41. Power of Central Government to give directions to National Commission, Autonomous
Boards and Nursing and Midwifery Advisory Council.—(1) Without prejudice to the provisions of this
Act, the National Commission, the Autonomous Boards and the Nursing and Midwifery Advisory Council
shall, in exercise of their powers and discharge of their functions under this Act, be bound by such directions
on questions of policy as the Central Government may give in writing to them from time to time:
Provided that the National Commission, the Autonomous Boards and the Advisory Council shall, as
far as practicable, be given an opportunity to express their views before any direction is given under this
sub-section.
(2) The decision of the Central Government whether a question is one of policy or not, shall be final.
42. Power of Central Government to give directions to State Governments.—The Central
Government may give such directions, as it may deem necessary, to a State Government for carrying out
all or any of the provisions of this Act and the State Government shall comply with such directions.
43. Power of National Commission to give directions to State Commissions.—The National
Commission may give such directions, as it may deem necessary, to a State Commission for carrying out
all or any of the provisions of this Act and the State Commission shall comply with such directions.
44. Information to be furnished by National Commission and publication thereof.—(1) The
National Commission shall furnish such reports, copies of its minutes, abstracts of its accounts, and other
information to the Central Government as that Government may require.
(2) The Central Government may publish, in such manner as it may think fit, the reports, minutes,
abstracts of accounts and other information furnished to it under sub-section (1).
45. Obligation of Universities and nursing and midwifery institutions.—Every University and
nursing and midwifery institution governed under this Act shall maintain a website at all times and display
on its website all such information as may be required by the National Commission or an Autonomous
Board, as the case may be.
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46. Completion of courses of studies in nursing and midwifery institutions.—(1) Notwithstanding
anything contained in this Act, any student who was studying for a degree, diploma or certificate in any
nursing and midwifery institution, immediately before the commencement of this Act, shall continue to so
study and complete his course for such degree, diploma or certificate, and such institution shall continue to
provide instructions and examination for such student in accordance with the syllabus and studies as existed
before such commencement, and that student shall be deemed to have completed his course of study under
this Act and shall be awarded degree, diploma or certificate under this Act.
(2) Notwithstanding anything contained in this Act, where recognition granted to a nursing institution
has lapsed, whether by efflux of time or by its voluntary surrender or for any other reason, such nursing
institution shall continue to maintain and provide the minimum standards required to be provided under this
Act till such time as all candidates who are admitted in that nursing institution complete their study.
47. Chairperson, Members, officers of National Commission and of Autonomous Boards, to be
public servants.—The Chairperson, Members, officers and other employees of the National Commission
and State Commissions, and the President, Members and officers and other employees of the Autonomous
Boards, shall be deemed, when acting or purporting to act in pursuance of any of the provisions of this Act,
to be public servants within the meaning of section 21 of the Indian Penal Code (45 of 1860).
48. Protection of action taken in good faith.— No suit, prosecution or other legal proceeding shall
lie against the Government, the National Commission or any Autonomous Board or a State Commission or
any committee thereof, or any officer or other employee of the Government or of the National Commission
acting under this Act for anything which is in good faith done or intended to be done under this Act or the
rules or regulations made thereunder.
49. Cognizance of offences.— No court shall take cognizance of an offence punishable under this Act
except upon a complaint in writing made in this behalf by an officer authorised by the National Commission
or the Nursing and Midwifery Ethics and Registration Board or a State Commission, as the case may be.
50. Power of Central Government to supersede National Commission.—(1) If, at any time, the
Central Government is of the opinion that—
(a) the National Commission is unable to discharge the functions and duties imposed on it by or
under the provisions of this Act; or
(b) the National Commission has persistently made default in complying with any direction issued
by the Central Government under this Act or in the discharge of the functions and duties imposed on it
by or under the provisions of this Act,
the Central Government may, by notification, supersede the National Commission for such period, not
exceeding six months, as may be specified in such notification:
Provided that before issuing a notification under this sub-section, the Central Government shall
give a reasonable opportunity to the National Commission to show causeas to why it should not be
superseded and shall consider the explanations and objections, if any, of the National Commission.
(2) Upon the publication of a notification under sub-section (1) superseding the National
Commission—
(a) all its Members shall, as from the date of supersession, vacate their offices as such;
(b) all the powers, functions and duties which may, by or under the provisions of this Act, be
exercised or discharged by or on behalf of the National Commission, shall, until the National
Commission is re-constituted under sub-section (3), be exercised and discharged by such nursing and
midwifery professionals as the Central Government may direct; and
(c) all property owned or controlled by the National Commission shall, until the National
Commission is re-constituted under sub-section (3), vest in the Central Government.
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(3) On the expiration of the period of supersession specified in the notification issued under
sub-section (1), the Central Government may—
(a) extend the period of supersession for such further term not exceeding six months, as it may
consider necessary; or
(b) re-constitute the National Commission by fresh appointments and in such case the Members
who vacated their offices under clause (a) of sub-section (2) shall not be deemed to be disqualified for
appointment:
Provided that the Central Government may, at any time before the expiration of the period of
supersession, whether as originally specified under sub-section (1) or as extended under this subsection, take action under clause (b) of this sub-section.
(4) The Central Government shall cause a notification issued under sub-section (1) and a full report of
any action taken under this section and the circumstances leading to such action to be laid before both
Houses of Parliament at the earliest opportunity.
51. Power of Central Government to make rules.—(1) The Central Government may, subject to the
condition of previous publication, make rules for carrying out the provisions of this Act.
(2) In particular, and without prejudice to the generality of the foregoing power, such rules may provide
for all or any of the following matters, namely:—
(a) the qualifications and experience required for a nursing and midwifery leader under
clause (q) of section 2;
(b) the six zones referred to in clauses (h) and (i) and the manner of appointing Members of the
National Commission under clauses (g), (h), (i), (j), (k) and (l), of section 4;
(c) the manner of nominating experts by the Central Government under clauses (b) and (c) of subsection (1) of section 5;
(d) the salary and allowances payable to, and other terms and conditions of service of the
Chairperson and Members under sub-section (5) of section 6;
(e) the form and manner of making declaration under sub-section (7) of section 6;
(f) the qualifications and experience to be possessed by the Secretary of the National Commission
under sub-section (2) of section 8;
(g) the salaries and allowances payable to and other terms and conditions of service of the Secretary,
officers and other employees of the National Commission under sub-section (7) of section 8;
(h) the other functions of the National Commission under clause (o) of sub-section (2) of
section 10;
(i) the manner of choosing Members under sub-section (6) of section 12;
(j) the manner of filling up of vacancies of each Autonomous Board under sub-section (2) of
section 13;
(k) the salary and allowances payable to, and other terms and conditions of service of the President
and Members of an Autonomous Board under sub-sections (3) and (4) of section 13;
(l) the form for preparing annual statement of accounts under sub-section (1) of section 39;
(m) the time within which, and the form and the manner in which, the reports and statements shall
be furnished by the National Commission and the particulars with regard to any matter as may be
required by the Central Government under sub-section (1) of section 40;
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(n) the form and the time for preparing annual report under sub-section (2) of section 40;
(o) the amount of compensation for which the employees of the erstwhile Indian Nursing Council
shall be entitled under the proviso to sub-section (5) of section 56; and
(p) any other matter in respect of which provision is to be made by rules for carrying out the
purposes of this Act.
52. Power to make regulations.—(1) The National Commission may, subject to the condition of
previous publication, make regulations consistent with this Act and the rules made thereunder to carry out
the provisions of this Act.
(2) In particular, and without prejudice to the generality of the foregoing power, such regulations may
provide for all or any of the following matters, namely:—
(a) the functions to be discharged by the Secretary of the National Commission under
sub-section (5) of section 8;
(b) the procedure in accordance with which experts, consultants and professionals may be engaged
and the number of such experts, consultants and professionals under sub-section (8) of section 8;
(c) the procedure in accordance with which and the number of experts and domain specialists are
to be invited from foreign countries for meetings of the Commission under sub-section (9) of
section 8;
(d) the procedure to be followed at the meetings of National Commission, including the quorum at
its meetings under sub-section (3) of section 9;
(e) steps to be taken for the coordinated and integrated development of education and maintenance
of the standards of delivery of services, with periodic revision under sub-section (1) of section 10;
(f) the purposes of performing its functions by the National Commission under sub-section (2) of
section 10;
(g) the manner of making available and the number of experts, consultants, professionals, officers
and other employees appointed including the experts and domain specialists invited from foreign
countries under section 8, to the Autonomous Boards under section 15;
(h) the manner of determining the minimum requirements and standards of nursing and midwifery
education and examination at undergraduate level and postgraduate level under clause (a) of subsection (1) of section 18;
(i) the manner of developing dynamic competency based curriculum at undergraduate level and
postgraduate level under clause (b) of sub-section (1) of section 18;
(j) prescribing qualifications at the undergraduate level and postgraduate level in nursing and
midwifery and such other particulars under clause (c) of sub-section (1) of section 18;
(k) the standards for setting up of nursing and midwifery institutions for imparting undergraduate
and postgraduate courses, having regard to the needs of the country and the global norms under
clause (d) of sub-section (1) of section 18;
(l) the manner of determining the standards and norms for infrastructure, faculty and quality of
education in nursing and midwifery institutions providing undergraduate and postgraduate nursing and
midwifery education under clause (e) of sub-section (1) of section 18;
(m) the manner of regulating the standards and scope of practice of registered nursing and
midwifery professionals, including nurse practitioners, nursing associates and midwifery associates
who have obtained the nursing and midwifery qualification as provided by Nursing and Midwifery
Undergraduate and Postgraduate Education Board under clause (h), and the manner of regulating the
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limited prescribing authority in consultation with the National Commission under clause (i), of subsection (1) of section 18;
(n) the manner of determining the procedure for assessing and rating the nursing and midwifery
institutions for their compliance with the standards laid down by the Nursing and Midwifery
Undergraduate and Postgraduate Education Board under clause (a) of sub-section (1) of section 19;
(o) the manner of carrying out inspections of nursing and midwifery institution for assessing and
rating such institutions under clause (c) of sub-section (1) of section 19;
(p) the time and manner of conducting, or where it deems necessary, empaneling independent rating
agencies to conduct, assess and rate all nursing and midwifery institutions, within such period of their
opening under clause (d) of sub-section (1) of section 19;
(q) the manner of making available on the website or in public domain the assessment and ratings
of nursing and midwifery institutions at regular intervals, under clause (e) of sub-section (1) of section
19;
(r) the measures to be taken including the manner of issuing warning, imposition of monetary
penalty, reducing intake or stoppage of admissions and recommending to the National Commission for
withdrawal of recognition, against a nursing and midwifery institution for failure to maintain the
minimum essential standards specified by the Nursing and Midwifery Undergraduate and Postgraduate
Education Board under clause (f) of sub-section (1) of section 19;
(s) the manner of regulating professional conduct and promoting nursing and midwifery ethics
under clause (c) of sub-section (1) of section 20;
(t) the form, particulars and fee for submitting a proposal to the Nursing and Midwifery Assessment
and Rating Board for the purposes of obtaining permission under sub-section (1) of section 21, under
sub-section (2) of the said section;
(u) the manner of preferring appeal to the National Commission under sub-section (5) of
section 21;
(v) other factors to be taken into consideration by the Nursing and Midwifery Assessment and
Rating Board or, as the case may be, the National Commission while approving or disapproving a
proposal under section 22, and the nursing and midwifery institutions set up in such areas which are
eligible for relaxation of the criteria under the said section;
(w) the manner of taking disciplinary actions by the State Commission in respect of any
professional or ethical misconduct by a registered professional under sub-section (3) of section 24;
(x) the manner of receiving the complaints and grievances relating to any professional or ethical
misconduct against a registered professional in a State by the Nursing and Midwifery Ethics and
Registration Board under the first proviso to sub-section (3) of section 24;
(y) the acts of commission or omission which would amount to professional or ethical misconduct
under the Explanation to section 24;
(z) such other particulars to be specified in the online and live National Register maintained by the
Nursing and Midwifery Ethics and Registration Board under sub-section (1) of section 25;
(za) the form and manner in which the National Register is to be maintained under sub-section (2)
of section 25;
(zb) the manner in which a name or qualification may be added to, or removed from, the National
Register and the grounds for adding thereto or removal thereof under sub-section (3) of section 25;
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(zc) the form and manner in which the National Register shall be made available to the public by
placing it on the website of the Nursing and Midwifery Ethics and Registration Board under sub-section
(5) of section 25;
(zd) the manner of granting a registration as nursing and midwifery professional to a person who
has obtained a recognised nursing and midwifery qualification and getting his name and qualifications
enrolled in the National Register or the State Register for Nursing and Midwifery Professionals under
sub-section (1) of section 26;
(ze) the manner of getting entered the title, diploma or qualification against his name in the National
Register or the State Register under sub-section (3) of section 26;
(zf) the manner of renewal of registration under sub-section (4) of section 26;
(zg) the period and manner in which a foreign citizen may be permitted temporary registration in
India under the proviso to sub-section (1) of section 27;
(zh) the manner of listing and maintaining nursing and midwifery qualification granted by any
University or nursing and midwifery institution in India by the Nursing and Midwifery Undergraduate
and Postgraduate Education Board under sub-section (1) of section 28;
(zi) the manner of listing and maintaining nursing and midwifery qualification granted by any
University or nursing and midwifery institution in India by the Nursing and Midwifery Undergraduate
and Postgraduate Education Board under sub-section (2) of section 28;
(zj) the manner of examining the application for grant of recognition to an undergraduate or
postgraduate or speciality or clinical nurse speciality or nurse practitioner course in all specialities of
nursing and midwifery qualification under sub-section (3) of section 28;
(zk) the manner of listing and maintaining all nursing and midwifery qualifications which have
been recognised before the date of commencement of this Act and are included in the Part I and Part II
of the Schedule to the Indian Nursing Council Act, 1947 under sub-section (7) of section 28;
(zl) the manner of listing and maintaining the nursing and midwifery qualification, which is granted
recognition by the National Commission and the manner of practice by a person possessing such
qualification under sub-section (2) of section 29;
(zm) the manner of mutual recognition of the qualifications for reciprocal registration of nursing
and midwifery professionals between two countries under sub-section (4) of section 29;
(zn) the manner of examining the equivalence in terms of curriculum, practical.
(zo) the manner in which a person possessing necessary qualification shall be permitted to practice
under the second proviso to section 32;
(zp) the procedure to be followed at the meetings of Nursing and Midwifery Advisory Council
under sub-section (3) of section 36; and
(zq) any other matter in respect of which provision is to be made by regulations for carrying out the
purposes of this Act.
53. Power of State Government to make rules.—(1) The State Government may, by notification,
make rules for carrying out the provisions of section 23 and sub-section (9) of section 28.
(2) In particular, and without prejudice to the generality of the foregoing power, such rules may provide
for the qualifications and experience to be possessed by members to be nominated in the State Nursing and
Midwifery Commission under clauses (d), (e) and (f) of sub-section (3) of section 23.
(3) Every rule made under this section shall, as soon as may be, after it is made, be laid before the State
Legislature.
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54. Laying of rules, regulations and notifications before Parliament.—Every rule and regulation
made and every notification issued under this Act shall be laid, as soon as may be after it is made or issued,
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 making any
modification in the rule or regulation or notification; both Houses agree that the rule or regulation or
notification should not be made or issued, the rule or regulation or notification shall thereafter have effect
only in such modified form or be of no effect, as the case may be;
so, however, that any such modification or annulment shall be without prejudice to the validity of anything
previously done under that rule or regulation or notification.
55. Power to remove difficulties.—(1) If any difficulty arises in giving effect to the provisions of this
Act, the Central Government may, by order published in the Official Gazette, make such provisions not
inconsistent with the provisions of this Act, as may appear to it to be necessary, for removing the difficulty:
Provided that no order shall be made under this section after the expiry of a period of two years from
the commencement of this Act.
(2) Every order made under this section shall be laid, as soon as may be after it is made, before each
House of Parliament.
56. Repeal and saving.—(1) With effect from such date as the Central Government may appoint in
this behalf, the Indian Nursing Council Act, 1947 (48 of 1947), shall stand repealed and the Indian Nursing
Council constituted under sub-section (1) of section 3 of the said Act shall stand dissolved.
(2) Notwithstanding the repeal of the Act referred to in sub-section (1), it shall not affect,—
(a) the previous operation of the Act so repealed or anything duly done or suffered thereunder; or
(b) any right, privilege, obligation or liability acquired, accrued or incurred under the Act so
repealed; or
(c) any penalty incurred in respect of any contravention under the Act so repealed; or
(d) any proceeding or remedy in respect of any such right, privilege, obligation, liability, penalty
as aforesaid, and any such proceeding or remedy may be instituted, continued or enforced, and any such
penalty may be imposed as if that Act had not been repealed.
(3) On the dissolution of the Indian Nursing Council, the person appointed as the President and every
other person appointed as the Member of the Indian Nursing Council shall vacate their respective offices
and such President and other Members shall be entitled to claim compensation, fees and allowances for the
premature termination of term of their office for a period not exceeding ninety days.
(4) Every officer who has been appointed on deputation basis in the Indian Nursing Council shall, on
its dissolution, stand reverted to his parent cadre, Ministry or Department, as the case may be.
(5) The services of other employees who have been, before the dissolution of the Indian Nursing
Council, employed on regular basis by the Indian Nursing Council, shall continue for no longer than one
year after the enactment of this Act, as an interim arrangement and thereafter, further continuity or otherwise
of their services shall be determined by the National Commission on the basis of their performance appraisal
or evaluation:
Provided that such employees of the erstwhile Indian Nursing Council shall be entitled to compensation
which shall not be less than three months’ pay and allowances, as may be prescribed.
(6) Notwithstanding the repeal of the Indian Nursing Council Act, 1947 (48 of 1947), any order made,
any licence to practice issued, any registration made, any permission to start a new nursing college or
institution, or to start higher course of studies, or for increase in the admission capacity granted, or any
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recognition of nursing qualifications granted, under the said Act, which are in force as on the date of
commencement of this Act, shall continue to be in force till the date of their expiry for all purposes, as if
they had been issued or granted under the provisions of this Act or the rules or regulations made thereunder.
57. Transitory provisions.—(1) The National Commission shall be the successor in interest to the
Indian Nursing Council including its subsidiaries or owned trusts and all the assets and liabilities of the
Indian Nursing Council shall be deemed to have been transferred to the National Commission.
(2) Notwithstanding the repeal of the Indian Nursing Council Act, 1947 (48 of 1947), the educational
standards, requirements and other provisions of the said Act and the rules and regulations made thereunder
shall continue to be in force and operate till new standards or requirements are specified under this Act or
the rules and regulations made thereunder:
Provided that anything done, or any action taken, as regards the educational standards and requirements
under the enactment under repeal and the rules and regulations made thereunder, shall be deemed to have
been done or taken under the corresponding provisions of this Act and shall continue in force accordingly
unless and until superseded by anything done or by any action taken under this Act.