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RAJASTHAN LEGISLATIVE ASSEMBLY EX-MEMBERS AND FAMILY PENSIONERS (MEDICAL FACILITIES) (AMENDMENT) RULES, 2021

RAJASTHAN LEGISLATIVE ASSEMBLY EX-MEMBERS AND FAMILY PENSIONERS (MEDICAL FACILITIES) (AMENDMENT) RULES, 2021

RAJASTHAN LEGISLATIVE ASSEMBLY EX-MEMBERS AND FAMILY PENSIONERS (MEDICAL FACILITIES) (AMENDMENT) RULES, 2021

PREAMBLE

In exercise of the powers conferred by section 11 read with sub-section (2) of section 4-A of the Rajasthan Legislative Assembly (Officers and Members Emoluments and Pension) Act, 1956 (Act No. 6 of 1957), the State Government hereby makes the following rules further to amend the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, namely:-

Rule - 1. Short title and commencement.

(1)     These rules may be called the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) (Amendment) Rules, 2021.

(2)     They shall come into force with immediate effect.

Rule - 2. Amendment of rule 2.

In rule 2 of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, hereinafter referred to as the said rules,-

(i)       after the existing (c) and before the existing clause (d), the following new clause (c-a) shall be inserted, namely:-

"(c-a) "e-Pharma stores/Pharma stores" means the medicine shops run by the CONFED/Rajasthan SahkariUpbhokta Sangh, Ubhokta wholesale Bhandar, KrayaVikrayaSahkari Samiti, Jan Ausadhi Kendra or chain of e-pharmacy stores empanelled in the RGHS;";

(ii)      in clause (f), the existing expression 'and', appearing at the end shall be deleted; and

(iii)     after the existing clause (f), so amended and before the existing clause (g), the following new clause (f-a), (f-b) and (f-c) shall be inserted, namely:-

"(f-a) "Fund" means the Rajasthan Government Health Scheme Fund;

(f-b) "RGHS" means the Rajasthan Government Health Scheme;

(f-c) "RGHS Card" means card issued to the pensioner under the Rajasthan Government Health Scheme; and"

Rule - 3. Substitution of rule 3.

The existing rule 3 of the said rules shall be substituted by the following, namely:-

"3. Medical Attendance and Treatment.

An ex-member and his family and family pensioners shall be provided cashless medical facilities at Health Care Network Provider (HCNP) i.e. Government hospitals, Approved Hospitals, Hospitals under Public Private Partnership arrangement, Referral Hospitals. However, indoor treatment can also be taken in a private unapproved/unrecognized hospital within or outside the State in case of emergent circumstances and reimbursement for such treatment shall be admissible as are admissible to State Government servant under the Rajasthan Civil Services (Medical Attendance) Rules, 2013 through RGHS portal. These medical facilities will be subject to following limits:-

(a)      Allopathic drugs, medicines, vaccines, sera, other therapeutic substances not ordinarily available in Government Hospitals free of charge can be taken from pharma store/e-pharma store recognized under the RGHS in case of outdoor treatment upto the cost ceiling of Rs. 20,000/- per annum. The tests (pathological, bacteriological, radiological and other) can be taken upto Rs. 5000/- per annum after NAC from Government hospital, if cashless test/lab tests is not available in Government hospitals:

Provided that medicines to the indoor patient shall be made available irrespective of the cost ceiling.

(b)      The claim of test charges shall be submitted online through RGHS portal as per procedure, if Non Available Certificate from the Government hospital has been obtained or charges paid in the Government hospital, if any.

(c)      No reimbursement will be allowed to RGHS Card holder, where cashless treatment is available. However, reimbursement can be taken by the RGHS Card Holder for medical treatment taken in grave emergency in un-approved hospital and in other exceptional circumstances. In such circumstances, the claim will be reimbursed only after submitting the bills through RGHS Portal.

(d)      The Ex-member and his family/family pensioner shall be entitled for the free accommodation and reimbursement as admissible to class-I officers of the State Government under rule 13 of the Rajasthan Civil Services (Medical Attendance) Rules, 2013."

Rule - 4. Substitution of rule 4.

The existing rule 4 of the said rules shall be substituted by the following, namely:-"4. Relaxation in cost ceiling under rule 3.-

(1)     The Secretary may extend the cost ceiling for medicines specified in rule 3 upto Rs. 1,00,000/- per annum in all deserving cases and in respect of treatment of cancer, kidney failure and renal disease upto limit of Rs. 2,00,000/- per annum through RGHS portal on the recommendation of the committee consisting of the following and after obtaining second medical opinion where it is felt necessary, namely:-

1.        Secretary President

2.        Medical Officer of the Government Hospital of Member the Rajasthan Vidhan Sabha

3.        Financial Adviser/Chief Accounts Officer/Senior Accounts Officer Member Secretary.

(2)     The State Government may grant further relaxation in cases of severe and persistent diseases through RGHS portal after being forwarded by the Secretary, Rajasthan Legislative Assembly."

Rule - 5. Deletion of rule 5.

The existing rule 5 of the said rules shall be deleted.

Rule - 6. Substitution of rule 6.

The existing rule 6 of the said rules shall be substituted by the following, namely:-

"6. Ex-Member's RGHS Card.-

The RGHS card shall be issued to every Ex-Members/family pensioners through RGHS portal."

Rule - 7. Substitution of rule 7.

The existing rule 7 of the said rules shall be substituted by the following, namely:-

"7. Procedure for claiming cashless facility or Medical reimbursement.-

(1)     Procedure for claiming cashless facility or medical reimbursement for the treatment taken in Government Hospital and Approved Hospitals, if cashless facility is not provided, will be such as provided in the RGHS portal:

Provided that in grave emergency treatment taken in un approved hospital reimbursement will be admissible to the RGHS Card holder through RGHS portal for medicines purchased from outside.

Rule - 8. Substitution of rule 8.

The existing rule 8 of the said rules shall be substituted by the following, namely:-

"8. Fixed medical allowance to Ex-Members/family pensioner.

Where an ex-member/family pensioner does not want to avail the medical facility under these rules and opt to take a fix medical allowance amounting to Rs. 300/- per month an option may be given by such Ex-member/family pensioner either to get fixed medical allowance for 10 years @ Rs. 300/- x 12 x 10 i.e. Rs. 36,000/- as life time fix allowance or to get registered under the RGHS for availing the fixed monthly medical allowance. The option once given shall be final. No recovery shall be made from life time fixed medical allowance given under this rule. The Project Director, Rajasthan Government Health Scheme shall make payment through RGHS Portal after receiving proposal from the Secretary, Rajasthan Legislative Assembly in this regard."

Rule - 9. Deletion of rule 9.

The existing rule 9 of the said rules shall be deleted.

Rule - 10. Amendment of rule 10.

The existing sub-rule (2) of rule 10 of the said rules shall be substituted by the following, namely:-"(2) The State Government may empanel pharma stores/e-pharma stores for cashless supply of medicine."

Rule - 11. Substitution of rule 11.

The existing rule 11 of the said rules shall be substituted by the following, namely:-

"11. Supply of medicines through pharma stores/e-pharma stores.-

The RGHS card holder shall get supply of medicines through pharma stores/e-pharma stores as per procedure laid down in RGHS portal.

Rule - 12. Substitution of rule 13.

The existing rule 13 of the said rules shall be substituted by the following, namely:-

"13. Misuse of RGHS Card.-

(1)     In cases where it is found that a ex-member/Family Pensioner has misused any of the concessions allowed under the RGHS, he shall be permanently debarred from availing of the concessions under the RGHS.

(2)     If the Speaker of Rajasthan Legislative Assembly is satisfied that an ex-member/Family Pensioner has misused the concession allowed under these rules then he shall be competent to pass an order under sub-rule (1)."

Rule - 13. Insertion of new rule 14A and 14B.

After the existing rule 14 and before the existing rule 15, the following new rule 14A and 14B shall be inserted, namely:-

"14A. Transitional provision.-

Notwithstanding any thing contained in these rules, until the RGHS Cards are issued or RGHS becomes fully operational, the provisions of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, as exists prior to commencement of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) (Amendment) Rules, 2021 shall apply to provide the Medical Attendance to a Ex-Member/Family Pensioner.

14B. Power to remove difficulties.-

If any difficulty arises in giving effect to the provisions of these rules due to implementation of the RGHS, the State Government may, by order, make such provisions as may appear to it necessary for removing such difficulty."

Rule - 14. Deletion of Form-1, Form-2, Form-3, Form-4 and Form-5.

The existing Form-1, Form-2, Form-3, Form-4 and Form-5 appended to the said rules shall be deleted.

 

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RAJASTHAN LEGISLATIVE ASSEMBLY EX-MEMBERS AND FAMILY PENSIONERS (MEDICAL FACILITIES) (AMENDMENT) RULES, 2021

PREAMBLE

In exercise of the powers conferred by section 11 read with sub-section (2) of section 4-A of the Rajasthan Legislative Assembly (Officers and Members Emoluments and Pension) Act, 1956 (Act No. 6 of 1957), the State Government hereby makes the following rules further to amend the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, namely:-

Rule - 1. Short title and commencement.

(1)     These rules may be called the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) (Amendment) Rules, 2021.

(2)     They shall come into force with immediate effect.

Rule - 2. Amendment of rule 2.

In rule 2 of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, hereinafter referred to as the said rules,-

(i)       after the existing (c) and before the existing clause (d), the following new clause (c-a) shall be inserted, namely:-

"(c-a) "e-Pharma stores/Pharma stores" means the medicine shops run by the CONFED/Rajasthan SahkariUpbhokta Sangh, Ubhokta wholesale Bhandar, KrayaVikrayaSahkari Samiti, Jan Ausadhi Kendra or chain of e-pharmacy stores empanelled in the RGHS;";

(ii)      in clause (f), the existing expression 'and', appearing at the end shall be deleted; and

(iii)     after the existing clause (f), so amended and before the existing clause (g), the following new clause (f-a), (f-b) and (f-c) shall be inserted, namely:-

"(f-a) "Fund" means the Rajasthan Government Health Scheme Fund;

(f-b) "RGHS" means the Rajasthan Government Health Scheme;

(f-c) "RGHS Card" means card issued to the pensioner under the Rajasthan Government Health Scheme; and"

Rule - 3. Substitution of rule 3.

The existing rule 3 of the said rules shall be substituted by the following, namely:-

"3. Medical Attendance and Treatment.

An ex-member and his family and family pensioners shall be provided cashless medical facilities at Health Care Network Provider (HCNP) i.e. Government hospitals, Approved Hospitals, Hospitals under Public Private Partnership arrangement, Referral Hospitals. However, indoor treatment can also be taken in a private unapproved/unrecognized hospital within or outside the State in case of emergent circumstances and reimbursement for such treatment shall be admissible as are admissible to State Government servant under the Rajasthan Civil Services (Medical Attendance) Rules, 2013 through RGHS portal. These medical facilities will be subject to following limits:-

(a)      Allopathic drugs, medicines, vaccines, sera, other therapeutic substances not ordinarily available in Government Hospitals free of charge can be taken from pharma store/e-pharma store recognized under the RGHS in case of outdoor treatment upto the cost ceiling of Rs. 20,000/- per annum. The tests (pathological, bacteriological, radiological and other) can be taken upto Rs. 5000/- per annum after NAC from Government hospital, if cashless test/lab tests is not available in Government hospitals:

Provided that medicines to the indoor patient shall be made available irrespective of the cost ceiling.

(b)      The claim of test charges shall be submitted online through RGHS portal as per procedure, if Non Available Certificate from the Government hospital has been obtained or charges paid in the Government hospital, if any.

(c)      No reimbursement will be allowed to RGHS Card holder, where cashless treatment is available. However, reimbursement can be taken by the RGHS Card Holder for medical treatment taken in grave emergency in un-approved hospital and in other exceptional circumstances. In such circumstances, the claim will be reimbursed only after submitting the bills through RGHS Portal.

(d)      The Ex-member and his family/family pensioner shall be entitled for the free accommodation and reimbursement as admissible to class-I officers of the State Government under rule 13 of the Rajasthan Civil Services (Medical Attendance) Rules, 2013."

Rule - 4. Substitution of rule 4.

The existing rule 4 of the said rules shall be substituted by the following, namely:-"4. Relaxation in cost ceiling under rule 3.-

(1)     The Secretary may extend the cost ceiling for medicines specified in rule 3 upto Rs. 1,00,000/- per annum in all deserving cases and in respect of treatment of cancer, kidney failure and renal disease upto limit of Rs. 2,00,000/- per annum through RGHS portal on the recommendation of the committee consisting of the following and after obtaining second medical opinion where it is felt necessary, namely:-

1.        Secretary President

2.        Medical Officer of the Government Hospital of Member the Rajasthan Vidhan Sabha

3.        Financial Adviser/Chief Accounts Officer/Senior Accounts Officer Member Secretary.

(2)     The State Government may grant further relaxation in cases of severe and persistent diseases through RGHS portal after being forwarded by the Secretary, Rajasthan Legislative Assembly."

Rule - 5. Deletion of rule 5.

The existing rule 5 of the said rules shall be deleted.

Rule - 6. Substitution of rule 6.

The existing rule 6 of the said rules shall be substituted by the following, namely:-

"6. Ex-Member's RGHS Card.-

The RGHS card shall be issued to every Ex-Members/family pensioners through RGHS portal."

Rule - 7. Substitution of rule 7.

The existing rule 7 of the said rules shall be substituted by the following, namely:-

"7. Procedure for claiming cashless facility or Medical reimbursement.-

(1)     Procedure for claiming cashless facility or medical reimbursement for the treatment taken in Government Hospital and Approved Hospitals, if cashless facility is not provided, will be such as provided in the RGHS portal:

Provided that in grave emergency treatment taken in un approved hospital reimbursement will be admissible to the RGHS Card holder through RGHS portal for medicines purchased from outside.

Rule - 8. Substitution of rule 8.

The existing rule 8 of the said rules shall be substituted by the following, namely:-

"8. Fixed medical allowance to Ex-Members/family pensioner.

Where an ex-member/family pensioner does not want to avail the medical facility under these rules and opt to take a fix medical allowance amounting to Rs. 300/- per month an option may be given by such Ex-member/family pensioner either to get fixed medical allowance for 10 years @ Rs. 300/- x 12 x 10 i.e. Rs. 36,000/- as life time fix allowance or to get registered under the RGHS for availing the fixed monthly medical allowance. The option once given shall be final. No recovery shall be made from life time fixed medical allowance given under this rule. The Project Director, Rajasthan Government Health Scheme shall make payment through RGHS Portal after receiving proposal from the Secretary, Rajasthan Legislative Assembly in this regard."

Rule - 9. Deletion of rule 9.

The existing rule 9 of the said rules shall be deleted.

Rule - 10. Amendment of rule 10.

The existing sub-rule (2) of rule 10 of the said rules shall be substituted by the following, namely:-"(2) The State Government may empanel pharma stores/e-pharma stores for cashless supply of medicine."

Rule - 11. Substitution of rule 11.

The existing rule 11 of the said rules shall be substituted by the following, namely:-

"11. Supply of medicines through pharma stores/e-pharma stores.-

The RGHS card holder shall get supply of medicines through pharma stores/e-pharma stores as per procedure laid down in RGHS portal.

Rule - 12. Substitution of rule 13.

The existing rule 13 of the said rules shall be substituted by the following, namely:-

"13. Misuse of RGHS Card.-

(1)     In cases where it is found that a ex-member/Family Pensioner has misused any of the concessions allowed under the RGHS, he shall be permanently debarred from availing of the concessions under the RGHS.

(2)     If the Speaker of Rajasthan Legislative Assembly is satisfied that an ex-member/Family Pensioner has misused the concession allowed under these rules then he shall be competent to pass an order under sub-rule (1)."

Rule - 13. Insertion of new rule 14A and 14B.

After the existing rule 14 and before the existing rule 15, the following new rule 14A and 14B shall be inserted, namely:-

"14A. Transitional provision.-

Notwithstanding any thing contained in these rules, until the RGHS Cards are issued or RGHS becomes fully operational, the provisions of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) Rules, 2010, as exists prior to commencement of the Rajasthan Legislative Assembly Ex-Members and Family Pensioners (Medical Facilities) (Amendment) Rules, 2021 shall apply to provide the Medical Attendance to a Ex-Member/Family Pensioner.

14B. Power to remove difficulties.-

If any difficulty arises in giving effect to the provisions of these rules due to implementation of the RGHS, the State Government may, by order, make such provisions as may appear to it necessary for removing such difficulty."

Rule - 14. Deletion of Form-1, Form-2, Form-3, Form-4 and Form-5.

The existing Form-1, Form-2, Form-3, Form-4 and Form-5 appended to the said rules shall be deleted.