Transplantation of Human Organs Act
An Act to provide for the regulation of removal, storage and transplantation of human organs for therapeutic purposes and for the prevention of commercial dealings in human organs and for matters connected therewith of incidental thereto.
Chapter I - Preliminary
1. Short title, applications and commencement
2. Definitions
Chapter II - Authority For The Removal Of Human Organs
3. Authority for removal of human organs
4. Removal of human organs not to be authorized in certain cases
5. Authority for removal of human organs in case of unclaimed bodies in hospital or prison
6. Authority for removal of human organs from bodies sent for postmortem examination for medico legal or pathological purposes
7. Preservation of human organs
8. Savings
9. Restrictions on removal and transplantation of human organs
Chapter III - Regulation Of Hospitals
10. Regulation of hospitals conducting the removal, storage or transplantation of human organs
11. Prohibition of removal or transplantation of human organs for any purpose other than therapeutic purposes
12. Explaining effects, etc., to donor and recipient
Chapter IV - Appropriate Authority
13. Appropriate Authority
Chapter V - Registration Of Hospitals
14. Registration of hospitals engaged in removal, storage or transplantation of human organs
15. Certificate of registration
16. Suspension or cancellation of registration
17. Appeals
Chapter VI - Offences And Penalties
18. Punishment for removal of human organ without authority
19. Punishment for commercial dealings in human organs
20. Punishment for contravention of any other provision of this Act
21. Offences by companies
22. Cognizance of offence
Chapter VII - Miscellaneous
23. Protection of action taken in good faith
24. Power to make rules
25. Repeal and saving
Foot Notes
Chapter I - Preliminary
1. Short title, applications and commencement
(1) This Act may be called the Transplantation
of Human Organs Act, 1994.
(2) It applies, in the first instance, to the
whole of the States of Goa, Himachal Pradesh and Maharashtra and to all the
Union territories and it shall also apply to such other State which adopts this
Act by resolution passed in that behalf under clause (1) of article 252 of the
Constitution.
(3) It shall come into force in the States of Goa, Himachal Pradesh and Maharashtra and in all the Union territories on such date1 as the Central Government may, by notification appoint and in any other State which adopts this Act under clause (1) of article 252 of the Constitution, on the date of such adoption; and any reference in this Act to the commencement of this Act shall, in relation to any State or Union territory, means the date on which this Act comes into force in such State or Union territory.
2. Definitions
In this Act, unless the context otherwise
requires,--
(a) "advertisement" includes any
form of advertising whether to the public generally or to any section of the public
or individually to selected persons;
(b) "Appropriate Authority" means
the Appropriate Authority appointed under section 13;
(c) "Authorization Committee" means
the committee constituted under clause (a) or clause (b) of sub-section (4) of
section 9;
(d) "brain-stem death" means the
stage at which all functions of the brain-stem have permanently and
irreversibly ceased and is so certified under sub-section (6) of section 3;
(e) "deceased person" means a person
in whom permanent disappearance of all evidence of life occurs, by reason of
brain-stem death or in a cardio-pulmonary sense, at any time after live birth
has taken place;
(f) "donor" means any person, not
less than eighteen years of age, who voluntarily authorizes the removal of any of
his human organs for therapeutic purposes under sub-section (1) or sub-section
(2) of section 3;
(g) "hospital" includes a nursing
home, clinic, medical centre, medical or teaching institution for therapeutic
purposes and other like institution;
(h) "human organ" means any part of
a human body consisting of a structured arrangement of tissues which, if
wholly, removed, cannot be replicated by the body;
(i) "near relative" means spouse,
son, daughter, father, mother brother or sister;
(j) "notification" means a
notification published in the Official Gazette;
(k) "payment" means payment in money
or money's worth but does not include any payment for defraying or reimbursing-
(i) the cost of
removing, transporting or preserving the human organ to be supplied; or
(ii) any expenses or
loss of earnings incurred by a person so far as reasonably and directly
attributable to his supplying any human organ from his body.
(l)
"prescribed" means prescribed by rules made under this Act;
(m) " recipient"
means a person into whom any human organ is, or is proposed to be,
transplanted;
(n) "registered
medical practitioner" means a medical practitioner who possesses any
recognized medical qualification as defined in clause (h) of section 2 of the
Indian Medical Council Act, 1956, and who is enrolled on a State Medical
Register as defined in clause (k) of that section;
(o) "therapeutic
purpose" means systematic treatment of any disease or the measures to
improve health according to any particular method or modality; and
(p) "transplantation" means the grafting of any human organ from any living person or deceased person to some other living person for therapeutic purposes.
Chapter II - Authority For The Removal Of Human Organs
3. Authority for removal of human organs
(1) Any donor may, in such manner and subject
to such conditions as may be prescribed, authorize the removal, before his
death, of any human organs of his body for therapeutic purposes.
(2) If any donor had, in writing and in the
presence of two or more witnesses (at least one of whom is a near relative of
such person), unequivocally authorized at any time before his death, the
removal of any human organ of his body, after his death, for therapeutic
purposes, the person lawfully in possession of the dead body of the donor
shall, unless he has any reason to believe that the donor had subsequently
revoked the authority aforesaid, grant to a registered medical practitioner all
reasonable facilities for the removal, for therapeutic purposes, of that human
organ from the dead body of the donor.
(3) Where no such authority as is referred to
in sub-section (2), was made by any person before his death but no objection was
also expressed by such person to any of his human organs being used after his
death for therapeutic purposes, the person lawfully in possession of the dead
body of such person may, unless he has reason to believe that any near relative
of the deceased person has objection to any of the deceased person's human
organs being used for therapeutic purposes, authorize the removal of any human
organ of the deceased person for its use for therapeutic purposes.
(4) The authority given under sub-section (1)
or sub-section (2) or, as the case may be, sub-section (3) shall be sufficient
warrant for the removal, for therapeutic purposes, of the human organ; but no
such removal shall be made by any person other than the registered medical
practitioner.
(5) Where any human organ is to be removed
from the body of a deceased person, the registered medical practitioner shall
satisfy himself, before such removal, by a personal examination of the body
from which any human organ is to be removed, that life is extinct in such body
or, where it appears to be a case of brain-stem death, that such death has been
certified under sub-section (6).
(6) Where any human organ is to be removed
from the body of a person in the event of his brain-stem death, no such removal
shall be undertaken unless such death is certified, in such form and in such
manner and on satisfaction of such conditions and requirements as may be
prescribed, by a Board of medical experts consisting of the following, namely:-
(i) the registered medical
practitioner in charge of the hospital in which brain-stem death has occurred;
(ii) an independent
registered medical practitioner, being a specialist, to be nominated by the
registered medical practitioner specified in clause (i), from the panel of
names approval by the Appropriate Authority;
(iii) a neurologist or
a neurosurgeon to be nominated by the registered medical practitioner specified
in clause (i), from the panel of names approved by the Appropriate Authority ;
and
(iv) the registered
medical practitioner treating the person whose brain-stem death has occurred .
(7) Notwithstanding anything contained in sub-section (3), where brain-stem death of any person, less than eighteen years of age, occurs and is certified under sub-section (6) , any of the parents of the deceased person may give authority, in such form and in such manner as may be prescribed, for the removal of any human organ from the body of the deceased person.
4. Removal of human organs not to be authorized in certain cases
(1) No facilities shall be granted under
sub-section (2) of section 3 and no authority shall be given under sub-section
(3) of that section for the removal of any human organ from the body of a
deceased person, if the person required to grant such facilities, or empowered
to give such authority, has reason to believe that an inquest may be required
to be held in relation to such body in pursuance of the provisions of any law
for the time being in force.
(2) No authority for the removal of any human organ from the body of a deceased person shall be given by a person to whom such body has been entrusted solely for the purpose of interment, cremation or other disposal.
5. Authority for removal of human organs in case of unclaimed bodies in hospital or prison
(1) In the case of a dead body lying in a
hospital or prison and not claimed by any of the near relatives of the deceased
person within forty-eight hours from the time of the death of the concerned
person, the authority for the removal of any human organ from the dead body
which so remains unclaimed may be given, in the prescribed form, by the person
in charge, for the time being, of the management or control of the hospital or
prison, or by an employee of such hospital or prison authorized in this behalf
by the person in charge of the management or control thereof.
(2) No authority shall be given under sub-section (1) if the person empowered to give such authority has reason to believe that any near relative of the deceased person is likely to claim the dead body even though such near relative has not come forward to claim the body of the deceased person within the time specified in sub-section (1).
6. Authority for removal of human organs from bodies sent for postmortem examination for medico legal or pathological purposes
Where the body of a person has been sent for
post-mortem examination-
(a) for medico-legal purposes by reason of the
death of such person having been caused by accident or any other unnatural
cause; or
(b) for pathological purposes.
the person competent under this Act to give authority for the removal of any human organ from such dead body may, if he has reason to believe that such human organ will not be required for the purpose for which such body has been sent for post-mortem examination, authorize the removal, for therapeutic purpose, of that human organ of the deceased person provided that he is satisfied that the deceased person had not expressed, before his death, any objection to any of his human organs being used, for therapeutic purposes after his death or, where he had granted an authority for the use of any of his human organs for therapeutic purposes after his death, such authority had not been revoked by him before his death.
7. Preservation of human organs
After the removal of any human organ from he body of any person, the registered medical practitioner shall take such steps for the preservation of the human organ so removed as may be prescribed.
8. Savings
(1) Nothing in the foregoing provisions of
this Act shall be construed as rendering unlawful any dealing with the body or
with any part of the body of a deceased person if such dealing would have been
lawful if this Act had not been passed.
(2) Neither the grant of any facility or authority for the removal of any human organ from the body of a deceased person in accordance with the provisions of this Act nor the removal of any human organ from the body of a deceased person in pursuance of such authority shall be deemed to be an offence punishable under section 297 of the Indian Penal Code.
9. Restrictions on removal and transplantation of human organs
(1) Save as otherwise provided in sub-section
(3), no human organ removed from the body of a donor before his death shall be
transplanted into a recipient unless the donor is a near relative of the
recipient.
(2) Where any donor authorizes the removal of
any of his human organs after his death under sub-section (2) of section 3 or
any person competent or empowered to give authority for the removal of any
human organ from the body of any deceased person authorizes such removal, the
human organ may be removed and transplanted into the body of any recipient who
may be in need of such human organ.
(3) If any donor authorizes the removal of any
of his human organs before his death under sub-section (1) of section 3 for
transplantation into the body of such recipient, not being a near relative, as
is specified by the donor by reason of affection or attachment towards the
recipient or for any other special reasons, such human organ shall not be
removed and transplanted without the prior approval of the Authorization
Committee.
(4) (a) The Central Government shall
constitute, by notification, one or more Authorization Committees consisting of
such members as may be nominated by the Central Government on such terms and
conditions as may be specified in the notification for each of the Union
territories for the purposes of the section.
(5) On an application, jointly made, in such
form and in such manner as may be prescribed, by the donor and the recipient,
the Authorization Committee shall, after holding an inquiry and after
satisfying itself that the applicants have complied with all the requirements
of this Act and the rules made thereunder, grant to the applicants approval for
the removal and transplantation of the human organ.
(6) If, after the inquiry and after giving an opportunity to the applicants of being heard, the Authorization Committee is satisfied that the applicants have not complied with the requirements of this Act and the rules made thereunder, it shall, for reasons to be recorded in writing, reject the application for approval.
Chapter III - Regulation Of Hospitals
10. Regulation of hospitals conducting the removal, storage or transplantation of human organs
(1) On and from the commencement of this Act,-
(a) no hospital,
unless registered under this Act, shall conduct, or associate with, or help in,
the removal, storage, or transplantation of any human organ;
(b) no medical
practitioner or any other person shall conduct, or cause to be conducted, or
aid in conducting by himself or through any other person, any activity relating
to the removal, storage or transplantation of any human organ at a place other
than a place registered under this Act; and
(c) no place including
a hospital registered under sub-section (1) of section 15 shall be used or
cause to be used by any person for the removal, storage or transplantation of
any human organ except for therapeutic purposes.
(2) Notwithstanding anything contained in sub-section (1), the eyes or the ears may be removed at any place from the dead body of any donor, for therapeutic purposes, by a registered medical practitioner.
11. Prohibition of removal or transplantation of human organs for any purpose other than therapeutic purposes
No donor and no person empowered to give authority for the removal of any human organ shall authorize the removal of any human organ for any purpose other than therapeutic purposes.
12. Explaining effects, etc., to donor and recipient
No registered medical practitioner shall undertake the removal or transplantation of any human organ unless he has explained, in such manner as may be prescribed, all possible effects, complications and hazards connected with t he removal and transplantation to the donor and the recipient respectively.
Chapter IV - Appropriate Authority
13. Appropriate Authority
(1) The Central Government shall appoint, by
notification, one or more officers as Appropriate Authorities for each of the
Union territories for the purposes of this Act.
(2) The State Government shall appoint, by
notification, one or more officers as Appropriate Authorities for the purposes
of this Act.
(3) The Appropriate Authority shall perform
the following functions, namely:-
(i) to grant
registration under sub-section (1) of section 15 or renew registration under
sub-section (3) of that section;
(ii) to suspend or
cancel registration under sub-section (2) of section 16;
(iii) to enforce such
standards, as may be prescribed, for hospitals engaged in the removal, storage
or transplantation of any human organ ;
(iv) to investigate
any complaint of breach of any of the provisions of this Act or any of the
rules made thereunder and take appropriate action;
(v) to inspect
hospitals periodically for examination of the quality of transplantation and
the follow-up medical care to persons who have undergone transplantation and
the persons from whom organs are removed; and
(vi) to undertake such other measures may be prescribed.
Chapter V - Registration Of Hospitals
14. Registration of hospitals engaged in removal, storage or transplantation of human organs
(1) No hospital shall commence any activity
relating to the removal, storage or transplantation of any human organ for
therapeutic purposes after the commencement of this Act unless such hospital is
duly registered under this Act:
Provided that every hospital engaged, either
partly or exclusively, in any activity relating to the removal, storage or
transplantation of any human organ for therapeutic purposes immediately before
the commencement of this Act, shall apply for registration within sixty days
from the date of such commencement:
Provided further that every hospital engaged in
any activity relating to the removal, storage or transplantation of any human
organ shall cease to engage in any such activity on the expiry of three months
from the date of commencement of this Act unless such hospital has appeared for
registration and is so registered or till such application is disposed or, whenever
is earner.
(2) Every application for registration under
sub-section (1) shall be made to the Appropriate Authority in such form and in
such manner and shall be accompanied by such fees as may be prescribed.
(3) No hospital shall be registered under this Act unless the Appropriate Authority is satisfied that such hospital is in a position to provide such specialized services and facilities, possess such skilled manpower and equipments and maintain such standards as may be prescribed.
15. Certificate of registration
(1) The Appropriate Authority shall, after
holding an inquiry and after satisfying itself that the applicant has complied
with all the requirements of this Act and the rules made thereunder, grant to
the hospital a certificate of registration in such form, for such period and
subject to such conditions as may be prescribed.
(2) If, after the inquiry and after giving an
opportunity to the applicant of being heard, the Appropriate Authority is satisfied
that the applicant has not complied with the requirements of this Act and the
rules made thereunder, it shall, for reasons to be recorded in writing, reject
the application for registration.
(3) Every certificate of registration shall be renewed in such manner and on payment of such fees as may be prescribed.
16. Suspension or cancellation of registration
(1) The Appropriate Authority may, suo moto or
on complaint, issue a notice to any hospital to show cause why its registration
under this Act should not be suspended or cancelled for the reasons mentioned
in the notice.
(2) If, after giving a reasonable opportunity
of being heard to the hospital, the Appropriate Authority is satisfied that
there has been, a breach of any of the provisions of this Act or the rules made
thereunder, it may, without prejudice to any criminal action that it may take
against such hospital, suspend its registration for such period as it may think
fit or cancel its registration:
Provided that where the Appropriate Authority is of the opinion that it is necessary or expedient so to do in the public interest, it may, for reasons to be recorded in writing, suspend the registration of any hospital without issuing any notice.
17. Appeals
Any person aggrieved by an order of the
Authorization Committee rejecting an application for approval under sub-section
(6) of section 9, or any hospital aggrieved by an order of the Appropriate
Authority rejecting an application for registration under sub-section (2) of
section 15 or an order of suspension or cancellation of registration under
sub-section (2) sub-section 16, may, within thirty day from the date of the
receipt of the order, prefer an appeal, in such manner as may be prescribed,
against such order to-
(i) the Central Government where the appeal is
against the order of the Authorization Committee constituted under clause (a)
of sub-section (4) of section 9 or against the order of the Appropriate
Authority appointed under sub-section (1) of section 13; or
(ii) the State Government, where the appeal is against the order of the Authorization Committee constituted under clause (b) of sub-section (4) of section 9 or against the order of the Appropriate Authority appointed under sub-section (2) of section 13.
Chapter VI - Offences And Penalties
18. Punishment for removal of human organ without authority
(1) Any person who renders his services to or
at any hospital and who, for purposes of transplantation, conducts, associates
with, or helps in any manner in, the removal of any human organ without
authority, shall be punishable with imprisonment for a term which may extend to
five years and with fine which may extend to ten thousand rupees.
(2) Where any person convicted under sub-section (1) is a registered medical practitioner, his name shall be reported by the Appropriate Authority to the respective State Medical Council for taking necessary action including the removal of his name from the register of the Council for a period of two years for the first offence and permanently for the subsequent offence.
19. Punishment for commercial dealings in human organs
Whoever -
(a) makes or receives any payment for the
supply of, or for an offer to supply, any human organ;
(b) seeks to find a person willing to supply
for payment any human organ;
(c) offers to supply any human organ for
payment;
(d) initiates or negotiates any arrangement
involving the making of any payment for the supply of, or for an offer to
supply, any human organ;
(e) takes part in the management or control of
a body of persons, whether a society, firm or company, whose activities consist
of or include the initiation or negotiation of any arrangement referred to in
clause (d); or
(f) publishes or distributes or causes to be published
or distributed any advertisement, -
(a) inviting persons
to supply for payment of any human organ;
(b) offering to supply
any human organ for payment; or
(c) indicating that the
advertiser in willing to initiate or negotiate any arrangement referred to in
clause (d), shall be punishable with imprisonment for a term which shall not be
less than two years but which may extend to seven years and shall be liable to
fine which shall not be less than ten thousand rupees but may extend to twenty
thousand rupees.
Provided that the court may, for any adequate and special reason to be mentioned in the judgment, impose a sentences of imprisonment for a term of less than two years and a fine less than ten thousand rupees.
20. Punishment for contravention of any other provision of this Act
Whoever contravenes any provision of this Act or any rule made, of any condition of the registration granted, thereunder for which no punishment is separately provided in this Act, shall be punishable with imprisonment for a term which may extend to three years or with fine which may extend to five thousand rupees.
21. Offences by companies
(1) Where any offence punishable under this
Act has been committed by a company, every person who, at the time the offence
was committed was in charge of, and was responsible to, the company for the
conduct of the business of the company, as well as the company, shall be deemed
to be guilty of the offence and shall be liable to be proceeded against and
punished accordingly:
Provided that nothing contained in this
sub-section shall render any such person liable to any punishment, if he proves
that the offence was committed without his knowledge or that he had exercised
all due diligence to prevent the commission of such offence.
(2) Notwithstanding anything contained in
sub-section (1), where any offence punishable under this Act has been committed
by a company and it is proved that the offence has been committed with the
consent or connivance of, or is attributable to any neglect on the part of, any
director, manager, secretary or other officer of the company, such director,
manager, secretary or other officer shall also be deemed to be guilty of that
offence and shall be liable to be proceeded against and punished accordingly.
Explanation - For the purposes of
this section , -
(a) "company" means any body
corporate and includes a firm or other association of individuals; and
(b) "director" in relation to a firm, means a partner in the firm.
22. Cognizance of offence
(1) No court shall take cognizance of an
offence under this Act except on a complaint made by-
(a) the Appropriate
Authority concerned, or any officer authorized in this behalf by the Central
Government or the State Government or, as the case may be, the Appropriate
Authority; or
(b) a person who has
given notice of not less than sixty days, in such manner as may be prescribed,
to the Appropriate Authority concerned, of the alleged offence and of the
intention to make a complaint to the court.
(2) No court other than that of a Metropolitan
Magistrate or a Judicial Magistrate of the first class shall try any offence
punishable under this Act.
(3) Where a complaint has been made under clause (b) or sub-section (1), the court may, on demand by such person, direct the Appropriate Authority to make available copies of the relevant records in its possession to such person.
Chapter VII - Miscellaneous
23. Protection of action taken in good faith
(1) No suit, prosecution or other legal
proceeding shall lie against any person for anything which is in good faith
done or intended to be done in pursuance of the provisions of this Act.
(2) No suit or other legal proceeding shall lie against the Central Government or the State Government for any
damage caused or likely to be caused for anything which is in good faith done or intended to be done in pursuance of the provisions of this Act.
24. Power to make rules
(1) The Central Government may, by
notification, make rules for carrying out the purposes 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 manner in
which and the conditions subject to which any donor may authorize removal,
before his death, of any human organ of his body under sub-section (1) of
section 3;
(b) the form and the
manner in which a brain-stem death is to be certified and the conditions and
requirements which are to be satisfied for that purpose under sub-section (6)
of section 3;
(c) the form and the
manner in which any of the parents may give authority, in the case of brain-stem
death of a minor, for the removal of any human organ under sub-section (7) of
section 3;
(d) the form in which
authority for the removal of any human organ from an unclaimed dead body may be
given by the person incharge of the management or control of the hospital or
prison under sub-section (1) of section 5;
(e) the steps to be
taken for the preservation of the human organ removed from the body of any
person under section 7;
(f) the form and the manner
in which an application may be jointly made by the donor and the recipient
under sub-section (5) of section 9;
(g) the manner in
which all possible effects, complications and hazards connected with the
removal and transplantation is to be explained by the registered medical
practitioner to the donor and the recipient under section 12;
(h) the standards as
are to be enforced by the Appropriate Authority for hospitals engaged in the
removal, storage or transplantation of any human organ under clause (iii) of
sub-section (3) of section 13;
(i) the other measures
as the Appropriate Authority shall undertake in performing its functions under
clause (vi) of sub-section (3) of section 13;
(j) the form and the
manner in which an application for registration shall be made and the fee which
shall be accompanied, under sub-section (2) of section 14;
(k) the specialized
services and the facilities to be provided, skilled manpower and the equipments
to be possessed and the standards to be maintained by a hospital for
registration, under sub-section (3) of section 14;
(l) the form in which,
the period for which and the conditions subject to which certificate of
registration is to be granted to a hospital, under sub-section (1) of section
15;
(m) the manner in
which and the fee on payment of which certificate of registration is to be
renewed under sub-section (3) of section 15;
(n) the manner in
which an appeal may be preferred under section 17;
(o) the manner in
which a person is required to give notice to the Appropriate Authority of the
alleged offence and of his intention to make a complaint to the court, under
clause (b) of sub-section (1) of section 22; and
(p) any other matter
which is required to be, or may be, prescribed.
(3) Every rule made under this Act shall be laid, as soon as may be after it is made, 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 both Houses agree that the rule should not be made, the rule 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.
25. Repeal and saving
(1) The Ear Drums and Ear Bones (Authority for
Use for Therapeutic Purposes) Act, 1982 and the Eyes (Authority for Use for
Therapeutic Purposes) Act, 1982 are hereby repealed.
(2) The repeal shall, however, not affect the previous operation of the Acts so repealed or anything duly done or suffered thereunder.
Foot Notes
1. The Act came into force from 4th. February, 1995 in the States of Goa, Himachal Pradesh and Maharashtra and in all the Union Territories vide Notifications No. S.O. 80 (E) dated 4th. February, 1995.