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On June 29, the GST council recommended that hospital room rent (but not including ICUs) will incur a 5% tax if the rent exceeds Rs 5,000 per day.

Healthcare services in India are exempted from GST when they are provided by “a clinical establishment, an authorised medical practitioner or para-medics” or “by way of transportation of a patient in an ambulance”.

This exemption also applies to public health services such as counselling, preventive activities, health awareness, veterinary services and hospitals’ accessory services, such as bio-medical waste management, blood banks and retention money. However, it does not apply to procedures like hair transplants or cosmetic or plastic surgery, except when they are required to restore critical physical abilities.

An exemption means that end-users don’t have to pay GST. Various state-level Authorities for Advance Ruling have said that these exemptions apply to those services necessary to alleviate pain and suffering, to survive, sustain life, rehabilitate, diagnose, cure or continue treatment.

As there is no additional financial burden, the exemption provides significant relief to those receiving care – given that India’s out-of-pocket (OOP) health expenditure is catastrophic.

Nearly 40% of Indian households that had to hospitalise a member have also experienced financial shocks, indebtedness, impoverishment and lost care. At 55% of total health spending, India’s OOP situation needs to be improved drastically. The key reasons for this expense ratio are low government spending and inefficient use of resources.

So as such,

• a GST exemption carries

• many moral, ethical, social,

• economic and political

• considerations.