M/S Surya Multispeciality Hospital v. the State of Hp and Others
AB-PMJAY & HIMCARE – Empanelled private hospitals – Non-release of duly approved treatment claims
Case brief
What is this about?
Neutral citation 2026:HHC:29794; High Court of Himachal Pradesh (Jyotsna Rewal Dua, J.); 34 connected CWPs by private empanelled hospitals; AB-PMJAY; HIMCARE; Ayushman Bharat; release of payments; duly approved bills; interest @ 1% per week after 15 days' delay; 90:10 sharing pattern; ceiling Rs. 952/- per family per annum; Rs. 49.71 crores Central share; MoU dated 14.05.2018; trust mode; State Health Agency; ISA; SHA; vigilance inquiry; lack of funds; Article 300(A); Article 14; Municipal Council Ratlam; Adani Power (Mundra); Kirloskar Ferrous; Bhika Ram; State of Maharashtra v. Bhawan; Nabha Power; writ petitions disposed with directions.
What did the court decide?
Writ petitions disposed of with directions: respondent-State to release all duly approved pending bills of the petitioner-hospitals under AB-PMJAY and HIMCARE within three weeks, alongwith interest @ 1% of the claim amount per week after 15 days of delay (as provided in the Schemes); future claims to be processed, verified and cleared within the prescribed Scheme timelines, with interest on delayed payments; Central Government to ensure prompt release of its contribution under AB-PMJAY as per agreed covenants; liberty to the respondents to recover any amount found recoverable on conclusion of the vigilance inquiry, in accordance with law, with all rights and contentions left open; pending miscellaneous applications disposed of.