23. Constitution and composition of State Nursing and Midwifery Commission.—(1) Every State
Government shall, within one year from the commencement of this Act, by notification, constitute a State
Nursing and Midwifery Commission, where no such State Commission exists in that State by a State Law,
for exercising such powers and discharging such duties as may be laid down under this Act.
(2) The State Nursing and Midwifery Commission shall be a body corporate by the name aforesaid,
having perpetual succession and a common seal, with power to acquire, hold and dispose of property, both
movable and immovable, and to contract and shall by the same name sue or be sued.
(3) The State Commission shall consist of the following Members, namely:—
(a) a person of outstanding ability, proven administrative capacity and integrity, possessing a
postgraduate degree in nursing and midwifery from any University and having experience of not less
than twenty years in the field of nursing and midwifery, out of which at least ten years shall be as a
nursing and midwifery leader, to be nominated by the State Government—Chairperson;
(b) one Director or Additional Director or Joint Director representing nursing in the Health
Department of the State Government—Member, ex officio:
Provided that if no such position exists in a State, the in-charge for nursing education and services
may be appointed as such Member;
(c) two persons not below the rank of Dean or Head of the Department from any nursing or
midwifery college or institute of the State Government—Members, ex officio;
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(d) two persons of eminence, one from nursing and one from midwifery profession having such
qualifications and experience as may be prescribed by the State Government, to be nominated by the
State Government—Members;
(e) two persons of eminence, one from nursing and one from midwifery associates, to be nominated
by the State Government having such qualifications and experience as may be prescribed by the State
Government—Members;
(f) two persons, one from nursing and one from midwifery, representing charitable institutions
engaged in education or services in connection with nursing and midwifery having such qualifications
and experience as may be prescribed by the State Government, to be nominated by the State
Government—Members.
(4) The Chairperson, and Members of the State Commission referred to in clauses (a), (d), (e) and (f)
of sub-section (3), shall hold office for a term not exceeding four years, as the State Government may notify
in this behalf, from the date on which they enter upon their office, and shall not be eligible for any extension
or reappointment.
24. Functions of State Commission.—(1) The State Commission shall take all such steps as it may
think fit for ensuring coordinated and integrated development of education and maintenance of the
standards of delivery of services under this Act.
(2) The State Commission may, for the purposes of performing its functions,—
(a) enforce the professional conduct, code of ethics and etiquette to be observed by the nursing and
midwifery professionals including associates in the State and take disciplinary action including the
removal of name of a professional from the State Register;
(b) ensure standards of education, courses, curricula, physical and instructional facilities, staff
pattern, staff qualifications, quality instructions, assessment, examination, training, research,
continuing professional education as provided by the Autonomous Boards;
(c) maintain the State Registers for registered professionals;
(d) issue certification of specialisation or other forms of certification to those who practice the
profession of nursing and midwifery;
(e) conduct common counselling for admission to nursing associate and midwifery associate
courses regulated under this Act;
(f) provide for a skill based examination to ensure adequate competence of Nursing and Midwifery
Associates before enrolment in the State Register;
(g) ensure compliance of all the directives issued by the National Commission;
(h) meet with Principals of all colleges of nursing and schools of nursing in the State at least once
in every quarter to identify and resolve issues; and
(i) perform such other functions as may be entrusted to it by the State Government or Union
territory Administration or the National Commission or as may be necessary for implementation of the
provisions of this Act.
(3) Where a State Act confers power upon the State Commission to take disciplinary action in respect
of any professional or ethical misconduct by a registered professional, the State Commission shall act in
such manner as may be specified by regulations and the guidelines framed under this Act:
Provided that till such time as a State Commission is constituted in a State, the Nursing and Midwifery
Ethics and Registration Board shall receive the complaints and grievances relating to any professional or
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ethical misconduct against a registered professional in that State in accordance with such procedure as may
be specified by regulations:
Provided further that the Nursing and Midwifery Ethics and Registration Board or the State
Commission, as the case may be, shall give an opportunity of hearing to the registered professional
concerned before taking any action, including imposition of any monetary penalty against such person.
(4) A registered professional or any person, who is aggrieved by any action taken by a State
Commission under sub-section (3), may prefer an appeal to the Nursing and Midwifery Ethics and
Registration Board within a period of sixty days against such action, and the Nursing and Midwifery Ethics
and Registration Board shall decide on the appeal within a period of sixty days, and the decision of the
Nursing and Midwifery Ethics and Registration Board thereupon shall be binding on the State Commission,
unless a second appeal is preferred under sub-section (5).
(5) A registered professional or any person, who is aggrieved by the decision of the Nursing and
Midwifery Ethics and Registration Board, may prefer a second appeal to the National Commission within
a period of sixty days of receipt of communication of such decision and the National Commission shall
dispose of such appeal within a period of ninety days from the date of that appeal.
Explanation.—For the purposes of this Act, the expressions—
(a) “professional or ethical misconduct” includes any act of commission or omission as may be
specified by regulations; and
(b) “State” includes Union territory and the expressions “State Government” and “State Nursing
and Midwifery Commission”, in relation to a Union territory, shall respectively mean the “Central
Government” and “Union Territory Nursing and Midwifery Commission”.