JCM_Meeting with the Secretary of Health Ministry

Saturday, May 18, 2019



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SECy. GENERAL:          COM.K.K.N.KUTTY. (98110 483030)

Dated 17TH May, 2019.

Dear Comrades,

            The 47th meeting of the National Council JCM was held on 13th April, 2019. This meeting was held after a lapse of about a decade.  As you are aware, the Staff Side of the JCM had to take the decision to organise a dharna programme at New Delhi to force upon convening such a meeting.  Since the Government indicated their willingness to convene the meeting of the National Council and the date was notified the proposed dharna programme was not held. 

            The agenda taken up for discussion at the meetings were pretty old and mostly pertaining to the 6th CPC issues.  The record of discussions that was prepared by the Staff Side is on the website of the National Council, JCM. Staff Side.  We are not reproducing the same for it has lost of its relevance to day.  If any comrade wishes to see the same, they may kindly visit the website of the National Council JCM. Staff Side. 

            In the said meeting, the issues related to the Health Ministry was discussed at length.  However, the staff side pointed out that the convention of having separately discussing the health-related issues must be followed.  Accordingly, the Secretary Health convened a meeting of the National Council, Standing Committee on 16th inst.   The undersigned attending the meeting in his capacity as the Standing Committee member. After the meeting, a synopsis of the discussion was prepared by the Staff Side and the same is reproduced hereunder.  The issues discussed mostly pertains to the CGHS problems.  On the basis of the feed- back we have received from some of the affiliates, the NCCPA had prepared a listof items (fresh) and the same had been submitted to the Government for discussion in the meeting of 16th inst.   However, these items could not be taken up for discussion as the official side had complained of lack of sufficient time for them to study and respond.   It has now been agreed that another meeting will be convened soon to discuss those issues.  We send herewith the items we proposed to discuss at the meeting as and when it is convened.   We request our comrades to kindly go through these items and if any important issues have been omitted, we may be informed immediately so that the same can be included well before the next meeting is convened.   Incidentally we may point out that only from a few units, we received suggestions and views on problems connected with health care.  Many units chose not to respond to our communication in the matter. 

            We shall pursue these issues to reach a settlement.  With greetings,

Yours fraternally,

K.K.N. Kutty.

Secretary General.

A meeting with the Staff Side of the National Council JCM under the Chairmanship of Secretary, Ministry of Health & FW was held today at Nirman Bhawan, New Delhi. The Staff Side was represented by Comrades Shiva Gopal Mishra, Guman Singh, KKN Kutty, C. Srikumar, M. S. Raja and R.N. Parashar. The following agenda points were taken up for discussion and the decisions taken are given below for your information.

Item No Agenda Points Decision
1. Non grant of 90% Medical Advance for all type of treatments by the Audit Authorities in the Ministry of Defence in violation of Ministry of Health and Family Welfare Letter No.     S.14025/18/2015-MS/EHSS dated 17.10.2016 It was Clearfield by the Official Side that 90% advance even in the case of other than package can be made to the employees as per Ministry of Health OM dated 17.10.2016. In case the Accounts Authorities of the MOD is not allowing the same, the MOD may be requested to refer the matter to Ministry of Health.
2. Review of ward entitlement for Central Government Employees It was agreed to reconsider the wage limit for Ward entitlement and also to streamline the same as per the 7th CPC pay matrix.
3. Withdrawal of the condition imposed in Ministry of Health OM No. S.14011/1/73-M.C.,   dated 23rdAugust, 1973 with regard to diabetic treatment The condition to produce certificate from DMO / Civil surgeon for continuing the treatment for diabetics etc has been removed and any Government Doctor can issue certificate in this regard.
4. Review of package rate for Organ Transplantation The actual cost of organ transplantation will be considered depending on merit of each individual case
5. In-patient treatment in Hospitals without going through the AMA. The Ministry of Health OM dated 2nd May 1953 will be re-circulated to all the Ministries which permits the in-patient treatment without AMA sanction
6. Reimbursement of preventive Vaccination charges This is a policy matter which Government will have to decide
7. Emergency Treatments in CGHS recognized Hospitals. At present the CGHS beneficiary can directly approach the recognized hospital with the CGHS Card without any referral memo. The proposal of the Staff Side to avoid hardship to the patient for subsequent dealings with the CGHS Wellness centre would be considered the concerned hospitals will be asked to get the approval of the concerned dispensary doctor.
8. Reimbursement of Medical expenses not covered under the CGHS Package Rates. Steps are being taken to revise the CGHS packages and at that time the inclusion of new procedure etc  would be considered.
9. Issue of Medicines to CS(MA) beneficiaries availing inpatient treatment in CGHS recognized Hospitals. Not agreed. CS(MA) beneficiaries has to get reimbursement of the Expenses
10. Permission / Ex-post facto approval for elective treatment / investigation taken in non-empanelled Hospitals / Diagnostic Centers for CS(MA) beneficiaries at par with CGHS beneficiaries. Not Agreed
11. Treatment of dependents of the deceased Employees / Employees who have taken voluntary retirement / premature retirement / medical invalidation / compulsory retirement etc. Provisional CGHS Card will be issued to the above category of employees based on the Last Pay Certificate
12. Opening of CGHS Dispensaries in AGRA, Barrackpore (Kolkata) and Kochi Government orders are already issued in this regard. As regards Kochi, Kozhikode and Kannur steps are taken to acquire accommodation for the wellness Centre. At Kochi the BSNL Quarters have been identify. Formalities to access the same is under way. The doctor shortage of Agra would be looked in to. At present Barrackpore wellness Centre is functioning as an extension counter. Depending upon its utility the demand for establishing the same as a permanent wellness centre would be considered.
13. Central Government health Scheme. Empanelling of hospitals – streamlining the procedure to provide in-patient treatment to the beneficiaries. More than Rs. 300 crores are due to the hospitals are being cleared and under way  to clear the same. steps are taken to streamline the payment procedure for the Hospitals
15. Direct consultation with Specialists in CGHS/Central Government/State GovernmentHospitals /Polyclinics. Continuation of the facility to those CGHS beneficiaries who wereeligible for direct consultation before revision of the Monetary Ceiling The monetary ceiling is already removed
16. Revision of monetary Ceiling for direct consultation with Specialists in CGHS/CentralGovernment/State Government Hospitals /Polyclinics in respect of Pensioners and Family Pensioners. The monetary ceiling is already removed
17. Plastic Cards Settled
18. Indication of Ward entitlement in plastic cards of pre-1-6-2009 Beneficiaries Would be considered
19. Grant of one time option to CGHS Beneficiaries to opt for ward entitlement as per their revised Pay in Pay Band. Would be considered
20. Provision of CGHS facility for life time to dependent disabled/mentally retarded children of Central Government Employees/Pensioners Agreed to consider the demand in consultation with Department of Expenditure
21. Extension of CGHS facilities to retired BSNL employees – follow up action by the Ministry of Health and family Welfare & fixation of rates of contribution & ward entitlement. Settled

The remaining twelve fresh agenda points would be discussed later. The Health Ministry will fix the date for the said meeting.

The issue of inadequacy of CGHS empanelled hospitals at Mumbai was seriouslydiscussed in the meeting. After discussion the official side agreed to re visit the issue considering the difficulties being faced by the Central Government Employees posted in Mumbai it was also agreed that the demand of the Staff Side for establishing a Central Government Hospital at Mumbai  would be considered again and the proposal of the Staff Side to locate the said hospital at Antop Hills was favourably responded.

With Greetings,

Yours Comradely,

(Shiva Gopal Mishra)