendant is determined at the place where the MOS falls ill; treatment of kidney stone can be taken at the place first noticed; and reimbursement will be admissible to the member of Service or to his wife if they go outside his/her ordinary place of residence: -
2. It is not binding that only Class I Medical Officers should be declared as Authorised Medical Attendants:-
3. State Governments are competent to appoint any govt. doctor working as Principal Medical Officer to act as an Authorised Medical Attendant:-
4. State Governments are competent to declare "Hony. Medical Officers" as Authorised Medical Attendants:-
5. Reimbursement of medical expenditure is admissible to widowed/divorced daughter wholly dependent on the member of Service:-
6. Fees prescribed in Central Service (Medical Attendance) Rules, 1944 are applicable to the AIS offices serving in connection with the affairs of the Union. The State Governments are to prescribe fees for AIS officers working with the affairs of the States:-
7. A member of the family of the MOS is entitled to medical attendance if he/she falls ill in a State which is not the State of allotment of the member of Service:-
8. All Police Hospitals and Dispensaries are recognised for the purpose of medical attendance and treatment of Indian Police Service officers and members of their families: -
9. It is not mandatory for IPS officers and their members of the family to receive medical treatment only from police hospitals/dispensaries, they can avail treatment from Authorised Medical Attendants under these rules:-
10. State Govts may declare any hospital other than a Railway Hospital as a recognised hospital for the purpose of treatment: -
11. Fee for consulting in consulting room and the cost of medicine is reimbursable:-
12. Fee for consulting in consulting room and the cost of medicine is reimbursable:-
13. A member of Service appointed to Public Service Commission is not covered under this rule:-
14. The word "Patient" under the rule includes a member of the family of the member of Service:-
15. Dental treatment is not permissible unless it indicates that teeth are the real source of disturbance:-
16. Reimbursement of the cost of medicine prescribed by AMA is permitted if a certificate is given by him under the rule:-
17. Reimbursement of electricity and furniture charges is allowed:-
18. Member of Service is entitled to accommodation as per hi status: -
19. AIS officers belonging to one State falling ill in another State should be treated at par with the officers of that State:-
20. AIS officers belonging to one State falling ill in another State should be treated at par with the officers of that State:-
21. Sons and married daughters, who are employed otherwise than on a part time basis shall not be treated as wholly dependent on the member of Service:-
22. Annexure I
23. Inadmissible medicines specified in the Central Services Medical Attendance Rules are also applicable to AIS officers: -
24. AMA may take a decision regarding admissibility/inadmissibility of the medicines specified in the Central Service Medical Attendance Rules:-
25. Instructions on: (i) Definition of family, (ii) If both the husband or wife are employed, one in AIS and the other in different Service, they are free to choose medical attendance under the AIS(MA) Rules or the facilities provided by the other Service ((iii) if husband and wife both are AIS officers, prior declaration may be given as to who will prefer the claim of reimbursement:-
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