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Rajasthan High Court
Constitutional Law

State Employee's Emergency Treatment at Private Hospital Without Prior Sanction Must Be Reimbursed: Rajasthan High Court

Published: · NyayVidhan

The Rajasthan High Court held that a State employee facing a threat to life may seek emergency treatment at a private hospital without awaiting prior sanction or a turn at a government or authorised hospital (para 10). Following the Supreme Court's ruling in Surjit Singh, it said the right to health and self-preservation by medical treatment in an emergency is akin to the right to life under Article 21 (para 10). It ordered a ward boy's cardiac treatment bills verified and reimbursed with interest (para 11).

State Employee's Emergency Treatment at Private Hospital Without Prior Sanction Must Be Reimbursed: Rajasthan High Court

Judgment Intelligence

Petition Allowed
Kesra Ram v. State and Anr.
2024:RJ-JD:9411
S.B. Civil Writ Petition No. 9571/2008
Court
Rajasthan High Court
Date of Decision
23 February 2024
Bench
Justice Arun Monga
Relevant Acts & Sections
Constitution of India — Article 21
Final Outcome

Petition allowed. The respondents must verify the annexed medical bills and reimburse them under the applicable service rules within two months, with admissible interest from the due date; pending applications disposed of (paras 9, 11-12).

Key holdings

  1. The right to health and self-preservation by medical treatment in an emergency is akin to the right to life under Article 21 (para 10).
  2. A State employee facing a threat to life need not await prior sanction or a turn at a government hospital before private emergency treatment (para 10).
  3. A bald assertion that bills were not submitted does not defeat a claim whose treatment and annexed bills are undisputed (paras 5, 9).
  4. Reimbursement follows the service rules, with admissible interest from the due date (para 11).

Case explainer by NyayVidhan: an account of this judgment and the law it laid down, not the court's text. The judgment itself is the authoritative version.

Brief Facts

The petitioner, a ward boy at a government hospital, suffered severe chest pain on 11.08.2007 and was first taken to the hospital where he worked (para 2.1). On 12.08.2007, a Sunday, its doctors found his condition critical and referred him to SMS Hospital, Jaipur; as no surgery was being performed there that day, his family took him to Soni Hospital, Jaipur, where he underwent angioplasty and stenting (paras 2.2-2.3). His reimbursement claim of Rs.1,53,635 was declined by a note of 19.02.2008, which he challenged in this writ petition (paras 1, 2.4). The respondents' reply said the claim had not been denied; the petitioner had only failed to submit complete bills and had filed a premature petition (para 3).

Court's Findings

The Court found that the Department did not question the admissibility of the reimbursement; its only stated impediment was non-submission of the bills, which were annexed to the petition (para 5). The reply took no explicit stand that treatment at a private hospital was not reimbursable, but the CMHO's impugned note of 19.02.2008 expressly rejected the claim on that ground, also calling the bills incomplete (paras 6, 8). Apart from a bald assertion that the bills were never furnished, the reply did not dispute the petitioner's account of his treatment or the annexed bills, so the petition merited acceptance for reimbursement of the private-hospital treatment (para 9). Following Surjit Singh v. State of Punjab, the Court held that the right to health and self-preservation by medical treatment in an emergency is akin to the right to life under Article 21; State employees may take steps to preserve their lives when faced with a threat in an emergency (para 10). Given the apparent threat to his life, the petitioner could seek treatment at a private hospital without awaiting prior sanction or his turn at a government or authorised hospital (para 10).

Legal Principle

The right to health and self-preservation by emergency medical treatment is akin to the right to life under Article 21. A government employee facing an apparent threat to life may obtain treatment at a private hospital without awaiting prior sanction, and reimbursement cannot be refused only because the treatment was private (paras 8-10).

Precedents Relied Upon

  1. Surjit Singh v. State of Punjab & Ors. (1996) 2 Supreme Court Cases 336
    Followed Discussed at ¶ 7, 10

    The right to health and self-preservation by medical treatment in an emergency is akin to the right to life under Article 21; State employees may take steps to preserve their lives when faced with a threat in an emergency. The petitioner's case was held squarely covered by its ratio.

  2. Shobha Devi Choudhary v. Union of India & Anr. 2022 SCC Online Raj 2868
    Referred To Discussed at ¶ 7

    Cited by counsel for the petitioner on entitlement to reimbursement for emergency treatment at a private hospital.

  3. Thomas T. v. State of Rajasthan & Ors. S.B. Civil Writ Petition No. 3749/2006 (Rajasthan High Court)
    Referred To Discussed at ¶ 7

    Cited by counsel for the petitioner on entitlement to reimbursement for emergency treatment at a private hospital.

NyayVidhan
Court Judgments · 3 min read
Decided: February 23, 2024 Justice Arun Monga
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