STATE OF KARNATAKA AND ANR. versus SRI R. VIVEKANANDA SWAMY
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[2008] 5 S.C.R. 905 STATE OF KARNATAKA AND ANR. A v. SRI R. VIVEKANANDA SWAMY (Civil Appeal No. 2336 of 2008) APRIL 1, 2008 B r :J [S.B. SINHA AND V.S. SIRPURKAR, JJ.] I Service Law: ~ Conditions of Service - Medical Benefit Rules, applicable in the States of Karnataka and Rajasthan - Interpretation and! c or application of - Treatment in non-Government hospital - Re-imbursement of medical expenses - Entitlement for - Held: Claim for reimbursement must be made only in terms of the Rules and not de hors the same, moreso, when no power of relaxation conferred on the authorities - On facts, the State D Government sanctioned and reimbursed a part of the medical claim - To do complete justice, Supreme Court, in exercise of its jurisdiction under Art. 142 of Constitution, directed State Government to pay balance amount - However, this order not to be treated as a precedent- Kamataka Government Servants' E (Medical Attendance) Rules, 1963 - Rajasthan Civil Services (Medical Attendance) Rules, 1970 - Constitution of India, 1950 - Arts. 142 & 309, proviso. Interpretation and/or application of the Medical Benefit Rules applicable in the States of Karnataka and F Rajasthan, i.e. the Karnataka Government Servants' (Medical Attendance) Rules, 1963 and the Rajasthan Civil Services (Medical Attendance) Rules, 1970 was in question in the present two appeals. Respondent in the Karnataka case i.e. Respondent G No.1 is an officer working in the Office of the Department of Commercial Taxes. He underwent 'Coronary Artery' Bypass Surgery in Wockhardt Hospital and Heart 905 H 906 SUPREME COURT REPORTS [2008] 5 S.C.R. A Institute, a non-Government hospital and purportedly incurred a sum of Rs.1,50,600/- by way of medical ·expenses. He claimed re-imbursement thereof, but the St;:ite of Karnataka sanctioned and reimbursed only a sum of Rs.39,207/-. Feeling aggrieved, Respondent No.1 filed s writ petition which was allowed by the Karnataka High Court. The Rajasthan case relates to 'A', the son of Respondent No.2. In 1997, 'A' was referred to AllMS for kidney transplantation by the SMS Medical College and C Hospital, Jaipur. However, as AllMS showed its inability to admit him because of non-availability of bed, transplantation of his kidney was carried out in Batra Hospital, Delhi, a non-Government hospital. Respondent No.2, also an employee of the State, received partial D reimbursement of the medical expenses incurred on that occass1on. Subsequently 'A' joined the Rajasthan Judicial Service in the year 2000 and in February, 2003, got himself treated in Batra Hospital, though his case was allegedly not referred by the SMS Medical College and Hospital, E Jaipur. In May, 2003, he again got himself treated in Batra Hospital, Delhi. On 5th July, 2003, SMS Medical College and Hospital referred him to AllMS, allegedly subject to a ceiling on medical expenses. 'A' obtained treatment in the Batra Hospital from 4th July to 29th July, 2003. He died F on 7th November, 2003. Respondent No.2 claimed medical reimbursement to the tune of Rs.6,52,148/- with interest, but only a sum of Rs.75,000/-was sanctioned by the State of Rajasthan as being admissible in terms of the Rules. Feeling aggrieved, she filed writ petition which was G allowed by the High Court of Rajasthan. Before this Court, the States of Karnataka and Rajasthan contended that having regard to the Rules framed by the States, the High Courts of Karnataka and Rajasthan committed serious errors in issuing the H impugned directions. STATE OF KARNATAKA AND ANR. v. SRI R. 907 VIVEKANANDA SWAMY \ Respondent No.1, on the other hand, submitted that A the power of relaxation should have been exercised by the appropriate authority judiciously and in a case of this nature, Article 14 of the Constitution is attracted. It was urged that as a large number of non-Government Hospitals are now included in the list of hospitals, the 8 · j · impugned judgment of the Karnataka High Court should not be interfered with. Respondent No.2, by taking into account the entire factual aspect of the matter, submitted that the judgment of Rajasthan High Court was unexceptionable, keeping c in view the fact that whatever was required to be paid was reimbursement ofthe bills for the month of May-June, 2003 and the State had already reimbursed the bills for medical expenses for February, 2003, July, 2003 and also October, 2003. It
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