Section 70 of The National Commission for Allied and Healthcare Professions Act, 2021
- (1)The Central Government may, after consultation with the Commission, by a notification, add to or otherwise amend the Schedule for the purposes of this Act and thereupon the said Schedule shall be deemed to be amended accordingly.
- (2)A copy of every notification proposed to be issued under sub-section (1), shall be laid in draft 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 disapproving the issue of the notification or both Houses agree in making any modification in the notification, the notification shall not be issued or, as the case may be, shall be issued only in such modified form as may be agreed upon by both the Houses. THE SCHEDULE [See section 2(r)] Serial Number Recognised Category Allied and Healthcare Professional ISCO Code
- (1)(2) (3) (4) 1. Medical Laboratory and Life Sciences Life Science Professional Note: Life Science Professional is a person who has knowledge of application of research on human and other life forms, their interactions with each other and the environment, to develop new knowledge, and solve human health and environmental problems and who works in diverse fields such as bacteriology, biochemistry, genetics, immunology, harmacology, toxicology and virology and who collect, analyse and evaluate the experimental and field data to identify and develop new processes and techniques among others.
- (i)Biotechnologist
- (ii)Biochemist (non-clinical)
- (iii)Cell Geneticist
- (iv)Microbiologist (non-clinical)
- (v)Molecular Biologist (non-clinical)
- (vi)Molecular Geneticist Medical Laboratory Sciences Professional Note: Medical and pathology laboratory professional is a person who performs clinical test on specimens of bodily fluids and tissues in order to get information about the health of a patient or cause of death and having formal training in medical laboratory technology or related field, which includes testing and operating equipment such as spectrophotometers, calorimeters and flame photometers for analysis of biological material including blood, urine and spinal fluid.
- (i)Cytotechnologist
- (ii)Forensic Science Technologist
- (iii)Histotechnologist
- (iv)Hemato Technologist
- (v)Medical Lab Technologist 2. Trauma, Burn Care and Surgical/Anesthesia related technology Trauma and Burn Care Professional Note: Trauma and Burn Care Professional is a
- (i)Advance Care Paramedic
- (ii)Burn Care Technologist person who provides advisory, diagnostic, curative and preventive medical services more limited in scope and complexity than those carried out by a medical doctor including emergency and burn care technologist who work autonomously, or with limited supervision of medical doctors and apply advanced clinical procedures for treating and preventing injuries and other physical impairments. Surgical and Anaesthesia-related Technology Professional Note: Surgical and Anaesthesia-related Technology professional is a person who is a member of a multi-disciplinary team in the operation theatres, who prepares and maintains an operating theatre, assists the anaesthetist and surgical team during peri-operative period and provides support to patients in the recovery room and the main role includes the set up, check, and maintains anaesthesia equipment, preparation of operation room and table, management of the central sterile services department functions, assistance in emergency situations and disaster preparedness and support of the surgeons and anesthetists in any other related clinical area. 3. Physiotherapy Professional Note: Physiotherapy Professional is a person who practices physiotherapy by undertaking comprehensive examination and appropriate investigation, provides treatment and advice to any persons preparatory to or for the purpose of or in connection with movement or functional dysfunction, malfunction, disorder, disability, healing and pain from trauma and disease, using physical modalities including exercise, mobilization, manipulations, electrical and thermal agents and other electro therapeutics for
- (iii)Emergency Medical Technologist (Paramedic)
- (i)Anaesthesia Assistants and Technologists
- (ii)Operation Theatre (OT) Technologists
- (iii)Endoscopy and Laparoscopy Technologists Physiotherapist 2264 prevention, screening, diagnosis, treatment, health promotion and fitness. The physiotherapist can practice independently or as a part of a multidisciplinary team and has a minimum qualification of a baccalaureate degree. 4. Nutrition Science Professional Note: Nutrition Science Professional is a person who follows a scientific process to assess, plan and implement programmes to enhance the impact of food and nutrition on health, promote good health, prevent and treat disease to optimize the health of individuals, groups, communities and populations as well as on human health with training in food and nutritional science, nutrition, dietetics.
- (i)Dietician (including Clinical Dietician, Food Service Dietician)
- (ii)Nutritionist (including Public Health Nutritionist, Sports Nutritionist) 5. Ophthalmic Sciences Professional Note: Ophthalmic Sciences Professional is a person who studies eye, related ailments and specialises in the management of disorders of eye and visual system, limited in scope and complexity as performed by a medical doctor having Optometrists with a minimum of four years of baccalaureate degree and Ophthalmic Assistants/Vision Technician with a minimum of two years recognised diploma programme.
- (i)Optometrist 2267
- (ii)Ophthalmic Assistant
- (iii)Vision Technician 3256 6. Occupational Therapy Professional Note: Occupational Therapy Professional is a person who delivers client-centred services concerned with promoting health and well-being through occupation to enable people to participate in the activities of everyday life, which includes professionals such as Occupational Therapists who achieve this outcome by working with people and communities to enhance their ability to engage in the occupations they are expected to do, or by modifying the occupation or the environment to better support their occupational engagement. The Occupational Therapist can practice independently or as a part of a multi-disciplinary team and has a minimum qualification of a baccalaureate degree. Occupational Therapist 2269 7. Community Care, Behavioural Health Sciences and other Professionals Community Care
- (i)Environment Protection Officer
- (ii)Ecologist 2133
- (iii)Community Health promoters
- (iv)Occupational Health and Safety Officer (Inspector) Note: Primary and Community Care Professional is a person who provides health education, referral and follow up, case management, and basic preventive healthcare and home visiting services to specific communities at field level and provides support and assistance to individuals and families in navigating the health and social services system and establish a referral network.
- (i)Psychologist (Except Clinical Psychologist covered under RCI for PWD)
- (ii)Behavioural Analyst
- (iii)Integrated Behaviour Health Counsellor
- (iv)Health Educator and Counsellors including Disease Counsellors, Diabetes Educators, Lactation Consultants
- (v)Social workers including Clinical Social Worker, Psychiatric Social Worker, Medical Social Worker
- (vi)Human Immunodeficiency Virus (HIV) Counsellors or Family Planning Counsellors
- (vii)Mental Health Support Workers Behavioural Health Sciences Professional Note: Behavioural Health Sciences Professional is a person who undertakes scientific study of the emotions, behaviours and biology relating to a person's mental wellbeing, their ability to function in everyday life and their concept of self. "Behavioural health" is the preferred term to "mental health" and includes professionals such as counsellors, analysts, psychologists, educators and support workers, who provide counselling, therapy and mediation services to individuals, families, groups and communities in response to social and personal difficulties. Other Care Professionals (i) Podiatrist
- (ii)Palliative Care Professionals
- (iii)Movement Therapist (including Art, Dance and Movement Therapist or Recreational Therapist) 8. Medical Radiology, Imaging and Therapeutic Technology Professional Note: Medical Imaging and Therapeutic Equipment Technology Professionals include persons who tests and operate radiographic, ultrasound and other medical imaging equipment to produce images of body structures for the diagnosis and treatment of injury, disease and other impairments or administers radiation treatments and monitor patients' conditions with training in medical technology, radiology, sonography, mammography, nuclear medical technology, Magnetic Resource Imaging, Dosimetry or radiotherapy, under the supervision of a radiologist or other medical professional.
- (i)Medical Physicist 2111
- (ii)Nuclear Medicine Technologist
- (iii)Radiology and Imaging Technologist [Diagnostic Medical Radiographer, Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Mammographer, Diagnostic Medical Sonographers]
- (iv)Radiotherapy Technologist
- (v)Dosimetrist 3211 9. Medical Technologists and Physician Associate Biomedical and Medical Equipment Technology Professional 1[(iv) Acupuncture Professionals 2230, 3230]
- (i)Biomedical Engineer
- (ii)Medical Equipment Technologist Physician Associate or Physician Assistant Physician Associates 3256 Note: Physician Associate or Physician Assistant is a person who performs basic clinical and administrative tasks to support patient care and is trained in a medical model such that he is qualified and competent to perform preventive, diagnostic and therapeutic services with physician supervision. Cardio-vascular, Neuroscience and Pulmonary (i) Cardiovascular Technologists Technology Professional (ii) Perfusionist 3259
- (iii)Respiratory Technologist Note: Cardio-vascular, Neuroscience and Pulmonary Technology Professionals include those persons who have studied and have thorough understanding of respiratory, neurological and circulatory system and also the ability to operate complex equipment related therein and includes professionals such as Perfusionist, Cardiovascular technologist, respiratory technologist and Sleep Lab Technologists. Renal Technology Professional Note: Renal Technology Professional is a person who deals with dialysis therapy process and technology to ensure an effective dialysis therapy to the patient and includes professionals such as Dialysis Therapy Technologists having baccalaureate degree who operate and maintain an artificial kidney machine, following approved methods. 10. Health Information Management and Health Informatic Professional Note: Health and Information Management Professional is a person who develops, implements and assesses the health record processing, storage and retrieval systems in medical facilities and other health care settings to meet the legal, professional, ethical and administrative records-keeping requirements of health services delivery and processes, maintains, compiles and reports patient information for health requirements and standards in a manner consistent with the healthcare industry's numerical coding system.
- (iv)Electrocardiogram (ECG) Technologist or Echocardiogram (ECHO) Technologist
- (v)Electroencephalogram (EEG) or Electroneurodiagnostic (END) or Electromyography (EMG) Technonlogists or Neuro Lab Technologists or Sleep Lab Technologists Dialysis Therapy Technologists or Urology Technologists
- (i)Health Information Management Professional (Including Medical Records Analyst)
- (ii)Health Information Management Technologist
- (iii)Clinical Coder 3252
- (iv)Medical Secretary and Medical Transcriptionist STATEMENT OF OBJECTS AND REASONS Allied and healthcare professions include a wide-range of health professionals for the diagnosis, evaluation and treatment of acute and chronic diseases. The Allied and healthcare professions also work to optimize patient outcomes and attend to overall prevention, promotion, wellness and management of diseases. 2. The health workforce in the Indian scenario has been defined with focus mainly on few cadres such as doctors, nurses and frontline workers. Many other professionals belonging to more than fifty allied and health care professions continue to remain under-utilised and unregulated in the health system. These broadly include professional categories such as Physiotherapy, Occupational Therapy, Ophthalmic Sciences, Nutrition Sciences, Medical Laboratory and Life Sciences, Medical Radiology, Imaging and Therapeutic Technology, Medical Technologists and Physician Associates, Trauma, Burn Care and Surgical/Anesthesia related Technology, Community Care and Behavioral Health Sciences and Health Information Management and Health Informatics. There has been a persistent demand for a regulatory framework for such professions for several decades. 3. The ‘para-medical professionals’ as well as other technologists and therapists have finally been accorded their due recognition and are being presently being termed as ‘Allied and Healthcare Professionals’. Based on the International Labour Organisation’s International Standard Classification of Occupations (ISCO-08), a detailed mapping has been undertaken to identify such professions. 4. The United Nation’s Commission on Health Employment and Economic Growth with a focus on building resilient health systems stresses upon strengthening the health workers and urges to ensure effective health employment. As estimated by the World Health Organisation, by the year 2030, the global economy is projected to create around forty million new health sector jobs, mostly in the middle and high-income countries. Despite the anticipated growth in jobs, there shall be projected shortage of eighteen million health workers to achieve the sustainable development goals in low and lower middle-income countries. 5. With the advancement in the health sector, changing preferences of consumers and service providers, it is now warranted to create a fresh vision of healthcare delivery with a patient-centric approach and focus on moving to a multi-disciplinary team-based care. This has necessitated the need to implement new ways of deploying health workers, strengthening the workforce by task-shifting models and improving access to quality services through qualified and competent allied and healthcare professionals. 6. Accordingly, the Allied and Healthcare Professions Bill, 2018 was introduced in Rajya Sabha on the 31st December 2018 and the same was referred to the Department Related Parliamentary Standing Committee of the Ministry of Health and Family Welfare for its examination and Report. The Committee after detailed examination recommended certain amendments to the said Bill. Therefore, it has been decided to withdraw the pending Bill and to introduce a new Bill, namely, the National Commission for Allied and Healthcare Professions Bill, 2020, incorporating the recommendations made by the Committee. 7. The Bill, inter alia, provides for, —
- (a)constitution of a National Commission for Allied and Healthcare Professions for regulation and maintenance of standards of education and services, assessment of institutions, maintenance of a Central Register and State Register of such professionals;
- (b)constitution of Professional Councils for every recognised professional category to frame policies and standards for the governance of allied and healthcare related education and professional services and to regulate their professional conduct;
- (c)constitution of a National Allied and Healthcare Advisory Council to advice Commission on the issues relating to allied and healthcare professionals;
- (d)constitution of State Councils for ensuring the coordinated and integrated development of education and maintenance of standards of delivery of services;
- (e)constitution of the Under-graduate Allied and Healthcare Education Board, Post-graduate Allied and Healthcare Education Board, Allied and Healthcare Professions Assessment and Rating Board and Allied and Healthcare Professions Ethics and Registration Board for regulating the standards of allied and healthcare professionals;
- (f)create and maintain an up-to-date online and live Central Register and State Register of allied and healthcare professionals;
- (g)ensuring development of basic standards of education, courses, curricula, facilities, assessment, examination, training, maximum fees etc.;
- (h)uniform entry examination with common counselling for admission into allied and healthcare institutions;
- (i)uniform exit or licensing examination for professional practice and National Teachers Eligibility Test for academicians;
- (j)strategic framework for rational deployment of skilled manpower, performance management systems, task shifting and associated career development pathways;
- (k)basic standards framework for machineries, materials and services;
- (l)measures to ensure compliance by the State Councils;
- (m)constitution of committees by engaging independent experts for technical advice related to any of the professions;
- (n)penalty for contravention of provisions of the Bill and the rules and regulations made there under; 8. The Bill seeks to achieve the above objectives. DR. HARSHVARDHAN. NEW DELHI: The 20th March, 2020.
↩1.Ins. by S.O. 4238(E), dated 26.09. 2024.
Summary
- The Central Government has the power to add to or amend the Schedule of the Act, which lists the recognised categories of professionals.
- Before making any changes to the Schedule, the Central Government must consult with the Commission.
- A draft of the proposed change must be presented to both Houses of Parliament for thirty days.
- Parliament has the final say, meaning both Houses can agree to disapprove the change entirely or agree to modify it before it becomes official.
Practical examples
FAQ
1. Who holds the power to amend the Schedule of professions?
The Central Government holds this power, after consulting the Commission.
2. Can the government change the Schedule overnight?
No, a draft must sit before Parliament for thirty days so lawmakers can review it.
3. What happens if Parliament does not like the proposed change to the Schedule?
If both Houses agree to disapprove it, the notification will not be issued.
Test yourself
Q1.Under Section 70 of The National Commission for Allied and Healthcare Professions Act, 2021, who must the Central Government consult before amending the Schedule?
Q2.Under Section 70 and Section 2 of The National Commission for Allied and Healthcare Professions Act, 2021, when the Central Government amends the Schedule, which defined term from Section 2 is directly being updated?
Q3.Under Section 70 of The National Commission for Allied and Healthcare Professions Act, 2021, how long must the draft notification to amend the Schedule be laid before Parliament?
Q4.Under Section 70 of The National Commission for Allied and Healthcare Professions Act, 2021, what occurs if both Houses of Parliament agree to disapprove the draft notification to amend the Schedule?