 bill  no 88 of  2018 the compulsory establishment of medical centres in schools bill,  2018 by shri shivaji adhalrao patil,  mp abillto provide for compulsory establishment of medical centres in schools to promote positive health, prevention and treatment of common diseases among students and for matters connected therewithbe it enacted by parliament in the sixty-ninth year of the republic of india as follows:—short title and extent1 (1) this act may be called the compulsory establishment of medical centres inschools act, 2018 (2) it extends to the whole of india5definitions2 in this act, unless for context otherwise requires,—(a) "appropriate government" means in the case of a state, the government ofthat state and in all other cases, the central government;(b) "doctor" means a medical practitioner registered with the medical council ofindia;(c) "prescribed" means prescribed by rules made under this act; and (d) "school" means a school run by the central government or a state government or a local authority or by an authority designated or sponsored by the appropriate government and includes government aided school and recognised private school53 (1) the central government shall, in consultation with the medical council of india, within a period of six months from the commencement of this act, formulate a universal health policy for students in schoolscentral government to formulate health policy for students in schools(2) the central government shall issue guidelines and directions to the state governments for providing medical facilities in schools from time to time104 it shall be the duty of the appropriate government to ensure that every school, within its jurisdiction, is fully prepared to follow medical health scheme as prescribedschools to be prepared for medical emergency5 it shall be the duty of the appropriate government to,—(a) appoint a registered medical practitioner and a qualified nurse in every school;appropriate government to provide certain facilities15(b) make provision of a health checkup of students and blood sample collection centre in every school;(c) maintain data of health status of students in schools; (d) screen for deficiencies, diseases and disabilities amongst students in schools;20(e) make provision of counseling and treatment of students wherever deficiencies and diseases are detected;(f) make provision for referral of students wherever required to district first referral unit or tertiary hospitals;(g) create health awareness and inculcate healthy habits among students in every school;25(h) facilitate continuum of healthcare of students in schools by creating data base; and(i) provide facilities of pathological tests and medical treatment to the students for the following diseases:—(i) anemia;30(ii) refractive errors;(iii) dental problem; (iv) respiratory infections; (v) gastrointestinal problems; (vi) skin diseases;35(vii) fever; (viii) headache; (ix) injuries; (x) nutritional deficiencies; (xi) urinary tract infection;40(xii) jaundice;(xiii) eye ailments; (xiv) gynecological problems; (xv) worm infestations; (xvi) behavior problems; (xvii) ear ailments;5(xviii) weakness or fatigue; (xix) obesity; (xx) burns; (xxi) thyroid;10(xxii) others (animal bites, assault, drug addiction, epilepsy, mentalretardation)6 it shall be the duty of the every school to,—schools to provide certain facilities15(a) provide adequate space in school premises for medical facility room where adoctor and a qualified nurse shall screen, take blood samples, treat children and shall provide consultation to students; and(b) provide facility like computer and internet connectivity to maintain andcommunicate data to appropriate government and parents of the studentsduty of the parents207 it shall be the duty of every parent to apprise the school administration of the special medical needs of his child and keep a slip in the school bag of the child mentioning the kind of medical treatment being taken by such child8 the appropriate government shall take steps to ensure that no school charges any amount from the parents of students for arranging medical facility for students or refuses admission to any child, who is suffering from any disease which is not life threateningschools not to charge extra amount for arranging medical facilities25 9 the central government shall, after due appropriation made by parliament by law in this behalf, provide requisite funds for the purposes of this actcentral government to provide funds act to have overriding effect10 the provisions of this act shall have effect notwithstanding anything inconsistent therewith contained in any other law for the time being in force relating to medical preparedness in schools or in any instrument having effect by virtue of any law other than this actpower to make rules3011 (1) the central government may, by notification in the official gazette, make rules for carrying out the purposes of this act35(2) every rule made under this act shall be laid, as soon as may be after it is made, before each house of parliament, while it is in session, for a total period of thirty days which may be comprised in one session or in two or more successive sessions, and if, before the expiry of the session immediately following the session or the successive sessions aforesaid, both houses agree in making any modification in the rule or both the houses agree that the rule should not be made, the rule shall thereafter have effect only in such modified form or be of no effect, as the case may be; so, however, that any such modification or annulment shall be without prejudice to the validity of anything previously done under that rule statement of objects and reasonschildren of today are tomorrow's citizen, thus it is extremely important to ensure good health for children child health plays a vital role in the development of a country children are the assets for tomorrow's productivity the growth of any country depends on the availability of healthy human resource healthy children ensures a healthy adult who in turn ensure a sound growth and development of the economyaccording to the world health organisation (who), forty-three per cent of indian children are underweight our country is home to the largest child population in the world a substantial forty-one per cent ie around 450 million of total population are children india accounted almost forty-three per cent underweight children against thirtytwo per cent in pakistan, nine per cent in south africa nutritional level among the children is the basic element of their overall mental and physical development malnutrition among the children reduced significantly over the time, but still the number of malnourished children is very high in the country thus, there is a need, to be more focused on the child health issues to early detect and cure disease for better health opportunity and support to build a better and healthy indiathe bill, therefore, seeks to provide for compulsory establishment of medical centres in schools to promote positive health in children, provide prevention including screening of school children for common diseases, deficiency, early diagnosis and treatmentnew delhi;shivaji  adhalrao  patilfebruary 22, 2018 financial memorandumclause 4 of the bill provides for the appropriate government to ensure that every school, within its jurisdiction, is fully prepared to follow medical health scheme clause 5 provides that the appropriate government shall appoint a doctor and a nurse in every school it also provides for provision of health check up, blood sample collection for pathological tests and treatment of students suffering with common diseases in every school clause 9 provides that the central government, shall after due appropriation, provide adequate funds to the state governments for the purposes of this act the expenditure relating to states shall be borne from their respective consolidated funds the expenditure relating to union territories shall be borne from the consolidated fund of india the bill, therefore, if enacted would involve expenditure from the consolidated fund of india it is estimated that an annual recurring expenditure of rupees five hundred crore would be involved from the consolidated fund of indiaa non-recurring expenditure of rupees one hundred crore is also likely to be involved memorandum regarding delegated legislationclause 11 of the bill empowers the central government to make rules for carrying out the purposes of this bill as the rules will relate to matters of detail only, the delegation of legislative power is of a normal character———— a billto provide for compulsory establishment of medical centres in schools to promote positive health, prevention and treatment of common diseases among students and for matters connected therewith————(shri shivaji adhalrao patil, mp)mgipmrnd—4438ls(s3)—09-03-2018