Thursday, January 17, 2013

Action against Government servants who get appointment on the basis of false SC/ST/OBC certificates

Action against Government Servants who get appointment on the basis of false SC/ST/OBC certificates.

No.36011/1/2012-Estt. (Res.)
Government of India
Department of Personnel and Training
Establishment (Reservation) Section

North Block, New Delhi-110001
Dated the 10th January, 2013.

OFFICE MEMORANDUM

Sub:- Action against Government servants who get appointment on the basis of false SC/ST/OBC certificates.

The undersigned is directed to invite reference to this Department’s OM No.11012/7/91-Estt.(A) dated 19.5.1993 which provides as under:-


"Wherever it is found that a Government servant, who was not qualified or eligible in terms of the recruitment rules etc., for initial recruitment in service or had furnished false information or produced a false certificate in order to secure appointment, he should not be retained in service. If, he is probationer or a temporary Government servant, he should be discharged or his services should be terminated. If he has become a permanent Government servant, an inquiry as prescribed in Rule 14 of CCS (CCA) Rules, 1965 may be held and if the charges are proved, the Government servant should be removed or dismissed from service. In no circumstances should any penalty be imposed".

2. The position was reiterated vide this Department’s OM No.42011/22/2006-Estt.(Res.) dated the 29th March, 2007 that the cases other than those protected by the specific order of the Apex Court should be dealt with in accordance with the instructions contained in the aforesaid O.M. However, it has been observed that disciplinary proceedings in the cases involving appointments on the basis of false/fake caste certificates take considerable time and the persons who have secured employment on the basis of false caste
certificates enjoy the benefits of Government service whereas such Government servants should be removed / dismissed from the service at the earliest.

3. It is requested that disciplinary enquiries involving the matter of securing jobs on the basis of false/fake certificates should be completed in a time bound manner and unscrupulous persons who have got appointment on the basis of fake/ false caste certificates should not be retained in service and should be dismissed / removed thenceforth.

4. Contents of this OM may be brought to the notice of all concerned.

sd/-
(Sharad Kumar Srivastava)
Under Secretary to the Government of India

Source : www.persmin.nic.in
[http://ccis.nic.in/WriteReadData/CircularPortal/D2/D02adm/36011_1_2012-Estt-Res.pdf]

Eligibility of disabled children for family pension after marriage - Eligibility for two family pensions clarification regarding

No.1/33/2012-P&PW(E)
Government of India
Ministry of Personnel, P.G. & Pensions
Department of Pension & Pensioners’ Welfare


3rd Floor, Lok Nayak Bhavan,
Khan Market, New Delhi
Dated: 16th January, 2013


Office Memorandum


Sub: (i) Eligibility of disabled children for family pension after marriage and

       (ii) Eligibility for two family pensions clarification regarding.

The undersigned is directed to state that the Government has decided to allow continuance of family pension to mentally / physically disabled children who drew, are drawing or may draw family pension even after their marriage. Further, the Government has also decided to allow two family pensions where the pensioner drew, is drawing or may draw two pensions for military and / or civil employments.

2. In order to implement these decisions, Explanations 1 and 3 after sub-rule 6 of Rule 54 of the Central Civil Services (Pension) Rules, 1972 have been suitably amended and sub-rules 13-A and 13-B have been omitted. A copy of Gazette notification, G.S.R. No. 938 (E), dated 27th December, 2012, giving effect to these amendments is enclosed.

3. For the sake of clarity, the old and new explanations 1 and 3 are reproduced as under highlighting the changes made therein:

Old : EXPLANATION 1 - An unmarried son or an unmarried or widowed or divorced daughter shall become ineligible for family pension under this sub-rule from the date he or she gets married or remarried.

EXPLANATION 3 - It shall be the duty of son or daughter or siblings or the guardian to furnish a certificate to the Treasury or Bank, as the case may be, once in a year that (i) he or she has not started earning his or her livelihood and (ii) he or she has not yet married or remarried. A similar certificate shall be furnished by a childless widow after her re-marriage or parents to the Treasury or Bank, as the case may be, once in a year that she or he or they have not started earning her or his or their livelihood.

New : EXPLANATION 1 - An unmarried son or an unmarried or widowed or divorced daughter  except a disabled son or daughter, shall become ineligible for family pension under this sub-rule from the date he or she gets married or remarried.

EXPLANATION 3 - It shall be the duty of son or daughter or siblings or the guardian to furnish a certificate to the Treasury or Bank, as the case may be, once in a year that (i) he or she has not started earning his or her livelihood and (ii) he or she has not yet married or remarried. A similar certificate shall he furnished by a childless widow after her re-marriage or b the disabled son or daughter or parents to the Treasury or Bank, as the case may be, once in a year that she or he or they have not started earning her or his or their livelihood.

4. Sub rule 13-A regulates the grant of family pension to a military pensioner after his re-employment in a civil service or a civil post. Grant of two family pensions had been prohibited under this sub rule. Similarly, sub rule 13-B prohibits grant of two family pensions to a person who is already in receipt of Family Pension or is eligible there for under any other rules of the Central Government or a State Government and/or Public Sector Undertaking/Autonomous Body/Local Fund under the Central or a State Government. The sub-rules 13-A and 13-B have since been omitted vide the above mentioned Gazette notification.

5. It is clarified that financial benefits in past cases will accrue with effect from 24th September, 2012.

6. As regards pensioners/family pensioners belonging to the Indian Audit and Accounts Departments, these Orders issue after consultation with the Comptroller and Auditor General of India.

sd/-
(Sujasha Choudhury)
Deputy Secretary to the Govt. of India

Source: www.pensionersportal.gov.in
[http://ccis.nic.in/WriteReadData/CircularPortal/D3/D03ppw/FP_160113.pdf]

Guidelines & Ceiling Rates for Liver Transplant Surgery in respect of CGHS / CS(MA) beneficiaries

F.No.S-14025/3/2010-MS/CGHS (P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated the 16th January, 2013

OFFICE MEMORANDUM

Subject :- Guidelines & Ceiling Rates for Liver Transplant Surgery in respect of CGHS / CS(MA) beneficiaries
 
With reference to the above mentioned matter the undersigned is directed to state that the Ministry of Health and Family Welfare has been receiving requests from the Central Government employees and pensioners covered under CGHS / CS(MA) Rules, 1944 seeking approvals for Liver Transplantation surgery in respect of themselves and their eligible family members under CGHS / CS(MA) Rules. The Ministry has been examining these proposals on case to case basis for allowing the medical treatment to the beneficiaries on merits. In view of the increasing number of cases, the matter has been reviewed by this Ministry and it has now been decided to issue guidelines and ceiling rates for permission / reimbursement for Liver Transplant Surgery in respect of CGHS / CS (MA) beneficiaries as per the details mentioned below: -

I. SELECTION CRITERIA

A. INDICATIONS

1. Adult Liver diseases
Acute liver failureNon-Paracetamol (Viral, drug, induced, Wilson’s, Autoimmune hepatitis etc.)Prothrombin time >100 sec or 3 of 5: Interval jaundice-encephalopathy > 7 days
Age < 10 or > 40 Years Prothrombin time > 50 sec. / INR > 3.5 Bilirubin > 30 umol/1 Cause non-viral or unknown.
Paracetamol inducedArterial Ph <7.30 or all 3 criteria Encephalopathy grade III or IV
Prothrombin time >100 sec./INR > 6.5 Creatinine >300 umol/I
Chronic Liver diseaseCirrhosis (Non- Cholestatic)Child-Pugh score >or equal 10 or Meld Score > 14
 Cholestatic with or without CirrhosisAccording to American criteria based on MELD scoring
 Miscellaneouscase to case basis
Liver TumorsHeptocellular
Carcinoma
Single Tumor <6.5 cm or Two Tumors < or equal 4.5 cm
No Vascular invasion
No distant Metastasis
 Other typesCase to case basis

2. Pediatric Liver diseases: - EHBA and Metabolic Liver Disease to be decided on case to case basis. 

B. CONTRAINDICATIONS
AbsoluteSystemic extra hepatic infcctions
Extra hepatic malignancy (if not definitely cured)
Irreversible brain damage
Irreversible multi-organ failure
Substance abusc ( if not abstinent for > 6 months)
RelativeHIV seropositivity
Age > 65 years
Mental incapacity
Extra hepatic disease limiting the chance of survival
Residency outside India (unless emergency)
 
II. Type of Transplant: permitted for reimbursement.
(a) Cadaveric donor
(b) Live donor
      i.Related (Near Relatives)
      ii. Unrelated (Only after approval by Authorization Committee)
 
III. Centres Approved for Liver Transplantation Surgery 
Liver Transplant Surgery shall be allowed only in Government Hospitals/ Pvt. Hospitals, which are registered under the Transplantation of Human Organs Act, 1994, as amended from time to time.
 
IV. Permission / ex-post facto approval for Liver Transplantation Surgery
The Liver Transplant Surgery will be permitted / reimbursed only after the request has been approved and recommended by a Standing Committee, comprising of the following:

1.Addi. DG, CGHS/DDG (M) (as the case may be)Chairman
2HOD, GI Surgery, AIIMSMember
3.HOD, Gastroenterology and Human Nutrition,Member AIIMS
4.HOD, Gastroenterology, G.B. Pant HospitalMember
5HOD, GI Surgery, R&R HospitalMember
6.HOD, Gastroenterology, R&R HospitalMember
7.Joint Director (R & H), CGHS/Addl. DDG(MG-l1)Member Secy.
The above Standing Committee shall consider the cases in respect of CGHS as well as CS (MA) beneficiaries.

V. Documents required to be submitted for consideration of reimbursement / permission.
1. Recommendation by Govt. Gastroenterologist / GI Surgeon by at least one surgeons doing Liver Transplant Surgery.
2. CT /MRI Liver report.
3. Etiology evaluation report.
4. Histopathological report, wherever available
5. Current Child Pugh /MELD score report
6. Other relevant document.
 
VI. Reimbursement Criteria :-
As Liver Transplant Surgery is a planned surgery and ther dore, prior permission has to be obtained before the surgery is undertaken. However,if for some reason it is done in emergency to save the life of the patient, the Standing Committee shall consider the cases referred to it for recommending grant of ex-post-facto permission on a case to case basis.
 
VII. Submission of Application:
CGHS / CS (MA) beneficiaries will submit their request for permission for Liver Transplant to the Standing Committee, through their respective Department in case of serving employees and the Additional Director, CGHS of the concerned zone or city, in case of pensioner CGHS beneficiary. The Department concerned will refer the cases to the office of Director, CGHS in case of a CGHS beneficiary and to the Medical Services Division of Department of Health and Family Welfare in case of CS (MA) beneficiaries for processing the case and its submission before the Standing Committee for their consideration and recommendations.
 
VIII. Ceiling Rate for reimbursement for Liver Transplantation surgery under CGHS / CS(MA) rule.
 
(a) The package rate for Liver Transplantation surgery involving live liver donor shall be as follows:
Rs. 11,50,000/- ( Rupees Eleven lakh fifty thousand only) + pre transplant evaluation of donor and recipient- Rs. 2,50,000/- (Rupees Two lakh fifty thousand only).
(b) The package rate for Liver Transplant surgery involving a deceased donor shall be:
Rs. 11,00,000/- ( Rupees Eleven lakh only)
This includes, the cost of consumables during the organ retrieval and the cost of preservative solution, etc.
i) The package charges include the following
1. 30 days stay of the recipient and 15 days for the donor starting one day prior to the transplant surgery.
2. Charges for Medical and Surgical Consumables, surgical and Procedure Charges, Operation theater Charges, Anesthesia Charges, Pharmacy, Investigations and in house doctor consultation for both donor and recipient during the above period. This also includes all post operative investigations and procedures during the above mentioned period.
ii) The package excludes:
1. Charges for drugs like Basiliximab/Daclizumab, HBIG, and peg Interferon.
2. Cross Matching charges for Blood and Blood products.
Note: 1. The extra stay if any may be reimbursed after justification by the treating specialists for the reason of additional stay and only as per CGHS guidelines.
2. The drugs mentioned above would be reimbursed as per CGHS rates or actual whichever is lower.
This Office Memorandum shall come into effect from the date of issue.
This issues with concurrence of the Integrated Finance Division of this Ministry vide their Diary No. C-1603 dated 26th December, 2012.
sd/-
[V.P. Singh]
Deputy Secretary to the Government of India
Source: www.msotransparent.nic.in
[http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File562.pdf]

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